KABALE UNIVERSITY

FACULTY OF HEALTH SCIENCES; NURSING SCIENCE PROGRAM

END OF SEMISTER EXAMINATION

10th June, 2017

Course Name: Nursing Management and Leadership and Health Economics

Credit Unit: 4

Course Code: 322

Time allowed: 3hours

Students Registration Number: ___________________________________________

INSTRUCTIONS:

1. Attempt all numbers

2. Follow instructions for each Question
3. Cheating from any source is prohibited
4. Mobile phones are prohibited in and around the the examination room
5. Strict action will be taken if you are found doing any of the following
i. Talking to one another
ii. Borrowing/ lending stationery from one another
iii. Reading the question/ text aloud.

6. Do not put your name on the question paper; use your Registration Number only
Section A; Multiple choice questions Circle the most correct answer (20 marks)

1. Scientific Management Theory was developed by

A. Max Weber
B. Frederick Taylor
C. Adam Smith
D. Kurt Lewin

2. Motivation-Hygiene theory (two-factor theory) of management was proposed by

A. Elton Mayo
B. W. Edwards Deming
C. Kurt Lewin
D. Frederick Herzberg

3. Which management theory states when managers make a decision, they must take into
account all aspects of the current situation and act on those aspects that are key to the situation at
hand"?

A. Systems theory
B. Chaos Theory
C. Contingency Theory
D. Bureaucratic Management Theory

4. The famous Hawthorne experiments were conducted by

A. Elton Mayo
B. Max Weber
C. Henry A. Landsberge
D. F.W Taylor
5. Which statement reflects the most important use of power in nursing?

A. The nurse manager uses power when evaluating staff.

B. The nurse can use power to impact and improve client care.
C. The nurse uses power in relationships with unlicensed personnel.
D. The nurse manager can use power to assist newly licensed nurses.

6. There is a shortage of nurses on weekends. The unit manager asks nurses to work every other
weekend in return for an additional 8 hours of paid vacation per month. Which type of power is
this manager using?

A. Legitimate power
B. Expert power
C. Referent power
D. Reward power

7. A nurse is working in a unit with several less-experienced nurses. Which attribute displayed
by the senior nurse would make her leadership of the less-experienced nurses most effective?

A. Strong belief that the leader is accountable for actions taken by those working on the unit
B. Authority to carry out actions necessary to move the work of unit staff forward
C. Efficiency in actions and in words
D. Ability to motivate the others to commit to the teams goals

8. Which of the following statements is NOT true about performance appraisal?

A. Informing the staff about the specific impressions of their work help improve their
performance.
B. A verbal appraisal is an acceptable substitute for a written report
C. Patients are the best source of information regarding personnel appraisal.
D. The outcome of performance appraisal rests primarily with the staff.
9. Which phase of the employment process includes getting on the payroll and completing
documentary requirements?

A. Orientation
B. Induction
C. Selection
D. Recruitment

10. The need for all the employees to follow orders and instructions from the leader and not from
anyone else belongs to which of the following principles?

A. Scalar chain
B. Discipline
C. Unity of command
D. Order

11. Authority to act is BEST defined as:

A. having responsibility to direct others

B. being accountable to the organization
C. having legitimate right to act
D. telling others what to do

12. Confrontation approach to conflict resolution is BEST described as...

A. Individual has no interest in dealing with the other party

B. Individual has high concern for others and low concern for self
C. Individual is both assertive and empathetic
D. Individual has high concern for self and low concern for others
13. A combination that explains situations where employees are motivated but have lots of
complaints according to two-factor theory is

A. Low Hygiene + High motivation

B. Low Hygiene + Low motivation
C. High Motivation + High Hygiene
D. Low motivation + High hygiene

14. The following are examples of Hygiene factors as per Herzbergs theory except

A. Salary increment
B. Company Policy
C. Carrier Progression
D. Paid Insurance

15. Primary compensation or remuneration can be BEST described as

A. Fixed amount paid every month to an employee

B. Known as incentive compensation
C. The monetary incentives including bonus
D. Amount paid after loss of property or relative

16. During the process of staffing the new employees should know under whom and with whom
he/she is to work, get acquainted and adjusted to the work environment, get a general idea about
the rules and regulations, working conditions in which phase of staffing
A. Placement
B. Recruitment
C. Induction
D. Performance appraisal
17 A managerial function that involves determining the timing and sequencing of activities ,
allocating the appropriate proportions of resources, times and priority, and adapting means to
ends is

A. Organizing
B. Planning
C. Commanding
D. Coordinating

18. The following are positional powers EXCEPT

A. Legitimate powers
B. Expert Powers
C. Reward powers
D. Coercive power

19. Which event would likely improve a nurses position power within an organization?

A. The nurse is promoted to nurse manager.

B. The nurse is voted most likable as part of a Nursing Day celebration.
C. The nurse has just graduated from a masters program in nursing.
D. The nurses wife has just been elected to the town council.

20. You are the head nurse in the pediatric department. Your roles in the planning process in the
hospital include the following, except:
A. Act as a link between higher level management and non management
B. Direct responsible for the actual production of nursing services
C. Represents the organization
D. Both A and B
Section B Fill in the space provided (20 Marks)

21. Define health economics (2marks)

22. Define scheduling (2marks)

....

23. State four purposes of staffing (8 marks)

24. Match the following: (8 Marks)

(a) Job analysis (i) Determining the size and categories of

personnel required
(b) Job description (ii) Determining the qualifications, skills and
experience of the employees required for
various categories of employees.
(c) Job Specification (iii) Determining the abilities and skills
required for performing the job.
(d) Human resource planning (iv)Identification of the job in terms of duties
and responsibilities.

V the screening step of staffing in which the

applications are screened out and suitable
candidates are appointed as per the
requirements.
Section C Short Essay (20 Marks)

25. (a) Define Health Care (2marks)

(b) Differentiate between health care market and market of other goods (4 marks)

26. Explain the various leadership styles that are still recognized today (8 Marks)

27. Explain the levels of management structure (6 Marks)

Section D Long essay 20 Marks

27. (a) Define conflict resolution (2Marks)

(b). Discus the approaches used in conflict resolution (8 Marks)

28. (a). Define staffing (2Marks)

(b). Selection is an important step in staffing process; discuss the steps involved in selection
procedure (8 Marks)
END
GOOD LUCK