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. Nurse-patient ratios refer to the number of patients assigned to a nurse at any given time. While maintaining optimal nurse-patient ratios is crucial for patient care quality and nurse workload management, it is not directly related to the concept of intellectual capital.
B. Centralized staffing involves managing staffing needs and scheduling from a central point to ensure coordination and efficiency across departments. While centralized staffing can improve organizational efficiency and care coordination, it does not directly address the concept of increasing overall organizational improvement through intellectual capital.
C. According to the NIC Theory, intellectual capital is crucial for improving organizational performance. An increase in knowledge—whether at the individual, group, or organizational level—directly contributes to overall improvement. Enhanced knowledge and skills among nursing staff lead to better decision-making, innovation, and overall quality of care, thereby positively impacting organizational outcomes.
D. Adherence to budget-based staffing involves staffing levels and allocation based on budgetary constraints. While important for financial management and resource allocation, budget-based staffing does not directly relate to the concept of increasing organizational improvement through intellectual capital.

A. This is a primary responsibility of case management services. Case managers coordinate various aspects of a client’s care, including arranging for home health care services. They work with healthcare providers and agencies to ensure the client receives the necessary services and resources, such as nursing care, physical therapy, or other supportive services at home.
B. Writing prescriptions is the responsibility of licensed healthcare providers such as physicians or nurse practitioners, not case managers. Case managers do not have the authority to prescribe medications; instead, they focus on coordinating care and ensuring that clients have access to the necessary resources and services.
C. Performing specific nursing skills, such as dressing changes, is within the scope of practice for registered nurses or other licensed nursing professionals. Case managers typically do not provide direct clinical care or perform nursing procedures. Their role is more focused on coordinating care and ensuring that clinical needs are met through appropriate services and providers.
D. Providing education about medication adverse effects falls within the role of healthcare providers who prescribe and manage medications, such as physicians, nurse practitioners, or pharmacists. While case managers may assist in coordinating educational resources and facilitating communication between the client and healthcare providers, they generally do not provide direct medication education.