NHCC CCHP EXAM QUESTIONS AND CORRECT ANSWERS|
ACCURATE REAL EXAM WITH FREQUENTLY TESTED
QUESTIONS AND RATIONALE|ALREADY A
GRADED|GUARANTEED PASS|LATEST UPDATE 2024/2025.
Information about availability of and access to health care services communicated orally and in
writing - CORRECT ANSWER To inmates on their arrival at the facility, within 24 hours
regarding access of emergency and routine medical, dental, MH, fees, and grievance process
Medical Clearance - CORRECT ANSWER Clinical assessment of physical and mental status
before an individual is admitted into a facility
Sufficient escorting staff - CORRECT ANSWER Provided by facility to ensure that patients can
attend scheduled health care appointments
Discharge planning - CORRECT ANSWER Linkages between facility and community based
organizations, discussions with the inmate regarding the importance of aftercare, appointments
and discharge medications, timely exchange of information and medication
Health hazards of tobacco - CORRECT ANSWER Information should be available to inmates
Minimum frequency of contacts for outpatients receiving MH services - CORRECT ANSWER
No less than every 90 days
Treatment for patients with substance use problems - CORRECT ANSWER Assessed and
properly managed by a physician or other qualified health care professional
Emergency contraception - CORRECT ANSWER Will be made available, as well as continued
contraception
Use of restraints for pregnant inmates - CORRECT ANSWER Potentially harmful to inmate and
fetus, especially in 3rd trimester, labor, and delivery
Aids to impairment, such as prostheses and hearing aids for elderly inmates - CORRECT
ANSWER Not a requirement, but must be supplied when health would be adversely affected
Storage of health care records - CORRECT ANSWER Secure conditions separate from
correctional records
Qualified health care professionals have access to information in the inmate's custody record
when? - CORRECT ANSWER RHA determines that such information may be relevant to the
inmate's health and course of treatment
Executions - CORRECT ANSWER Health staff do not assist, supervise, contribute, or
pronounce death
,Table top drills - CORRECT ANSWER Not sufficient to meet drill standards
How often are nursing assessment protocols reviewed, and by whom? - CORRECT ANSWER
Annually by the nursing administrator and responsible physician
How often do a registered dietician, registered dietician nutritionist, or licensed dietician review
medical diets and menus for nutritional adequacy? - CORRECT ANSWER At least every 6
months
How often do environment inspections occur of areas where health services are provided? -
CORRECT ANSWER Monthly, to ensure that the equipment is maintained and inspected, unit is
clean, and that is occupationally and environmentally safe
How often do correctional officers receive health-related training? - CORRECT ANSWER
Every 2 years; At least 75% of staff present on each shift are current in their training
Basic orientation on first day of on-site service - CORRECT ANSWER Addresses relevant
security and health services policies and procedures, response to facility emergency situations,
functional position description, and inmate-staff relationships
Frequency of pharmacy inspections - CORRECT ANSWER At least quarterly if there is no
onsite staff pharmacist
Minimum frequency for inventories on items subject to abuse, such as syringes - CORRECT
ANSWER Weekly
When should a record be reviewed by a qualified health care professional for a new admission to
ensure continuity of care? - CORRECT ANSWER Within 12 hours of arrival
Deadline for an initial mental health screening for a new admission? - CORRECT ANSWER 14
days
Deadline for oral screening by the dentist or quality health care professionals trained by the
dentist? - CORRECT ANSWER Within 7 days of admission
Frequency of pick up for oral or written requests for health care? - CORRECT ANSWER Daily
by qualified health care professionals and triaged within 24 hours
When does a face to face encounter have to happen between a patient and QHCP after noting
that a written/oral request describes clinical symptoms? - CORRECT ANSWER Within 48
hours or 72 hours on weekends
Who is responsible for identifying and eliminating any barriers to inmates receiving health care?
