COLLEGE OF MEDICINE AND HEALTH SCIENCES

SCHOOL OF NURSING AND MIDWIFERY

DEPARTMENT OF GENERAL NURSING
BACHELOR WITH HONOR IN NURSING PROGRAMME
ACADEMIC YEAR: 2018
TRIMESTER II
YEAR: 4
MODULE NAME: NURSING LEADERSHIP AND MANAGEMENT
MODULE CODE: NUS4251
DURATION: 2Hours
DATE: 10/05/2018

Total Number of students: 29

MODULE LEADER: Mrs. NYIRAZIGAMA Alice

INSTRUCTIONS:

- This exam has three sections ;

Section I is Multiple Choice Questions /10Marks
Section II is Short answer questions /15Marks
Section III is Essay Questions /25Marks
- The total marks is 50
- Please answer all questions in all sections
- Any kind of cheating will be punished in line with UR Academic rules and
regulations
- Answer all questions in the booklet and follow the order of questions
- Please submit booklets together with the questionnaire provided in this examination

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SECTION I MULTIPLE CHOICE QUESTIONS /10Marks

Read each question carefully and write the letter corresponding to the best answer:
1Mark each

1. Contingency theory says that the ideal leader:

a) Shapes their leadership style depending on the situation.
b) Provides clear instructions to the followers so that they know what they are doing.
c) Knows what their strengths are and makes the most out of them.
d) Spends time with their followers and therefore listens and responds to their needs

2. A transactional leader is one who:

a) Inspires people and has strong interactions with them.
b) Does deals with people in order to get them to do things the leader wants.
c) Is the ideal form of leadership.
d) Works for long-term goals of the organization.

3. A transformational leader is :

a) Someone who is involved in organizational change.
b) A leader, like Taylor, who provided new ways of carrying out management.
c) A leader who inspires the workers to new levels by offering them a vision of a better
future.
d) A leader who tries to transform their staff by giving them rewards for what they do.
4. The main functions and principles of management have been developed by one of
the following in1916.
a) Max Weber theory
b) Florence Nightingale
c) Henry Fayor
d) Frederic Taylor
5. The First step in management by objectives is to :
a) Set departmental goals.

b) Set organizational goals.

c) Set individual goals.

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 d) Discuss departmental goals.

6. The following are the sources of conflict in the workplace EXCEPT:

a. Clear line of responsibilities
b. Change
c. Lack of communication
d. Pressure to produce

7. In Pharmacy Management, the most appropriate system to ensure that drugs

closest to their expiry date are used firstly is :
a) Ordering and storing drugs appropriately
b) First expired, first out
c) Distribution of drugs equally
d) First in, first out

8. The quality refers to:

a) The way of preventing mistakes 
b) Providing minimum and only the care that the patient and family needs
c) Meeting the needs and exceeding the expectations of those we serve
d) A and C are correct

9. By prioritizing your to do list you will become more:

a) Dedicated and outgoing
b) Focused and organized
c) Risky and adventurous
d) Satisfied and relaxed

10. What is the function of management where managers verify whether everything
occurs in conformity with the plan adopted?
a) Planning
b) Organizing
c) Controlling
d) Coordinating
SECTION II. SHORT ANSWER QUESTIONS
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11. Illustrate the levels of Management using an example for each level within an
Organization./3 Marks
12. Explain why it is important for a manager of health center/unit/department or division to
appropriately manage health information: / 5Marks
13. List the process of risk management in healthcare facility. /2 Marks
14. Enumerate the health policy triangle: /2 marks
15. Coaching is one among various roles of a mentor. Explain in your own words that activit
y which support the achievement of developmental objectives/3marks.

SECTION III. ESSAY QUESTIONS

1. You are nurse manager; it is 7 AM on your busy medical-surgical unit. You tell one
nurse in you unit some of the patients who need immediate care before going to staff
meeting. Coming at 7:30, you remind your nurse that the patient in Room 2 bed 7
will be going to surgery this morning and is to have nothing to eat or drink. Coming
out of staff meeting, you make brief rounds, only to find that the patient in Room 2
bed 7 is happily drinking her morning coffee and eating bread.
a. What are you accountable for? /1 marks
b. Did you delegate correctly? /1 marks
c. If no, which right of delegation is not well performed and why? /2 marks
d. Describe other rights of delegation that must be taken into consideration
before delegation. /3 marks
e. What are your precautions related to the case ? /3 marks
2. As a nurse director you want to initiate the mentoring program in your institution
(district hospital) and you think to organize a workshop.
a. Who should participate in this workshop? /1mark.
b. Enumerate at least four topics that you will discuss? /2marks.
c. Explain briefly the process of mentorship that it should be followed if you want an
effective mentoring program/4marks.
3. As a manager of Health centre, you need to evaluate PMTCT program in your health
centre. Discuss how you will apply all steps of healthcare program evaluation
throughout the process of this activity. /8 Marks

GOOD LUCK !!!!!

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