Test Bank for Brunner & Suddarth's Textbook of Medical-
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Surgical Nursing, 15th Edition
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Test Bank Brun wl wl
ner & Suddarth's wl wl
Textbook of Medical- wl wl
SurgicalNursing, 15th Edi w
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,Test Bank for Brunner & Suddarth's Textbook of Medical-
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tion
Surgical Nursing, 15th Edition
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,Test Bank for Brunner & Suddarth's Textbook of Medical-
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Surgical Nursing, 15th Edition
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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 the
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unit offers therapeutic abortions, a procedure that contradicts the nurse's personal
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beliefs. What is the nurse's ethical obligation to these clients?
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A. The nurse should adhere to professional standards of practice and offer servic
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eto these clients.
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B. The nurse should make the choice to decline this position and pursue a different
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nursing role. wl
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 thei
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rpregnancy.
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ANS: B wl
Rationale: To avoid facing the ethical dilemma of providing care that contradicts then
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urse’s personal beliefs, the nurse should consider working in an area of nursing
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that would not pose this dilemma. The nurse should not provide care to the clie
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ntbecause it is a conflict of personal values. The nurse should not deny care to the
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seclients as this would be a breach in the Code of Ethics for nurses. If the client is n
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otrequesting information for alternatives to abortions, then the nurse should not
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wl beproviding this information.
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PTS: 1 REF: p. 27 wl wl wl wl
NAT: Client Needs: Safe, Effective Care Environment: Management of Care TO
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P: Chapter 1: Professional Nursing Practice
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KEY: Integrated Process: Caring
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BLM: Cognitive Level: Apply NOT: Multiple Choice
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2. An 80-year-old client is admitted with a diagnosis of community-
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acquiredpneumonia. During admission the client states, "I have a living wil
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l." What implication of this should the nurse recognize?
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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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, Test Bank for Brunner & Suddarth's Textbook of Medical-
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Surgical Nursing, 15th Edition
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D. This document has been drawn up by the client's family to determine DN
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Rstatus.
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ANS: B wl
Rationale: A living will is one type of advance directive. In most situations, living
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wills are limited to situations in which the client's medical condition is deemed ter
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minal. The other answers are incorrect because living wills are not always honore
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d in every circumstance, they are not binding for the duration of the client'slife, and
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they are not drawn up by the client's family.
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PTS: 1 REF: p. 29 wl wl wl wl
NAT: Client Needs: Safe, Effective Care Environment: Management of CareTO
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P: Chapter 1: Professional Nursing Practice
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KEY: Integrated Process: Communication and Documentation BLM: CognitiveLeve
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l: Analyze
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NOT: Multiple Choice wl wl
3. A nurse has been providing ethical care for many years and is aware of the need
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to maintain the ethical principle of nonmaleficence. Which of the following action
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swould be considered a violation of this principle?
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A. Discussing a DNR order with a terminally ill client wl wl wl wl wl wl wl wl
B. Assisting a semi-independent client with ADLs wl wl wl wl wl
C. Refusing to administer pain medication as prescribed wl wl wl wl wl wl
D. Providing more care for one client than for anothe wl wl wl wl wl wl wl wl
rANS: C
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Rationale: The duty not to inflict as well as prevent and remove harm is termed
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nonmaleficence. Discussing a DNR order with a terminally ill client and assisting ac wl wl wl wl wl wl wl wl wl wl wl wl lw
lient with ADLs would not be considered contradictions to the nurse's duty of non
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maleficence. Some clients justifiably require more care than others.
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PTS: 1 REF: p. 25 wl wl wl wl
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
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wl wl wl wl wl wl wl wl
Surgical Nursing, 15th Edition
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Test Bank Brun wl wl
ner & Suddarth's wl wl
Textbook of Medical- wl wl
SurgicalNursing, 15th Edi w
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,Test Bank for Brunner & Suddarth's Textbook of Medical-
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tion
Surgical Nursing, 15th Edition
wl wl wl
,Test Bank for Brunner & Suddarth's Textbook of Medical-
wl wl wl wl wl wl wl wl
Surgical Nursing, 15th Edition
wl wl wl
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 the
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl lw
unit offers therapeutic abortions, a procedure that contradicts the nurse's personal
wl wl wl wl wl wl wl wl wl wl lw
beliefs. What is the nurse's ethical obligation to these clients?
wl wl wl wl wl wl wl wl wl
A. The nurse should adhere to professional standards of practice and offer servic
wl wl wl wl wl wl wl wl wl wl wl
eto these clients.
