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Nrsg 430/354: Nursing Administration Question Paper

Nrsg 430/354: Nursing Administration 

Course:Nursing

Institution: Kenya Methodist University question papers

Exam Year:2012



KENYA METHODIST UNIVERSITY
END OF 2''ND ''TRIMESTER 2012 (DAY) EXAMINATIONS
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : NURSING
UNIT CODE : NRSG 430/354
UNIT TITLE : NURSING ADMINISTRATION
TIME : 2 HOURS


Instructions:
Answer ALL the Questions.
Part One: Choose the right response - 10 Marks.
Part Two: 40 Marks – Answer in the booklet
Part Three: 40 Marks – answer in the booklet
PART: MCQS
Question One
One of the first theorist to suggest the principle of participative management is;
Mary Parker Follet
Christ Argyris
Donglas Macgregor
Elton Mayo
Question Two
Being politically astute, emphasizing vision, thinking long term and outward looking are key characteristics of:
Transaction leadership.
Integrated leader – manager.
Transformational leadership.
Participative decision making.
Question Three
When a nurses’ personal values are incongruent with the organization, values, he/she may experience.
Interpersonal Conflict.
Normlessness.
Cognitive dissonance.
Spiritual problem.
Question Four
Statements or instructions that direct organizations in their action and decision making are called;
Objectives.
Mission Statements.
Philosophy Statements.
Policies.
Question Five
The phase of change according to Kurt Lewins (1951) in which change agent identifies plans and implements strategies is called;
Movement.
Refreezing.
Unfreezing.
Decision phase.
Question Six
When workers become prisoners of procedures, forget their original purposes and allow means to become ends the organization is said to have:-
Matured.
Aged.
Died.
Reached its pinnacle of development.
Question Seven
An indicator that you value other people’s time is;
Punctuality.
Prioritization.
Less socialization at work place.
Avoiding wasting other peoples time.
Question Eight
The most significant budget expenditures nurse managers should be cognizant of is:
Operating expenses.
Capital expenditure.
Workforce expenses.
Supplies expenses.
Question Nine
Capitation in managed care means;
Determination of medical necessity for medical & surgical in-patient, outpatient and alternative setting treatments for acute and rehabilitation care.
Providers of health care receive a fixed monthly payment regardless of services used by that patient during that month.
Reimbursement to the health care providers, the amount of money incurred by a client.
Premium paid by clients to insurance companies providing the medical coverage.
Question Ten
The Peter Principle suggest that;
Work expands to take the time available.
Individuals often rise to the level of their incompetence.
80% of the results are achieved by 20% of the input.
Human beings are economic animals.
PART TWO
Question One
State FOUR characteristics of authoritarian leadership style.
(4 Marks)
State FOUR consequences of authoritarian leadership style.
(4 Marks)
Question Two
Explain FOUR components of emotional intelligence. (8 Marks)
Question Three
Describe TWO major considerations for the nurse managers when choosing a change strategy. (5 Marks)
Question Four
Describe any TWO budgeting methods. (8 Marks)
Question Five
With the aid of an imaginary organization chart, explain the following concepts;
(4 Marks)
Span of control.
Chain of command.
Question Six
Explain FOUR consequences of inappropriate placement. (8 Marks)
Question Seven
Describe "SBAR" as a tool of enhancing organization communication.
(8 Marks)
Question Eight
Giving examples, explain the THREE characteristics of collaboration conflict resolution strategy. (8 Marks)
PART THREE
Question One
Discuss EIGHT major roles of a change agent during the planned change process. (20 Marks)
Question Two
SWOT analysis is a common tool used for strategic planning in health care organization;
Explain the meaning of abbreviation ’SWOT’.
(4 Marks)
Explain the first 8 sequential steps of strategic planning.
(16 Marks)






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