,Table of Contents
X@ X@
Chapter 01 Professional Nursing Practice
X@ X@ X@ X@ 2
ChapterX@ 02 Medical-Surgical Nursing
X@ X@ 17
ChapterX@ 03 Health Education and Health Promotion
X@ X@ X@ X@ X@ 30
ChapterX@ 04 Adult Health and Physical, Nutritional, and Cultural Assessment
X@ X@ X@ X@ X@ X@ X@ X@ 45
ChapterX@ 05 Stress and Inflammatory Responses
X@ X@ X@ X@ 60
ChapterX@ 06 Genetics and Genomics in Nursing
X@ X@ X@ X@ X@ 76
ChapterX@ 07 Disability and Chronic Illness
X@ X@ X@ X@ 92
ChapterX@ 08 Management of the Older Adult Patient
X@ X@ X@ X@ X@ X@ 107
ChapterX@ 09 X@Pain Management
X@ 121
ChapterX@ 10 X@Fluid and Electrolytes
X@ X@ 137
ChapterX@ 11 X@Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
X@ X@ X@ X@ X@ X@ 153
ChapterX@ 12 X@Management of Patients with Oncologic Disorders
X@ X@ X@ X@ X@ 169
ChapterX@ 13 X@Palliative and End-of-Life Care
X@ X@ X@ 183
ChapterX@ 14 X@Preoperative Nursing ManagementX@ X@ 199
ChapterX@ 15 X@Intraoperative Nursing Management X@ X@ 214
ChapterX@ 16 X@Postoperative Nursing Management X@ X@ 228
ChapterX@ 17 X@Assessment of Respiratory Function
X@ X@ X@ 243
Chapter 18
X@ X@ Management of Patients with X@ X@ X@ X@ Upper Respiratory Tract Disorders
X@ X@ X@ 258
Chapter 19
X@ X@ Management of Patients with X@ X@ X@ X@ Chest and Lower Respiratory Tract Disorders
X@ X@ X@ X@ X@ 272
Chapter 20
X@ X@ Management of Patients with X@ X@ X@ X@ Chronic Pulmonary Disease
X@ X@ 288
Chapter 21
X@ X@ Assessment of Cardiovascular
X@ X@ X@ Function 304
Chapter 22
X@ X@ Management of Patients with X@ X@ X@ X@ Arrhythmias and Conduction Problems
X@ X@ X@ 318
Chapter 23
X@ X@ Management of Patients with X@ X@ X@ X@ Coronary Vascular Disorders
X@ X@ 331
Chapter 24
X@ X@ Management of Patients with X@ X@ X@ X@ Structural, Infectious, and Inflammatory Cardiac
X@ X@ X@ X@
Disorders 347
Chapter 25
X@ X@Management of Patients with Complications from Heart Disease
X@ X@ X@ X@ X@ X@ X@ 361
Chapter 26
X@ X@Assessment and Management of Patients with Vascular Disorders and Problems
X@ X@ X@ X@ X@ X@ X@ X@ X@
of Peripheral Circulation
X@ X@ 375
Chapter 27 Assessment and Management of Patients with Hypertension
X@ X@ X@ X@ X@ X@ X@ X@ 391
Chapter 28 Assessment of Hematologic Function and Treatment Modalities
X@ X@ X@ X@ X@ X@ X@ X@ 405
Chapter 29 Management of Patients with Nonmalignant Hematologic Disorders
X@ X@ X@ X@ X@ X@ X@ X@ 420
Chapter 30 Management of Patients with Hematologic Neoplasms
X@ X@ X@ X@ X@ X@ X@ 433
Chapter 31 Assessment of Immune Function
X@ X@ X@ X@ X@ 448
Chapter 32 Management of Patients with Immune Deficiency Disorders
X@ X@ X@ X@ X@ X@ X@ X@ 462
Chapter 33 Assessment and Management of Patients with Allergic Disorders
X@ X@ X@ X@ X@ X@ X@ X@ X@ 477
Chapter 34 Assessment and Management of Patients with Inflammatory Rheumatic Disorders
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ 492
,Chapter 35 Assessment of Musculoskeletal Function
X@ X@ X@ X@ X@ 506
Chapter 36 Management of Patients with Musculoskeletal Disorders
X@ X@ X@ X@ X@ X@ X@ 520
Chapter 37 Management of Patients with Musculoskeletal Trauma
X@ X@ X@ X@ X@ X@ X@ 535
Chapter
X@ 38
X@ Assessment of Digestive and Gastrointestinal Function
X@ X@ X@ X@ X@ 550
Chapter
X@ 39
