ANSWERS|100% CORRECT|LATEST
1. A nurse has been offered a position on an obstetric unit and has learned that the
B B B B B B B B B B B B B B B B
unit offers therapeutic abortions, a procedure that contradicts the nurse's personal
B B B B B B B B B B B
beliefs. What is the nurse's ethical obligation to these clients?
B B B B B B B B B B
A. The nurse should adhere to professional standards of practice and offer service
B B B B B B B B B B B B
to these clients.
B B B
B. The nurse should make the choice to decline this position and pursue a different
B B B B B B B B B B B B B B
nursing role. B B
C. The nurse should decline to care for the clients considering abortion.
B B B B B B B B B B B
D. The nurse should express alternatives to women considering terminating their
B B B B B B B B B B
pregnancy. - ANSWER- B B ANS: B B B
The nurse should make the choice to decline this position and pursue a different nursing role.
B B B B B B B B B B B B B B B
Rationale: To avoid facing the ethical dilemma of providing care that contradicts the
B B B B B B B B B B B B B
nurse's personal beliefs, the nurse should consider working in an area of nursing that would n
B B B B B B B B B B B B B B B
ot pose this dilemma. The nurse should not provide care to the client because it is a conflict of
B B B B B B B B B B B B B B B B B B B
personal values. The nurse should not deny care to these
B B B B B B B B B B
clients as this would be a breach in the Code of Ethics for nurses. If the client is not requesting i
B B B B B B B B B B B B B B B B B B B B
nformation for alternatives to abortions, then the nurse should not be
B B B B B B B B B B B
providing this information. B B B
PTS: 1 REF: p. 27
B B B B
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
B B B B B B B B B B
TOP: Chapter 1: Professional Nursing Practice KEY: Integrated Process: Caring
B B B B B B B B B B
BLM: Cognitive Level: Apply NOT: Multiple Choice
B B B B B B
,2. An 80-year-old client is admitted with a diagnosis of community-
B B B B B B B B B B
acquired pneumonia. During admission the client states, "I have a living will." What implicatio
B B B B B B B B B B B B B
n of this should the nurse recognize?
B B B B B B B
A. This document is always honored, regardless of circumstances.
B B B B B B B B
B. This document specifies the client's wishes before hospitalization.
B B B B B B B B
C. This document is binding for the duration of the client's life.
B B B B B B B B B B B
D. This document has been drawn up by the client's family to determine DNR status. -
B B B B B B B B B B B B B B B
B ANSWER- ANS: B B B
this document specifies the client's wishes before hospitalization.
B B B B B B B
Rationale: A living will is one type of advance directive. In most situations, living wills are limit
B B B B B B B B B B B B B B B B
ed to situations in which the client's medical condition is deemed terminal. The other answers
B B B B B B B B B B B B B B
are incorrect because living wills are not always
B B B B B B B B B
honored in every circumstance, they are not binding for the duration of the client's life, and th
B B B B B B B B B B B B B B B B
ey are not drawn up by the client's family.
B B B B B B B B B
PTS: 1 REF: p. 29 B B B B
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
B B B B B B B B B B
TOP: Chapter 1: Professional Nursing Practice
B B B B B B
KEY: Integrated Process: Communication and Documentation BLM: Cognitive
B B B B B B B B
Level: Analyze B B
NOT: Multiple Choice B B
3. A nurse has been providing ethical care for many years and is aware of the need
B B B B B B B B B B B B B B B B
to maintain the ethical principle of nonmaleficence. Which of the following actions
B B B B B B B B B B B B
would be considered a violation of this principle?
B B B B B B B B
A. Discussing a DNR order with a terminally ill client
B B B B B B B B B
B. Assisting a semi-independent client with ADLs
B B B B B B
C. Refusing to administer pain medication as prescribed
B B B B B B B
, D. Providing more care for one client than for another - ANSWER-
B B B B B B B B B B B ANS: C B B
Refusing to administer pain medication as prescribed.
B B B B B B
Rationale: The duty not to inflict as well as prevent and remove harm is termed
B B B B B B B B B B B B B B B
nonmaleficence. Discussing a DNR order with a terminally ill client and assisting a
B B B B B B B B B B B B B
client with ADLs would not be considered contradictions to the nurse's duty of
B B B B B B B B B B B B B
nonmaleficence. Some clients justifiably require more care than others. B B B B B B B B B
PTS: 1 REF: p. 25
B B B B
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
B B B B B B B B B B
TOP: Chapter 1: Professional Nursing Practice
B B B B B B
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Analyze
B B B B B B B B B
NOT: Multiple Choice
B B
4. A nurse has begun creating a client's plan of care shortly after the client's
B B B B B B B B B B B B B B
admission. The nurse knows that it is important that the wording of the chosen
B B B B B B B B B B B B B B
nursing diagnoses falls within the taxonomy of nursing. Which organization is
B B B B B B B B B B B
responsible for developing the taxonomy of a nursing diagnosis?
B B B B B B B B B
A. American Nurses Association (ANA)
B B B B
B. North American Nursing Diagnosis Association (NANDA)
B B B B B B
C. National League for Nursing (NLN)
B B B B B
D. Joint Commission - ANSWER-
B B B B ANS: B B B
North American Nursing Diagnosis Association (NANDA)
B B B B B
Rationale: NANDA International is the official organization responsible for
B B B B B B B B B
developing the taxonomy of nursing diagnoses and formulating nursing diagnoses
B B B B B B B B B B
acceptable for study. The ANA, NLN, and Joint Commission are not charged with the
B B B B B B B B B B B B B B
task of developing the taxonomy of nursing diagnoses.
