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Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15e (Hinkle, 2022)
Chapter 1: Professional Nursing Practice
Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
15th Edition
MULTIPLE
CHOICE
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. The nurse should decline to care for the client’s considering abortion.
D. The nurse should express alternatives to women considering
terminating their pregnancy.
ANS: B
Rationale: To avoid facing the ethical dilemma of providing care that
contradicts 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 because it is a conflict of
personal values. The nurse should not deny care to these clients as
this would be a breach in the Code of Ethics for nurses. If the client is
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:
Integrated Process: Caring BLM: Cognitive Level: Apply
NOT: Multiple Choice
2. An 80-year-old client is admitted with a diagnosis of community-
g g g g g g g g g
acquired pneumonia. During admission the client states, "I have a
g g g g g g g g g g
living will." What implication of this should the nurse recognize?
g g g g g g g g g
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Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15e (Hinkle, 2022)
A. This document is always honored, regardless of circumstances.
g g g g g g g
B. This document specifies the client's wishes before hospitalization.
g g g g g g g
C. This document is binding for the duration of the client's life.
g g g g g g g g g g
D. This document has been drawn up by the client's family to determine
g g g g g g g g g g g g
DNR status. g
ANS: B g g
Rationale: A living will is one type of advance directive. In most
g g g g g g g g g g g g
situations, living wills are limited to situations in which the client's
g g g g g g g g g g g
medical condition is deemed terminal. The other answers are incorrect
g g g g g g g g g g
because living wills are not always honored in every circumstance, they
g g g g g g g g g g g
are not binding for the duration of the client's life, and they are not
g g g g g g g g g g g g g g
drawn up by the client's family.
g g g g g
PTS: 1 REF: p. 29
g g g g g g g
NAT: Client Needs: Safe, Effective Care
g g g g g g g
Environment: Management of Care TOP: Chapter g g g g g g g
1: Professional Nursing Practice
g g g
KEY: Integrated Process: Communication and Documentation
g g g g g g
BLM: Cognitive g g
Level: Analyze NOT: Multiple Choice
g g g g g
3. A nurse has been providing ethical care for many years and is aware of
g g g g g g g g g g g g g g
the need to maintain the ethical principle of nonmaleficence. Which of
g g g g g g g g g g g
the following actions would be considered a violation of this
g g g g g g g g g g
principle?
A. Discussing a DNR order with a terminally ill client g g g g g g g g
B. Assisting a semi-independent client with ADLs g g g g g
C. Refusing to administer pain medication as prescribed g g g g g g
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Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15e (Hinkle, 2022)
D. Providing more care for one client g g g g g g
than for another ANS: C
g g g g g
Rationale: The duty not to inflict as well as prevent and remove harm is
g g g g g g g g g g g g g g
termed nonmaleficence. Discussing a DNR order with a terminally ill
g g g g g g g g g g
client and assisting a client with ADLs would not be considered
g g g g g g g g g g g
contradictions to the nurse's duty of nonmaleficence. Some clients g g g g g g g g g
justifiably require more care than others. g g g g g
PTS: 1 REF: p. 25
g g g g g g g
NAT: Client Needs: Safe, Effective Care
g g g g g g g
Environment: Management of Care TOP: Chapter g g g g g g g
1: Professional Nursing Practice
g g g
KEY: Integrated Process: Nursing Process BLM: Cognitive
g g g g g g g
Level: Analyze NOT: Multiple Choice
g g g g g
4. A nurse has begun creating a client's plan of care shortly after the
g g g g g g g g g g g g g
client's admission. The nurse knows that it is important that the
g g g g g g g g g g g
wording of the chosen nursing diagnoses falls within the taxonomy of
g g g g g g g g g g g
nursing. Which organization is responsible for developing the
g g g g g g g g
taxonomy of a nursing diagnosis? g g g g
A. American Nurses Association (ANA) g g g
B. North American Nursing Diagnosis Association (NANDA)
g g g g g
C. National League for Nursing (NLN) g g g g
D. Joint Commission g
ANS: B g g
Rationale: NANDA International is the official organization
g g g g g g g
responsible for developing the taxonomy of nursing diagnoses and
g g g g g g g g g
formulating nursing diagnoses acceptable for study. The ANA, NLN,
g g g g g g g g g
and Joint Commission are not charged with the task of developing the
g g g g g g g g g g g g
taxonomy of nursing diagnoses. g g g
PTS: 1 REF: p. 15
g g g g g g g
NAT: Client Needs: Safe, Effective Care
g g g g g g g
Environment: Management of Care TOP: Chapter g g g g g g g
1: Professional Nursing Practice
g g g
KEY: Integrated Process: Nursing Process BLM: Cognitive Level:
g g g g g g g g
Understand NOT: Multiple Choice g g g g
5. A medical nurse has obtained a new client's health history and has
g g g g g g g g g g g g
completed the admission assessment. The nurse followed this by
g g g g g g g g g
documenting the results and creating a care plan for the client. Which g g g g g g g g g g g g
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Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15e (Hinkle, 2022)