X@ Management of Patients with Oral and Esophageal Disorders
X@ X@ X@ X@ X@ X@ X@ 564
Chapter
X@ 40
X@ Management of Patients with Gastric and Duodenal Disorders
X@ X@ X@ X@ X@ X@ X@ 578
Chapter
X@ 41
X@ Management of Patients with Intestinal and Rectal Disorders
X@ X@ X@ X@ X@ X@ X@ 591
Chapter
X@ 42
X@ Assessment and Management of Patients with Obesity
X@ X@ X@ X@ X@ X@ 606
Chapter
X@ 43
X@ Assessment and Management of Patients with Hepatic Disorders
X@ X@ X@ X@ X@ X@ X@ 621
Chapter
X@ 44X@ Management of Patients with Biliary Disorders
X@ X@ X@ X@ X@ 635
Chapter
X@ 45
X@ Assessment and Management of Patients with Endocrine Disorders
X@ X@ X@ X@ X@ X@ X@ 650
Chapter
X@ 46
X@ Management of Patients with Diabetes
X@ X@ X@ X@ 665
Chapter
X@ 47 Assessment of Kidney and Urinary Function
X@ X@ X@ X@ X@ X@ 680
Chapter
X@ 48X@ Management of Patients with Kidney Disorders
X@ X@ X@ X@ X@ 695
Chapter
X@ 49X@ Management of Patients with Urinary Disorders
X@ X@ X@ X@ X@ 710
Chapter
X@ 50
X@ Assessment and Management of Patients with Female Physiologic Processes
X@ X@ X@ X@ X@ X@ X@ X@ 725
Chapter
X@ 51
X@ Management of Patients with Female Reproductive Disorders
X@ X@ X@ X@ X@ X@ 741
Chapter
X@ 52
X@ Assessment and Management of Patients with Breast Disorders
X@ X@ X@ X@ X@ X@ X@ 757
Chapter
X@ 53
X@ Assessment and Management of Patients with Male Reproductive Disorders
X@ X@ X@ X@ X@ X@ X@ X@ 771
Chapter
X@ 54
X@ Assessment and Management of Patients Who Are LGBTQ
X@ X@ X@ X@ X@ X@ X@ 786
Chapter
X@ 55 Assessment of Integumentary Function
X@ X@ X@ X@ 794
Chapter
X@ 56
X@ Management of Patients with Dermatologic Disorders
X@ X@ X@ X@ X@ 808
Chapter
X@ 57X@ Management of Patients with Burn Injury
X@ X@ X@ X@ X@ 822
Chapter
X@ 58X@ Assessment and Management of Patients with Eye and Vision Disorders
X@ X@ X@ X@ X@ X@ X@ X@ X@ 837
Chapter
X@ 59
X@ Assessment and Management of Patients with Hearing and Balance Disorders
X@ X@ X@ X@ X@ X@ X@ X@ X@ 851
Chapter
X@ 60
X@ Assessment of Neurologic Function
X@ X@ X@ 866
Chapter
X@ 61
X@ Management of Patients With Neurologic Dysfunction
X@ X@ X@ X@ X@ 881
Chapter
X@ 62X@ Management of Patients With Cerebrovascular Disorders
X@ X@ X@ X@ X@ 895
Chapter
X@ 63
X@ Management of Patients with Neurologic Trauma
X@ X@ X@ X@ X@ 911
Chapter
X@ 64
X@ Management of Patients with Neurologic Infections, Autoimmune Disorders, and
X@ X@ X@ X@ X@ X@ X@ X@
Neuropathies 926
Chapter 65 Management of Patients with Oncologic or Degenerative Neurologic Disorders
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ 940
Chapter 66 Management of Patients with Infectious Diseases
X@ X@ X@ X@ X@ X@ X@ 955
Chapter 67 Emergency Nursing
X@ X@ X@ 968
Chapter 68 Disaster Nursing
X@ X@ X@ 977
, Chapter 1: Professional Nursing Practice
X@ X@ X@ X@
Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 16th Edition
X@ X@ X@ X@ X@ X@ X@ X@ X@
MULTIPLE CHOICE X@
1. A nurse has been offered a position on an obstetric unit and has learned that the unit off
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
ers therapeutic abortions, a procedure that contradicts the nurse's personal beliefs. What is
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
the nurse's ethical obligation to these clients?
