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UNIVERSITY OF GHANA
SCHOOL OF CONTINUING AND DISTANCE EDUCATION
FIRST SEMESTEREXAMINATIONS- 2021/2022
NURS 453: PRINCIPLES OF MANAGEMENT IN NURSING
(2 credits)
Time allowed - 2 Hours
Instructions
Answer all Questions. Circle the appropriate answer to the corresponding question,
cancellation and mUltiple selection of responses is unacceptable.
SECTION A
1. Organizational environments playa vital role in the pelformance and survival of the
organization. Which of the following are part of the internal environmental factor(s)
that influence an organization?
a. Labor
b. Machines
c. Place
d. All of the above
2. Organizations are classified according to their degree of interaction with the
environlnent. An organization which has no interaction with its external environment
is classified as ................ ..
a. Open system
b. Closed system
c. Non-interactive system
d. Mod era ted system
3. An organization's environment and the extent of the knowledge that the organization
has about those cOlnponents and how they influence the firms operations
a. Degree of stability
b. PrOlnotes openness
c. Degree of complexity
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d. Brings about change
4. Nurse manager Usman decides to deploy employees to another department that is
lagging in production, he is acting in which of the following roles?
a. Spokesperson
b. Negotiator
c. Leader
d. Resource allocator
5. Ethics deals with one's responsibilities (duties and obligations) as defined by logical
argument. Which ethical approach is guided by what will result in the greatest good
for the greatest number of people?
a. Moral-Rights approach
b. Individual approach
c. Utilitarian approach
d. Justice approach
6. Which of the following is a function of how much decision-making authority is
pushed down to lower levels in the organization?
a. Departmentalization
b. Centralization
c. Span of control
d. Power
7. The behavioral dilnension of leadership involving the concern that the leader has for
the feelings, needs, personal interest, problems, and well-being of followers is
referred to as which of the following?
a. Autocratic
b. Delnocratic
c. Transfonnational
d. Servant leader
8. In order to communicate, motivate and delegate a nurse manager must possess which
of the following skills?
a. Political skills
b. Conceptual skills
c. Technical skills
d. Interpersonal skills
9. An office supply firm that has three departments based upon retail, wholesale, and
governmental customers is using which of the following types of departmentalization?
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a. Functional
b. Product
c. Customer
d. Geographic
10. A manager who strives to ensure the activities of the organization's employees are
supported and blend well with individuals outside the firm could be said to hold
which of the following interpersonal role within the company?
a. Liaison
b. Disseminator
c. Figure head
d. Entrepreneur
11. Power is the possession of control, authority, or influence over others. Which of the
following is the power that rests on the leader's ability to punish or control?
a. Reward power
b. Coercive power
c. Expert power
d. Referent power
12. The technique of differential piece rate system was developed by Taylor in order
to ......... .
a. Discriminate between efficient and inefficient workers
b. Reward the efficient worker
c. Motivate the inefficient workers to perform better
d. All of the above
13. Which set of budgets consolidates an organization's financial information into
budgeted financial statements for future period of time?
a. Capital Budget
b. Cash Budget
c. Master Budget
d. Functional Budget
14. A set of interrelated components working together to collect, process, store, and
disseminate information to support decision making, coordination, control, analysis,
and visualization in an organization.
a. Management system
b. Information system
c. Logistics system
d. Health system
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15. The degree to which the overall task of the organization is broken down and divided
into smaller component parts is termed ......... .
a. Job Design
b. Job Specialization
c. Job Orientation
d. Job
16. Political behaviour are activities carried out for the specific purpose of acquiring,
developing, and using power and other resources to obtain one's preferred outcOlnes.
Political behaviour in any organization may be undertaken by all the following
Except.
a. managers dealing with their subordinates (directed downward),
b. subordinates dealing with their managers (directed upward),
c. managers and subordinates dealing with others at the same level (directed
laterally).
d. Managers dealing with their subordinates interrelatedly (directed across)
17. Blake and Mouton's Managerial Grid that describes the manager as one who
demonstrates Care and concern for the people, with a comfortable and friendly
environment and collegial style. But a low focus on task n1ay give questionable results
is which of the following?
a. Impoverished Inanagement
b. Country Club Inanagement
c. Middle of the road management
d. Team management
18. Which factor has been the most rapidly changing component in an organization's
general environment in the past quarter-century?
a. Global
b. Economic
c. Social
d. Technological
19. Which role of n1anager which is concern with resolving major and minor crisis that
occur unexpectedly in the unit?
a. Negotiator
b. Entrepreneur
c. Resource allocator
d. Disturbance hand ler
20. Society generally adopts fonnallaws that reflect the prevailing ethical standards-the
social norms-of its citizens. Factors that affect ethical standards include the following
Except.
a. Informal socialization
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SECTIONB
Instructions: Fill in the spaces provided with the appropriate response to the questions. All
responses must be written on the question paper.
