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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 2''ND ''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 in the booklet provided

PART ONE

MCQs
Choose the correct response

Question One

Transformational leadership theory.

Was developed in the mid 1970s by Warren Bennis.
Is the ability to transform followers to become more self-directed in all they do.
Involves leaders who look for potential motive in followers, seek to satisfy higher needs and engage the fill person of the follower.
B and C.

Question Two

Situational and contingency theory

Embodies the idea that the leader does the right thing based on the situation.
Involves assessing the nature of the task and the followers motivation to determine the particular style the leader should used.
Involves assessing contingent courses of action.
Is based on the concept that leader characteristic may fit the situation.

Question Three

The individual recognized as "father of scientific management" is:-

Fayol
Weber
Taylor
Macgregor

Question Four

Mark Weber is known for the development of

Bureaucratic management
Scientific management
Hunaristic management
Transformatical leadership.

Question Five

According to Herzberg, a nurse is apt to leave a job if:

Interpersonal relationship with co-worker is bad.
Opportunities for promotion are rare
Achievements are not recognized
No clinical ladder is available.

Question Six

Which manager use transformational leadership style to motivate employees.

Dick, who works to get the task done and give "to do" list to employees.
Martin, who is known for seeing that a thorough job is done and done properly.
Emily who focuses on goal setting and rewards goal achievements
Peter who is optimistic and makes a conscious effort

Question Seven

When reviewing an organizational chart, what represents the formal line of authority and responsibility within the organization.

Specialization of labour
Chain of command
Span of control
Organizational structure.

Question Eight

The basic concept behind a learning organization is:

The popularity of change
The people change
The adaptation to change
The resources of change

Question Nine

Which type of structure has decision making and power being held by a few people?

Flat
Integrated
Matrix
Tall

Question Ten

Ethics of care is

Part of all healthcare philosophy
Consequentialism
Formulated by John Mill
Based on the moral experience of women.

Question Eleven

Modeling:

Is the facilitation and nurturance of an individual.
Assist one in attaining, maintaining and promoting health.
Is a purposeful nursing intervention
Is a process used by nurses to develop an understanding of the clients’ world.

Question Twelve

A chief nursing officer sends a memorandum to the nursing staff announcing a change in the policy concerning absenteeism. This represents an example of

Horizontal communication
Downward communication
Upward communication
Vertical communication

Question Thirteen

Which type of communication is most likely to be misinterpreted by employees?

Written messages
Face-to-face communication
Non-verbal communication
Diagonal communication

Question Fourteen

A good decision maker is the one who:

Use various models to guide the process based on the situation
Adapts one model and uses it to guide all decision making
Doesn’t use any model because they are not at all useful.
Develops a model each time a decision needs to be made

Question Fifteen

Which activity would be considered expected behaviour during the refreezing phase of planned change.

Developing policies and procedures
Working to develop trust
Identifying restraining forces
Allowing time for people to assimilate the change

PART TWO (Short Answer Questions)

Question One
Explain three ways of reducing individual variation in decision making among nurse-managers. (6 marks)

Question Two

Critique the following management/leadership theories. (5 marks each)

Bureaucratic system
Transactional leadership

Question Three
Explain three leadership roles in planned change. (6 marks)

Question Four
State four roles of nurse – manager/leader in advocacy. (4 marks)

Question Five
Describe four major considerations when developing an organization structure. (8 marks)

Question Six
Explain three strategies that a nurse-manger/leader can use to reduce intergenerational conflicts between older and younger employees. (6 marks)

Question Seven
Explain any three workload measurement tools. (6 marks)

Question Eight
State four roles of the nurse-manager/leader in collective bargaining
(4 marks)

PART THREE

Long Answer Question.

Question One

Organizational conflicts are common occurrences is the workplace.

Describe any four conflict resolution strategies, giving one example of a clinical situation when it can be used.

(16 marks)

State four positive outcomes of organizations conflicts.

(4 marks)

Question Two

You are a nurse-manager in-charge of hospital X when 10 new nurses have been recruited.

Describe the organizational socialization process of these 10 nurses.

(15 marks)

State five roles of the nurse-manager in cultural-bridging.

(5 marks)






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