Two nurses are discussing the need to have to retake CPR every ...

[ereecah]

Two nurses are discussing the need to have to retake CPR every year and one feels that it is unnecessary to have to take a yearly class and demonstrate of competence. The other nurse makes which appropriate response?
 
  1. The hospital could get sued if a client dies..
   2. Research results in many changes that we need to be aware of..
   3. Our manager is very demanding, but we will know how to do it better..
   4. It's probably not necessary, but it gets us off the unit..

Question 2

The nurse is reviewing the discharge instructions for administration of insulin with a 78-year-old client. In order to adjust to the normal changes experienced with aging, the nurse incorporates which activity into the teaching plan?
 
  1. Using tools that repeat the information until the information is understood
   2. Giving written materials to compensate for short-term memory losses
   3. Providing instruction to relatives so that the client will not need to learn everything
   4. Considering holding sessions for longer periods than usual so the client can learn

[katheyjon]

Answer to Question 1

2. Research results in many changes that we need to be aware of..

Rationale:
Research is constantly finding that procedures do not often produce the desired results. Nurses need to be able to adapt to new information, including new skills. The hospital could be sued, but the reason to stay abreast is for the best care to be available to the client. The manager is not demanding but is following the recommendations of the Joint Commission. It is necessary to learn new and updated skills to remain competent.

Answer to Question 2

1. Using tools that repeat the information until the information is understood

Rationale:
Normal age-related changes include a slowing of information processing, which results in the need for repetition of information. Short-term memory, or primary memory, remains relatively stable. Assuming the client cannot learn everything is stereotypical of the aging process. Another age-related change includes the inability to maintain sustained attention. Therefore, long teaching sessions would not be appropriate.