Patient Care and Treatment Flashcards
7 cards from real CCHP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Patient Care and Treatment flashcards as text
A correctional nurse encounters a patient who refuses insulin for their diabetes, citing personal reasons. What is the most appropriate first action?
Answer: Assess the patient's understanding of the consequences and document informed refusal
Patients retain the right to refuse treatment; the nurse must ensure informed refusal by assessing understanding and documenting thoroughly.
Which chronic disease management strategy is most effective in a correctional setting with high patient turnover?
Answer: Standardized chronic care clinics with structured follow-up protocols
Structured chronic care clinics with standardized protocols ensure continuity even with frequent patient transfers.
A patient with hypertension reports headache and blurred vision. Blood pressure reads 190/120 mmHg. What is the priority action?
Answer: Treat as a hypertensive emergency and arrange immediate medical evaluation
Blood pressure at this level with end-organ symptoms (headache, blurred vision) constitutes a hypertensive emergency requiring immediate evaluation.
When developing a treatment plan for a patient with both a substance use disorder and a serious mental illness, the most effective approach is:
Answer: Use an integrated co-occurring disorder treatment model
Integrated co-occurring disorder treatment addresses both conditions simultaneously, which yields better outcomes than sequential treatment.
A patient on opioid agonist therapy (OAT) is transferred from another facility. The receiving facility does not have OAT in its formulary. What should occur?
Answer: Continue OAT and initiate a formulary exception process
Abrupt discontinuation of OAT is dangerous; the patient's therapy should continue while a formulary exception is pursued.
Which of the following best describes the standard of care for wound management in a correctional facility?
Answer: Wound care should follow evidence-based protocols consistent with community standards
Correctional health facilities are required to provide care equivalent to community standards, including evidence-based wound management.
A patient with HIV is prescribed antiretroviral therapy (ART). Which monitoring parameter is most critical for assessing treatment efficacy?
Answer: Viral load and CD4 count at scheduled intervals
Viral load measures treatment suppression and CD4 count reflects immune status, making them the primary efficacy markers for ART.