,
,
, Test]+Bank]+-]+Brunner]+&]+Suddarth's]+Textbook]+of]+Medical-Surgical]+Nursing,]+15e]+(Hinkle,]+2022)
Chapter 1: Professional Nursing Practice
]+ ]+ ]+ ]+
Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 16th Edition
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
MULTIPLE CHOICE ]+
1. A nurse has been offered a position on an obstetric unit and has learned that the unit offers
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
therapeutic abortions, a procedure that contradicts the nurse's personal beliefs. What is the nurse
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
's ethical obligation to these clients?
]+ ]+ ]+ ]+ ]+
A. The nurse should adhere to professional standards of practice and offer service to the
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
se clients.
]+
B. The nurse should make the choice to decline this position and pursue a different nursi
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
ng role. ]+
C. The nurse should decline to care for the client’s considering abortion.
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
D. The nurse should express alternatives to women considering terminating their pregnancy.
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
ANS: B ]+
Rationale: To avoid facing the ethical dilemma of providing care that contradicts the nurse’s person
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
al beliefs, the nurse should consider working in an area of nursing that would not pose this dilemma.
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
The nurse should not provide care to the client because it is a conflict of personal values. The nurs
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
e should not deny care to these clients as this would be a breach in the Code of Ethics for nurses. If
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
the client is not requesting information for alternatives to abortions, then the nurse should not be p
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
roviding this information. ]+ ]+
PTS: 1 REF: p. 27
]+ ]+ ]+
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
TOP: Chapter 1: Professional Nursing Practice
]+ ]+ ]+ ]+ ]+
KEY: Integrated Process: Caring BLM: Cognitive Lev ]+ ]+ ]+ ]+ ]+ ]+
el: Apply ]+ NOT: Multiple Choice ]+ ]+
2. An 80-year-old client is admitted with a diagnosis of community-
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
acquired pneumonia. During admission the client states, "I have a living will." What implication of thi
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
s should the nurse recognize? A. This document is always honored, regardless of circumstances.
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
B. This document specifies the client's wishes before hospitalization.
] + ]+ ]+ ]+ ]+ ]+ ]+ ]+
C. This document is binding for the duration of the client's life.
] + ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
D. This document has been drawn up by the client's family to determine DNR status.
] + ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
ANS: B ]+
Rationale: A living will is one type of advance directive. In most situations, living wills are limited t
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
o situations in which the client's medical condition is deemed terminal. The other answers are incorr
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
ect because living wills are not always honored in every circumstance, they are not binding for the
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
duration of the client's life, and they are not drawn up by the client's family.
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
PTS: 1 REF: p. 29
]+ ]+ ]+
NAT: Client Needs: Safe, Effective Care Environment: Management of Care T
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
OP: Chapter 1: Professional Nursing Practice
]+ ]+ ]+ ]+ ]+
1|Pag ]+ ]+ ]+ ]+ ]+
e
,
, Test]+Bank]+-]+Brunner]+&]+Suddarth's]+Textbook]+of]+Medical-Surgical]+Nursing,]+15e]+(Hinkle,]+2022)
Chapter 1: Professional Nursing Practice
]+ ]+ ]+ ]+
Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 16th Edition
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
MULTIPLE CHOICE ]+
1. A nurse has been offered a position on an obstetric unit and has learned that the unit offers
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
therapeutic abortions, a procedure that contradicts the nurse's personal beliefs. What is the nurse
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
's ethical obligation to these clients?
]+ ]+ ]+ ]+ ]+
A. The nurse should adhere to professional standards of practice and offer service to the
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
se clients.
]+
B. The nurse should make the choice to decline this position and pursue a different nursi
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
ng role. ]+
C. The nurse should decline to care for the client’s considering abortion.
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
D. The nurse should express alternatives to women considering terminating their pregnancy.
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
ANS: B ]+
Rationale: To avoid facing the ethical dilemma of providing care that contradicts the nurse’s person
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
al beliefs, the nurse should consider working in an area of nursing that would not pose this dilemma.
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
The nurse should not provide care to the client because it is a conflict of personal values. The nurs
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
e should not deny care to these clients as this would be a breach in the Code of Ethics for nurses. If
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
the client is not requesting information for alternatives to abortions, then the nurse should not be p
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
roviding this information. ]+ ]+
PTS: 1 REF: p. 27
]+ ]+ ]+
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
TOP: Chapter 1: Professional Nursing Practice
]+ ]+ ]+ ]+ ]+
KEY: Integrated Process: Caring BLM: Cognitive Lev ]+ ]+ ]+ ]+ ]+ ]+
el: Apply ]+ NOT: Multiple Choice ]+ ]+
2. An 80-year-old client is admitted with a diagnosis of community-
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
acquired pneumonia. During admission the client states, "I have a living will." What implication of thi
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
s should the nurse recognize? A. This document is always honored, regardless of circumstances.
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
B. This document specifies the client's wishes before hospitalization.
] + ]+ ]+ ]+ ]+ ]+ ]+ ]+
C. This document is binding for the duration of the client's life.
] + ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
D. This document has been drawn up by the client's family to determine DNR status.
] + ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
ANS: B ]+
Rationale: A living will is one type of advance directive. In most situations, living wills are limited t
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
o situations in which the client's medical condition is deemed terminal. The other answers are incorr
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
ect because living wills are not always honored in every circumstance, they are not binding for the
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
duration of the client's life, and they are not drawn up by the client's family.
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
PTS: 1 REF: p. 29
]+ ]+ ]+
NAT: Client Needs: Safe, Effective Care Environment: Management of Care T
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
OP: Chapter 1: Professional Nursing Practice
]+ ]+ ]+ ]+ ]+
1|Pag ]+ ]+ ]+ ]+ ]+
e
