NCCHC CCHP Exam Latest Update 2024-2025
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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 - CORRECT ANSWER: 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 - CORRECT ANSWER: 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 - CORRECT ANSWER: 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 - CORRECT ANSWER: 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 - CORRECT
ANSWER: C. Assuming all patients present a potential for transmission of infectious
disease and adopting the same protective techniques with every patient
Define "access to care" (three criteria) - CORRECT ANSWER: 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
Define the Responsible Health Authority - CORRECT ANSWER: a designated individual
or entity that is tasked with ensuring the organization and delivery of all health care in
the facility
How are administrative decisions coordinated with clinical needs? - CORRECT
ANSWER: so that patient care is not jeopardized
How are all aspects of the Medical Autonomy Standard addressed? - CORRECT
ANSWER: by written policy and defined procedures
How are all aspects of the RHA standard addressed? - CORRECT ANSWER: by written
policy and defined procedures
,How frequently must the RHA be on-site? - CORRECT ANSWER: weekly
How is "designated dental clinician" defined in the RHA standard? - CORRECT
ANSWER: a DMD or DDS who is responsible for dental issues when dental services at
the facility are under a different authority than medical services
How is "designated mental health clinician" defined in the RHA standard? - CORRECT
ANSWER: a psychiatrist, psychologist, or psychiatric social worker who is responsible
for clinical mental health issues when mental health services at the facility are under a
different authority than medical services
How is "health care" defined in the RHA standard? - CORRECT ANSWER: Health care
is the sum of all actions, preventative and therapeutic, taken for the physical and mental
well-being of a population. Health care includes medical, dental, mental health, nutrition,
and other ancillary services, as well as maintaining clean and safe environmental
conditions.
How is "health services administrator" defined in the RHA standard? - CORRECT
ANSWER: a person who by education, experience, or certification (e.g. MSN, MPH,
MHA, FACHE, CCHP) is capable of assuming responsibility for arranging all levels of
health care and ensuring quality and accessible health services for inmates
How is "responsible physician" defined in the RHA standard? - CORRECT ANSWER: a
designated MD or DO who has the final authority at a given facility regarding clinical
issues
List 5 unreasonable barriers to inmates' access to health services. - CORRECT
ANSWER: 1. punishing
2. excessive fines
3. deterring
4. understaffed, underfunded, poorly organized system
5. utilization review that delays or denies care
, List at least five types of qualified health care professionals who by virtue of their
education, credentials, and experience are permitted by law to evaluate and care for
patients. - CORRECT ANSWER: physicians, physician assistants, nurses, nurse
practitioners, dentists, mental health professionals, etc
List at least two types of groups that fit into the category of Custody Staff. - CORRECT
ANSWER: line security, correctional administrations
List five examples of unreasonable barriers to inmates' access to health services. -
CORRECT ANSWER: 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 three entities that can fill the role of responsible health authority. - CORRECT
ANSWER: a physician, health services administrator, or agency
Name two methods for addressing specific problems impeding medical autonomy: -
CORRECT ANSWER: 1. revised policies
2. reviewed as part of the continuous quality improvement program
Responsible Health Authority compliance indicators include that the RHA arranges for
.... - CORRECT ANSWER: RHA arranges for all levels of health care and ensures
quality, accessible, and timely health services for inmates.
The Medical Autonomy Standard requires clinical decisions are determined by whom? -
CORRECT ANSWER: by qualified health care professionals and implemented in an
effective and safe manner
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