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Nrsg 354:Nursing Administration Question Paper
Nrsg 354:Nursing Administration
Course:Nursing
Institution: Kenya Methodist University question papers
Exam Year:2015
KENYA METHODIST UNIVERSITY
END OF 1''st ''TRIMESTER 2015 (FT) EXAMINATION
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : NURSING
UNIT CODE : NRSG 354
UNIT TITLE : NURSING ADMINISTRATION
TIME : 3 HOURS
INSTRUCTIONS:
Answer all questions in Section I, II & III
SECTION I: MULTIPLE CHOICE QUESTIONS (MCQ) (20 MARKS)
Choose the most appropriate answer
Question One
According to Herzberg’s motivation, Hygiene Theory, the following are job satisfiers:
Achievement and recognition
Recognition and salary
Salary and good policies
Good management and advancement
Question Two
An organization’s mission statement must:
Diagnose human needs
Encourage people to work
Be goal oriented
Be based on productivity
Question Three
The following is an implication contingency approach to management
Abstract of theory notes it difficult to apply
Decision making is centralized
Managers are flexible when choosing a management style
Managers find it difficult to analyze issues
Question Four
Strategic management evolved as a result of the following factors:
Increased expectations of customers for quality and competitions by organizations
Rapid technological advancement and improved planning process
High competition and increased motivation
Emphasis on consumer rights and organizational culture.
Question Five
Job specifications refer to:
Principal duties and responsibilities
Function elements of a position
Human qualities necessary to perform a job
Interdepartmental relationship
Question Six
Division and specialization of labour are associated with:
Systems Theory
Scientific Theory
Contingency Theory
Behavioural Theory
Question Seven
An evaluation of quality of nursing care conducted as the patient is receiving care is:
Peer review
Retrospective audit
Group conferencing
Concurrent audit
Question Eight
The following are strengths of Primary Nursing
Promotes total patient care and increased autonomy and responsibility autonomy
Facilitates nursing process and increases fragmentation of care
Promotes professional mobility and teamwork
Requires the primary nurse to report to the close nurse and work dependently
Question Nine
The Health Information System must provide the following:
Information confidentiality and security
Patient specific data
Standard format for transmitting data
Linking of clinical and financial information
A+b
A,c and d
A and d
All the above
Question Ten
The following are techniques to deal with time management:
Delegation, training and supervision
Time analysis, decision making and controlling
Delegation, Goal setting, time analysis
Priority setting, duty allocation and communication
Question Eleven
Organizational conflict may be caused by the following:
Team disputes and job rotation
Poor coordination of activities and demotions
Poor salaries and close supervision
Unclear authority structures and competition of resources
Question Twelve
The following are advantages of decentralization:
Reduced levels of organization and better decision making
Unity of command and discipline
Staff motivation and recognition
Improved performance and budget control
Question Thirteen
Legitimate power is
Derived from superior knowledge
Based on sharing information
Based on personal influence
Associated with organizational positions
Question Fourteen
The following activities pertain to materials management:
Procurement, storage, planning, inventory control
Procurement, demand estimation, storage, inventory control
Demand estimation, procurement communication, inventory control
Storage, inventory control, decision making, procurement
Question Fifteen
Match the following statements in Column A against the items in Column B. (½ mark each)
Column A
1. Prescribe steps that should be followed in order to conform
2. Depicts the expression of responsibility relationships among people and jobs
3. Identification of materials requirements and needs
4. One of the main building blocks in any quality assurance activity
5. A leader whose influence is effective by being in the right place at the right time
6. A leader whose influence arises directly out of his position
Column B:
Demand estimation
Procedure
Organizational structure
Procurement
Standard
Job description
Appointed leader
Situational leader
Charismatic
Question Sixteen
Indicate T (True) or F (False) for each of the following statements. (½ each)
1. McGregor’s theory "X and Y" focuses on the employee attitude to managers
2. In delegation accountability is transferred while responsibility is shared.
3. A source of concern is a factor to be considered when formulating standards of practice.
4. Collective bargaining assists both employees and employing organizations.
5. Content theories seek to explain specific actions focusing on the thought process
6. Operating decisions are concerned with major policy statements and organization structure.
SECTION II SHORT ANSWER QUESTIONS (40 MARKS)
Question One
As a manager explain how you can apply Vrooms Expectancy Theory in an organization. (6 marks)
Question Two
Explain two types of budget
(4 marks)
Describe the budget process.
(4 marks)
Question Three
State three reasons why controlling is important
(3 marks)
Describe the elements of control.
(6 marks)
Question Four
Describe any two theories of leadership. (4 marks)
Question Five
Explain the following:
Performance management
(3 marks)
Structure-process outcome model as criteria for patient care evaluation.
(6 marks)
Question Six
Describe effective delegation process. (5 marks)
SECTION III: ESSAY QUESTIONS (40 MARKS)
Question One
A nurse manager must be aware of how to get people to work willingly and well to increase motivation
Describe the basic model of motivation.
(3 marks)
Explain three factors which may cause low motivation.
(5 marks)
Describe four practical steps which a nurse manager can use to motivate people at work.
(12 marks)
Question Two
Allocating human resources is one of the main responsibilities of a nurse manager
Define staffing
(2 marks)
State four main objectives of staffing
(4 marks)
Describe the staffing process in an organization.
(8 marks)
Explain three main factors that affect staffing
(6 marks)
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