Exam 17: Special Topics and Emerging Issues in Health Care Management
Practitioners of which specialty of health care are more is likely to be stalked?
Stalkers are more common among mental health professionals. One of the few available studies on the actual prevalence of stalking of mental health professionals found "5% of counseling center staff had been stalked by current or former clients, 8% had a family member stalked, and over half (65%) had experienced harassment" (Romans, Hays, & White, 1996, p. 595).
What is bullying and why is it a particular problem in health care settings?
Intimidation and harassment are "threats or other conduct which create a hostile environment…frighten, alarm, or inhibit others" (DOL, n.d., para. 8). While this can certainly occur with visitors, vendors, and other non-health care workers, the most common form of this behavior between health care workers is bullying, also known as horizontal violence (peer-to-peer) and vertical violence (supervisor to employee). Bullying is rampant among nurses in health care settings and creates a hostile work environment. One survey found "over half (50%) of 10,688 nurses and nursing students experienced verbal abuse in a 3-year period, 2013-2016" (ANA, 2016, p. 4). ).
Define "at risk behavior."
A behavioral choice that increases risk, or where risk is not recognized or is mistakenly believed to be justified.
What is deinstitutionalization, why did it happen, and why is it an ongoing problem today?
What are the three levels and four phases of disaster planning, and why are they important to health care managers?
If a person has Polio, has no fever, and travels on an airplane, he can transmit the disease to other passengers.
You are the administrator on call when you receive a text from one of your employees that she believes her ex-husband is stalking her and is lurking around the outside of the hospital, waiting for her to go to her car at the end of shift. She texts you because her husband used to work at the hospital as a security guard and all of his buddies are on his side of the divorce. You have heard about this situation through HR because it was an ugly divorce and her ex-showed up unannounced and threatened her. The hospital placed a restraining order against him. She also reports that he has been leaving notes on her windshield, calling and texting her 20 times a day. She is afraid to leave the hospital. What should you do?
The WHO has named ______ as number 8 on the top 10 list of threats to global health in 2019.
Distinguish among the following terms:
• Physical tolerance
• Physical dependence
• Addiction
What are anti-vaxxers and why are their actions creating public health emergencies?
What is the role of the health care manager in addressing workplace violence?
Part A: Mrs. Jones enters the hospital for a routine endoscopy for esophageal erosion that is not responsive to prescription drugs. The procedure goes well; however, Mrs. Jones becomes quite ill with an infection and has to be readmitted to the hospital for sepsis and nearly dies. During a meeting to conduct a root cause analysis, the gastroenterologist blames the endoscopy room nurse and the nurse blames the vendor. You are the VP of GI services and your bottom line is turning red. What would be the appropriate steps to take at this point in time?
Part B: In a subsequent investigation, the infectious disease team discovers the solution sold to clean the endoscopes was not removing all the contaminants. The FDA announces a halt to all endoscopic procedures with this equipment and the cleaning solution. What are your next steps?
What are five risk factors for workplace violence? Why is it the responsibility of health care managers to prevent workplace violence?
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