NCCHC CCHP Exam, CCHP Final Exam Questions and Correct Answers

NCCHC CCHP Exam, CCHP Final Exam Questions and Correct Answers 1. Which of the following best defines a "procedure"? A. Detailed description for carrying out policy B. A measurable objective to be achieved C. Official position on a work-related issue D. Rules and regulations - A. Detailed description for carrying out policy 2. This standard is based on the basic principle established by the U.S. Supreme Court in the 1976 landmark case Estelle v. Gamble. A. Access to care B. Inmate workers C. Medical autonomy D. Privacy of care - A. Access to care 3. Which of the following is least important in determining the number of health staff needed to deliver services in a correctional setting? A. Needs of inmate population B. Approved budget C. Delivery system D. Proportion of female inmates - B. Approved budget 4. The following individuals, in the absence of any written authorization from the adult inmate-patient, may have access to that patient's medical records: A. Inmate's attorney B. Private physician C. U.S. congressman D. None of the above - D. None of the above 5. Which statement below best describes universal precautions? A. Adhering to advisories published by the Centers for Disease Control and Prevention for disposing of infectious waste B. Taking protective steps with patients known to have infectious diseases so as to minimize exposure of workers and others to contagious disease C. Assuming all patients present a potential for transmission of infectious disease and adopting the same protective techniques with every patient D. Using masks, gowns and gloves for protection from infectious disease - C. Assuming all patients present a potential for transmission of infectious disease and adopting the same protective techniques with every patient What is the Access to Care standard? - Inmates have access to care for their serious medical, dental, and mental health needs. Define "access to care" (three criteria) - 1. In a timely manner, a patient is seen by a qualified health care professional, 2. is rendered a clinical judgment, 3. and receives care that is ordered What is the basic principle established by the U.S. Supreme Court landmark case in 1976 Estelle v. Gamble? - Inmates must have access to care to meet their serious health needs. What is the fundamental principle on which all National Commission on Correctional Health Care standards based? - Inmates must have access to care to meet their serious health needs. List five examples of unreasonable barriers to inmates' access to health services. - 1. punishing inmates for seeking care for their health needs 2. assessing excessive fees that prevent or deter inmates from seeking care 3. deterring inmates from seeking care, such as holding sick call at 2AM 4. having understaffed, underfunded, poorly organized system resulting in inability to provide appropriate and timely access to care 5. having a utilization review process that delays or denies necessary care List 5 unreasonable barriers to inmates' access to health services. - 1. punishing 2. excessive fines 3. deterring 4. understaffed, underfunded, poorly organized system 5. utilization review that delays or denies care What Standard is defined as: in a timely manner, a patient is seen by a qualified health care professional, is rendered a clinical judgment, and receives care that is ordered? - access to care which U.S. Supreme Court case set the standard for inmate access to care? - 1976 Estelle v. Gamble What is the Responsible Health Authority (RHA) standard? - The responsible health authority (RHA) ensures that the facility maintains a coordinated system for health care delivery. Responsible Health Authority compliance indicators include that the RHA arranges for .... - RHA arranges for all levels of health care and ensures quality, accessible, and timely health services for inmates. The RHA's responsibilities are documented where? - RHA's responsibilities are documented in a written agreement, contract, or job description. How frequently must the RHA be on-site? - weekly With whom do final clinical judgments rest? - A single, designated, licensed *responsible physician* When there is a separate organizational structure for mental health services, what else must there be? - a designated mental health clinician When there is a separate organizational structure for dental services, what else must there be? - a designated dental clinician The responsible physician (and designated mental health clinician and dental clinician, if applicable) is available to the facility frequently enough to fulfill what two responsibilities? - the position's clinical and administrative responsibilities How are all aspects of the RHA standard addressed? - by written policy and defined procedures