1. Who is a manager? (1 Mark)
2. Planning is interpretated as a process to develop a strategy to achieve organizational as
well as individual objectives. What are the four (4) attributes of planning?
(4 Marks)
a. . ...................................................................................................... .
b ........................................................................................................ .
c ........................................................................................................ .
d .........................................................................................................
3. Planning is fundamental to management of an organization, as a Nurse Manager,
enumerate two (2) challenges of planning at the unit level? (2 Marks)
a. . .................................................................................................... .
b...................................................................................................... .
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4. Every organization has a diagram that shows the structure of the organization and the
relationship that exist. Enumerate three (2) benefits of organizational chart?
(2 Marks)
a. . ................................................................................................. .
b ................................................................................................... .
5. Nursing leadership is the ability to inspire, influence, and lTIotivate nursing staff and other
health care workers to work together to achieve their highest potential and collective
organizational goals. Briefly describe three (3) key actions of successful leadership in
nursing?
(3 Marks)
a ................................................................................................... .
b................................................................................................... .
c. . ................................................................................................. .
6. Organizational control is a primary goal-oriented function of management. Discuss two
(2) importance of controlling in the ward?
(2 Marks)
a. . .................................................................................................... .
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b...................................................................................................... .
7. Managerial skills are a collection of abilities that a Nurse Manager ought to possess to fulfil
managerial roles. Outline three (3) conceptual skills needed by the nurse manager at the
ward level.
(3 Marks)
a ............................................................................................................ .
b ............................................................................................................ .
c. . .............................................................................. , ............. , ............. .
8. List three (3) interpersonal skills needed by nurse managers on the ward
(3Marks)
a ........................................................................................................ .
b ........................................................................................................ .
c. . ..................................................................................................... ..
9. Health financing is a core function of health systeills that can enable progress towards
universal health coverage by improving effective service coverage and financial
protection. What is risk pooling in health financing?
(1 Marks)
10. Sustainable financing is essential to health system functioning. Mention four (4) sources
of financing in a healthcare? (2 Marks)
a ............................................................................................................ .
b............................................................................................................ .
c ............................................................................................................ .
d ............................................................................................................ .
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11. Describe the three basic principles of public finance? (3 Marks)
a ............................................................................................................ .
b............................................................................................................ .
c ............................................................................................................ .
12. Nurse Managers control the largest part of. A hospital labour budget and the effectiveness
of overseeing this responsivity determines the financial stability of the organization.
Describe three (3) roles of nurse managers in health financing?
(3 Marks)
a ............................................................................................................ .
b ............................................................................................................ .
c ............................................................................................................ .
13. Social responsibility is an ethical theory where organizations are accountable for fulfilling
their civic duty and their actions must benefit the whole society. List and explain briefly
four (4) approaches to social responsibility? (4 Marks)
a ............................................................................................................ .
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b ............................................................................................................ .
c. '" ........................................................................................................ .
d ............................................................................................................ .
14. Ethical leadership is that which is directed by respect for ethical belief and values as well
as for the dignity and right of others. Explain three (3) ways you can provide ethical
leadership in the ward as a nurse manager? (3 Marks)
a ............................................................................................................ .
b............................................................................................................ .
c ............................................................................................................ .
15. Budgeting is a tactical implementation of a business plan to achieve organizational goals
by managing and tracking income and expenses. Briefly explain the approaches to
budgeting that nurse managers ought to adopt given the skill and available time.
(2 Marks)
a. . .................................................................................................... .
b ...................................................................................................... .
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16. Good health system delivers quality services to all people, when and where they need
them. The exact configuration of services varies from country to country. Outline the four
(4) requirements that applies to all health systems. (2 Marks)
a ............................................................................................................ .
b ............................................................................................................ .
c ............................................................................................................ .
d ............................................................................................................ .
(40 marks)
Total score A and B: (60 Marks)
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