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Nrsg 354:Nursing Administration Question Paper

Nrsg 354:Nursing Administration 

Course:Nursing

Institution: Kenya Methodist University question papers

Exam Year:2014



KENYA METHODIST UNIVERSITY

END OF 3''RD ''TRIMESTER 2014 (FT) EXAMINATION
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : NURSING
UNIT CODE : NRSG 354
UNIT TITLE : NURSING ADMINISTRATION
TIME : 3 HOURS




INSTRUCTIONS

Answer All Questions

SECTION I – MULTIPLE CHOICE QUESTIONS (MCQ’s)

Choose the most appropriate answer

Question One

The basic management functions include:

Organizing, supervising, motivating, disciplining
Planning, motivating, orientating, controlling
Planning, organizing, controlling, staffing
Organizing, planning, rewarding, directing.

Question Two

The following are some of the principles of management:

Unity of command, decision making, centralization
Division of labour, unity of command, team work
Division of labour, coordinating, discipline
Unity of command, directing, planning.

Question Three

Classical management theories:

Are based on informal structures
Promote flexible control of staff
Emphasize on increased employee motivation
Are primarily concerned with structure of formal organization

Question Four

McGregors theory "x" and "y" of management:

Focus on managers’ assumptions about employees
Was developed in the 1980’s
Is based on group productivity
Streese the importance of ethinsic rewards.

Question Five

One of the implications of contingency approach theories is:

The abstract nature of the theory makes it difficult to apply in practice
Managers should be rigid when designing a management style
Managers should be flexible when designing or choosing a management style
Managers do not require training for successful application of the approach.

Question Six

The following are qualities of a good leader except:

Objectivity, empathy, demanding
Objectivity, self awareness, sympathy
Self awareness, aggressiveness, empathy
Subjectivity, self awareness, empathy.

Question Seven

Effective motivational managers:

Apply systems theory
Are concerned with technical activities to be accomplished
Identify human basic needs
Encourage people to work hard.

Question Eight

Delegation is a dynamic process which involves the following factors:

Monitoring staff behavior and controlling
Responsibility for work delegated and accountability
Recognition and professional advancement
Planning and budgeting.

Question Nine

The main purpose of performance appraisal includes:

To identify skills and knowledge necessary to perform the job
To change working methods
To analyze the job to be performed
To motivate employees to perform better in present job.

Question Ten

An organization’s mission statement must:

Be according to demand
Be goal oriented
Diagnose human needs
Make people feel valued.

Question Eleven

The following are the elements of controlling:

Establishing standards and measuring actual performance
Delegating duties and supervising
Corrective action and rewarding
Making decisions and implementing.

Question Twelve

Division and specialization of labour are associated with:

Human relations theory
Chaos theory
Classical theory
Systems theory

Question Thirteen

The difference between delegation and task allocation is lack of:

Authority
Direction
Accountability
Team work

Question Fourteen

An evaluation of nursing care activities conducted after the patient course of care is:

Concurred audit
Peer review
Retrospective audit
Situational approach.

Question Fifteen

The following activities pertain to materials management:

Demand estimation and inventory control
Procurement and communication
Demand estimation and decision making
Storage and planning.

Question Sixteen

The following is an advantage of decentralization:

Risk of employees being treated unequally
Increased freedom and flexibility of staff
Supervision of staff is increased
Improves work conditions

Question Seventeen

Legitimate power is:

Based on personal influence
Derived from superior knowledge
Based on sharing information
Associated with organizational positions.

Question Eighteen

Indicate T (True) or F (False) for each of the following statements. (½ Mark each)

Staffing is the process of balancing the quality and mix of staff needed by the organization.
Job description refers to the chain of command
Goal setting and priority setting are techniques which a manger can utilize to deal with time management
Demand estimation and procurement are activities which pertain to materials management
According to Herzberg’s two factor theory, salary is considered a motivational factor
Laissez – faire style of leadership encourages enthusiasm and high morale.

SECTION II – SHORT ANSWER QUESTIONS (SAQ’s) – 40 MARKS

Question One

Differentiate between a manager and a leader.

(2 Mks)

Describe three traits/skills that could facilitate effective leadership.

(6 Mks)

Question Two
Explain three main activities of human Resource Management. (6 Mks)

Question Three
As a nurse manager, explain how you can apply the systems theory in an organization. (6 Mks)

Question Four

State two purposes of budgeting.

(2 Mks)

Explain two factors that affect the budgeting process.

(4 Mks)

Question Five

Explain two styles of leadership which a nurse manager can apply in a work situation.

(4 Mks)

List two strengths and weaknesses of each of the above styles.

(4 Mks)

Question Six
Explain three barriers to effective delegation. (6 Mks)

SECTION III – LONG ESSAY QUESTIONS (LAQ’s) – 40 MARKS

Question One

You have been appointed as the head of Department in the medical section. Upon reporting you find the quality of nursing care is below the standards:

Explain the following terms:

(i) Standard (2 Mks)
(ii) Total quality management (2 Mks)

Describe three types of criteria you can use to evaluate the quality of care offered.

(6 Mks)

Discuss how you will ensure that quality assurance is maintained in your department.

(10 Msk)

Question Two

As an in-charge of a Health Care Unit, you identify the need to change the current methods of nursing care delivery.

Explain three reasons why the staff may resist change.

(6 Mks)

Discuss how you will assist the nurses to go through the change process to overcome resistance.

(12 Mks)

Explain the role of a change agent.

(2 Mks)






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