Brunner and Suddarths Textbook of Medical-Surgical Nursing, 15th Edition by Hinkle TEST BANK all chapters updated

ALL CHAPTERS INCLUDED
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,Chapter1:Professional Nursing Practice b-g b-g




1. A nurse has been offered a position on an obstetric unit and has learned that the unit offers
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g therapeutic abortions, a procedure that contradicts the nurse's personal beliefs. What is
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g 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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g these clients. b-g




B. The nurse should make the choice to decline this position and pursue a different nursing
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g role.
C. Thenurse should decline to care forthe clients considering abortion. b-g b-g b-g b-g b-g b-g b-g b-g b-g




D. The nurse should express alternatives to women considering terminating
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g their pregnancy. b-g




ANSWER : B b-g b-g




Rationale:Toavoidfacingtheethicaldilemmaofprovidingcarethatcontradicts b - g b - g the
nurse’s personal beliefs, the nurse should consider working in an area of nursing that
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g would not pose this dilemma. The nurse should not provide care to the client
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g becauseit isa conflict ofpersonalvalues. Thenurseshouldnotdenycareto these clients as
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g this would be a breach in the Code of Ethics for nurses.If the client is not requesting
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g information for alternatives to abortions, then the nurse should b-g b-g b-g b-g b-g b-g b-g b-g




not be providing this information.
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PTS: 1 REF: p. 27 b-g b-g b-g b-g




NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP:
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Chapter 1: Professional Nursing Practice
g b-g b-g b-g b-g KEY:IntegratedProcess:Caring
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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g pneumonia. During admission the client states, "I have a living will." Whatb-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




g implication of this should the nurse recognize? b-g b-g b-g b-g b-g b-g




A. Thisdocument is always honored,regardless ofcircumstances. b-g b-g b-g -g
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B. Thisdocumentspecifies the client's wishes before hospitalization. b
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C. Thisdocument is binding for the duration of the client's life. b-g b-g b-g b-g b-g b-g b-g b-g b-g

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




Rationale: A living will is one type of advance directive. In most situations, living wills
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g are limited to situations in which the client's medical condition is deemed terminal. The
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g other answers are incorrect because living wills are not always honored in every
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g circumstance,they are not binding for the duration of the client's life, and they are not b
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g drawn up by the client's family. b-g b-g b-g b-g b-g




PTS: 1 REF: p. 29 b-g b-g b-g b-g




NAT: Client Needs: Safe, Effective Care Environment: Management ofCare TOP:
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g Chapter b - g b - g b - g b - g b - g 1: b - g b - g b - g b - g b - g Professional b - g b - g b - g b - g b - g Nursing b - g b - g b -




g b - g b - g Practice b - g KEY:Integrated Process: Communication andDocumentation b-g b-g b-g -g
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BLM: Cognitive Level: Analyze
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NOT:Multiple Choice b-g




3. A nurse has been providing ethical care for many years and is aware of the need to maintain
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g the ethical principle of nonmaleficence. Which of the following actions
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g considered a violation of this principle? b-g b-g b-g b-g b-g




A. Discussinga DNRorder with a terminally ill client b-g b-g b-g b-g b-g b-g b-g




B. Assistinga semi-independent client with ADLs b-g b-g b-g b-g b-g




C. Refusingto administerpain medicationas prescribed b-g b
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D. Providingmore care for one client than for another b-g b-g b-g b-g b-g b-g b-g




ANSWER : C b-g b-g




Rationale: The duty not to inflict as well as prevent and remove harm is termed nonmal
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g eficence. Discussing a DNR order with aterminally ill client and assisting a client with ADLs
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g would not be considered contradictions to the nurse's duty of nonmaleficence. Some
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g clients justifiably require more care than others.
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PTS: 1 REF: p. 25 b-g b-g b-g b-g




NAT: Client Needs: Safe, Effective Care Environment: Management of Care
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, TOP: Chapter1: 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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g admission. The nurseknows that it is importantthat the wording of the chosen nursing
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diagnoses falls within the taxonomy of nursing. Which organization is responsible for
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g developing the taxonomy of a nursing diagnosis? b-g b-g b-g b-g b-g b-g




A. American Nurses Association (ANA) b-g b-g b-g




B. NorthAmerican NursingDiagnosis Association (NANDA) b-g b
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C. NationalLeague for Nursing (NLN) -g
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D. JointCommission


ANSWER : B
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Rationale: NANDA International is the official organization responsible for developing the
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g taxonomy of nursing diagnoses and formulating nursing diagnoses
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Acceptable for study.TheANA,NLN,and Joint Commission are not chargedwiththe task
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of developing the taxonomy of nursing diagnoses.
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PTS: 1 REF: p. 15 b-g b-g b-g b-g




NAT:Client Needs: Safe, Effective Care Environment:Management ofCare TOP:
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b b-g -g
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Chapter 1: Professional Nursing Practice
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KEY: Integrated Process: Nursing Process
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g NOT: Multiple Choice b-g b-g




5. A medical nurse has obtained a new client's health history and has completed the
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g admission assessment. The nurse followed this by documenting the results and
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g creating a care plan for the client. Which of the following is the most important rationale
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for documenting the client's care?
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A. It provides continuity of care.
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B. It creates a teaching log for the family.
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C. It verifies appropriate staffing levels.
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D. It keeps the client fully informed.
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