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


Instructions:
Answer all questions
SECTION A (MCQs)
Question One
The nurse entrepreneur is beneficial to the organization and possesses all the following traits except.
Wants to change his or her workplace
Develops skills needed for the organization
Saves the institution money
Is loyal to the institution
Question Two
"Innovator" is a word that
Applies only to a nurse intrapreneur
Applies only to a nurse entrepreneur
Could apply to both a nurse intrapreneur and entrepreneur
Is not a requirement for either intrapreneur or entrepreneur.
Question Three
Aspects of professional nursing practice that cannot be delegated are
Monitoring and recording
Implementation and planning
Assessment and evaluation
Reporting and recording
Question Four
The transfer of authority to perform a selected nursing task in a selected situation to a competent individual is called
Assignment
Buck passing
Delegation
Transference
Question Five
The most effective conflict management style is
Collaboration
Compromise
Competition
Mediation
Question Six
Factors that influence the ease with which a conflict is resolved include all the following except
The level of interdependence of the parties
The importance of the outcome
The perceived fairness of the process of resolution
The extent to which support systems that encourage resolution are in place.
All the above
Question Seven
Transculturalism describes a nurse who
Is grounded in his/her own culture
Has the skills to be able to work in a multicultural environment
Works with more than one culture
A and B
Question Eight
Which of the following methods is likely to be most effective in motivating a new employee with poor performance?
Coaching
Counseling
Disciplining
Supervisor praise
Additional training
Question Nine
The process of staffing involves
Assessment of the qualification and competence of the staff available.
Formulation of a strategic staffing plan to meet future needs
Creation of a budget of personnel to provide patient care services
Assigning nurses to the care of specific patients.
Question Ten
Which of the following is a leadership role in fiscal planning?
Coordinates the monitoring aspect of budget control
Accurately assesses personnel needs using agreed on standards or an established patient classification system.
Assesses the internal and external environment of the organization in forecasting to identify driving forces and barriers to fiscal planning.
Is visionary to identifying short and long term unit fiscal needs.
Question Eleven
In complexity science, the movement of an organization as it changes from one attractor or mission statement to another is known as?
Leverage
Bifurcation
Chaos
Order
Question Twelve
Max Weber is known for the development of which management theory?
Bureaucratic management
Scientific management
Humanistic management
Transformational leadership
Question Thirteen
According to Herzberg’s theory, which job factor would be considered a motivator?
Money
Leave policies
Yearly parties
Recognition of achievement
Question Fourteen
Which manager uses a transformational leadership style to motivate employees?
Dick who works daily to get the task done and gives "to dolist" to employees.
Martin who is known for seeing that a through job is done and done correctly.
Emily who focuses on goal setting and rewards goal achievement
Jearette, who is optimistic and makes a conscious effort to be a good role model.
Question Fifteen
When reviewing an organizational chart, what represents the formal lines of authority and responsibility with the organization?
Specialization of labor
Chain of command
Span of control
Organization structure
Question Sixteen
The basic concept behind a learning organization is?
The popularity of change
The people change
The adaptation of change
The resources of change
Question Seventeen
Which type of structure has decision making and power being led by few people.
Flat
Integrated
Matrix
Tall
Question Eighteen
What is the characteristic of a flat structure?
Narrow span of control
Fewer layers in the reporting structure
Combines two structures into one
Is cost effective with use of resources.
Question Nineteen
Organization culture and climate are important aspects of the organization. Which of the following are characteristics of the culture of the organization.
Supervisor support given
Flexibility of the work setting
Responsibility given
Determines the behavior of the organization.
Question Twenty
The number of employees under one manager is called?
Chain of command
Group under command
Span of control
Scalar chain
SECTION B (40 Marks)
Question One
List four principles of management. (2 marks)
Question Two
Explain three characteristics of effective followers. (6 marks)
Question Three
Describe two strategies that a nurse manager/leader can use to promote life long learning for evidence based practice. (3 marks)
Question Four
Compare and contrast linear and non-linear approaches to change. (6 marks)
Question Five
Explain three major fiscal planning skills necessary for a nurse manager/leader. (6 marks)
Question Six
State five reasons why a nurse manager/leader need to have effective communication skills. (5 marks)
Question Seven
Explain four considerations principles for an effective performance appraisal system. (8 marks)
SECTION C (LAQs 40 marks)
Question One
You have been posted to a newly created county hospital and you realize the quality of nursing care is very poor
Explain four models/theories of quality.
(8 marks)
Describe the process you will follow to improve the quality of nursing services in that county hospital.
(12 marks)
Question Two
You realize that time management is ineffective in the unit in which you are the manager/leader. Describe how you will solve this problem to improve the units time management. (20 marks)






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