of the following is the most important rationale for documenting the
g g g g g g g g g g g
client's care? g
A. It provides continuity of care.
g g g g
B. It creates a teaching log for the family.
g g g g g g g
C. It verifies appropriate staffing levels.
g g g g
D. It keeps the client fully informed.
g g g g g
ANS: A g g
Rationale: This record provides a means of communication among
g g g g g g g g g
members of the health care team and facilitates coordinated planning
g g g g g g g g g g
and continuity of care. It serves as the legal and business record for a
g g g g g g g g g g g g g g
health care agency and for the professional staff members who are
g g g g g g g g g g g
responsible for the client's care. Documentation is not primarily a
g g g g g g g g g g
teaching log; it does not verify staffing; and it is not intended to
g g g g g g g g g g g g g
provide the client with information about treatments.
g g g g g g
PTS: 1 REF: p. 14
g g g g g g g
NAT: Client Needs: Safe, Effective Care
g g g g g g g
Environment: Management of Care TOP: Chapter g g g g g g g
1: Professional Nursing Practice
g g g
KEY: Integrated Process: Communication and Documentation BLM:
g g g g g g g
Cognitive Level: Understand NOT: Multiple Choice
g g g g g g
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Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15e (Hinkle, 2022)
Chapter 1: Professional Nursing Practice
Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing,
15th Edition
MULTIPLE
CHOICE
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. The nurse should decline to care for the client’s considering abortion.
D. The nurse should express alternatives to women considering
terminating their pregnancy.
ANS: B
Rationale: To avoid facing the ethical dilemma of providing care that
contradicts 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 because it is a conflict of
personal values. The nurse should not deny care to these clients as
this would be a breach in the Code of Ethics for nurses. If the client is
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:
Integrated Process: Caring BLM: Cognitive Level: Apply
NOT: Multiple Choice
2. An 80-year-old client is admitted with a diagnosis of community-
g g g g g g g g g
acquired pneumonia. During admission the client states, "I have a
g g g g g g g g g g
living will." What implication of this should the nurse recognize?
g g g g g g g g g
1|Page
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Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15e (Hinkle, 2022)
A. This document is always honored, regardless of circumstances.
g g g g g g g
B. This document specifies the client's wishes before hospitalization.
g g g g g g g
C. This document is binding for the duration of the client's life.
g g g g g g g g g g
D. This document has been drawn up by the client's family to determine
g g g g g g g g g g g g
DNR status. g
ANS: B g g
Rationale: A living will is one type of advance directive. In most
g g g g g g g g g g g g
situations, living wills are limited to situations in which the client's
g g g g g g g g g g g
medical condition is deemed terminal. The other answers are incorrect
g g g g g g g g g g
because living wills are not always honored in every circumstance, they
g g g g g g g g g g g
are not binding for the duration of the client's life, and they are not
g g g g g g g g g g g g g g
drawn up by the client's family.
g g g g g
PTS: 1 REF: p. 29
g g g g g g g
NAT: Client Needs: Safe, Effective Care
g g g g g g g
Environment: Management of Care TOP: Chapter g g g g g g g
1: Professional Nursing Practice
g g g
KEY: Integrated Process: Communication and Documentation
g g g g g g
BLM: Cognitive g g
Level: Analyze NOT: Multiple Choice
g g g g g
3. A nurse has been providing ethical care for many years and is aware of
g g g g g g g g g g g g g g
the need to maintain the ethical principle of nonmaleficence. Which of
g g g g g g g g g g g
the following actions would be considered a violation of this
g g g g g g g g g g
principle?
