Palestinian National Authority Name : ‫كويس‬ ‫أهم امتحان اقرو‬

Ministry of Health – Nsg. Dept

Date : 26/05/2008
Palestine College of Nursing
Time: 2 hours.

Final Leadership & Management Examination

I. Choose the most correct answer:

1. ِِAn organization chart shows the ---------- structure of an organiztion:

a. Personal. b. Impersonal.
c. Formal. d. Informal.

2. Organizational structure is concerned with three major areas, EXCEPT:

a. Lines of communication. b. Social status
c. Channels of authority d. Span of control.

3. In an organization chart, communication between individuals with different positions is

represeted by which means:
a. Vertical broken line. b. Vertical unbroken line.
c. Horizontal unbroken line. d. Dotted or broken line.

4. Controlling the number of persons who report directly to the manager is best
described as:
a. A hierachy. b. Authority.
c. Span of control. d. Recordkeeping.

5. All of the following is advantages of functional method EXCEPT:

a. Based on holistic philosophy of nursing.
b. Not expensive.
c. Staffs do only what able to do and trained to do.
d. Helpful in critical shortage of nurses.

6. Which statement is correct regarding appropriate staffing?

a. It is based only on patient census.
b. All registered nurse staffing is the only way to provide safe care.
c. The nurse manager has an ethical and financial responsibility when making staffing
decisions.
d. The budget is the most important part of staffing.

7. When you prepare a schedule, you should include all the following EXCEPT:
a. Salary expectations.
b. Educational and work history.
c. Involvement in professional services.
d. Professional objectives.

8. What is the major advantage of centralized staff scheduling?

a. It takes the needs of individual staff members into consideration.
b. It gives more responsibility to the unit managers.
c. It is fair to employee.

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 d. It is time consuming for a manager who prepare the schedual.

9. Attracting applicants for existing positions occurs during the ------- step of staffing process:
a. Recruiting. b. Selecting.
c. Orientation. d. Development.

10. The best definition of continuing education is that the program consists of:
a. A review of basic knowledge and skills.
b. Recommendations for improvement.
c. Planned learning experiences beyond a basic nursing education program.
d. Classes offered outside the work place.

11. The human resources management process includes:

a. Determining human resource needs.
b. Attracting qualified employees.
c. Developing qualified employees.
d. All of the above.

12. Which of the following is not involve in delegation process:

a. Select a capable person.
b. Explain the task and expected outcomes..
c. Arrang to keep in contact and give feedback.
d. Give the necessary authority and accountability for the outcome.

13. If a subordinate has difficulty carrying out a delegated function, the manager should:
a. Write up the employee for job deficiency.
b. Tak over task at once.
c. Have someone els take over the job.
d. Make himself availabe as a role model and encourage him.

14. Which of the following is true statement concerning delegation:

a. A relation from higher to lower.
b. Using authority.
c. Controlling subordinate.
d. Letting subordinates takes decisions.

15. Which of the following statements concerning conflict is NOT TRUE?

a. Can be destructive if the level is too high.
b. May create leaders.
c. Is better avoided.
d. May result in poor performance.

16. Interactionest view describes conflict as:

a. Argued that low level of conflict is necessary.
b. Conflict indicates malfunction in the group.
c. Conflict have the potential to be negative.
d. Confilct is natural and inevitable outcome in any group.

17. The confilct resolution strategy of compromising aims to:

a. Lose – Win approach.
b. One party react by withdrawing the conflict.
c. Negotitations between parties leads to an agreement.

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 d. Assertive but not-ccoperative.

18. When a person is highly cooperative and highly assertive in approaching conflict, the
conflict management style is referred to as:
a. Collaboration. b. Accommodation.
c. Compromise. d. Competition.

19. Which of the following statements are UNTRUE:

a. Increase the size of organization increase the chance of conflict occurance.
b. Conflict is unconscious behaivor to obstruct goal achievement of others.
c. Conflict always lead positive outcome.
d. Conflict is inevitable and natural condition in organization.

20. The best approach to deal with conflict is to:

a. Deny it b. Solve it
c. Ignore it d. Prevents its occurrence

21. A nurse manager is communicating with the hospital to coordinate clinical activities
between different departments. What level of communications is he using?
a. Downward. b. Lateral.
c. Diagnonal. d. Horizontal.