X@ X@ X@ X@ X@ X@
A. The nurse should adhere to professional standards of practice and offer servic
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
e to these clients.
X@ X@ X@
B. The nurse should make the choice to decline this position and pursue a differ
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
ent nursing role.X@ X@
C. The nurse should decline to care for the client’s considering abortion.
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
D. The nurse should express alternatives to women considering terminating their pregnancy.
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
ANS: B X @
Rationale: To avoid facing the ethical dilemma of providing care that contradicts the nurse’
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
s personal beliefs, the nurse should consider working in an area of nursing that would not
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X
pose this dilemma. The nurse should not provide care to the client because it is a conflic
@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
t of personal values. The nurse should not deny care to these clients as this would be a
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
breach in the Code of Ethics for nurses. If the client is not requesting information for alte
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
rnatives to abortions, then the nurse should not be providing this information.
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
PTS: 1 X @ X @ REF: p. 27 X@X@ X@
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
X @ X@ X@ X@ X@ X@ X@ X@ X@
TOP: Chapter 1: Professional Nursing Practice
X @ X@ X@ X@ X@
KEY: Integrated Process: Caring BLM: Cognitive X @ X@ X@ X@ X @
X@ Level: Apply X@ NOT: Multiple Choice X @ X@
2. An 80-year-old client is admitted with a diagnosis of community-
X@ X@ X@ X@ X@ X@ X@ X@ X@
acquired pneumonia. During admission the client states, "I have a living will." What implic
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
ation of this should the nurse recognize?
X@ X@ X@ X@ X@ X@
A. This document is always honored, regardless of circumstances.
X@ X@ X@ X@ X@ X@ X@
B. This document specifies the client's wishes before hospitalization.
X@ X@ X@ X@ X@ X@ X@
C. This document is binding for the duration of the client's life.
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
D. This document has been drawn up by the client's family to determine DNR status.
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
ANS: B X @
Rationale: A living will is one type of advance directive. In most situations, living wills ar
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
e limited to situations in which the client's medical condition is deemed terminal. The othe
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
r answers are incorrect because living wills are not always honored in every circumstance,
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X
@they are not binding for the duration of the client's life, and they are not drawn up by t
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
he client's family.
X@ X@
PTS: 1 REF:
X @ X @ p. 29 X@X@ X@
NAT: Client Needs: Safe, Effective Care Environment: Management of
X @ X@ X@ X@ X@ X@ X@ X@
Care TOP: Chapter 1: Professional Nursing Practice
X@ X@ X @ X@ X@ X@ X@
KEY: Integrated Process: Communication and Documentation
X @ X@ X@ X@ X@
BLM: Cognitive Level: Analy X@ X@ X@
ze NOT: Multiple Choice
X@ X @ X@
3. A nurse has been providing ethical care for many years and is aware of the need to maint
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
ain the ethical principle of nonmaleficence. Which of the following actions would be consi
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
dered a violation of this principle?