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B. The nurse should make the choice to decline this position and pursue a different
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nursing role. wl
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 thei
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rpregnancy.
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ANS: B wl
Rationale: To avoid facing the ethical dilemma of providing care that contradicts then
wl wl wl wl wl wl wl wl wl wl wl wl lw
urse’s personal beliefs, the nurse should consider working in an area of nursing
wl wl wl wl wl wl wl wl wl wl wl wl wl
that would not pose this dilemma. The nurse should not provide care to the clie
wl wl wl wl wl wl wl wl wl wl wl wl wl wl
ntbecause it is a conflict of personal values. The nurse should not deny care to the
lw wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
seclients as this would be a breach in the Code of Ethics for nurses. If the client is n
lw wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl
otrequesting information for alternatives to abortions, then the nurse should not
lw wl wl wl wl wl wl wl wl wl wl
wl beproviding this information.
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PTS: 1 REF: p. 27 wl wl wl wl
NAT: Client Needs: Safe, Effective Care Environment: Management of Care TO
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P: Chapter 1: Professional Nursing Practice
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KEY: Integrated Process: Caring
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BLM: Cognitive Level: Apply NOT: Multiple Choice
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2. An 80-year-old client is admitted with a diagnosis of community-
wl wl wl wl wl wl wl wl wl
acquiredpneumonia. During admission the client states, "I have a living wil
lw wl wl wl wl wl wl wl wl wl wl
l." What implication of this should the nurse recognize?
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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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, Test Bank for Brunner & Suddarth's Textbook of Medical-
wl wl wl wl wl wl wl wl
Surgical Nursing, 15th Edition
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D. This document has been drawn up by the client's family to determine DN
wl wl wl wl wl wl wl wl wl wl wl wl
Rstatus.
lw
ANS: B wl
Rationale: A living will is one type of advance directive. In most situations, living
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wills are limited to situations in which the client's medical condition is deemed ter
wl wl wl wl wl wl wl wl wl wl wl wl wl
minal. The other answers are incorrect because living wills are not always honore
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d in every circumstance, they are not binding for the duration of the client'slife, and
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they are not drawn up by the client's family.
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PTS: 1 REF: p. 29 wl wl wl wl
NAT: Client Needs: Safe, Effective Care Environment: Management of CareTO
wl wl wl wl wl wl wl wl wl lw
P: Chapter 1: Professional Nursing Practice
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KEY: Integrated Process: Communication and Documentation BLM: CognitiveLeve
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l: Analyze
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NOT: Multiple Choice wl wl
3. A nurse has been providing ethical care for many years and is aware of the need
wl wl wl wl wl wl wl wl wl wl wl wl wl wl wl lw
to maintain the ethical principle of nonmaleficence. Which of the following action
wl wl wl wl wl wl wl wl wl wl wl
swould be considered a violation of this principle?
lw wl wl wl wl wl wl wl
A. Discussing a DNR order with a terminally ill client wl wl wl wl wl wl wl wl
B. Assisting a semi-independent client with ADLs wl wl wl wl wl
C. Refusing to administer pain medication as prescribed wl wl wl wl wl wl
D. Providing more care for one client than for anothe wl wl wl wl wl wl wl wl
rANS: C
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Rationale: The duty not to inflict as well as prevent and remove harm is termed
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nonmaleficence. Discussing a DNR order with a terminally ill client and assisting ac wl wl wl wl wl wl wl wl wl wl wl wl lw
lient with ADLs would not be considered contradictions to the nurse's duty of non
wl wl wl wl wl wl wl wl wl wl wl wl wl
maleficence. Some clients justifiably require more care than others.
wl wl wl wl wl wl wl wl
PTS: 1 REF: p. 25 wl wl wl wl
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
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