B B B B B B B B
1. A nurse has been offered a position on an obstetric unit and has learned that the
B B B B B B B B B B B B B B B B
unit offers therapeutic abortions, a procedure that contradicts the nurse's personal
B B B B B B B B B B B
beliefs. What is the nurse's ethical obligation to these clients?
B B B B B B B B B B
A. The nurse should adhere to professional standards of practice and offer service
B B B B B B B B B B B B
to these clients.
B B B
B. The nurse should make the choice to decline this position and pursue a different
B B B B B B B B B B B B B B
nursing role. B B
C. The nurse should decline to care for the clients considering abortion.
B B B B B B B B B B B
D. The nurse should express alternatives to women considering terminating their
B B B B B B B B B B
pregnancy. - ANSWER- B B ANS: B B B
The nurse should make the choice to decline this position and pursue a different nursing role.
B B B B B B B B B B B B B B B
Rationale: To avoid facing the ethical dilemma of providing care that contradicts the
B B B B B B B B B B B B B
nurse's personal beliefs, the nurse should consider working in an area of nursing that would n
B B B B B B B B B B B B B B B
ot pose this dilemma. The nurse should not provide care to the client because it is a conflict of
B B B B B B B B B B B B B B B B B B B
personal values. The nurse should not deny care to these
B B B B B B B B B B
clients as this would be a breach in the Code of Ethics for nurses. If the client is not requesting i
B B B B B B B B B B B B B B B B B B B B
nformation for alternatives to abortions, then the nurse should not be
B B B B B B B B B B B
providing this information. B B B
PTS: 1 REF: p. 27
B B B B
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
B B B B B B B B B B
TOP: Chapter 1: Professional Nursing Practice KEY: Integrated Process: Caring
B B B B B B B B B B
BLM: Cognitive Level: Apply NOT: Multiple Choice
B B B B B B
,2. An 80-year-old client is admitted with a diagnosis of community-
B B B B B B B B B B
acquired pneumonia. During admission the client states, "I have a living will." What implicatio
B B B B B B B B B B B B B
n of this should the nurse recognize?
B B B B B B B
A. This document is always honored, regardless of circumstances.
B B B B B B B B
B. This document specifies the client's wishes before hospitalization.
B B B B B B B B
C. This document is binding for the duration of the client's life.
B B B B B B B B B B B
D. This document has been drawn up by the client's family to determine DNR status. -
B B B B B B B B B B B B B B B
B ANSWER- ANS: B B B
this document specifies the client's wishes before hospitalization.
B B B B B B B
Rationale: A living will is one type of advance directive. In most situations, living wills are limit
B B B B B B B B B B B B B B B B
ed to situations in which the client's medical condition is deemed terminal. The other answers
B B B B B B B B B B B B B B
are incorrect because living wills are not always
B B B B B B B B B
honored in every circumstance, they are not binding for the duration of the client's life, and th
B B B B B B B B B B B B B B B B
ey are not drawn up by the client's family.
B B B B B B B B B
PTS: 1 REF: p. 29 B B B B
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
B B B B B B B B B B
TOP: Chapter 1: Professional Nursing Practice
B B B B B B
KEY: Integrated Process: Communication and Documentation BLM: Cognitive
B B B B B B B B
Level: Analyze B B
NOT: Multiple Choice B B
3. A nurse has been providing ethical care for many years and is aware of the need
B B B B B B B B B B B B B B B B
to maintain the ethical principle of nonmaleficence. Which of the following actions
B B B B B B B B B B B B
would be considered a violation of this principle?
B B B B B B B B
A. Discussing a DNR order with a terminally ill client
B B B B B B B B B
B. Assisting a semi-independent client with ADLs
B B B B B B
C. Refusing to administer pain medication as prescribed
B B B B B B B
, D. Providing more care for one client than for another - ANSWER-
B B B B B B B B B B B ANS: C B B
Refusing to administer pain medication as prescribed.
B B B B B B
Rationale: The duty not to inflict as well as prevent and remove harm is termed
B B B B B B B B B B B B B B B
nonmaleficence. Discussing a DNR order with a terminally ill client and assisting a
B B B B B B B B B B B B B
client with ADLs would not be considered contradictions to the nurse's duty of
B B B B B B B B B B B B B
nonmaleficence. Some clients justifiably require more care than others. B B B B B B B B B
PTS: 1 REF: p. 25
B B B B
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
B B B B B B B B B B
TOP: Chapter 1: Professional Nursing Practice
B B B B B B
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Analyze
B B B B B B B B B
NOT: Multiple Choice
B B
4. A nurse has begun creating a client's plan of care shortly after the client's
B B B B B B B B B B B B B B
admission. The nurse knows that it is important that the wording of the chosen
B B B B B B B B B B B B B B
nursing diagnoses falls within the taxonomy of nursing. Which organization is
B B B B B B B B B B B
responsible for developing the taxonomy of a nursing diagnosis?
B B B B B B B B B
A. American Nurses Association (ANA)
B B B B
B. North American Nursing Diagnosis Association (NANDA)
B B B B B B
C. National League for Nursing (NLN)
B B B B B
D. Joint Commission - ANSWER-
B B B B ANS: B B B
North American Nursing Diagnosis Association (NANDA)
B B B B B
Rationale: NANDA International is the official organization responsible for
B B B B B B B B B
developing the taxonomy of nursing diagnoses and formulating nursing diagnoses
B B B B B B B B B B
acceptable for study. The ANA, NLN, and Joint Commission are not charged with the
B B B B B B B B B B B B B B
task of developing the taxonomy of nursing diagnoses.
B B B B B B B B