X@ X@ X@ X@ X@
A. Discussing a DNR order with a terminally ill client
X@ X@ X@ X@ X@ X@ X@ X@
B. Assisting a semi-independent client with ADLs
X@ X@ X@ X@ X@
C. Refusing to administer pain medication as prescribed
X@ X@ X@ X@ X@ X@
1
X@ X@| P a g X@ X@ X@
X@ X@
Chapter 01 Professional Nursing Practice
X@ X@ X@ X@ 2
ChapterX@ 02 Medical-Surgical Nursing
X@ X@ 17
ChapterX@ 03 Health Education and Health Promotion
X@ X@ X@ X@ X@ 30
ChapterX@ 04 Adult Health and Physical, Nutritional, and Cultural Assessment
X@ X@ X@ X@ X@ X@ X@ X@ 45
ChapterX@ 05 Stress and Inflammatory Responses
X@ X@ X@ X@ 60
ChapterX@ 06 Genetics and Genomics in Nursing
X@ X@ X@ X@ X@ 76
ChapterX@ 07 Disability and Chronic Illness
X@ X@ X@ X@ 92
ChapterX@ 08 Management of the Older Adult Patient
X@ X@ X@ X@ X@ X@ 107
ChapterX@ 09 X@Pain Management
X@ 121
ChapterX@ 10 X@Fluid and Electrolytes
X@ X@ 137
ChapterX@ 11 X@Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
X@ X@ X@ X@ X@ X@ 153
ChapterX@ 12 X@Management of Patients with Oncologic Disorders
X@ X@ X@ X@ X@ 169
ChapterX@ 13 X@Palliative and End-of-Life Care
X@ X@ X@ 183
ChapterX@ 14 X@Preoperative Nursing ManagementX@ X@ 199
ChapterX@ 15 X@Intraoperative Nursing Management X@ X@ 214
ChapterX@ 16 X@Postoperative Nursing Management X@ X@ 228
ChapterX@ 17 X@Assessment of Respiratory Function
X@ X@ X@ 243
Chapter 18
X@ X@ Management of Patients with X@ X@ X@ X@ Upper Respiratory Tract Disorders
X@ X@ X@ 258
Chapter 19
X@ X@ Management of Patients with X@ X@ X@ X@ Chest and Lower Respiratory Tract Disorders
X@ X@ X@ X@ X@ 272
Chapter 20
X@ X@ Management of Patients with X@ X@ X@ X@ Chronic Pulmonary Disease
X@ X@ 288
Chapter 21
X@ X@ Assessment of Cardiovascular
X@ X@ X@ Function 304
Chapter 22
X@ X@ Management of Patients with X@ X@ X@ X@ Arrhythmias and Conduction Problems
X@ X@ X@ 318
Chapter 23
X@ X@ Management of Patients with X@ X@ X@ X@ Coronary Vascular Disorders
X@ X@ 331
Chapter 24
X@ X@ Management of Patients with X@ X@ X@ X@ Structural, Infectious, and Inflammatory Cardiac
X@ X@ X@ X@
Disorders 347
Chapter 25
X@ X@Management of Patients with Complications from Heart Disease
X@ X@ X@ X@ X@ X@ X@ 361
Chapter 26
X@ X@Assessment and Management of Patients with Vascular Disorders and Problems
X@ X@ X@ X@ X@ X@ X@ X@ X@
of Peripheral Circulation
X@ X@ 375
Chapter 27 Assessment and Management of Patients with Hypertension
X@ X@ X@ X@ X@ X@ X@ X@ 391
Chapter 28 Assessment of Hematologic Function and Treatment Modalities
X@ X@ X@ X@ X@ X@ X@ X@ 405
Chapter 29 Management of Patients with Nonmalignant Hematologic Disorders
X@ X@ X@ X@ X@ X@ X@ X@ 420
Chapter 30 Management of Patients with Hematologic Neoplasms
X@ X@ X@ X@ X@ X@ X@ 433
Chapter 31 Assessment of Immune Function
X@ X@ X@ X@ X@ 448
Chapter 32 Management of Patients with Immune Deficiency Disorders
X@ X@ X@ X@ X@ X@ X@ X@ 462
Chapter 33 Assessment and Management of Patients with Allergic Disorders
X@ X@ X@ X@ X@ X@ X@ X@ X@ 477
Chapter 34 Assessment and Management of Patients with Inflammatory Rheumatic Disorders
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ 492
,Chapter 35 Assessment of Musculoskeletal Function
X@ X@ X@ X@ X@ 506
Chapter 36 Management of Patients with Musculoskeletal Disorders
X@ X@ X@ X@ X@ X@ X@ 520
Chapter 37 Management of Patients with Musculoskeletal Trauma
X@ X@ X@ X@ X@ X@ X@ 535
