TestrBankrforrBrunnerr&rSuddarth'srTextbookrofrMedical-SurgicalrNursing,r15thrEdition
,TestrBankrforrBrunnerr&rSuddarth'srTextbookrofrMedical-SurgicalrNursing,r15thrEdition
,TestrBankrforrBrunnerr&rSuddarth'srTextbookrofrMedical-SurgicalrNursing,r15thrEdition
Chapter 1: Professional Nursing Practice
r r r r
1. Arnurserhasrbeenrofferedrarpositionronranrobstetricrunitrandrhasrlearnedrthatrtherunitr
offersrtherapeuticrabortions,rarprocedurerthatrcontradictsrthernurse'srpersonalrbeliefs.
r Whatrisrthernurse'srethicalrobligationrtortheserclients?
A. Thernursershouldradherertorprofessionalrstandardsrofrpracticerandrofferrservicertort
heserclients.
B. Thernursershouldrmakertherchoicertordeclinerthisrpositionrandrpursuerardifferentrnur
singrrole.
C. Thernursershouldrdeclinertorcarerforrtherclientsrconsideringrabortion.
D. Thernursershouldrexpressralternativesrtorwomenrconsideringrterminatingrtheirrpr
egnancy.
ANS:rB
Rationale:rToravoidrfacingrtherethicalrdilemmarofrprovidingrcarerthatrcontradictsrthernur
se’srpersonalrbeliefs,rthernursershouldrconsiderrworkingrinranrarearofrnursingrthatrwo
uldrnotrposerthisrdilemma.rThernursershouldrnotrprovidercarertortherclientrbecauseritris
arconflictrofrpersonalrvalues.rThernursershouldrnotrdenyrcarertortheserclientsrasrthisrwo
r
uldrberarbreachrinrtherCoderofrEthicsrforrnurses.rIfrtherclientrisrnotrrequestingrinformatio
nrforralternativesrtorabortions,rthenrthernursershouldrnotrberprovidingrthisrinformatio
n.
PTS:r1rREF:rp.r27
NAT:rClientrNeeds:rSafe,rEffectiverCarerEnvironment:rManagementrofrCarerTOP:rC
hapterr1:rProfessionalrNursingrPractice
KEY:rIntegratedrProcess:rCaringr
BLM:rCognitiverLevel:rApplyrNOT:rMultiplerChoice
2. Anr80-year-oldrclientrisradmittedrwithrardiagnosisrofrcommunity-
acquiredrpneumonia.rDuringradmissionrtherclientrstates,r"Irhaverarlivingrwill."r
Whatrimplicationrofrthisrshouldrthernurserrecognize?
A. Thisrdocumentrisralwaysrhonored,rregardlessrofrcircumstances.
B. Thisrdocumentrspecifiesrtherclient'srwishesrbeforerhospitalization.
C. Thisrdocumentrisrbindingrforrtherdurationrofrtherclient'srlife.
, TestrBankrforrBrunnerr&rSuddarth'srTextbookrofrMedical-SurgicalrNursing,r15thrEdition
D. Thisrdocumentrhasrbeenrdrawnruprbyrtherclient'srfamilyrtordeterminerDNRrstat
us.
ANS:rB
Rationale:rArlivingrwillrisronertyperofradvancerdirective.rInrmostrsituations,rlivingrwills
r arerlimitedrtorsituationsrinrwhichrtherclient'srmedicalrconditionrisrdeemedrterminal.rT
herotherranswersrarerincorrectrbecauserlivingrwillsrarernotralwaysrhonoredrinreveryrcir
cumstance,rtheyrarernotrbindingrforrtherdurationrofrtherclient'srlife,randrtheyrarernotrdr
awnruprbyrtherclient'srfamily.
PTS:r1rREF:rp.r29
NAT:rClientrNeeds:rSafe,rEffectiverCarerEnvironment:rManagementrofrCarerTOP:r
Chapterr1:rProfessionalrNursingrPractice
KEY:rIntegratedrProcess:rCommunicationrandrDocumentationrBLM:rCognitiverLev
el:rAnalyze
NOT:rMultiplerChoice
3. Arnurserhasrbeenrprovidingrethicalrcarerforrmanyryearsrandrisrawarerofrtherneedrtorm
aintainrtherethicalrprinciplerofrnonmaleficence.rWhichrofrtherfollowingractionsrwouldrb
erconsideredrarviolationrofrthisrprinciple?
A. DiscussingrarDNRrorderrwithrarterminallyrillrclient
B. Assistingrarsemi-independentrclientrwithrADLs
C. Refusingrtoradministerrpainrmedicationrasrprescribed
D. ProvidingrmorercarerforronerclientrthanrforranotherrA
NS:rC
Rationale:rTherdutyrnotrtorinflictrasrwellrasrpreventrandrremoverharmrisrtermedrnonmalef
icence.rDiscussingrarDNRrorderrwithrarterminallyrillrclientrandrassistingrarclientrwithrADLsr
wouldrnotrberconsideredrcontradictionsrtorthernurse'srdutyrofrnonmaleficence.rSomerclie
ntsrjustifiablyrrequirermorercarerthanrothers.
