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(MULTIPLE CHOICE QUESTIONS)
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Each health care organization must anticipate and respond to the community’s changing needs and health status by:
1. reviewing environmental trends
2. collecting information on the determinants of health
3. reviewing feedback from clients and the community on its services
4. working with the community to identify priority needs
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"); self.document.write("a) all of the above
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You have entered "+a1+". The answer is a) all of the above. There is valuable information to be obtained from all the above sources and therefore, all should be accessed.
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From this list of points below, what best describes the role of the Deputy Minister in a Ministry of Health?
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You have entered "+a2+". The answer is b) Deputy Minister takes direction from the Deputy Premier not Minister
"); self.document.write("A.3
When an organization strives to function in an environmentally friendly way, this is evidenced in:
1. policies and procedures
2. staff and volunteer training
3. communication with community partners
4. application of legislation/regulations
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You have entered "+a3+". The answer is a) all of the above would be expected to be in place.
"); self.document.write("A.4
In order to ensure commitment to the vision from those who work in the organization and the external community, it is imperative to:
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You have entered "+a4+". The answer is c). Cross-functional teams serve to bring together a group of people from various segments of an organization or community that can give an objective point of view.
"); self.document.write("A.5
You are the newly appointed CEO of a 250-bed long-term care organization which has a long history of providing excellent care. The organization operates under a typical pyramid administrative structure and departments are defined along functional lines. The organization has experienced financial difficulties in the past, which it overcame through a variety of means. It is again in a deficit budget position and there is no immediate answer to resolving this situation.
As the new CEO, you have several years of experience and an enviable record in management. However, you have not had extensive hands-on experience in long-term care. As a result, when your appointment was announced by the board, the staff became very apprehensive and became protective of their departmental functions. Adding to the staff’s sense of unease is a rumour that you are going to implement a strategic planning process and move towards a client-centred model of operation. Staff members perceive all of these changes as threats to their individual and departmental autonomy.
"); self.document.write("As the CEO, your first responsibility is to:
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You have entered "+a5+". The answer is c). While all of the options are valid, it is essential that the new CEO be fully aware of the Board’s expectations before proceeding with any plans.
"); self.document.write("A.6
In an attempt to reduce the size of her organization, the administrator has found herself in a position of unresolved conflict. This conflict has polarized the staff that the delivery of health care is adversely affected. The conflict has arisen among herself, the Chief of Staff, Director of Nursing, Personnel Director and the Chief Financial Officer, after the Chief of Staff sought to prevent the decrease in the number and quality of nursing and administrative personnel assigned to a specific clinic. To support his position, the Chief of Staff has cited data that the hospital was caring for 300 outpatients daily and it was only admitting approximately 2-4 patients to the inpatient services.
Which of the following people should have the delegated authority to resolve this particular problem?
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You have entered "+a6+". The answer is d). Given the sensitivity of downsizing the CEO needs to ensure that a team approach is associated with this problem solving process. A team approach will ensure buy-in to the final solution.
"); self.document.write("A.7
You are the administrator of your community hospital. Your board of directors consists of a cross section of community leaders representing major businesses and organizations. It includes the elected representatives of the medical and professional staff. You are meeting with your board chairman to develop the agenda and various items for the next board meeting. An item for review, discussion, and approval is the new contract negotiated by your predecessor with the pathology group. One of the physician board members is president of the radiology group, with which preliminary contract discussions have begun. In addition, the board chairman indicates his concern that the hospital really has never developed any organized future planning.
Managing equitable and fair relationships with hospital-based physicians is the responsibility of the administrator. In order to assure that proper consideration and decision-making will occur with regard to the pathology group, you should:
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You have entered "+a7+". The answer is b). It ensures that an appropriate policy and procedure is developed in advance of negotiating contractual relationships. This established policy and procedure will advise all parties of the appropriate process to follow. It should be noted that this policy and procedure should contain conflict of interest clauses.
"); self.document.write("A.8
Which of the following is true about the process of conciliation:
1. it is a process by which a trade union and employer who have reached an impasse in negotiations for a collective agreement ask the Ministry of Labour to help in the resolution of outstanding issues
2. Conciliation is mandatory
3. The process often results in penalties to either party
4. Conciliation is discretionary
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You have entered "+a8+". The answer is d).
"); self.document.write("A.9
The Canadian Human Rights Act (June 1998) requires employers to provide accommodation to a person with a disability short of:
1. high cost to accommodate
2. workplace tolerance to accommodation
3. undue hardship
4. physical plant restrictions
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You have entered "+a9+". The answer is c).
"); self.document.write("A.10
What is the most important of the following information system selection criteria?
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You have entered "+a10+". The answer is a). The prime objective of acquiring a management information system is to support the information (functional) requirements of an organization.
"); self.document.write("A.11
Your organization has recently had its accreditation site visit and the CCHSA's final report has just arrived. As the senior manager responsible for leading your organization in quality, there are several different approaches that you could take in addressing the report's findings. Which of the following approaches is likely to be successful in realizing improvement opportunities? (In each case, the team will be supported by a facilitator and will be requested to report on their progress at regular intervals.)
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You have entered "+a11+". The answer is d). The key to using the report to make ongoing improvements is to communicate the results and act upon identified opportunities. There are many different approaches to forming teams and setting priorities for team work, each of which will have different chances of success based on a variety of factors, including corporate culture.
"); self.document.write("A.12
During an investigation into a criminal event in your community, the Chief of Police calls and informs you that his investigating officers have complained that your hospital emergency staff are not cooperating with the criminal investigation by providing information to them.
In response you:
1. Offer to set up a meeting with his staff and the emergency department staff in order to cooperate and build community partnerships.
2. Advise the relevant medical and nursing department staff of the public concerns and the need to cooperate.
3. Explain to the Chief the need for a subpoena.
4. Offer empathy for his concerns and ask him under what legislative authority are your hospital staff required to provide his officers with this information.
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You have entered "+a12+". The answer is a).
"); self.document.write("(SHORT ANSWER QUESTIONS)
"); self.document.write("B.1
List three determinants of health, which are considered to have an impact on the likely use of health services in a community.
You have entered: "+a13+".
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self.document.write("- Demographics
- Socio-economic level of community
- Geographic location
- Education level
- Housing
- Employment
- Recreation
B.2
Briefly describe a generic quality improvement process.
You have entered: "+a14+".
"); self.document.write("Correct answer:
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self.document.write("The process begins with identifying the various sources of information across the organization. The info coming in from these sources serves as the basis for identifying opportunities for improvement. Sometimes a quick fix is all that is needed to address the issue; however, many times it will be necessary to establish indicators of performance, monitor performance, make the improvements, communicate to the stakeholders and sustain the improvements through regular monitoring.
B.3
You were recently involved in a series of job interviews for a position which involved quite a bit of travel. One of the candidates was a young woman. One of the interviewers asked the following question: "Do you have young children?" trying to prompt the idea that travel might be a problem because of her family situation. Under human rights legislation this question is discriminatory. Under what grounds is it discriminatory?
You have entered: "+a15+".
"); self.document.write("Correct answer:
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self.document.write("Right answer: family status
No other answers are acceptable.
Rationale: Questions pertaining to children, dependants or childcare arrangements are prohibited under the grounds of family status, regardless of the province involved. Marital status is not an acceptable response because it represents separate grounds for discrimination.
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