A. Discussing a DNR order with a terminally ill client g g g g g g g g
B. Assisting a semi-independent client with ADLs g g g g g
C. Refusing to administer pain medication as prescribed g g g g g g
2|Page
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Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15e (Hinkle, 2022)
D. Providing more care for one client g g g g g g
than for another ANS: C
g g g g g
Rationale: The duty not to inflict as well as prevent and remove harm is
g g g g g g g g g g g g g g
termed nonmaleficence. Discussing a DNR order with a terminally ill
g g g g g g g g g g
client and assisting a client with ADLs would not be considered
g g g g g g g g g g g
contradictions to the nurse's duty of nonmaleficence. Some clients g g g g g g g g g
justifiably require more care than others. g g g g g
PTS: 1 REF: p. 25
g g g g g g g
NAT: Client Needs: Safe, Effective Care
g g g g g g g
Environment: Management of Care TOP: Chapter g g g g g g g
1: Professional Nursing Practice
g g g
KEY: Integrated Process: Nursing Process BLM: Cognitive
g g g g g g g
Level: Analyze NOT: Multiple Choice
g g g g g
4. A nurse has begun creating a client's plan of care shortly after the
g g g g g g g g g g g g g
client's admission. The nurse knows that it is important that the
g g g g g g g g g g g
wording of the chosen nursing diagnoses falls within the taxonomy of
g g g g g g g g g g g
nursing. Which organization is responsible for developing the
g g g g g g g g
taxonomy of a nursing diagnosis? g g g g
A. American Nurses Association (ANA) g g g
B. North American Nursing Diagnosis Association (NANDA)
g g g g g
C. National League for Nursing (NLN) g g g g
D. Joint Commission g
ANS: B g g
Rationale: NANDA International is the official organization
g g g g g g g
responsible for developing the taxonomy of nursing diagnoses and
g g g g g g g g g
formulating nursing diagnoses acceptable for study. The ANA, NLN,
g g g g g g g g g
and Joint Commission are not charged with the task of developing the
g g g g g g g g g g g g
taxonomy of nursing diagnoses. g g g
PTS: 1 REF: p. 15
g g g g g g g
NAT: Client Needs: Safe, Effective Care
g g g g g g g
Environment: Management of Care TOP: Chapter g g g g g g g
1: Professional Nursing Practice
g g g
KEY: Integrated Process: Nursing Process BLM: Cognitive Level:
g g g g g g g g
Understand NOT: Multiple Choice g g g g
5. A medical nurse has obtained a new client's health history and has
g g g g g g g g g g g g
completed the admission assessment. The nurse followed this by
g g g g g g g g g
documenting the results and creating a care plan for the client. Which g g g g g g g g g g g g
3|Page
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Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15e (Hinkle, 2022)
of the following is the most important rationale for documenting the
g g g g g g g g g g g
client's care? g
A. It provides continuity of care.
g g g g
B. It creates a teaching log for the family.
g g g g g g g
C. It verifies appropriate staffing levels.
g g g g
D. It keeps the client fully informed.
g g g g g
ANS: A g g
Rationale: This record provides a means of communication among
g g g g g g g g g
members of the health care team and facilitates coordinated planning
g g g g g g g g g g
and continuity of care. It serves as the legal and business record for a
g g g g g g g g g g g g g g
health care agency and for the professional staff members who are
g g g g g g g g g g g
responsible for the client's care. Documentation is not primarily a
g g g g g g g g g g
teaching log; it does not verify staffing; and it is not intended to
g g g g g g g g g g g g g
provide the client with information about treatments.
g g g g g g
PTS: 1 REF: p. 14
g g g g g g g
NAT: Client Needs: Safe, Effective Care
g g g g g g g
Environment: Management of Care TOP: Chapter g g g g g g g
1: Professional Nursing Practice
g g g
KEY: Integrated Process: Communication and Documentation BLM:
g g g g g g g
Cognitive Level: Understand NOT: Multiple Choice
g g g g g g
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