PTS:r1rREF:rp.r25
NAT:rClientrNeeds:rSafe,rEffectiverCarerEnvironment:rManagementrofrCare
,TestrBankrforrBrunnerr&rSuddarth'srTextbookrofrMedical-SurgicalrNursing,r15thrEdition
,TestrBankrforrBrunnerr&rSuddarth'srTextbookrofrMedical-SurgicalrNursing,r15thrEdition
Chapter 1: Professional Nursing Practice
r r r r
1. Arnurserhasrbeenrofferedrarpositionronranrobstetricrunitrandrhasrlearnedrthatrtherunitr
offersrtherapeuticrabortions,rarprocedurerthatrcontradictsrthernurse'srpersonalrbeliefs.
r Whatrisrthernurse'srethicalrobligationrtortheserclients?
A. Thernursershouldradherertorprofessionalrstandardsrofrpracticerandrofferrservicertort
heserclients.
B. Thernursershouldrmakertherchoicertordeclinerthisrpositionrandrpursuerardifferentrnur
singrrole.
C. Thernursershouldrdeclinertorcarerforrtherclientsrconsideringrabortion.
D. Thernursershouldrexpressralternativesrtorwomenrconsideringrterminatingrtheirrpr
egnancy.
ANS:rB
Rationale:rToravoidrfacingrtherethicalrdilemmarofrprovidingrcarerthatrcontradictsrthernur
se’srpersonalrbeliefs,rthernursershouldrconsiderrworkingrinranrarearofrnursingrthatrwo
uldrnotrposerthisrdilemma.rThernursershouldrnotrprovidercarertortherclientrbecauseritris
arconflictrofrpersonalrvalues.rThernursershouldrnotrdenyrcarertortheserclientsrasrthisrwo
r
uldrberarbreachrinrtherCoderofrEthicsrforrnurses.rIfrtherclientrisrnotrrequestingrinformatio
nrforralternativesrtorabortions,rthenrthernursershouldrnotrberprovidingrthisrinformatio
n.
PTS:r1rREF:rp.r27
NAT:rClientrNeeds:rSafe,rEffectiverCarerEnvironment:rManagementrofrCarerTOP:rC
hapterr1:rProfessionalrNursingrPractice
KEY:rIntegratedrProcess:rCaringr
BLM:rCognitiverLevel:rApplyrNOT:rMultiplerChoice
2. Anr80-year-oldrclientrisradmittedrwithrardiagnosisrofrcommunity-
acquiredrpneumonia.rDuringradmissionrtherclientrstates,r"Irhaverarlivingrwill."r
Whatrimplicationrofrthisrshouldrthernurserrecognize?
A. Thisrdocumentrisralwaysrhonored,rregardlessrofrcircumstances.
B. Thisrdocumentrspecifiesrtherclient'srwishesrbeforerhospitalization.
C. Thisrdocumentrisrbindingrforrtherdurationrofrtherclient'srlife.
, TestrBankrforrBrunnerr&rSuddarth'srTextbookrofrMedical-SurgicalrNursing,r15thrEdition
D. Thisrdocumentrhasrbeenrdrawnruprbyrtherclient'srfamilyrtordeterminerDNRrstat
us.
ANS:rB
Rationale:rArlivingrwillrisronertyperofradvancerdirective.rInrmostrsituations,rlivingrwills
r arerlimitedrtorsituationsrinrwhichrtherclient'srmedicalrconditionrisrdeemedrterminal.rT
herotherranswersrarerincorrectrbecauserlivingrwillsrarernotralwaysrhonoredrinreveryrcir
cumstance,rtheyrarernotrbindingrforrtherdurationrofrtherclient'srlife,randrtheyrarernotrdr
awnruprbyrtherclient'srfamily.
PTS:r1rREF:rp.r29
NAT:rClientrNeeds:rSafe,rEffectiverCarerEnvironment:rManagementrofrCarerTOP:r
Chapterr1:rProfessionalrNursingrPractice
KEY:rIntegratedrProcess:rCommunicationrandrDocumentationrBLM:rCognitiverLev
el:rAnalyze
NOT:rMultiplerChoice
3. Arnurserhasrbeenrprovidingrethicalrcarerforrmanyryearsrandrisrawarerofrtherneedrtorm
aintainrtherethicalrprinciplerofrnonmaleficence.rWhichrofrtherfollowingractionsrwouldrb
erconsideredrarviolationrofrthisrprinciple?
A. DiscussingrarDNRrorderrwithrarterminallyrillrclient
B. Assistingrarsemi-independentrclientrwithrADLs
C. Refusingrtoradministerrpainrmedicationrasrprescribed
D. ProvidingrmorercarerforronerclientrthanrforranotherrA
NS:rC
Rationale:rTherdutyrnotrtorinflictrasrwellrasrpreventrandrremoverharmrisrtermedrnonmalef
icence.rDiscussingrarDNRrorderrwithrarterminallyrillrclientrandrassistingrarclientrwithrADLsr
wouldrnotrberconsideredrcontradictionsrtorthernurse'srdutyrofrnonmaleficence.rSomerclie
ntsrjustifiablyrrequirermorercarerthanrothers.
PTS:r1rREF:rp.r25
NAT:rClientrNeeds:rSafe,rEffectiverCarerEnvironment:rManagementrofrCare
