Except for which, all tasks are performed by the nurse?

MP CHO-2020

Nursing Management & leadership

Hard

Appeared in: MP CHO-2020

Explanation

The core responsibility of a nurse manager is to ensure a safe environment for both patients and staff. Promoting excessive work hours directly undermines this by increasing the risk of fatigue-related errors.
Forcing excessive hours is unethical and leads to staff burnout, low morale, and high turnover, which negatively impacts the quality of care.
Effective management involves creating well-planned schedules and ensuring adequate staffing to handle the workload, not relying on excessive overtime.
This option contradicts the principles of safe staffing and workload management, which are critical components of a nurse manager's role.

Option A: This is a core responsibility of a nurse manager. Promoting staff is part of staff development, which helps in retaining skilled nurses and improving the quality of care.
Option B: Maintaining discipline is a fundamental aspect of a manager's role to ensure that professional standards, policies, and a safe environment are upheld.
Option D: While a nurse manager may not set the entire organization's salary structure, they are responsible for managing their unit's budget, advocating for fair pay, and ensuring remuneration standards are applied correctly.

Clinical Relevance

Nursing practice connection: Knowing Roles and Responsibilities of a Nurse Manager helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
Patient Safety: Nurse fatigue is a major contributor to medication errors and other adverse events. A manager's primary duty is to create schedules that minimize this risk.
Staff Retention: Overworking staff is a leading cause of burnout and high turnover rates. Effective managers focus on creating a sustainable work environment to retain experienced nurses.
What if a unit is chronically understaffed? The manager's correct action is to document the risks, advocate for increased staffing or resources, and implement fair, safe scheduling models—not to mandate unsafe levels of overtime from the existing team.

How to Approach the Question

First, identify the negative framing of the question by spotting the word 'Except'. This means you are looking for the one option that does not fit.
Think about the primary goal of a nurse and a nurse manager: to provide safe, high-quality patient care.
Evaluate each option against this primary goal.
Ask yourself: Does 'upgrading staff' support safe care? Yes. Does 'maintaining discipline' support safe care? Yes. Does 'maintaining remuneration standards' support a stable, professional workforce? Yes.
Now evaluate the outlier: Does 'promoting excessive hours of work' support safe care? No, it actively undermines it by causing fatigue and increasing error rates.
The option that contradicts the fundamental principles of nursing management and patient safety is the correct answer.

Concept Tested & Keywords

Concept Tested: Roles and Responsibilities of a Nurse Manager
Stem keywords: tasks performed by the nurse, nurse manager, personnel management
Lead-in keywords: Except
Negative lead-in flag: The question uses the word 'Except', asking you to identify the option that is NOT a task performed by a nurse manager.

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E6 Textbook of Nursing Management and Leadership I. Clemen — Subpart A (pp 26-327 of 982) p. 90-92

E6 Textbook of Nursing Management and Leadership I. Clemen — Subpart B (pp 328-654 of 982) p. 16-18