- CORRECT ANSWER Responsible Health Authority
,Access to Care - CORRECT ANSWER In a timely manner, a patient can be seen by a clinician,
be given a professional clinical judgment,and receive care that is ordered
Health care - CORRECT ANSWER Sum of all actions, preventive and therapeutic, taken for the
physical and mental wellbeing of a population. Includes dental, medical, mental health, nutrition,
and other ancillary services, as well as maintaining a clean and safe environment
Medical autonomy - CORRECT ANSWER Clinical decisions and actions regarding health care
are the sole responsibility of the QHCPs--no interference from other personnel
How to address specific problems that arise with medical autonomy? - CORRECT ANSWER
Revised policies and/or reviewed as part of the CQI program
Administrative Meetings - CORRECT ANSWER Quarterly, facilitate health care delivery
through joint monitoring, planning, and problem resolution by health and correctional
administrators
Changes to individual health service policies--documentation needs - CORRECT ANSWER
Dated and signed individually by the RHA and responsible physician
CQI Program - CORRECT ANSWER Identifies health care aspects to be monitored,
implemented, monitor corrective action, and studies effectiveness of CAP
Process CQI - CORRECT ANSWER Examines the effectiveness of the health care delivery
process. Baseline of facility problem, developing an implementing a CAP, then restudying the
problem.
Outcome CQI - CORRECT ANSWER Examines whether expected outcomes of patient care
were achieved by identifying a clinical care problem, conducting a baseline study, developing
and implementing a CAP, and restudying the problem
Essential element of CQI - CORRECT ANSWER Monitoring of high risk, high volume, or
problem-prone aspects of health care. Success measured by relevance of study and effectiveness
of CAP.
NCCHC Performance Measures for evaluating health care programs - CORRECT ANSWER
Accessibility, Appropriateness of clinical decision making, continuity, timeliness, effectiveness
(outcomes), efficiency, quality of clinician-patient satisfaction, and safety
Most efficient way of measuring timeliness - CORRECT ANSWER Logs/other tracking
mechanisms
Measuring appropriateness of care - CORRECT ANSWER Record license status, credentials,
CME/CEUs, required certification
, Measuring continuity of care - CORRECT ANSWER The extent to which pre-existing
conditions are identified and addressed during intake, follow up services, and timeliness of
follow up
Measuring effectiveness of care - CORRECT ANSWER Monitor clinical outcomes
Measuring efficiency - CORRECT ANSWER Cost efficiency
Measuring quality of clinician-patient satisfaction - CORRECT ANSWER Surveys,
number/type of of grievances, questions about knowledge of their diseases for patients with
chronic disease
Measuring safety - CORRECT ANSWER Inspections to identify safety concerns related to
sanitation, trip hazards, and other potential problems. Root Case Analysis for all deaths and
adverse events.
Emergency Response Plan - CORRECT ANSWER Includes responsibilities of health staff,
procedures for triage, predetermination of site for care, phone numbers and procedures for
calling staff and community responders, procedures for evacuating patients, alternate backups for
each of the plan's elements, and time frames for response
Table top exercises - CORRECT ANSWER Discussion about health staff's projected response
to emergencies
Examples of special needs inmates - CORRECT ANSWER Chronically ill, on dialysis,
adolescents in adult facilities, have communicable diseases, physically disabled, pregnant,
frail/elderly, terminally ill, mentally ill or suicidal, developmentally disabled, suspected victims
of physical or sexual abuse
Clinical encounters - CORRECT ANSWER Interactions between patients and health care
professionals that involve a treatment and/or exchange of confidential information
Death procedures - CORRECT ANSWER All deaths are reviewed within 30 days, consists of
administrative review, clinical mortality review, and psychological autopsy if suicide, treating
staff are informed of review and findings, all aspects of the standard are addressed by written
policy and defined procedures
Administrative review (death procedure) - CORRECT ANSWER Assessment of correctional
and emergency response actions surrounding a death
Clinical mortality review - CORRECT ANSWER Assessment of clinical care provided and the
circumstances leading up to a death. May be conducted by a physician not involved in the
inmate's care. Results should be shared with the unit health staff involved.
