– Advanced Certification
Final Assessment Review
(With Solutions)
2026
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,1. Multiple Choice
Case: A newly licensed nurse in the correctional facility notices that an
inmate’s chronic illness management does not align with current NCCHC
standards for continuity of care. What is the first step for the nurse?
A) Report the issue to facility security
B) Consult the facility’s written policies and guidelines on chronic illness
management
C) Ignore it as it is not the nurse’s responsibility
D) Discharge the inmate for non-compliance
Answer: B) Consult the facility’s written policies and guidelines on chronic
illness management
Rationale: The nurse must first reference the established standards and
guidelines to verify adherence and identify gaps before escalating the
issue.
2. True/False
Correctional health care professionals have an ethical obligation to
respect inmate autonomy even when security concerns are present.
Answer: True
Rationale: Ethical practice demands respect for autonomy; however, it
must be balanced against legitimate security needs.
3. Short Answer
Identify two basic legal principles that directly affect health care delivery
in correctional settings.
Answer: Duty of care and informed consent.
Rationale: Duty of care ensures inmates receive necessary health
services; informed consent respects their rights to make decisions about
their own care.
4. Fill in the Blank
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, The __________________ is a key standard-setting organization whose
accreditation ensures correctional health care services meet national
quality standards.
Answer: National Commission on Correctional Health Care (NCCHC)
Rationale: NCCHC sets and enforces standards specifically designed for
correctional health care.
5. Multiple Choice
Which of the following is a legal duty of correctional health care
providers?
A) Providing treatment equivalent to community standards
B) Reporting all inmate communications to security without discretion
C) Sharing inmate medical information with other inmates
D) Denying treatment to inmates based on behavior
Answer: A) Providing treatment equivalent to community standards
Rationale: The law requires correctional facilities to provide care
comparable to what is available outside, ensuring constitutional rights
under the Eighth Amendment.
6. True/False
Ethical principles in correctional health care always take precedence over
institutional security policies.
Answer: False
Rationale: While ethics are critical, they must be balanced with
institutional security requirements to maintain safety.
7. Short Answer
Explain “equivalence of care” in correctional health care delivery.
Answer: It is the principle that inmates should receive health care
services comparable to those available in the general community.
Rationale: This principle ensures constitutional rights and ethical
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