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 (FT) EXAMINATION
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : NURSING
UNIT CODE : NRSG 354
UNIT TITLE : NURSING ADMINISTRATION
TIME : 3 HOURS


Instructions
Answer all questions in the answer booklet provided
PART ONE (MCQs)
Choose the correct response
Question One
In disciplinary situations of union employees, the burden of proof for the wrong doing falls on
Management
The employee
The union
Both a and b
Question Two
A performance appraisal tool that rates an individual against some standard is called
Peer review
Trait rating scale
Job dimension scales
Behaviorally anchored rating scales (BARs)
Question Three
The type of audit used in quality control based on the assumption that a relationship exist between the process used by the nurse and the quality of the care provided are called
Outcome audit
Structure audit
Retrospective audits
Process audit
Question Four
A conflict resolution strategy in which superordinate goals are formulated for the achievement by conflicting parties is called
Cooperating
Negotiation
Mediation
Collaboration
Question Five
The following are ’rights’ of delegation except
Time
Supervision
Direction
Circumstances
Question Six
The generational work groups born after 1986 are called
Generational Z
Generational Y
Generational X
Millerials
Question Seven
Flextime is a duty scheduling system that:
Allows nurses in a unit to construct their own schedules
Allows organizations to set the opening price for a shift.
Allows nurses to select the time schedules that best meet their personal needs white still meeting work responsibilities
Allow nurses to cross-train on multiple units so that they can work additional hours during periods of high census or worker shortages.
Question Eight
The process of educating a new employee about the organization, employment, personnel policies and procedures is known as:
Indoctrination
Induction
Orientation
Socialization
Question Nine
When a nurse manager/leader allows subordinates to be creative, use their talents and explore new possibilities, its called
Empowerment
Modeling
Coaching
Mentorship
Question Ten
One limitation of an organization chart is
Doesn’t show the line of decision making
Shows only formal relationships
Shows informal lines of communication
Doesn’t show the chain of command
Question Eleven
An organization design that tries to remove hierarchical layers and decentralizing the activities is called
Flat designs
Matrix designs
Ad Hoc designs
Shared governance designs
Question Twelve
The number of managers at all levels of the organization is greatly influenced by
Span of control
Chain of command
Channels of communication
Unity of command
Question Thirteen
The following is true about critical thinking except
Its narrower than problem solving
Its broader than problem solving
It’s the same as reflective thinking
The end point of a critical thinking process is a conclusion
Question Fourteen
In the IDEALS model of problem solving, by Facione (2006), the fifth step is
Self-correct
Enumerate choices
Analyse options
List reasons
Question Fifteen
A decision making tool which uses schematics or pictures of how programs are intended to operate are called
Consequence tables
Decision trees
Payoff tables
Logic models
PART 2 (50 marks)
Question One
Describe discipline as a progressive process. (6 marks)
Question Two
Explain two limitations of interviews as a selection tool. (4 marks)
Question Three
State three differences between functional and primary modes of organizing patient care. (3 marks)
Question Four
State three generational considerations for staffing. (3 marks)
Question Five
Explain four strategies that a novice nurse manager/leader can use to build personal power base. (8 marks)
Question Six
Explain three characteristics of a positive organizational culture. (6 marks)
Question Seven
Explain four strategies of reducing organizational resistance to change.
(8 marks)
Question Eight
State four most common time wasters at work in the 21st century. (4 marks)
Question Nine
State eight major components of a strategic plan. (8 marks)
Question Ten
Critique the following management leadership theories. (5marks each)
Great man theory
Scientific management
PART 3 (40 marks)
Question One
Performance Appraisal is a key feature in organizations
Explain five key considerations when doing performance appraisal to ensure optional fairness and objectivity.
(10 marks)
Explain five roles of performance appraisals.
(10 marks)
Question Two
You have been posted to the provincial hospital after your internship on the unit-charge of one of the units. You find that the nursing staff is very demotivated.
Using Herzberg’s 2 theory factor they discuss how you will motivate the nursing staffs in this unit. (20 marks)






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