Exam 6: Jails
Jails have been classified as the _________ for society's problems.
B
In 2005, how many American jails housed fewer than 50 inmates?
C
Ethics Focus
You are a nurse at a local jail. You work dayshift, and most days, with exception of the days the doctor visits, you are the person in charge. Zack Jones is an inmate-patient in your facility. Zack has a history of seizures, and he receives medication daily for his condition. While conducting your daily rounds to administer medication to the inmates, he asks to speak with you privately about his condition. You agree to speak with him. During the conversation, he indicates that he has been feeling more and more fatigued and he thinks his medication may need to be changed. He also states that last Friday, your day off, he had a seizure that required correctional personnel to have him transported to a local hospital for treatment. You advise Zack that he must sign up for medical call to be evaluated by the medical staff. You remind him that he will be required to pay a $10 copay before the medical staff will see him. He asks you to "do him a favor" and waive the copay because he does not have the money to pay it. Although you would like to help him out, the policy does not allow the copay to be waived; therefore, you decline to waive the fee. The next day Zack collapses during visitation and subsequently dies. The medical examiner determines that the cause of death was a massive seizure.
-How could you have handled the situation differently? Explain.
As a nurse at a local jail, it is important to prioritize the well-being and safety of the inmate-patients under your care. In the case of Zack Jones, it is clear that there were several opportunities to handle the situation differently in order to potentially prevent his tragic death.
First and foremost, when Zack approached you to discuss his worsening fatigue and the need for a medication change, it was crucial to take his concerns seriously and ensure that he received prompt medical evaluation. Instead of simply advising him to sign up for medical call, it would have been more appropriate to immediately escalate his case to the medical staff for urgent assessment, especially given his history of seizures. This proactive approach could have potentially identified any necessary changes to his medication regimen and prevented the fatal seizure that ultimately occurred.
Additionally, when Zack expressed his inability to pay the $10 copay for medical evaluation, it was important to consider the potential impact on his health and well-being. While the policy may not allow for copay waivers, as a healthcare professional, it is essential to advocate for the best interests of the patient. In this situation, exploring alternative options for financial assistance or advocating for Zack's immediate evaluation based on the severity of his symptoms could have been a more compassionate and ethical approach.
Overall, the handling of Zack's situation could have been improved by prioritizing his medical needs and advocating for timely and appropriate care, regardless of financial constraints or policy limitations. It is important for healthcare professionals in correctional facilities to approach each situation with empathy, compassion, and a commitment to upholding the highest standards of patient care, even within the constraints of the institutional environment.
William Penn was a leader of which religious group in Pennsylvania that did not believe in corporal punishment but instead saw hard labor as the most effective way of handling crime?
Studies have found that the rate of suicide among jail inmates is how many times greater than that of the general population?
What number of people flow through jails in the United States every year?
Traditional jails are referred to as having what kind of design?
Which of the following was not listed as a recommendation for alternatives to juvenile jailing?
Today, jails find themselves holding convicted felons for longer periods of time, because of crowding at state and federal prisons.
Which acronym is used for the major distinctions between jails and prisons?
In order to appease the residents of his or her jurisdiction, the sheriff usually focuses on all of the following except?
Ethics Focus
You are a nurse at a local jail. You work dayshift, and most days, with exception of the days the doctor visits, you are the person in charge. Zack Jones is an inmate-patient in your facility. Zack has a history of seizures, and he receives medication daily for his condition. While conducting your daily rounds to administer medication to the inmates, he asks to speak with you privately about his condition. You agree to speak with him. During the conversation, he indicates that he has been feeling more and more fatigued and he thinks his medication may need to be changed. He also states that last Friday, your day off, he had a seizure that required correctional personnel to have him transported to a local hospital for treatment. You advise Zack that he must sign up for medical call to be evaluated by the medical staff. You remind him that he will be required to pay a $10 copay before the medical staff will see him. He asks you to "do him a favor" and waive the copay because he does not have the money to pay it. Although you would like to help him out, the policy does not allow the copay to be waived; therefore, you decline to waive the fee. The next day Zack collapses during visitation and subsequently dies. The medical examiner determines that the cause of death was a massive seizure.
-Would you recommend a change in policy for those with the inability to pay? Why or why not?
Which Amendment of the Constitution claims that "the accused shall enjoy the right to a speedy and public trial"?
Approximately what percentage of the U.S. jail population suffers from some type of chronic or terminal medical condition?
More than half of all people housed in jail are pretrial detainees.
Relative to their number in the U.S. population, blacks were how many times more likely than whites to have been in jail?
Which of the following was the first jail facility to incorporate the new-generation design?
The most notorious (and controversial) makeshift jail was established by Sheriff Joe Arpaio in Arizona, where inmates are housed in ________,
Discuss some possible explanations as to why we continue to see an enormous increase in the number of jailed inmates at a time when crime has continued to decline.
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