A clinical instructor is assessing a student nurse's ability to promote patient engagement. Which of the following interventions made by the student suggests a NEED FOR FURTHER TEACHING?

A. This response is defensive and confrontational. It does not address the concern about care quality but instead attacks the other nurse’s behavior and care standards. Assertiveness involves expressing oneself honestly and respectfully, which this response does not achieve.

B. This response is also defensive and dismissive. It implies that the criticism is personal rather than a professional concern, which can be seen as an emotional reaction rather than a constructive dialogue. Assertiveness involves addressing issues directly and professionally, not by questioning motives or personalizing the feedback.
C. This response indicates a lack of confidence or readiness to engage with the feedback constructively. It does not actively seek clarification or attempt to understand the specific concerns about the care provided. Instead, it focuses on the nurse's own feelings and attempts to justify their actions without engaging in a problem-solving discussion.
D. This response is assertive because it acknowledges the feedback, states the nurse’s perspective on the care provided, and invites further discussion to understand the concerns better. It demonstrates openness to feedback and a willingness to address potential issues constructively.

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.