22. "Fight for Rights" is best describe of:

a. Assertive. b. Non assertive.
c. Aggressive. d. Non of the above.

23. All of the following is related to grapevine communication, Except:

a. Information is transmitted faster than other methods
b. It is informal way of communication
c. Characterized by cluster chain pathway, ease the dissemination of rumors
d. Information usually transmitted completely and accurately

24. The following are contents of performance appraisal EXCEPT:

a. Quality and quantity of work.
b. Employees attitudes toward organization and colleagues.
c. Patients opinion about nursing services.
d. Hallo influence from other colleagues.

25. The main purpose of appraisals is to:

a. Help staff improve their performance.
b. Reinforce standards of job performance.
c. Determine training and development needs of employee.
d. Prepare employees for promotion without demtion.

26. The following are potenial problems in performance appraisal EXCEPT:

a. Hallo error. b. Subjectivity.
c. Clear evaluation standards. d. Leniency error.

27. ___________ is a source of tension and frustration and is one of the major adverse
influences on job satisfaction, work performance and productivity, and absenteeism and
turnover:
a. Power. b. Control.

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 c. Alienation. d. Stress.
28. Three of the following statements are false. Which one is true?
a. Informing the nursing staff regarding specific impression of their work helps staff
to improve their job perfomance.
b. If a nurse manager is pressed for time, a verbal appraisal is an acceptable substitue for a
written report.
c. The client is the best source of information regarding personal appraisal.
d. Ther is no need for feedback.

29. Objectives for quality improvement includes the following EXCEPT:

a. Protecting the health of the public. b. Monitoring the quality of service.
c. To enhance quality care. d. To decrease both cost and efficiency

30. Quality Improvement (QI) focuses an organization on productivity, and proactive,

collective problem solving. A QI also emphasizes:
a. Collective responsibility for increasing performance.
b. Detection rather than prevention.
c. The value of tradition.
d. A narrow rather than a board focus.

II. Answer the following by TRUE or FALSE:

01. ( F ) The patient is the best source of information for performance appraisal.

02. ( T ) Performance appraisal should be written and kept secret.

03. ( F ) The number of nursing staff should be divided equally among the three shifts.

04. ( F ) Nurse manager should delegate anything for which he has legal accountability.

05. ( T ) Managers perceive problems when they become unaware of dissonance

between current and expected events..

06. ( T ) Customers define quality.

07. ( F ) Decentralized staffing allocates personnel at the organizational level rather than at the unit

level.

08. ( T ) In the primary nursing, a staff nurse is assigned the total care for patients

throughout their change .

09. ( T ) An assertive person stands up for his or her rights despite this right infringe on the rights of

others.

10. ( T ) The Pareto time principles means that when you expend 20% of the time on a

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 vital or significant problem or situation you will get 20% of the results.

III. Match Column (A) the Correct Answer from Column (B):

5 Lose-lose approach 1 Stress

4 Win-win approach 2 Selection
6 Attracting people for new job 3 Motivation
7 Verbal interaction for specific purpose 4 Collaboration
13 Head nurses make their own schedules 5 Avoidance
8 One party attempts to satisfy its own concerns 6 Recruiting
3 Behavior people take to satisfy unmet needs 7 Interview
10 Each party must give up something 8 Accommodation
12 One party is willing to give up every thing for 9 Centralization
the other party
1 Tension caused by a threat 10 Compromise
.11 Conflict
.12 Competition
.13 Decentralization

IV. Answer (5) of the following questions:

1. List the barrier to delegation? What are the five rights of delegation?

2. Identify common problems and potential errors assoicated with performance evaluation
"Appraisal".

3. The functional nursing delivery method is considered old one, what does it mean? Mention its
advantages and disadvantages?

4. Explain the centralized staffing, its advantages and disadvatnages?

5. Define the staff development, and what are the factors influencing the organization of staff
development activities?

6. Define quality improvement and list the principle of total quailty management?

7. You are facing stress almost every day in the work from different aspects, and you know that
too much stress is unhealthy.
"Discuss how you can decrease stress to maintain good health"
.

GOOD LUCK
Lecturer/ Motasem Salah
‫لنهائي القيادة وإدارة االمتحانات‬

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