Chapter
X@ 38
X@ Assessment of Digestive and Gastrointestinal Function
X@ X@ X@ X@ X@ 550
Chapter
X@ 39
X@ Management of Patients with Oral and Esophageal Disorders
X@ X@ X@ X@ X@ X@ X@ 564
Chapter
X@ 40
X@ Management of Patients with Gastric and Duodenal Disorders
X@ X@ X@ X@ X@ X@ X@ 578
Chapter
X@ 41
X@ Management of Patients with Intestinal and Rectal Disorders
X@ X@ X@ X@ X@ X@ X@ 591
Chapter
X@ 42
X@ Assessment and Management of Patients with Obesity
X@ X@ X@ X@ X@ X@ 606
Chapter
X@ 43
X@ Assessment and Management of Patients with Hepatic Disorders
X@ X@ X@ X@ X@ X@ X@ 621
Chapter
X@ 44X@ Management of Patients with Biliary Disorders
X@ X@ X@ X@ X@ 635
Chapter
X@ 45
X@ Assessment and Management of Patients with Endocrine Disorders
X@ X@ X@ X@ X@ X@ X@ 650
Chapter
X@ 46
X@ Management of Patients with Diabetes
X@ X@ X@ X@ 665
Chapter
X@ 47 Assessment of Kidney and Urinary Function
X@ X@ X@ X@ X@ X@ 680
Chapter
X@ 48X@ Management of Patients with Kidney Disorders
X@ X@ X@ X@ X@ 695
Chapter
X@ 49X@ Management of Patients with Urinary Disorders
X@ X@ X@ X@ X@ 710
Chapter
X@ 50
X@ Assessment and Management of Patients with Female Physiologic Processes
X@ X@ X@ X@ X@ X@ X@ X@ 725
Chapter
X@ 51
X@ Management of Patients with Female Reproductive Disorders
X@ X@ X@ X@ X@ X@ 741
Chapter
X@ 52
X@ Assessment and Management of Patients with Breast Disorders
X@ X@ X@ X@ X@ X@ X@ 757
Chapter
X@ 53
X@ Assessment and Management of Patients with Male Reproductive Disorders
X@ X@ X@ X@ X@ X@ X@ X@ 771
Chapter
X@ 54
X@ Assessment and Management of Patients Who Are LGBTQ
X@ X@ X@ X@ X@ X@ X@ 786
Chapter
X@ 55 Assessment of Integumentary Function
X@ X@ X@ X@ 794
Chapter
X@ 56
X@ Management of Patients with Dermatologic Disorders
X@ X@ X@ X@ X@ 808
Chapter
X@ 57X@ Management of Patients with Burn Injury
X@ X@ X@ X@ X@ 822
Chapter
X@ 58X@ Assessment and Management of Patients with Eye and Vision Disorders
X@ X@ X@ X@ X@ X@ X@ X@ X@ 837
Chapter
X@ 59
X@ Assessment and Management of Patients with Hearing and Balance Disorders
X@ X@ X@ X@ X@ X@ X@ X@ X@ 851
Chapter
X@ 60
X@ Assessment of Neurologic Function
X@ X@ X@ 866
Chapter
X@ 61
X@ Management of Patients With Neurologic Dysfunction
X@ X@ X@ X@ X@ 881
Chapter
X@ 62X@ Management of Patients With Cerebrovascular Disorders
X@ X@ X@ X@ X@ 895
Chapter
X@ 63
X@ Management of Patients with Neurologic Trauma
X@ X@ X@ X@ X@ 911
Chapter
X@ 64
X@ Management of Patients with Neurologic Infections, Autoimmune Disorders, and
X@ X@ X@ X@ X@ X@ X@ X@
Neuropathies 926
Chapter 65 Management of Patients with Oncologic or Degenerative Neurologic Disorders
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ 940
Chapter 66 Management of Patients with Infectious Diseases
X@ X@ X@ X@ X@ X@ X@ 955
Chapter 67 Emergency Nursing
X@ X@ X@ 968
Chapter 68 Disaster Nursing
X@ X@ X@ 977
, Chapter 1: Professional Nursing Practice
X@ X@ X@ X@
Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 16th Edition
X@ X@ X@ X@ X@ X@ X@ X@ X@
MULTIPLE CHOICE X@
1. A nurse has been offered a position on an obstetric unit and has learned that the unit off
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
ers therapeutic abortions, a procedure that contradicts the nurse's personal beliefs. What is
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
the nurse's ethical obligation to these clients?
