Nrsg 354: Nursing Administration Question Paper

Nrsg 354: Nursing Administration 

Course:Nursing

Institution: Kenya Methodist University question papers

Exam Year:2013



KENYA METHODIST UNIVERSITY
END OF 1''ST ''TRIMESTER 2013 (EVENING) EXAMINATION
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : NURSING
UNIT CODE : NRSG 354
UNIT TITLE : NURSING ADMINISTRATION
TIME : 3HOURS


INSTRUCTIONS: Answer ALL Question ONE Compulsory and ANY Other
SECTION A (For Question 1 – 12 choose one correct response 16marks)
Question 1
Effective communication in management can be achieved through the following:
Information dissemination
Telephone
Memos
All of the above
Question 2
Departmental performance of nurses can be achieved through
Negotiation
Career development
Recruitment
Compensation for extra hours covered.
Question 3
The nurse manager monitors the budget in order to achieve the following:
Maintain revenue above the budget
Ensure revenue is generated monthly
Control expenses within projected framework while generating revenue
Keep expenses less than 15% below projected budget.
Question 4
Motivation theorist include:
Mcgregor, Herzberg
Mcgregor, Max Weber
Hertzberg, Fayol
Fayol, Max Weber.
Question 5
Through delegation, the nurse manager achieves:
Team building
Development of self
Efficiency
Development of staff competencies.
Question 6
Centralized organization structures.
Have high bureaucracy
Give freedom to managers decisions
Are easier to manage
Do not allow for staff development.
Question 7
Authority in management may best be reinforced by
Specific committees
Personal attributes
Job knowledge
Persuasive ability
Question 8
A situational leader assume the following style of leadership most effectively:
Democratic
Autocratic
Raissez fairer
All of the above.
Question 9
In a properly functioning nursing department the office that represents organization policies is:
Team leader
Chief nurse
Deputy ward in charge
Nursing officer in charge
Question 10
Control as a function of management achieves all the following except:
Keeps employees under control
Reduces costs
Minimizes employee errors
Achieves operating goals.
Question 11
One of the following is an indicator of understaffing:
Overworked employees
Inflexible supervisors
Reduction in patient complaints
Inability to meet deadlines
Question 12
A primary objective of performance rating is to:
Help employees improve quality of performance
Comply with hospital policy
Ensure supervisors know their job
Allow employees to compare their performance with others.
Indicate whether statements a to d are true or false for Question 13 and
14
Question 13
Key management issues in Strategic Management focus on
Establishing mission, vision and goals of organization
Understanding the environment in which one is operating.
Development of shared values through philosophy and culture
Ensuring you are in competition with all organization.
Question 14
On leadership:
Trait theory was the first to be studied.
Situational leadership is guided by task and interpersonal skills
Authoritarian leaders achieve results faster
Leadership is a fixed position.
SECTION B (42marks)
Question 1
Explain FOUR principles of management with their application to
nursing. (8marks)
Question 2
State FOUR nursing delivery modalities. (4marks)
Question 3
Explain the significance of planning in nursing administration. (10marks)
Question 4
a) State TWO types of organization structures. (2marks)
b) Explain TWO advantages of each organizational structures stated in (a)
above. (8marks)
Question 5
Explain the purpose of budgeting. (10marks)
SECTION C (40marks)
Question 1
You are the new country X director of Nursing. There is need to articulate
nurses to the new changes expected in the country in relation to nursing service delivery.
a) Explain the role of orientation (induction) as part of staffing. (10marks)
b) Explain change as a process. (10marks)
Question 2
Department Y of the hospital reports a number of instances when conflict has interfered with nursing care delivery.
a) Explain TWO benefits/ of conflict. (4marks)
b) Explain how you the nursing incharge would resolve the above conflict.
(16marks)






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