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