Question 1

Ms. Pereira, 17 years old, has been sentenced to an 22-month sentence. Ms. Pereira is three months pregnant upon admission to the facility. What action would the nurse take?

Accepted Answer

The nurse would work with community partners to develop a prenatal program to ensure Ms. Pereira receives the necessary prenatal care while serving her sentence, as the other options are not within the nurse's scope of practice or relevant to the immediate prenatal care needs.

Question 2

Which of the following is a widely used harm reduction approach in dealing with substance use issues in correctional facilities world-wide? Select all that apply.

Accepted Answer

Opioid agonist treatments such as methadone maintenance treatment and prison needle and syringe programs are widely used harm reduction approaches in dealing with substance use issues in correctional facilities world-wide. Opioid antagonist treatments such as naloxone treatment and supervised injections sites are not as commonly implemented in correctional facilities due to various reasons such as security concerns and legal restrictions.

Question 3

Ms. Hopkins, 16 years old, has been sentenced to an 12-month sentence.The nurse does an intake assessment. What is true of youth who are incarcerated? Select all that apply.

Accepted Answer

Studies have shown that youth who are incarcerated have a higher rate of chronic health conditions and sexually transmitted infections compared to their non-incarcerated peers. Option C is incorrect because research suggests that youth who are incarcerated may have higher rates of anxiety and depression. Option D is also incorrect as research has shown that youth who are incarcerated are at increased risk for self-harm and suicide.

Question 4

Which statement is true about Indigenous people in correctional facilities?

Accepted Answer

Indigenous people are overrepresented in correctional facilities in Canada, despite making up a relatively small percentage of the overall population. This issue has been identified as a result of systemic racism and the effects of colonialization. Choice A is not entirely accurate, as there are few facilities that specialize in Indigenous offenders and they are not always accessible or utilized. Choice B is also false, as Indigenous youth are overrepresented in the justice system. Choice C may be true in certain cases, but it is not a general trend across Canada.

Question 5

Ms. Blackstone, 19 years old, has been sentenced to an 18-month sentence. What type of facility will Ms. Blackstone be sent to?

Accepted Answer

In Canada, adults sentenced to terms of imprisonment of two years less a day or shorter are typically sent to provincial correctional centres. Since Ms. Blackstone is 19 years old, she is considered an adult and her 18-month sentence falls within the range for provincial correctional facilities.

Question 6

In Canada, nurses who practise in the criminal justice system work in which of the following settings? Select all that apply.

Accepted Answer

Nurses who practice in the criminal justice system may work in healing lodges, youth custody facilities, prisons, and halfway houses as they provide healthcare services to individuals who are incarcerated or involved in the criminal justice system. Therefore, options A, B, C, and D are all valid settings for nurses in this specialty. Option E is not a valid choice.

Question 7

What has contributed to the increase in people with mental illness being incarcerated?

Accepted Answer

Deinstitutionalizing the mentally ill has led to a decrease in available mental health treatment options, resulting in many individuals with mental illness being sent to correctional facilities instead of hospitals. This phenomenon is commonly known as the "criminalization" of mental illness.

Question 8

Which of the following is an example of primary prevention in a correctional facility?

Accepted Answer

Immunization is an example of primary prevention, which aims to prevent the occurrence of a problem before it happens. In a correctional facility, immunization can help prevent the spread of infectious diseases among inmates and staff. Suicide risk assessment, crisis intervention, and vocational training are examples of secondary or tertiary prevention, which focus on addressing an existing problem or mitigating its effects.

Question 9

Nurses in correctional facilities are able to develop policy that will improve the health of incarcerated people. What is an example of such a policy?

Accepted Answer

The answer of Nurses in correctional facilities are able to...

Question 10

Which of the following factors contribute to women experiencing incarceration? Select all that apply.

Accepted Answer

All of the listed factors contribute to women experiencing incarceration. Limited education and job skills can lead to economic insecurity and involvement in illegal activities. Barriers preventing healthy lifestyles, such as lack of access to healthcare and healthy food, can also contribute to involvement in illegal activities. Women with significant trauma histories may engage in criminal behavior as a coping mechanism. Finally, women may be victims of crime themselves and end up incarcerated as a result, or may engage in criminal behavior as a reaction to victimization.

Question 11

A nurse in a correctional facility learns that an individual is HIV positive. What should the nurse do?

Accepted Answer

Teaching correctional officers about standard precautions is the appropriate action to ensure that all inmates are treated safely and with dignity, without breaching confidentiality or discriminating against the individual with HIV.

Question 12

Which of the following infectious disease is a concern in correctional settings? Select all that apply.

Accepted Answer

Sexually transmitted infections, tuberculosis, and blood-borne diseases are all concerns in correctional settings due to the close living quarters and potential for transmission through various means, such as sexual contact, respiratory droplets, or sharing of needles or other items that may be contaminated with blood. Salmonella, while a potential concern in any communal setting, is not typically associated with correctional facilities specifically.

Question 13

Kris, 22 years old, has been sentenced to five years in prison for trafficking. What type of facility will he be sent to?

Accepted Answer

Kris will be sent to a federal correctional institution since he was convicted of trafficking, which is a federal offense. Territorial and provincial correctional centers are for individuals convicted of provincial offenses, and remand centers are for individuals awaiting trial or sentencing.

Question 14

What is an example of dynamic security in a correctional facility?

Accepted Answer

Managing professional boundaries is an example of dynamic security, which focuses on the interactions between staff and inmates to reduce tension and prevent incidents.

Question 15

Which of the following is an example of tertiary prevention in a correctional facility? Select all that apply.

Accepted Answer

The answer of Which of the following is an example...

Question 16

What is an example of a primary prevention in a correctional facility?

Accepted Answer

The answer of What is an example of a primary...

Question 17

Which of the following is true of correctional facilities that provide mental health services?

Accepted Answer

Correctional facilities generally provide a sub-standard quality of mental health services than those found within the community. Despite efforts to provide mental health services in correctional facilities, many facilities lack the resources and qualified staff necessary to provide adequate care. In addition, overcrowding and limited funding can lead to understaffing and inadequate treatment options, further exacerbating the issue. Studies have shown that individuals with mental illness in correctional facilities are more likely to receive punitive measures rather than treatment, leading to a cycle of recidivism and poor outcomes.

Question 18

Ms. Blackstone, 19 years old, has been sentenced to an 18-month sentence. While conducting the intake assessment, Ms. Blackstone states that she will not be examined while the correctional officer is present. What should the nurse do?

Accepted Answer

The answer of Ms. Blackstone, 19 years old, has been...

Question 19

How does a nurse in a correctional facility build trust with incarcerated people?

Accepted Answer

Protecting confidential health care information is crucial in building trust with incarcerated individuals. It demonstrates respect for their privacy and autonomy, similar to the standards upheld in non-correctional health care settings.

Question 20

What infection is 30 times higher in the incarcerated population?

Accepted Answer

Hepatitis C infection is 30 times higher in the incarcerated population than in the general population. This is mainly due to the higher rates of injection drug use in prisons, which is a common route of transmission for Hepatitis C.

Quiz 26: Correctional Health