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. This behavior demonstrates ineffective followership. While identifying problems is important, an effective follower should also contribute to finding solutions and taking action. Merely pointing out problems without offering solutions or participating in problem-solving can be seen as passive or unhelpful, as it does not contribute to resolving the issues or improving the organization.
B. Recognizing one’s strengths and weaknesses is a characteristic of effective followership. Self- awareness allows staff members to understand their role, improve their performance, and contribute

more effectively to the team. It indicates a proactive approach to personal and professional development, which is aligned with positive followership.
C. Engaging in open and honest communication is a sign of effective followership. It promotes transparency, trust, and collaboration within the team. Effective communication helps address issues, improve processes, and foster a positive work environment, which is essential for productive followership.
D. Demonstrating moral courage by not fearing rejection or ridicule when standing up for what is right is a sign of effective followership. It reflects commitment to ethical standards and a willingness to contribute positively to the organization, even in the face of potential personal risk.

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.