– Mental Health
Final Assessment Review
(With Solutions)
2026
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,1. An inmate reports suicidal ideation during intake but is not referred for
immediate evaluation. Which NCCHC standard is violated?
A. Chronic Care
B. Receiving Screening and Suicide Prevention
C. Emergency Preparedness
D. CQI
Answer: B. Rationale: Intake screening must include suicide risk
assessment.
2. A correctional facility denies access to psychiatric medications due to
cost. Which principle is compromised?
A. Confidentiality
B. Right to Equivalent Standard of Care
C. Emergency Preparedness
D. Infection Control
Answer: B. Rationale: NCCHC requires care equivalent to community
standards.
3. A mental health professional shares patient details with custody staff
without clinical justification. Which ethical principle is breached?
A. Beneficence
B. Confidentiality
C. Justice
D. Autonomy
Answer: B. Rationale: Confidentiality is a core ethical obligation.
4. A patient with schizophrenia is transferred without medical records.
Which NCCHC requirement is violated?
A. Emergency Care
B. Continuity of Care and Transfer of Health Information
C. Health Promotion
D. Staff Credentialing
Answer: B. Rationale: Records must accompany transfers.
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, 5. A facility fails to provide interpreter services for a non‑English speaking
inmate during psychiatric evaluation. Which principle is compromised?
A. Patient Rights
B. Communication Access
C. Emergency Preparedness
D. CQI
Answer: B. Rationale: Standards mandate communication access.
6. A psychologist is pressured by custody staff to disclose therapy notes.
Which legal principle protects the patient?
A. HIPAA and NCCHC Confidentiality Standards
B. CQI
C. Infection Control
D. Emergency Preparedness
Answer: A. Rationale: HIPAA and NCCHC mandate confidentiality.
7. A patient with bipolar disorder is denied follow‑up care after release.
Which NCCHC principle is violated?
A. Emergency Preparedness
B. Discharge Planning and Continuity of Care
C. CQI
D. Patient Rights
Answer: B. Rationale: Standards require discharge planning.
8. A psychiatrist refuses to treat an inmate due to personal bias. Which
ethical principle is breached?
A. Autonomy
B. Justice and Non‑Discrimination
C. Beneficence
D. Confidentiality
Answer: B. Rationale: Professionals must provide equitable care.
9. A facility lacks protocols for involuntary psychiatric treatment. Which
legal principle is at risk?
A. Confidentiality
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