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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 3''RD ''TRIMESTER 2013 (PT) EXAMINATION
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : NURSING
UNIT CODE : NRSG 354
UNIT TITLE : NURSING ADMINISTRATION
TIME : 3 HOURS

Instructions:
Answer all questions
SECTION A: MULTIPLE CHOICE QUESTIONS (20 marks)
Question One
According to Herzberg, motivational factors include:
Salary, recognition
Salary, achievement
Achievement, recognition
Achievement, working conditions
Question Two
Organizational structure primarily refers to
How activities are coordinated and controlled
How resources are allocated
The location of departments and offices
The policy statement developed by the organization
Question Three
The level of management mostly involved in the function of directing and controlling is;
Top level
Middle level
First level
Top and middle level
Question Four
The style of leadership that represents the extreme of centralized decision making authority is
Free-vein
Authoritarian
Democratic
Free-vein and democratic
Question Five
The first person to suggest the functions of management was:
Henri Fayol
F. W Taylor
Elton Mayo
P.F Druclser
Question Six
Together, authority and responsibility are;
Supplementary
Complementary
Contradictory
The same
Question Seven
A system is best defined as a;
Grouping of separate and independent parts
Grouping of related but independent parts
Set of interrelated and interdependent parts
Set of interrelated but independent parts
Question Eight
Quality management is driven by focus on
Continual improvement
Quality improvement
Workplace diversity
Quality knowledge
Question Nine
A scientist closely associated with the Hawthorne studies is;
Adens
Mayo
Lawler
Taylor
Question Ten
The plans that focus on the broad future of an organization are;
Long term plans
Operational plans
Strategic plans
Holistic plans
Question Eleven
The first step in decision making process is;
Analyzing the problem
Analyzing alternatives
Identifying the problem
Allocating weights to the criteria
Question Twelve
A hospital ward/unit where each nurse should report to one ward in charge represents;
Order
Authority
Unity of command
Unity of direction
Question Thirteen
The conflict management style that tries to win the conflict at the other person’s expense is;
Coercing
Forcing
Compromising
Avoiding
Question Fourteen
A nursing audit compares patient care with;
Patient’s report
Patient’s improvement
Previous outcomes
Predetermined standards
Question Fifteen
Case assignment is a nursing delivery system in which;
The patient chooses his/her own nurse in each shift
The patient has a different nurse in each shift
A group of nurses look after the patient during each shift
The mode of assignment is based on number of tasks to be achieved
Question Sixteen
Write True or False for questions 17 – 18 (½ mark each)
Job specification states the principle duties, responsibilities and scope of authority for a job
Measuring of actual performance of work is an element of control function
Question Seventeen
A mission statement states the values and beliefs of an organization.
Centralization involves delegation of key functions to make lowest managerial levels in a department
Question Eighteen
Match the individuals in Column A with a theory/principle/approach of management in Column B. (½ mark each)
COLUMN A COLUMN B
Mayo
Systems approach
Weber
Hawthorne experiments
Vroom
Hierarch of human needs
Mc Gregor
Motivation - Hygiene

Bureaucracy

Theory X and Y

expectancy
SECTION B: (SHORT ANSWER QUESTIONS) 40 marks)
Question One
Explain the meaning of ’Esprit de corps’ as a principle of management and how it is applied at the ward level in a hospital. (6 marks)
Question Two
Define the following
Quality
(1 mark)
Standard
(1 mark)
Question Three
Explain three purposes of employee’s appraisal.
(6 marks)
State two types of appraisals
(2 marks)
Question Four
Describe four qualities of an effective leader. (8 marks)
Question Five
Describe the role of a manager in training and development. (8 marks)
Question Six
List the four steps of the staffing process. (2 marks)
SECTION C: (LONG ANSWER QUESTIONS – 40 MARKS)
Question One
Change is necessary in clinical settings owing to the dynamism of medicine, technology, care delivery systems and individual patient’s needs.
Explain four possible reasons why people may resist change.
(8 marks)
Explain the three steps in the change process.
(6 marks)
Describe three approaches used in implementing the change process.
(6 marks)
Question Two
Nurse Managers often delegate work to their juniors
Define delegation
(2 marks)
Explain the six steps of delegation process
(12 marks)
State three factors that hinder effective delegation.
(3 marks)
State any three benefits of delegation.
(3 marks)

Nrsg 354: Nursing Administration Question Paper

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