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Hns308: Administration In Nursing Sciences Question Paper
Hns308: Administration In Nursing Sciences
Course:Bachelor Of Science In Nursing
Institution: Kenyatta University question papers
Exam Year:2009
KENYATTA UNIVERSITY
UNIVERSITY EXAMINATIONS 2008/2009
SECOND SEMESTER EXAMINATION FOR THE DEGREE OF BACHELOR
SCIENCE (NURSING AND PUBLIC HEALTH)
HNS 308: ADMINISTRATION IN NURSING SERVICES
DATE: Monday 30th March, 2009
TIME: 11.00 a.m. – 1.00 p.m.
INSTRUCTIONS
i)
Answer ALL questions.
ii)
For Section A (MCQS) circle the correct answer.
iii)
For Section B and C answer on the booklet provided.
SECTION A (MCQ)
Circle the correct answer.
1.
Identifying problem, establishing criteria, seeking and evaluating alternatives and
selecting the best choice are steps in the management function of
(a)
Controlling
(b)
Planning
(c)
Staffing
(d)
Directing
2.
According to the bureaucratic theory:-
(a)
Employees should be hired based on their relationship with the owner.
(b)
All organizational members are to be selected based on their technical
qualifications
and
training.
(c)
Effective
organizations are rational and orderly.
(d)
Highly skilled workers should be appointed to managerial positions.
2
3.
Accountability is best defined as:-
(a)
being reliable, dependable and obliged to accomplish work at an
acceptable
level
(b)
Justifying
actions to supervisors.
(c)
Being responsible and liable for decisions and actions.
(d)
The obligation to account for ones conduct with respect to an assigned
task.
4.
In an organization, lateral communication;
(a)
only includes people from different departments, not from the same
department.
(b)
requires little effort since people at the same level seldom share common
knowledge
and
experience.
(c)
Cannot be used in diverse environments.
(d)
Requires attention to the basics of the communication process.
5.
The following are decisional roles of a manager
(a)
Entrepreneur, disseminator, negotiator, monitor
(b)
Figure head, leader, monitor, resource allocator
(c)
Negotiator,
entrepreneur,
resource allocator, disturbance handler
(d)
Disturbance handler, spokesman, negotiator, monitor
6.
The formal expressions of misunderstanding, contract violation and inadequate
labor agreements is called:
(a)
Grievance
process
(b)
Collective
bargaining
(c)
Strike
(d)
Workplace
advocacy
7.
The following are conflict resolution methods:
(a)
Avoiding,
negotiating,
competing, compromising
3
(b)
Collaborating,
confronting, withdrawing, avoiding
(c)
Setting ground rules, protecting, negotiating, compromising
(d)
Accomodating, competing, avoiding, confronting
8.
Crisis of anticipated life transition;
(a)
Results from attempts to resolve interpersonal problems
(b)
Is precipitated by external stressors that are unexpected and uncontrolled.
(c)
The client may or may not have substantial control
(d)
Requires long tem treatment after initial crisis situation.
9.
“The patient’s nursing care manager is responsible for designing and
implementing his discharge plan”. This is an example of
(a)
Outcome
standard
(b)
Process
standard
(c)
Structure
standard
(d)
Criterion
10.
In handling nurses strike;
(a)
Police should be involved always.
(b)
Quick attempts should be made to suppress the strike.
(c)
Any form of confrontation should be avoided
(d)
Normal facilities such as food, and transport for the workers should be
withdrawn.
11.
The following are problem solving methods except
(a)
Experimentation
(b)
Trial
and
error
(c)
Multi-stage
situation
critique
(d)
Purposeful
action
12.
A flexible budget;
(a)
is a financial plan in which upper limit is set by top executives
(b)
is a budget that focuses on expenses for a period of one year.
4
(c)
Consists of several financial plans each for a different level of programme
activity.
(d)
Its based on functions such as direct nursing care.
13.
The leadership style where the leader defers decision making to followers is
referred
as:
(a)
Autocratic
leadership
(b)
Laissez-faire
leadership
(c)
Democratic
leadership
(d)
Participative
leadership
14.
Match the following words with the sentences that appropriately describe them:
i. Procedure
_________________
ii.
Policy
_________________
iii.
Vision
_________________
iv.
Objective
_________________
(a)
A series of steps for the accomplishment of specific activity/project.
(b)
States where the organization is now, where it wants to go and how it
intends
to
get
there.
(c)
Identifies the organization customers and the type of service offered.
(d)
A predetermined guide established to provide discretion in decision
making.
(e)
Designed to identify the desired future of an organization.
(f)
Specifies what an organization is meant to accomplish.
For question fifteen and sixteen indicate True or False (each is ½ a mark)
15. Management;-
(i)
_______ Focuses on clinical excellence.
5
(ii)
_______ It is creating an environment in which people can perform as
individuals.
(iii)
_______ Its synonymous with leadership
(iv)
_______ Its concerned with productivity
16. Nursing
Audits:-
(i)
_________Are the only nursing supervisory tools for nurses.
(ii)
_________ Demonstrate the congruent, economical and cyclical nature of
control
process.
(iii)
________ Examines patients records to identify documentation errors.
(iv)
________ Show potential for measurability of nursing care.
17.
The final step needed to complete the change process is called
(a)
Assessment
(b)
Implementation
(c)
Evaluation
(d)
Stabilization
SECTION B – SHORT ANSWER QUESTIONS
1.
Differentiate between decentralization and centralization and list three advantages
of each.
[5 marks]
2.
Explain any three sources of power for a nurse manager.
[6 marks]
3.
Explain the benefits of effective delegation to a nurse manager and to the
organization.
[6 marks]
4.
Explain three ethical principles that a nurse can apply in solving ethical dilemmas.
[6 marks]
5.
State three factors which can give rise to resistance to change and provide ways of
overcoming
them.
[6
marks]
6
6.
Explain the concept of performance improvement and state three general
principles
of
performance
improvement.
[5
marks]
7.
Briefly describe the three stages of strategic management process. [6 marks]
SECTION C – LONG ANSWER QUESTION – (EACH 20 MARKS)
Q1.
Enhancing nurses’ performance in the clinical areas involves enforcing discipline.
(a)
Explain three principles of effective discipline.
[6 marks]
(b)
Describe giving examples how you can progressively administer discipline
to a nurse who has a habit of absconding duties.
[14 marks]
Q2.
Scheduling of staff is the responsibility of the nurse manager.
(a)
Define
scheduling.
[2
marks]
(b)
Outline 6 policies that need to be established in your hospital to ensure
successful nursing operations and work satisfaction.
[6 marks]
(c)
Describe the factors to consider as you schedule staffs.
[12 marks]
………………….
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