The nursing process is cyclic rather than linear. Because of the ...

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The nursing process is cyclic rather than linear. Because of the cyclic nature, as an individual patient's condition changes:
 
  a. The nurse's thought processes do not have to vary.
  b. Plans of care are easier to use and do not need modification.
  c. The accuracy and effectiveness of thought processes must be considered.
  d. Reflective thought is not necessary since issues tend to be repetitive.

Question 2

The nurse is caring for a patient with pneumonia. The patient is a retired soldier who served in World War II. In light of this, the nurse should:
 
  a. shake the patient's hand and allow the patient time to warm up.
  b. expect the patient to be optimistic and question everything.
  c. allow the patient to multitask and talk in short sound bites.
  d. understand that the patient is probably technologically literate.

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Answer to Question 1

ANS: C
The nursing process is cyclic rather than linear. As an individual patient's condition changes, so does the way a professional nurse thinks about that patient's needs, forcing modification of earlier plans of care. At each step of the nursing process, nurses must consider the accuracy and effectiveness of their thought process. This form of reflective thought is an essential aspect of critical thinking. The evolutionary nature of the nursing process allows nurses to adjust to changing patient needs. Plans of care must evolve as patients' needs change.

Answer to Question 2

ANS: A
Establishing rapport is paramount to gaining the trust of the patient. The nurse should consider the patient's generational cohort, which may influence behavior, and willingness to share personal information during the interview process. Veterans (born before 1945) respect authority; are detail oriented; communicate in a discrete, formal, respectful way; may be slow to warm up; value family and community; and accept physical touch as an effective form of therapeutic communication. Baby Boomers (born 1946-1964) are optimistic, relationship oriented, and communicate by using open or direct speech, using body language, and answering questions thoroughly. They expect detailed information, question everything, and value success. Generation X members (born 1965-1976) are informal; are technology immigrants; multitask; communicate in a blunt or direct, factual, and informal style; may talk in short sound bites; share information frequently; and value time. Millennials (born 1977-1997) are flexible; are technologically literate or are technology natives; multitask; communicate by using action verbs and humor; may be brief in the form of texting or e-mail exchanges; like personal attention; and value individuality.