Quiz 12: The health workforce

Please choose the one, most correct answer to each question or statement.

Why is there a shortage of doctors, nurses and midwives in Africa?
- It is too expensive for African countries to train enough health professionals
- Most African countries are unable to find suitable candidates to train as health professionals
- In Africa men do not want to train as nurses and midwives
- There is only a shortage of doctors but not nurses and midwives
An important role of human resource management is getting good quality staff appointed to rural posts. This process is called:
- Task shifting
- Retention
- Recruitment
- Performance management
Which of the following packages is most likely to result in staff retention in a rural hospital?
- All staff have the opportunity to enter a lottery at the end of the year where the winner has a large cash bonus
- Staff make a written pledge to stay in post for at least 5 years as a condition of appointment
- Supervisors refuse to provide a reference for staff members leaving after less than one year
- Health professionals are paid fairly, have the opportunity to progress in their careers and believe their employer values them
“Task shifting” means:
- Putting off important work until later
- Expecting others to cover for inefficient workers
- Delegating tasks to a less qualified person
- Shifting managerial duties to clinical staff
A patient is admitted with a stroke and the following day it is clear that she cannot speak. What will help her communicate?
- Physiotherapy
- Occupational therapy
- Speech and language therapy
- Pharmacy
Which profession focuses on the reintegration and participation of patients back into society?
- Physiotherapist
- Occupational therapist
- Social worker
- Clinical nurse
What is an important resource for holistic patient care that doctors are often not aware of?
- Online articles
- mHealth
- Occupational therapists
- Non-profit organisations
Which of the following patients would benefit most from interprofessional care?
- A 16-year-old boy who had appendicitis and missed 2 weeks of school
- A new mother who was admitted for premature rupture of membranes but gave birth to a healthy infant
- A 65-year-old diabetic who has just had an above knee amputation and also looks after an adult son with Down syndrome
- A mother who has just lost a four-year-old child in a motor vehicle accident
An interprofessional care plan should be made:
- During admission, as soon as possible
- At the time of discharge
- At the first outpatient visit
- Only if the patient requests it
Interprofessional care should be discussed:
- Only in meetings where the full team is present
- Any where, any time including ward rounds and when passing in the corridor as long as confidentiality is maintained
- Only in the presence of the patient or their next of kin
- At least twice a week
What is the role of a team leader?
- Make sure that everyone in a team collaborates
- Pay the team members
- Appoint the team members
- Discipline the team members
A useful framework when analysing a patient’s needs:
- The International Classification of Disease (ICD)
- The International Classification of Functioning, Disability and Health (ICF)
- The International Care Framework (ICF)
- The Interprofessional Care Framework (ICF)
Why will interprofessional care become more important in the future?
- There is a growing number of patients with multiple, chronic problems that are very difficult for one person to manage alone
- There is a growing risk from viral epidemics so it is important for staff to share skills
- There is a growing burden of disease, meaning that staff from different professions must become less specialised and be prepared to do each other’s work
- Numbers of health professionals are dropping
“Burnout” at work means:
- A person has been working very hard for several days in a row and needs a full day off to recover
- A person has become bored at work and is looking for a new challenge
- An unpleasant work environment as a result of personality clashes
- A person is in a state of long-term exhaustion as a result of chronic work related stress
A person with burnout becomes cold and indifferent to others at work. It is called:
- Rudeness. Emotional exhaustion
- Depersonalisation
- Reduced personal accomplishment
- Bad upbringing
In healthcare, burnout is more common in:
- Women with multiple care giving roles
- The young with greater ambitions
- Those who have many interests outside work
- Men with higher community status
How can healthcare systems reduce burnout in their staff?
- By disciplining staff who are late for work and thus place a burden on their colleagues
- By employing more facilitators and coordinators for healthcare programmes
- By making sure that information, supplies and support are available to healthcare providers
- By offering yearly screening for high blood pressure and diabetes
What is “resilience” in stressful situations?
- Resilience is the ability to “bounce back” after being put under stress. It can be developed even in adult life
- Resilience is a feeling of worthlessness
- Resilience is the ability to “bounce back” after stress. It needs to develop in childhood
- Resilience means somebody is more likely to “break” in a stressful situation
Why is staying healthy often difficult for healthcare providers?
- In most hospitals, it is not possible for staff to buy healthy snacks or meals
- Most healthcare providers do not have the time for 2 hours exercise a week
- In most hospitals, it is quicker to use the elevator to get to upstairs wards
- The water quality in hospitals is usually worse than in the community
Which of the following would be the best way to cultivate positive emotions?
- Carefully analyse things that have gone wrong over the day and choose to avoid them next time
- Volunteer to represent colleagues’ interests at the management liaison committee
- Avoid spending too much time with colleagues who complain
- Do additional overtime to pay for a cellphone upgrade