1 page reflection APA paper on the topic of Prioritization in nursing. My quiz results are below so that you may get a better understanding of what to write.
Quiz Name
Marquis10e_Post-Video Case Quiz 12
Completed Date
2021-07-25 21:03:20
Quiz Completed in
00:04:54
Total Questions
5
Questions Answered
5
Answered Correctly
4 (80.0%)
Correct
Incorrect
20%
80%
Question Count
Correct 4
Incorrect 1
Unattempted 0
Questions Count Percentage
Correct 4 80.0%
Incorrect 1 20.0%
Unattempted 0 0.0%
Quiz Answers
1
A root cause analysis (RCA) is a process during which participants:
Time Spent – 00:00:13
Your Response:
Identify risk points before, during, and after the event and the impact on the incident
Rationale:
An RCA focuses on an in-depth review of all possible system factors that contributed to an event, exploring one factor at a time. The goal of an RCA is to delve deeper into problems that have occurred to find out the root cause of why the problem occurred. This often means that RCA reveals more than one root cause. The RCA process builds on the idea of risk analysis to identify points where a process could fail. There is no review of the literature or focus on individual staff performance during an RCA.
Remediation:
Marquis, B. L., and Huston, C. J. (2021). Leadership Roles and Management Functions in Nursing, 10th Edition, p. 624.
2
When a new nurse executive identifies the goal of creating a “just culture” environment in their healthcare organization, the staff understands that such an environment is characterized by a culture where:
Time Spent – 00:00:52
Your Response:
The focus is on system processes that caused an error, not on individual blame.
Rationale:
In a “just culture” health care organization, each staff member is accountable for understanding and ensuring that all processes and interactions are patient oriented. This shifts the focus away from a punitive or “blaming” culture and moves the focus towards a “middle ground” with health care staff and systems. This new thinking is designed to help change an organization’s culture by placing less emphasis on errors and outcomes, and more emphasis on system design and the management of behavioral choices. In this model, errors and outcomes are the outputs to be monitored; system design and behavioral choices are the inputs to be improved.
Remediation:
Marquis, B. L., and Huston, C. J. (2021). Leadership Roles and Management Functions in Nursing, 10th Edition, p. 640.
3
The charge nurse is making assignments for the next shift. Which patient should be assigned to the new graduate nurse who has just successfully completed her unit orientation?
Time Spent – 00:00:21
Your Response:
A 60-year-old who needs teaching about the use of incentive spirometry
Rationale:
A new graduate nurse who has successfully completed orientation should be competent to teach a patient about the use of incentive spirometry. Patients on a ventilator, those recovering from procedures, or those with significant infection control needs (e.g., TB) should be assigned to an experienced nurse.
Remediation:
Marquis, B. L., and Huston, C. J. (2021). Leadership Roles and Management Functions in Nursing, 10th Edition, pp. 526–529.
4
The nurse working on a medical-surgical nursing floor should plan to assess which client first?
Time Spent – 00:02:49
Your Response:A patient with diabetes and a MRSA-infected leg wound who is requesting to leave the hospital against medical advice.Correct Response:A patient admitted with renal failure with a previous day’s urinary output of 900 cc.
Rationale:The patient with renal failure has an actual, current problem whose symptom of decreased urine output may suggest worsening renal failure. The patient with MRSA is not a threat to others should they leave the hospital against medical advice. It is normal and expected for a patient with a BKA to experience the various stages of grief (denial, anger, bargaining, depression and acceptance) when dealing with the loss of past body image. Continuous bubbling in the suction control chamber of a chest tube is normal.
5
A new graduate nurse plans to administer early morning medications after receiving change-of-shift report. Which medication should the nurse administer first?
Time Spent – 00:00:39
Your Response:A scheduled IV antibiotic for a client who has resolving pneumonia
Rationale:It is critical for the patient with resolving pneumonia to receive ongoing antibiotics to prevent a relapse. This is the priority as compared to the other clinical situations; a pain level of 6/10, one watery stool, or a low-grade temperature are not as concerning as administering an antibiotic, which must be kept on the same medication schedule for optimum therapeutic blood levels. The other medications should certainly be administered, but the exact timing is less critical.
