Surgicald1Nursing,d115thd1Edition
Test Bank
Brunner & Suddarth's
Textbook of Medical-Surgical
Nursing, 15th Edition
,Testd1Bankd1ford1Brunnerd1&d1Suddarth'sd1Textbookd1ofd1Medical-
Surgicald1Nursing,d115thd1Edition
Chapter 1: Professional Nursing Practice
d1 d1 d1 d1
1. Ad1nursed1hasd1beend1offeredd1ad1positiond1ond1and1obstetricd1unitd1andd1hasd1learnedd1t
hatd1thed 1 unitd1offersd1therapeuticd1abortions,d1ad1procedured1thatd1contradictsd1thed1n
urse'sd1personald 1 beliefs.d1Whatd1isd1thed1nurse'sd1ethicald1obligationd1tod1thesed1clien
ts?
A. Thed1nursed1shouldd1adhered1tod1professionald1standardsd1ofd1practiced1andd1offerd1
serviced 1 tod1thesed1clients.
B. Thed1nursed1shouldd1maked1thed1choiced1tod1declined1thisd1positiond1andd1pursued1ad1d
ifferentd 1 nursingd1role.
C. Thed1nursed1shouldd1declined1tod1cared1ford1thed1clientsd1consideringd1abortion.
D. Thed1nursed1shouldd1expressd1alternativesd1tod1womend1consideringd1terminating
d1 theird 1 pregnancy.
ANS:d1B
Rationale:d1Tod1avoidd1facingd1thed1ethicald1dilemmad1ofd1providingd1cared1thatd1contradict
sd1thed 1 nurse’sd1personald1beliefs,d1thed1nursed1shouldd1considerd1workingd1ind1and1ar
ead1ofd1nursingd 1 thatd1wouldd1notd1posed1thisd1dilemma.d1Thed1nursed1shouldd1notd1pr
ovided1cared1tod1thed1clientd 1 becaused1itd1isd1ad1conflictd1ofd1personald1values.d1Thed1nur
sed1shouldd1notd1denyd1cared1tod1thesed 1 clientsd1asd1thisd1wouldd1bed1ad1breachd1ind1thed1
Coded1ofd1Ethicsd1ford1nurses.d1Ifd1thed1clientd1isd1notd 1 requestingd1informationd1ford1alt
ernativesd1tod1abortions,d1thend1thed1nursed1shouldd1notd1bed 1 providingd1thisd1inform
ation.
PTS:d11d1REF:d1p.d127
NAT:d1Clientd1Needs:d1Safe,d1Effectived1Cared1Environment:d1Managementd1ofd1Car
ed 1 TOP:d1Chapterd11:d1Professionald1Nursingd1Practice
KEY:d1Integratedd1Process:d1Cari
ngd 1 BLM:d1Cognitived1Level:d1Applyd1NOT:d1Multipled1Choice
2. And180-year-oldd1clientd1isd1admittedd1withd1ad1diagnosisd1ofd1community-
acquiredd 1 pneumonia.d1Duringd1admissiond1thed1clientd1states,d1"Id1haved1ad1liv
ingd1will."d1Whatd 1 implicationd1ofd1thisd1shouldd1thed1nursed1recognize?
A. Thisd1documentd1isd1alwaysd1honored,d1regardlessd1ofd1circumstances.
B. Thisd1documentd1specifiesd1thed1client'sd1wishesd1befored1hospitalization.
,Testd1Bankd1ford1Brunnerd1&d1Suddarth'sd1Textbookd1ofd1Medical-
SurgicalC. Thisd1document
d1Nursing, d1isd1bindingd1ford1thed1durationd1ofd1thed1client'sd1life.
d115thd1Edition
, Testd1Bankd1ford1Brunnerd1&d1Suddarth'sd1Textbookd1ofd1Medical-
Surgicald1Nursing,d115thd1Edition
D. Thisd1documentd1hasd1beend1drawnd1upd1byd1thed1client'sd1familyd1tod1determi
ned1DNRd 1 status.
ANS:d1B
Rationale:d1Ad1livingd1willd1isd1oned1typed1ofd1advanced1directive.d1Ind1mostd1situations
,d1livingd 1 willsd1ared1limitedd1tod1situationsd1ind1whichd1thed1client'sd1medicald1conditio
nd1isd1deemedd 1 terminal.d1Thed1otherd1answersd1ared1incorrectd1becaused1livingd1wills
d1 ared1notd1alwaysd 1 honoredd1ind1everyd1circumstance,d1theyd1ared1notd1bindingd1ford1th
ed1durationd1ofd1thed1client'sd 1 life,d1andd1theyd1ared1notd1drawnd1upd1byd1thed1client'sd1f
amily.
PTS:d11d1REF:d1p.d129
NAT:d1Clientd1Needs:d1Safe,d1Effectived1Cared1Environment:d1Managementd1ofd1
Cared 1 TOP:d1Chapterd11:d1Professionald1Nursingd1Practice
KEY:d1Integratedd1Process:d1Communicationd1andd1Documentationd1BLM:d1Cognitived
1 Level:d1Analyze
NOT:d1Multipled1Choice
3. Ad1nursed1hasd1beend1providingd1ethicald1cared1ford1manyd1yearsd1andd1isd1awared1ofd1t
hed1needd 1 tod1maintaind1thed1ethicald1principled1ofd1nonmaleficence.d1Whichd1ofd1thed
1 followingd1actionsd 1 wouldd1bed1consideredd1ad1violationd1ofd1thisd1principle?
A. Discussingd1ad1DNRd1orderd1withd1ad1terminallyd1illd1client
B. Assistingd1ad1semi-independentd1clientd1withd1ADLs
C. Refusingd1tod1administerd1paind1medicationd1asd1prescribed
D. Providingd1mored1cared1ford1oned1clientd1thand1ford1an
otherd 1 ANS:d1C
Rationale:d1Thed1dutyd1notd1tod1inflictd1asd1welld1asd1preventd1andd1removed1harmd1isd1
termedd 1 nonmaleficence.d1Discussingd1ad1DNRd1orderd1withd1ad1terminallyd1illd1clientd1
andd1assistingd1ad 1 clientd1withd1ADLsd1wouldd1notd1bed1consideredd1contradictionsd1to
d1 thed1nurse'sd1dutyd1ofd 1 nonmaleficence.d1Somed1clientsd1justifiablyd1required1mored
1 cared1thand1others.