A nurse tells another nurse that she thinks he did not provide adequate care for a client who underwent hip arthroplasty. Which of the following responses by the nurse demonstrates assertiveness?

A. Horizontal violence, also known as lateral violence, refers to aggressive or disruptive behavior between colleagues at the same level, such as between nurses. Since the head nurse is in a superior position and the staff nurse is a subordinate, the behavior described does not fit the definition of horizontal violence.
B. Bullying involves repeated, intentional actions that undermine or belittle another person. The head nurse’s comments about the staff nurse’s credibility to other staff members could be considered a form of bullying, especially if this behavior is persistent and aims to undermine the staff nurse’s professional reputation or confidence.
C. Confrontation is a direct approach to addressing disagreements or conflicts between individuals. It involves discussing differing views openly and is intended to resolve issues through dialogue. In this
case, the head nurse’s behavior does not involve direct confrontation with the staff nurse about the disagreement but rather involves undermining the staff nurse's credibility behind their back.
D. Mediation is a process where a neutral third party helps facilitate communication and negotiation between conflicting parties to reach a resolution. The behavior described does not involve mediation; instead, it involves negative comments and undermining behavior without seeking resolution or involving a mediator.

A. Increased mortality rates are not an outcome of quality stamina. In fact, quality stamina aims to improve overall care quality and patient outcomes, which should ideally lead to decreased mortality rates. High-quality care and sustained attention to standards generally contribute to better patient outcomes and lower mortality rates.
B. Quality stamina does not typically result in decreased patient volume. In fact, maintaining high-quality care can lead to increased patient satisfaction and potentially attract more patients. Decreased patient volume might be a result of other factors, such as poor service or lack of resources, rather than quality stamina.
C. Improved job satisfaction is a positive outcome of quality stamina. When healthcare staff work in an environment where high standards are maintained, they often experience greater job satisfaction due to better working conditions, support, and recognition of their efforts.
D. Optimal workload distribution is another positive outcome associated with quality stamina. Effective quality management practices can lead to more efficient processes and better distribution of tasks, which helps in reducing burnout and maintaining a sustainable work environment.
E. Enhanced nurse retention is also a likely outcome of quality stamina. When healthcare organizations prioritize quality and maintain high standards, it often leads to a better work environment and job satisfaction, which can contribute to higher nurse retention rates. Retaining experienced staff helps in maintaining consistent, high-quality care.