Journal of Correctional Health Care: Self-Study Exam
Volume 12, Issue 4

Continuing Education

There are four questions related to each article. To receive credit for an article (.75 hours), you must answer at least 75% of the questions correctly.

CCHPs: The Certified Correctional Health Professional (CCHP) Board of Trustees has approved this educational activity for 3.75 contact hours of Category 1 credit.

Nurses: The National Commission on Correctional Health Care is an approved provider of continuing nursing education by the Illinois Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This activity was approved for 4.5 contact hours (INA-CE Approval Number 0907-4026-J124).

Physicians: The National Commission on Correctional Health Care is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. NCCHC designates this educational activity for a maximum of 3.75 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 75% correct on the exam are eligible for AMA PRA Category 1 Credit.

Psychologists: The National Commission on Correctional Health Care (NCCHC) is approved by the American Psychological Association to offer continuing education for psychologists. NCCHC maintains responsibility for the program. NCCHC designates this education activity for up to 3.75 hours.

Instructions

Complete instructions and information are available on the Journal Self-Study Program information page.

Please check only one answer for each question. Multiple answers for one question will not be counted. When you submit the exam, you will automatically be redirected to the evaluation. This self-study exam will not be processed and credit will not be awarded if you do not fill out the evaluation form.

Smoking and Oral Health (p. 240)

1. Prevalence of smoking cigarettes among the inmates in this study is approximately ___ times the smoking rate of the U.S. adult population.

Two.

Three.

Four.

Five.

2. Smokers and ex-smokers were different from nonsmokers in that they had significantly:

More decayed and missing but fewer filled teeth than nonsmokers.

Fewer decayed and missing but more filled teeth than nonsmokers.

More decayed and filled teeth but fewer missing teeth than nonsmokers.

Fewer decayed and filled teeth but more missing teeth than nonsmokers.

3. Which statement best summarizes gender differences on smoking and other tobacco use among prisoners?

Females smoke and use other tobacco products at a higher rate than males.

Females smoke cigarettes at higher rates but males use other tobacco products at higher rates.

Males and females have the same smoking and other tobacco use prevalence.

Males smoke and use other tobacco products at a higher rate than females.

4. Smokers who smoked one pack of cigarettes per day had _____ DMFT compared to smokers who smoked less than one pack per day.

Significantly higher.

Significantly lower.

Roughly the same.

Undetermined.

 

Hepatitis at a County Correctional Center (p. 249)

1. The prevalence of hepatitis A immunity was closest to:

1%.

5%.

20%.

50%.

2. According to the study, hepatitis B immunity:

Resulted from vaccination in the young, and exposure to actual hepatitis increasing with age.

Resulted from vaccination in the old, and exposure to actual hepatitis decreasing with age.

Increased with age.

Decreased with age.

3. The most powerful predictor of hepatitis C was:

Age.

Sharing needles for drug use.

Elevated ALT.

Prior incarceration.

4. The most common probable cause of elevated ALT at jail intake was found to be:

Alcohol.

Cocaine.

Hepatitis B.

Hepatitis C.

 

Older Mentally Ill Inmates (p. 262)

1. Which of the following diagnostic categories of psychiatric disorders tends to show the highest rate of prevalence in older inmates?

Bipolar disorder.

Depression.

Personality disorders.

Schizophrenia.

2. Compared to community-dwelling older adults, the rates of schizophrenia for older mentally ill inmates in Utah were:

Higher.

Lower

The same.

The results were inconclusive.

3. Compared to younger inmates, the rates of atypical antipsychotic utilization for older mentally ill inmates in Utah were:

Higher.

Lower

The same.

The results were inconclusive.

4. A major difficulty in the comparisons of studies found in the literature on older mentally ill inmates is:

Some studies were conducted in the United States and some were not.

There is lack of uniformity in the definition of “mental illness.”

Pharmaceutical companies funded a number of studies.

Researchers were given limited access to older mentally ill inmates.
 


Older Male Inmates’ Health (p. 269)

1. Which of the following reasons are credited with contributing to the demographic shift in prisons today?

Increasing rates of gang affiliation and single parent families.

Midlife crisis and rising unemployment rates.

Trying juveniles as adults for violent crimes.

Stricter legislation such as “three strikes” laws.

2. Self-efficacy for health management is best described as a person’s:

Confidence in their ability to manage their health.

Feelings of self-esteem and self-worth combined.

Intellectual capacity to care for self.

Knowledge level regarding health information.

3. According to study findings, inmates with greater self-efficacy for health management are more likely to do all of the following EXCEPT:

Rate their health to be better.

Engage in more health-promoting behaviors.

Report more improved health since incarceration.

Cost the system more money in providing for their health care needs.

4. Approximately what percentage of older inmates have two or more major illnesses?

45%

60%

85%

90%

 

Adolescent Sex and Drugs (p. 279)

1. Which of the following sexual risk behaviors have been found to have a strong association with regular substance use?

Multiple sex partners.

Inconsistent condom use.

Trading sex for money or drugs.

All of the above.

2. Approximately what percent of annual juvenile arrests are for offenses related to substance use?

10%

25%

50%

75%

3. Among the sample described in the study, which sexual risk behavior was most common (i.e., reported by the highest number of participants)?

Sex without a condom.

Sex with someone known well.

Sex with someone not known well.

All were practiced by about the same number of participants.

4. Which variable was associated with both condom nonuse involving alcohol and condom nonuse involving marijuana?

Age.

Mother’s educational attainment.

Number of dependence symptoms.

Sex-related substance expectancy.

 


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