Medsurge - Chapter exam review TL
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Nursing Care of the Adult Patient (Polk State College)
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Studocu is not sponsored or endorsed by any college or university
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Brunner & Suddarth's Textbook of Medical- TL
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Surgical Nursing 15th Edition Hinkle TL
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Test Bank TL
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Chapter 1: Professional Nursing Practice
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1. A nurse has been offered a position on an obstetric unit and has learned that
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F the unit offers therapeutic abortions, a procedure that contradicts the nurse's
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F personal beliefs. What is the nurse's ethical obligation to these clients? F TL F TL TL
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A. The nurse should adhere to professional standards of practice and offer
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B. The nurse should make the choice to decline this position and pursue a
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C. The nurse should decline to care for the clients considering abortion.
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D. The nurse should express alternatives to women considering terminating
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ANS: B F TL
Rationale: To avoid facing the ethical dilemma of providing care that contradicts TL
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F the nurse’s personal beliefs, the nurse should consider working in an area of
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F nursing that would not pose this dilemma. The nurse should not provide care
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F to the client
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F F T L because it is a conflict of personal values. The nurse should not TL
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F deny care to these clients as this would be a breach in the Code of Ethics for
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F nurses. If the client is not requesting information for alternatives to abortions,
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F then the nurse should not be
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PTS: 1 REF: p. 27 F TL F TL F TL F TL
NAT: F T L Client F T L Needs: F T L Safe, F T L Effective F T L Care F T L Environment: F T L Management
F T L of F T L Care TOP: Chapter 1: Professional Nursing Practice KEY: Integrated
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2. An 80-year-old client is admitted with a diagnosis of community-
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acquired pneumonia. During admission the client states, "I have a living
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F will." What TL
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A. This document is always honored, regardless of circumstances.
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B. This document specifies the client's wishes before hospitalization.
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C. This document is binding for the duration of the client's life.
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D. This document has been drawn up by the client's family to determine
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ANS: B F TL
Rationale: A living will is one type of advance directive. In most situations,FTL TL
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F living F T L wills are limited to situations in which the client's medical condition is
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F deemed F T L terminal. The other answers are incorrect because living wills are not TL
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F always F T L honored in every circumstance, they are not binding for the duration TL
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F of the client's life, and they are
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PTS: 1 REF: p. 29 F TL F TL F TL F TL
NAT: Client Needs: Safe, Effective Care Environment: Management of
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F Care TOP: Chapter 1: Professional Nursing Practice
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KEY: Integrated Process: Communication and Documentation BLM: Cognitive
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NOT: Multiple Choice F TL F TL
3. A nurse has been providing ethical care for many years and is aware of the
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F need to maintain the ethical principle of nonmaleficence. Which of the following
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F actions would be considered a violation of this principle?
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A. Discussing a DNR order with a terminally ill client F TL F TL F TL F TL F TL F TL F TL F TL
B. Assisting a semi-independent client with ADLs F TL F TL F TL F TL F TL
C. Refusing to administer pain medication as prescribed F TL F TL F TL F TL F TL F TL
D. Providing more care for one client than for TL
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Rationale: The duty not to inflict as well as prevent and remove harm is F TL F TL F TL F TL F TL F TL F TL F TL F TL F TL F TL F TL F TL
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nonmaleficence. Discussing a DNR order with a terminally ill client and assisting a F TL TL
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F client with ADLs would not be considered contradictions to the nurse's duty of
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F T L nonmaleficence. Some clients justifiably require more care than others. TL
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PTS: 1 REF: p. 25 F TL F TL F TL F TL
NAT: Client Needs: Safe, Effective Care Environment: Management of
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F Care TOP: Chapter 1: Professional Nursing Practice
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KEY: Integrated Process: Nursing Process
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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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F T L admission. The nurse knows that it is important that the wording of the TL
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F chosen F T L nursing diagnoses falls within the taxonomy of nursing. Which TL
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F organization is responsible for developing the taxonomy of a nursing TL
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F diagnosis?
A. American Nurses Association (ANA) F TL F TL F TL
B. North American Nursing Diagnosis Association (NANDA) TL
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C. National League for Nursing (NLN) F TL F TL F TL F TL
D. Joint Commission TL
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Rationale: NANDA International is the official organization responsible for
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F developing the taxonomy of nursing diagnoses and formulating nursing F TL TL
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F diagnoses acceptable for study. The ANA, NLN, and Joint Commission are not
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F charged with the task of developing the taxonomy of nursing diagnoses.
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PTS: 1 REF: p. 15 F TL F TL F TL F TL
NAT: Client Needs: Safe, Effective Care Environment: Management of
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F Care TOP: Chapter 1: Professional Nursing Practice
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5. A medical nurse has obtained a new client's health history and has completed
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creating a care plan for the client. Which of the following is the most
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