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.)

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1. Medication administration in correctional facilities is done through directly observed therapy. Combining or simplifying the medication regimen for fewer doses or fewer medications can promote administration success. Giving an inmate a day's worth of medication can promote hoarding for selling later, as well as not completing the treatment regimen. It is unrealistic to place an inmate in the hospital wing of the facility for medication administration. Partnering an inmate with another inmate receiving medication for monitoring and compliance violates an institution's security safeguards and creates a potentially hazardous environment where medications could be hoarded or illegally distributed to those who do not need them.
4. Medication administration in correctional facilities is done through directly observed therapy. Combining or simplifying the medication regimen for fewer doses or fewer medications can promote administration success. Giving an inmate a day's worth of medication can promote hoarding for selling later, as well as not completing the treatment regimen. It is unrealistic to place an inmate in the hospital wing of the facility for medication administration. Partnering an inmate with another inmate receiving medication for monitoring and compliance violates an institution's security safeguards and creates a potentially hazardous environment where medications could be hoarded or illegally distributed to those who do not need them.

Diagnosis and Treatment in a Correctional Setting Can Pose a Challenge