X@ X@ X@ X@ X@ X@
A. The nurse should adhere to professional standards of practice and offer servic
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
e to these clients.
X@ X@ X@
B. The nurse should make the choice to decline this position and pursue a differ
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
ent nursing role.X@ X@
C. The nurse should decline to care for the client’s considering abortion.
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
D. The nurse should express alternatives to women considering terminating their pregnancy.
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
ANS: B X @
Rationale: To avoid facing the ethical dilemma of providing care that contradicts the nurse’
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
s personal beliefs, the nurse should consider working in an area of nursing that would not
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X
pose this dilemma. The nurse should not provide care to the client because it is a conflic
@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
t of personal values. The nurse should not deny care to these clients as this would be a
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
breach in the Code of Ethics for nurses. If the client is not requesting information for alte
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
rnatives to abortions, then the nurse should not be providing this information.
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
PTS: 1 X @ X @ REF: p. 27 X@X@ X@
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
X @ X@ X@ X@ X@ X@ X@ X@ X@
TOP: Chapter 1: Professional Nursing Practice
X @ X@ X@ X@ X@
KEY: Integrated Process: Caring BLM: Cognitive X @ X@ X@ X@ X @
X@ Level: Apply X@ NOT: Multiple Choice X @ X@
2. An 80-year-old client is admitted with a diagnosis of community-
X@ X@ X@ X@ X@ X@ X@ X@ X@
acquired pneumonia. During admission the client states, "I have a living will." What implic
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
ation of this should the nurse recognize?
X@ X@ X@ X@ X@ X@
A. This document is always honored, regardless of circumstances.
X@ X@ X@ X@ X@ X@ X@
B. This document specifies the client's wishes before hospitalization.
X@ X@ X@ X@ X@ X@ X@
C. This document is binding for the duration of the client's life.
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
D. This document has been drawn up by the client's family to determine DNR status.
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
ANS: B X @
Rationale: A living will is one type of advance directive. In most situations, living wills ar
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
e limited to situations in which the client's medical condition is deemed terminal. The othe
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
r answers are incorrect because living wills are not always honored in every circumstance,
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X
@they are not binding for the duration of the client's life, and they are not drawn up by t
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
he client's family.
X@ X@
PTS: 1 REF:
X @ X @ p. 29 X@X@ X@
NAT: Client Needs: Safe, Effective Care Environment: Management of
X @ X@ X@ X@ X@ X@ X@ X@
Care TOP: Chapter 1: Professional Nursing Practice
X@ X@ X @ X@ X@ X@ X@
KEY: Integrated Process: Communication and Documentation
X @ X@ X@ X@ X@
BLM: Cognitive Level: Analy X@ X@ X@
ze NOT: Multiple Choice
X@ X @ X@
3. A nurse has been providing ethical care for many years and is aware of the need to maint
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
ain the ethical principle of nonmaleficence. Which of the following actions would be consi
X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@ X@
dered a violation of this principle?
X@ X@ X@ X@ X@
A. Discussing a DNR order with a terminally ill client
X@ X@ X@ X@ X@ X@ X@ X@
B. Assisting a semi-independent client with ADLs
X@ X@ X@ X@ X@
C. Refusing to administer pain medication as prescribed
X@ X@ X@ X@ X@ X@
1
X@ X@| P a g X@ X@ X@