Academic year: 201 /201 Fourth year Date: \ \201 Time: 2 hours Public health administration 1st Term Exam Total : 50 marks D.r / Hind Abdullah D.r / Marwa Mohamed D.r / Gehan Awad Answer the following questions: Question No. (1): ( 10 marks): Read the following statements and put (T) for true statement and (F) for false statement. 1. Fidelity is securing the person's privacy through silence ( x ) 2. ( x ) 3. Moral: the standards of right and wrong that one learns through socialization ( √ ) Egypt have national code of ethics for nursing profession 4. Non Hazardous waste named domestic waste (√ ) 5. Error of Omission: include giving the patient the wrong drug dose ( 6. Sentinel events is unexpected occurrences involving death, serious physical (√ ) x ) or psychological injury or risk 7. Anti-anxiety drugs are safe and accepted drugs ( 8. A benefit of clinical supervision is to assure patient that he receives high ( √ ) √ ) x ) quality care at all times from medical nursing staff. 9. Disaster is a gradual extraordinary event that brings great damage, loss, ( destruction and injury to people and their environment. 10. Recovery activities may/or may not connected with prevention and ( mitigation. Question No. (2): ( 5 marks): Choose the correct answer: x ) 1. Developmental process that designed to support and enhance nurses’ acquisition of the motivation, autonomy, self-awareness, and practical skills necessary for effective performance a. Supervision. b. Managerial supervision c. Clinical supervision d. Professional supervision 2. Sedatives drugs considered from a. Safe drugs b. Accepted drugs c. Containing smaller amounts of certain narcotic and non-narcotic drugs d. All the above 3. An essential drug must be cheap to enable both the poor and the rich patient mean a. Safety drug b. Good quality c. Few side effects d. Affordable 4. A complex and protracted process and taking many years a. Mitigation disaster phase. b. Preparedness disaster phase. c. Response disaster phase. d. Recovery disaster phase 5. A supervision model in which two or more practitioners discuss their work with a supervisor a. One-to-one supervision. b. Group supervision. c. Peer or co-supervision. d. A combination of all Question No. (3): ( 10 marks): Complete the following statements: 1. Two certain situations may limit autonomy were includes: a) When the rights of one person interferes with the rights of another b) When there is high probability that a person may injure himself or others. 2. a) b) c) d) Legal aspect of nursing includes: Torts Negligence mal practice Confidentiality 3. Drug management cycle is made up of: a) selection b) Procurement c) distribution d) use 4. a) b) c) d) Committee of patient safety medical team includes: Safe Surgery team Medication Safety Team Blood Transfusion Safety Fall Prevention Team 5. a) b) c) d) Types of health programs includes: Communicable disease control Selected health promotion Organized immunization Environmental health Question No. (4): ( 10 marks) Differentiate between the following:1- Beneficence and non-maleficence Beneficence: indicates that the actions one takes should be in an effort to promote good Non maleficence: means if you cannot do good, at least do not harm. 2-waste minimization and waste segregation Waste minimization Avoid unnecessary waste e.g. use oral drugs instead of injections as much as feasible. Waste Segregation Separating sharps, infectious and general waste by using different color coding. 3-Clinical supervision and professional supervision Clinical supervision provides an opportunity for staff to: • Reflect on and review their practice. • Discuss individual cases in depth. • Change or modify their practice and identify training and continuing development needs. Professional supervision is carried out by another member of the same profession or group. This can provide staff with the opportunity to: • Review professional standards. • Keep up to date with developments in their profession. • Identify professional training and continuing development needs. • Ensure that they are working within professional codes of conduct and boundaries. 4-Sectarian agencies and government organizations • Sectarian agencies have religious affiliations. • Government organizations are operated by city, state, or federal entities, such as Indian health services. Question No. (5): (15 marks) Answer the following: 1- Mention the 10 Keys to Effective Supervision 1. Support Growth - Provide support for employee’s professional development through: • Professional Development Plans. • Strength Based Performance Appraisal Systems. 2. Unite With Your Team - Be available/accessible to employee by maintaining: • Open door policy. • Regular one-on-one supervisory meetings. 3. Praise Others - Provide praise and encouragement through: • Formal recognition systems. • Informal compliments - Catching them doing things right. . Expect Excellence - Set high expectations for employees through: • Clear position descriptions • Regular feedback sessions with staff. 5. Require Accountability - Uphold individual responsibility by: • Creating a culture where staff hold each other accountable • Creating a culture where staff holds themselves accountable. 6. Verify Potential - Develop an atmosphere of hope and confidence by: • Providing staff opportunities to succeed • Having high expectations for employees . Instill Independence - Allow autonomy of employee through: • Appropriate delegation • Encouraging risk taking 8. Share Continuously - Establish two-way communication through: • Active listening • Being transparent 9. Optimize Ownership - Create opportunities for employees to contribute by: • Participatory strategic planning sessions • Encouraging risk taking. 10. Reinforce Relationships - Share with and care about employees by: • Getting to know what motivates individual employees • Creating opportunities accomplishments. for staff to share personal/family 2-Mention the five rules of beneficence 1- Protecting and defending the rights of others. 2- Preventing harm from occurring to others. 3- Removing conditions that will cause harm to others. 4- Helping persons with disabilities. 5- Rescuing persons in dangers. 2- As a nurse how can you preventing legal problems in nursing practice Practice in a safe setting. Communicate with other health professionals. Meet the standard of care. Promote positive interpersonal relationships 3- Enumerate benefits of biomedical waste management -Cleaner and healthier surroundings. -Reduction in the incidence of hospital acquired and general infections. - Reduction in the cost of infection control within the hospital. -Reduction in the possibility of disease and death due to reuse and repackaging of infectious disposables -Low incidence of community and occupational health hazards. -Reduction in the cost of waste management and generation of revenue through appropriate treatment and disposal of waste. -Improved image of the healthcare establishment and increase the quality of life. 2- List 10 essential services of public health 1. Monitor health status to identify community health problems 2. Diagnose and investigate health problems and health hazards in the community 3. Inform, educate, and empower people about health issues 4. Mobilize community health problems partnerships to identify and solve 5. Develop policies and plans that support health efforts 6. Enforce laws ensure safety and regulations that protect health and 7. Link people to personnel health services and assure the provision of health care 8. Assure a competent public health and health care workforce 9. Evaluate the effectiveness, accessibility, and quality of services 10. Research for new insights and innovative solutions to health problems.
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