Prison Health and the Health of the Public (p. 80)

1. Of prisoners released in 1996, how many had hepatitis B?
107,000
155,000
566,000
1.4 million

2. Inadequate treatment in prisons and jails was linked to an outbreak of what disease in New York City in 1989?
Hepatitis C
HIV
Influenza
Tuberculosis

3. According to the Commission on Safety and Abuse, there are several policy barriers that prevent inmates from receiving quality health care. Which of the following is NOT one of these impediments?
Inadequate recruiting of competent health care staff
Inadequate funding of prison health care systems
Lack of collaboration between correctional facilities and community health care providers
Lack of consistent screening for infectious diseases
 
4. The Commission on Safety and Abuse recommends several actions to overcome policy barriers that prevent inmates from receiving quality health care. Which of the following is NOT one of these recommendations?
Expand health coverage
Expand the co-payment system
Address barriers to family connection
Address barriers to housing for ex-offenders
 

Enhancing Linkages to HIV Primary Care in Jail Settings (p. 93)

1. On average, 50% of people admitted to jail leave within:
2 hours
10 hours
24 hours
48 hours

2. The goal of the consultancy meeting convened in Bethesda, Maryland, October 5-6, 2005, was to assess:
Recent trends and current challenges of HIV-positive persons coping with mental health and substance abuse.
Recent trends and current challenges in identifying and caring for HIV-positive persons moving through jails.
The amount of time it takes for an inmate to receive care after the initial intake has been completed.
The latest technologies for rapid HIV testing.

3. Ideally, a corrections HIV project is like a four-legged stool with inputs from corrections, community, public health, and what fourth component?
Inmates
Jail administration
The court system
The Corrections Demonstration Project

4. In the CDC Jail Demonstration Projects, which group was overrepresented among those inmates who tested positive for HIV?
Males
Younger individuals
Non-Hispanic Blacks
Mentally ill individuals

5. Rapid HIV testing raises what challenge for jails?
The tests are cost prohibitive.
The tests are difficult to administer and require extensive staff training.
Positive findings require a second confirmatory test.
Negative findings require a second confirmatory test.

6. The CDC advocates that HIV testing should be:
Voluntary for all inmates.
Mandatory for all inmates.
Restricted to inmates who have engaged in high-risk behavior.
Promoted among those demographic groups with the highest incidents of positive test results.

7. Before implementing the new CDC recommendations, staff at every health care facility need to know _______________________ regarding HIV testing.
NCCHC’s clinical guidelines on HIV
their state and local laws
their professional organization’s position
the Supreme Court’s rulings

8. The article cites several major ethical challenges that need to be addressed before beginning an HIV testing program in jails. Which of the following is NOT one of these challenges?
Inmates are more susceptible to medical abuse than are noninstitutionalized individuals.
Testing and linkage must be conducted in a manner that reflects the characteristics and needs of this population.
The program must meet the definition of research set by federal regulation.
The therapeutic relationship between health care staff and their patients needs to be protected.
 

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