A manager who supervises a number of first-level managers within the related specialities is :

IGNOU PB. Bsc. Nsg. Entrance-2025

Nursing Management & leadership

Easy

Appeared in: IGNOU PB. Bsc. Nsg. Entrance-2025

Explanation

In a standard management hierarchy, middle-level managers are positioned between top-level and first-level management.
Their key function is to implement the strategies developed by top management by directing and overseeing the activities of first-level managers.
The question describes the core responsibility of a middle-level manager: supervising first-level managers.
Examples in nursing include department heads or nursing superintendents who manage unit managers or charge nurses.

Option A: An Executive is a top-level manager responsible for the entire organization's strategy. They supervise middle managers, not first-level managers.
Option B: A supervisor is a first-level manager who directly oversees non-managerial staff. They do not supervise other managers.
Option D: A top-level manager, like an executive, is responsible for long-term, organization-wide planning. Their role is strategic, not focused on the direct supervision of first-level managers.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Levels of Management in Healthcare as background academic context rather than a clinical decision trigger.
Understanding the management hierarchy is crucial for nurses aspiring to leadership roles. It clarifies career pathways, from a staff nurse to a charge nurse (first-level), to a unit manager (middle-level), and potentially to a Chief Nursing Officer (top-level).
Knowing the different levels of management helps nurses understand who to approach for specific issues. Operational problems go to a first-level supervisor, while policy or inter-departmental issues may need to be escalated to a middle manager.
What if? - If the manager was described as directly assigning tasks to staff nurses and creating the daily shift schedule, the correct answer would be 'Supervisor level' (first-level manager), as this involves direct oversight of non-managerial employees.

How to Approach the Question

First, identify the key relationship described in the question stem: a manager who 'supervises... first-level managers'.
Next, recall the typical three-tiered structure of management: Top, Middle, and First-Level.
Visualize this structure as a pyramid. First-level managers (supervisors) are at the base, managing the frontline workers. Top-level managers (executives) are at the peak, setting strategy.
Logically deduce that the role connecting the top and the base—the one that supervises the first-level managers—must be the 'Middle-level manager'.
Finally, scan the options and select the one that matches this deduction.

Concept Tested & Keywords

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E6 Principles and Practice of NURSING Management Leadership for BSc Nursing 3rd Edi Jogindra Vati — Subpart A (pp 26-339 of 1017) p. 85-87

E6 Textbook of Nursing Management and Leadership I. Clemen — Subpart A (pp 26-327 of 982) p. 76-78