Deck 24: Care of Correctional Populations

Question 1

Inmates who are admitted to a long-term correctional facility should be:

A) Tested for hepatitis B.
B) Screened for mental health problems.
C) Assessed for HIV symptomatology.
D) Screened and tested for tuberculosis (TB).

Answer 1

Screened and tested for tuberculosis (TB).

Question 2

The correctional nurse is meeting with county officials to review health promotion activities planned for a 150 person facility. Which activities should the nurse emphasize as being important for this population? (Select all that apply.)

A) Ensuring adequate nutrition.
B) Promoting stress reduction.
C) Educating on self-care actions.
D) Monitoring treatment compliance.
E) Planning for adequate rest and exercise.

Answer 2

Ensuring adequate nutrition.
Promoting stress reduction.
Educating on self-care actions.
Planning for adequate rest and exercise.

Question 3

The population health nurse is providing care to inmates. This provision of care protects constitutional rights of inmates and:

A) Saves taxpayer monies as compared to providing transportation to health care services outside the facility.
B) Ensures the inmate population is at its highest level of health.
C) Allows health problems to be diagnosed earlier.
D) Educates the inmate population about healthy behaviors.

Answer 3

Saves taxpayer monies as compared to providing transportation to health care services outside the facility.

Question 4

Upon incarceration, female inmates should be asked for:

A) Their gynecologic history.
B) The names of their children.
C) The date of their last menstrual period.
D) The date of their last mammogram.

Question 5

Screening activities in a correctional facility can include screening for: (Select all that apply.)

A) Communicable diseases.
B) Treatment motivation.
C) Chronic conditions.
D) Diagnostic services.
E) Emergency care.

Question 6

A health restoration intervention the nurse can implement at a correctional setting is advocacy for:

A) Long-term care for inmates when discharged.
B) Effective prerelease planning for all inmates.
C) Medical parole and arrange for follow-up care.
D) Use of advance directives when discharged.

Question 7

An advanced population health nurse in a correctional setting can best utilize this role to:

A) Provide basic care to inmates.
B) Counsel inmates about health promotion activities.
C) Formulate health care policy for inmates and evaluate the effects of the facility health care program.
D) Treat disease and injuries that occur in this setting.

Question 8

Clients in correctional settings have unique considerations for care. Providing care in a correctional setting has implications for the client population health as environmental conditions and behaviors in correctional facilities:

A) Can spread communicable diseases.
B) Are well-suited for health promotion interventions.
C) Decrease the potential for communicable disease transmission.
D) Eliminate unhealthy lifestyle behaviors.

Question 9

The correctional facility nurse is planning diversion actions for individuals with mental illness. What needs to be created to support diversion for this population? (Select all that apply.)

A) Specialized mental health courts.
B) Crisis intervention team policing.
C) Increased frequency of medical evaluations.
D) Ongoing assessment of mental health problem.
E) Scheduled times for medication administration.

Question 10

As an inmate population ages, a consideration must be made for long-term care planning. One intervention for long-term care would be to:

A) Arrange for Medicare coverage for the inmate.
B) Have the inmate plan advance directives.
C) Provide symptom control.
D) Arrange for use of assistive devices as needed.

Question 11

A dilemma for the nurse in correctional facilities is to:

A) Administer care to a large, diverse population.
B) Provide a therapeutic environment for health within an institutional framework that emphasizes punishment and security concerns.
C) Limit the amount of time for providing care to inmates.
D) Set priorities for the care of inmates.

Question 12

Diagnosis and treatment in a correctional setting can pose a challenge to the nurse because treatment considerations such as medication distribution must be balanced with the institution's security safeguards. Strategies to ensure success of medication administration include: (Select all that apply.)

A) Directly observed therapy.
B) Give the inmate a day's worth of medication to self-administer.
C) Place the inmate who will receive medication in the hospital wing of the facility.
D) Combine or simplify medication regimens for fewer doses.
E) Partner an inmate with another inmate receiving medication to ensure monitoring and compliance of medication administration.

Question 13

Many inmates in correctional facilities have communicable diseases. The most important consideration for the nurse who works in a correctional facility is to:

A) Control the spread of communicable diseases through client education.
B) Advocate for programs that decrease the spread of communicable disease.
C) Use universal precautions when handling blood and body fluids.
D) Ensure that inmate immunizations are current.

Question 14

Inmates can develop terminal illnesses while incarcerated and medical parole may not be indicated. Health restoration interventions for this population include:

A) Assistance from a personal care attendant.
B) Monitor for adverse effects of treatment.
C) Provide emotional and spiritual support.
D) Monitor treatment compliance.

Question 15

Ensuring that the facility has adequate nutrition for its inmates, providing opportunities for rest and exercise, and controlling communicable diseases address:

A) The individual inmate's health.
B) Protecting the health of the whole rather than enhancing the health of the one.
C) Aspects of advocacy for the nurse in the correctional setting.
D) Needed aspects of care for a predominantly female inmate population.