TEST BANK FOR:
Brunner & Suddarth's Textbook Of Medical-Surgical Nursing
16thEdition By Janice L. Hinkle, Kerry H. Cheever, Kristen
Overbaugh,Carolyn E Bradley All Chapters || Complete A+ Guide
,Chapter1:Professional Nursing Practice
1. A nurse has been offered a position on an obstetric unit and has learned that the unit offers
therapeutic abortions, a procedure that contradicts the nurse's personal beliefs. What is the
nurse's ethical obligation to these clients?
A. The nurse should adhere to professional standards of practice and offer service to these
clients.
B. The nurse should make the choice to decline this position and pursue a different nursing
role.
C. Thenurse should decline to care for the clients considering abortion.
D. The nurse should express alternatives to women considering terminating their
pregnancy.
ANSWER : B
Rationale:Toavoidfacingtheethicaldilemmaofprovidingcarethatcontradicts the
nurse’s personal beliefs, the nurse should consider working in an area of nursing that would
not pose this dilemma. The nurse should not provide care to the client becauseit isa
conflict ofpersonalvalues. Thenurseshouldnotdenycareto these clientsasthiswouldbea
breachintheCodeofEthicsfornurses.Iftheclientis not requesting information for
alternatives to abortions, then the nurse should
not be providing this information.
PTS: 1 REF: p. 27
NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP: Chapter
1: Professional Nursing Practice KEY:IntegratedProcess:Caring
BLM: Cognitive Level: Apply NOT: Multiple Choice
2. An 80-year-old client is admitted with a diagnosis of community-acquired
pneumonia. During admission the client states, "I have a living will." What
implication of this should the nurse recognize?
A. Thisdocument is always honored, regardless of circumstances.
B. Thisdocumentspecifies the client's wishes before hospitalization.
C. Thisdocument is binding for the duration of the client's life.
, D. This document has been drawn up by the client's family to determine DNR status.
ANSWER : B
Rationale: A living will is one type of advance directive. In most situations, living wills are
limited to situations in which the client's medical condition is deemed terminal. The other
answers are incorrect because living wills are not always honoredineverycircumstance, they
are notbindingforthe duration ofthe client's life, and they are not drawn up by the client's
family.
PTS: 1 REF: p. 29
NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP:
Chapter 1: Professional Nursing Practice
KEY:Integrated Process: Communication and Documentation BLM: Cognitive Level:
Analyze
NOT:Multiple Choice
3. A nurse has been providing ethical care for many years and is aware of the need to maintain
the ethical principle of nonmaleficence. Which of the following actions would be considered
a violation of this principle?
A. Discussinga DNR order with a terminally ill client
B. Assistinga semi-independent client with ADLs
C. Refusingto administer pain medication as prescribed
D. Providingmore care for one client than for another
ANSWER : C
Rationale: The duty not to inflict as well as prevent and remove harm is termed
nonmaleficence. Discussing a DNR order with a terminally ill client and assisting a client with
ADLs would not be considered contradictions to the nurse's duty of nonmaleficence. Some
clients justifiably require more care than others.
PTS: 1 REF: p. 25
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
Brunner & Suddarth's Textbook Of Medical-Surgical Nursing
16thEdition By Janice L. Hinkle, Kerry H. Cheever, Kristen
Overbaugh,Carolyn E Bradley All Chapters || Complete A+ Guide
,Chapter1:Professional Nursing Practice
1. A nurse has been offered a position on an obstetric unit and has learned that the unit offers
therapeutic abortions, a procedure that contradicts the nurse's personal beliefs. What is the
nurse's ethical obligation to these clients?
A. The nurse should adhere to professional standards of practice and offer service to these
clients.
B. The nurse should make the choice to decline this position and pursue a different nursing
role.
C. Thenurse should decline to care for the clients considering abortion.
D. The nurse should express alternatives to women considering terminating their
pregnancy.
ANSWER : B
Rationale:Toavoidfacingtheethicaldilemmaofprovidingcarethatcontradicts the
nurse’s personal beliefs, the nurse should consider working in an area of nursing that would
not pose this dilemma. The nurse should not provide care to the client becauseit isa
conflict ofpersonalvalues. Thenurseshouldnotdenycareto these clientsasthiswouldbea
breachintheCodeofEthicsfornurses.Iftheclientis not requesting information for
alternatives to abortions, then the nurse should
not be providing this information.
PTS: 1 REF: p. 27
NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP: Chapter
1: Professional Nursing Practice KEY:IntegratedProcess:Caring
BLM: Cognitive Level: Apply NOT: Multiple Choice
2. An 80-year-old client is admitted with a diagnosis of community-acquired
pneumonia. During admission the client states, "I have a living will." What
implication of this should the nurse recognize?
A. Thisdocument is always honored, regardless of circumstances.
B. Thisdocumentspecifies the client's wishes before hospitalization.
C. Thisdocument is binding for the duration of the client's life.
, D. This document has been drawn up by the client's family to determine DNR status.
ANSWER : B
Rationale: A living will is one type of advance directive. In most situations, living wills are
limited to situations in which the client's medical condition is deemed terminal. The other
answers are incorrect because living wills are not always honoredineverycircumstance, they
are notbindingforthe duration ofthe client's life, and they are not drawn up by the client's
family.
PTS: 1 REF: p. 29
NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP:
Chapter 1: Professional Nursing Practice
KEY:Integrated Process: Communication and Documentation BLM: Cognitive Level:
Analyze
NOT:Multiple Choice
3. A nurse has been providing ethical care for many years and is aware of the need to maintain
the ethical principle of nonmaleficence. Which of the following actions would be considered
a violation of this principle?
A. Discussinga DNR order with a terminally ill client
B. Assistinga semi-independent client with ADLs
C. Refusingto administer pain medication as prescribed
D. Providingmore care for one client than for another
ANSWER : C
Rationale: The duty not to inflict as well as prevent and remove harm is termed
nonmaleficence. Discussing a DNR order with a terminally ill client and assisting a client with
ADLs would not be considered contradictions to the nurse's duty of nonmaleficence. Some
clients justifiably require more care than others.
PTS: 1 REF: p. 25
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
