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

INSTRUCTIONS:

Read carefully the instructions preceding each section A, B & C.

SECTION A:

Choose the most appropriate response from the choices given.
Each correct response earns you a mark (20 marks)

Question One

All of the following are benefits of traditional management style except

Efficiency
Consistency
Subordinates always obey superiors
Clear structure

Question Two

As a nurse manager achieves higher management position in the organization, there is need for what type of skill

Personal and communication skill
Communication and technical skill
Conceptual and interpersonal skill
Visionary and interpersonal skill

Question Three

A nurse with the responsibility of deciding the number of staff members WHO will be assigned to a unit has what kind of power.

Legitimate
Reward
Coercive
Referent

Question Four

Which method is BEST to assess one’s effectiveness as a teacher

Review amount of formal education
Ask opinion from a friend
Wait for input from others
Review personal interactions.

Question Five

When group members are unable and unwilling to participate in mankind decision, which leadership style should the nurse manager use:

Participative
Authoritarian
Lasses-faire
Democratic

Question Six

Which of the following principle of management stresses the need for employees to follow orders and instructions from their managers and not from anyone else

Scalar chain
Discipline
Unity of command
Order

Question Seven

You as a nurse manager stresses the importance of promoting ’esprit de corps’ among members of the unit. Which of the following remarks of the staff indicates that they understand the meaning of this principle?

Let’s work together in harmony; we need to be supportive of one another
"In order that we achieve the same results; we must follow the directives of our manager and not from other managers"
"We will ensure that all the resources are available when needed"
"We need to put our efforts together in order to raise the bar of excellence in the care we provide to all patients."

Question Eight

Which phase of employment process includes getting on payroll and completing documentary requirements?

Orientation
Induction
Selection
Recruitment

Question Nine

Standard operating procedures (sops) refers to

An optimal balance between possibilities realized and a framework of norms and values
Doing the right thing right, right way the first time
Detailed, written instructions to achieve uniformity of the performance of a specific function
A process of meeting the needs and expectations of customers, both internal and external.

Question Ten

Which of the following nursing care delivery model is based on a production and efficiency model and stresses a task oriented approach

Case management
Primary nursing
Differentiated practice
Functional method

Question Eleven

Regardless of the size of a work group, enough staff must be available at all times to accomplish certain purpose. Which of these purpose is not included?

Meet the needs of patients
Provide a pair of hands to other units as needed
Cover all time periods adequately
Allow for growth and development of nursing staff

Question Twelve

Which of the following guidelines should be LEAST considered in formulating objectives for nursing care

Written nursing care plan
Holistic approach
Prescribed standards
Staff preferences

Question Thirteen

Which of the following statements regarding conflict is NOT true

Can be destructive if the level is too high
Is not beneficial hence should be prevented at all times
May result in poor performance
May create leaders

Question Fourteen

Accreditation refers to one of the following

Making assessment
Meeting predetermined standards
Making care cost effective
Ensuring quality

Question Fifteen

Which management theory states: "When managers make a decision they must take into account all aspects that are key to the situation at hand."

Systems theory
Chaos theory
Contingency theory
Bureaucratic management theory

Question Sixteen

The difference between delegation and task (work) allocation is lack of:

Accountability
Authority
Direction
Responsibility

Question Seventeen

A primary objective of performance rating is to:

Help employees improve quality of performance
Comply with hospital policy
Ensure supervisors know their job
Allow employees to compare their performance with others

Question Eighteen

A mission treatment

Reflects the purpose and direction of healthcare agency
Develops, negotiates and formalizes targets of a health agency
Identifies goals that are specific and adhere to a deadline of the healthcare agency
Is used to develop educational programs for health care professionals

Question Nineteen

Match the statement in column A with statements in column B.
A B
1. Motivation hygiene theory

Max Weber

2. 14 principles of management

Douglas McGregor

3. Theory X and Y

Henri Fayol

4. bureaucracy

Elton Mayo

Fredrick Taylor

SECTION B: SAQ (40 marks)

Answer all the questions in the booklet provided

Question One

Distinguish between the following terms

Management and leadership.

(2 marks)

Organization and Administration

(2 marks)

Question Two

Describe the following managerial roles,

Decisional roles

(3 marks)

Information roles

(3 marks)

Question Three
Explain four types of power that the nurse leader uses. (8 marks)

Question Four
State five importance of budgeting (5 marks)

Question Five
Using examples explain the five rights of delegation. (10 marks)

Question Six
Explain the significance of planning in nursing administration. (7 marks)

SECTION C: (Long Answer Questions) (40 marks)

Answer all the questions in the booklet provided

Question One

You have been deployed as the Nursing director of hospital X and you are expected to implement various changes for effective management.

Explain four factors that cause resistance to change

(8 marks)

Describe as a nurse director how you can overcome the resistance to change.

(12 marks)

Question Two
Discuss with relevant examples the role of a nurse manager in staffing process. (20 marks)

Nrsg 354:Nursing Administration Question Paper

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