Test Bank For Brunner & Suddarth's Textbook Of Medical-Surgical Nursing 16th Edition By Janice L. Hinkle, Kerry H. Cheever, Kristen Overbaugh, Carolyn E Bradley All Chapters || Complete A+ Guide

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TEST BANK FOR
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Brunner & Suddarth's Textbook Of Medical-Surgical Nursing 16th
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Edition By Janice L. Hinkle, Kerry H. Cheever, Kristen Overbaugh,
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on Carolyn E Bradley All Chapters || Complete A+ Guide
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,Chapter1:Professional Nursing Practice on on




1. A nurse has been offered a position on an obstetric unit and has learned that the unit
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offers therapeutic abortions, a procedure that contradicts the nurse's personal beliefs.
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on What is the nurse's ethical obligation to these clients?
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A. The nurse should adhere to professional standards of practice and offer service to
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on these clients. on




B. The nurse should make the choice to decline this position and pursue a different
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on nursing role. on




C. Thenurse should decline to care for the clients considering abortion.
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D. The o n nurse o n should o n express o n alternatives o n to o n women o n considering o n terminating
o n their pregnancy. on




ANSWER : B on on




Rationale:Toavoidfacingtheethicaldilemmaofprovidingcarethatcontradicts o n o n the
nurse’s personal beliefs, the nurse should consider working in an area of nursing that
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on would not pose this dilemma. The nurse should not provide care to the client
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o n becauseit isa conflict ofpersonalvalues. Thenurseshouldnotdenycareto these
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clientsasthiswouldbea breachintheCodeofEthicsfornurses.Iftheclientis not
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on information for alternatives to abortions, then the nurse should on on on on on on on on




not be on providing this information. on on




PTS: 1 REF: p. 27on on on on




NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP:
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on Chapter 1: Professional Nursing Practice
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BLM: Cognitive Level: Apply NOT: Multiple Choice
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2. An 80-year-old client is admitted with a diagnosis of community-acquired
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on pneumonia. During admission the client states, "I have a living will." What
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on implication of this should the nurse recognize? on on on on on on




A. Thisdocument is always honored, regardless of circumstances. on on on on on on




B. Thisdocument specifies the client's wishes before hospitalization. on on on on on on




C. Thisdocument is binding for the duration of the client's life. on on on on on on on on on

, D. This document has been drawn up by the client's family to determine DNR status.
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ANSWER : B on on




Rationale: A living will is one type of advance directive. In most situations, living wills
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on are limited to situations in which the client's medical condition is deemed terminal.
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on The other answers are incorrect because living wills are not always
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on honoredineverycircumstance, they are notbindingforthe duration ofthe client's life, and on on on on on on on on




on they are not drawn up by the client's family.
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PTS: 1 REF: p. 29
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NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP:
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on Chapter o n o n o n o n o n 1: o n o n o n o n o n Professional o n o n o n o n o n Nursing o n o n




o n o n o n Practice o n KEY:Integrated Process: Communication andDocumentation on on on n
o




on BLM: Cognitive Level: Analyze
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NOT:Multiple Choice on




3. A nurse has been providing ethical care for many years and is aware of the need to
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on maintain the ethical principle of nonmaleficence. Which of the following actions
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o n would be considered a violation of this principle?
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A. Discussinga DNR order with a terminally ill client on on on on on on on




B. Assisting a semi-independent client with ADLs on on on on on




C. Refusingto administer pain medication as prescribed on on on on on




D. Providingmore care for one client than for another on on on on on on on




ANSWER : C on on




Rationale: The duty not to inflict as well as prevent and remove harm is termed
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on nonmaleficence. Discussing a DNR order with a terminally ill client and assisting a client with
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on ADLs would not be considered contradictions to the nurse's duty of nonmaleficence.
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on Some clients justifiably require more care than others.
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PTS: 1 REF: p. 25
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NAT: Client Needs: Safe, Effective Care Environment: Management of Care
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, TOP: Chapter 1: Professional Nursing Practice
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KEY: Integrated Process: Nursing Process
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NOT: Multiple Choice
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4. A nurse has begun creating a client's plan of care shortly after the client's
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on admission. The nurse knows that it is important that the wording of the chosen nursing
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diagnoses falls within the taxonomy of nursing. Which organization is responsible
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on for developing the taxonomy of a nursing diagnosis?
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A. American Nurses Association (ANA) on on on




B. NorthAmerican Nursing Diagnosis Association (NANDA) on on on on




C. NationalLeague for Nursing (NLN) on on on on




D. JointCommission


ANSWER : B
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Rationale: NANDA International is the official organization responsible for developing the
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on taxonomy of nursingdiagnoses and formulating nursing diagnoses
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acceptableforstudy.TheANA,NLN,andJointCommissionarenot chargedwiththe task of u on on




on developing the taxonomy of nursing diagnoses. on on on on on




PTS: 1 REF: p. 15 on on on on




NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP:
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on Chapter 1: Professional Nursing Practice
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KEY: Integrated Process: Nursing Process
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o




on NOT: Multiple Choice on on




5. Amedicalnursehasobtainedanewclient'shealthhistoryandhas completedthe admission on on




on assessment. The nurse followed this by documenting the results and creating a care
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on plan for the client. Which of the following is the most important rationale for
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on documenting the client's care? on on on




A. Itprovides continuity of care. on on on




B. It creates a teaching log for the family.
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C. Itverifies appropriatestaffing levels. on on




D. It keeps the client fully informed.
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