Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
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Test Bank Brun 8i 8i
ner & Suddarth's 8i 8i
Textbook of Medical- 8i 8i
SurgicalNursing, 15th Edit 8
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,Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
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ion
,Test Bank for Brunner & Suddarth's Textbook of Medical-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 theun
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it offers therapeutic abortions, a procedure that contradicts the nurse's personalbeli
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efs. 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 servicet
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o these clients.
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B. The nurse should make the choice to decline this position and pursue a differentn
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ursing role. 8i
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 their
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pregnancy.
ANS: B 8i
Rationale: To avoid facing the ethical dilemma of providing care that contradicts thenu
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rse’s personal beliefs, the nurse should consider working in an area of nursing tha
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t would not pose this dilemma. The nurse should not provide care to the clientbec
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ause it is a conflict of personal values. The nurse should not deny care to theseclient
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s as this would be a breach in the Code of Ethics for nurses. If the client is notrequesti
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ng information for alternatives to abortions, then the nurse should not beprovidin
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g this information.
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PTS: 1 REF: p. 27 8i 8i 8i 8i
NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP
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: 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 will.
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" 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-Surgical Nursing, 15th Edition
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D. This document has been drawn up by the client's family to determine DNRs
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tatus.
ANS: B 8i
Rationale: A living will is one type of advance directive. In most situations, living w
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ills are limited to situations in which the client's medical condition is deemed termi
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nal. The other answers are incorrect because living wills are not always honored in
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every circumstance, they are not binding for the duration of the client'slife, and they
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are not drawn up by the client's family.
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PTS: 1 REF: p. 29 8i 8i 8i 8i
NAT: Client Needs: Safe, Effective Care Environment: Management of CareTOP:
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8i Chapter 1: Professional Nursing Practice 8i 8i 8i 8i
KEY: Integrated Process: Communication and Documentation BLM: CognitiveLevel
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: Analyze
8i
NOT: Multiple Choice 8i 8i
3. A nurse has been providing ethical care for many years and is aware of the needto
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8i maintain the ethical principle of nonmaleficence. Which of the following actionsw
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ould be considered a violation of this principle?
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A. Discussing a DNR order with a terminally ill client 8i 8i 8i 8i 8i 8i 8i 8i
B. Assisting a semi-independent client with ADLs 8i 8i 8i 8i 8i
C. Refusing to administer pain medication as prescribed 8i 8i 8i 8i 8i 8i
D. Providing more care for one client than for another 8i 8i 8i 8i 8i 8i 8i 8i i8
ANS: C 8i
Rationale: The duty not to inflict as well as prevent and remove harm is termed no
8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i
nmaleficence. Discussing a DNR order with a terminally ill client and assisting aclien
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t with ADLs would not be considered contradictions to the nurse's duty of nonmalef
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icence. Some clients justifiably require more care than others.
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PTS: 1 REF: p. 25 8i 8i 8i 8i
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
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8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i
Test Bank Brun 8i 8i
ner & Suddarth's 8i 8i
Textbook of Medical- 8i 8i
SurgicalNursing, 15th Edit 8
i 8i 8i
,Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i
ion
,Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i
Chapter 1: Professional Nursing Practice
8i 8i 8i 8i
1. A nurse has been offered a position on an obstetric unit and has learned that theun
8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i i8
it offers therapeutic abortions, a procedure that contradicts the nurse's personalbeli
8i 8i 8i 8i 8i 8i 8i 8i 8i 8i i8
efs. What is the nurse's ethical obligation to these clients?
8i 8i 8i 8i 8i 8i 8i 8i 8i
A. The nurse should adhere to professional standards of practice and offer servicet
8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i i8
o these clients.
8i 8i
B. The nurse should make the choice to decline this position and pursue a differentn
8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i i8
ursing role. 8i
C. The nurse should decline to care for the clients considering abortion.
8i 8i 8i 8i 8i 8i 8i 8i 8i 8i
D. The nurse should express alternatives to women considering terminating their
8i 8i 8i 8i 8i 8i 8i 8i 8i i8
pregnancy.
ANS: B 8i
Rationale: To avoid facing the ethical dilemma of providing care that contradicts thenu
8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i i8
rse’s personal beliefs, the nurse should consider working in an area of nursing tha
8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i
t would not pose this dilemma. The nurse should not provide care to the clientbec
8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i i8
ause it is a conflict of personal values. The nurse should not deny care to theseclient
8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i i8
s as this would be a breach in the Code of Ethics for nurses. If the client is notrequesti
8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i i8
ng information for alternatives to abortions, then the nurse should not beprovidin
8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i i8
g this information.
8i 8i
PTS: 1 REF: p. 27 8i 8i 8i 8i
NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP
8i 8i 8i 8i 8i 8i 8i 8i 8i 8i
: Chapter 1: Professional Nursing Practice
8i 8i 8i 8i 8i
KEY: Integrated Process: Caring
8i 8i 8i i8
BLM: Cognitive Level: Apply NOT: Multiple Choice
8i 8i 8i 8i 8i 8i
2. An 80-year-old client is admitted with a diagnosis of community-
8i 8i 8i 8i 8i 8i 8i 8i 8i
acquiredpneumonia. During admission the client states, "I have a living will.
i8 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i
" What implication of this should the nurse recognize?
8i 8i 8i 8i 8i 8i 8i 8i
A. This document is always honored, regardless of circumstances.
8i 8i 8i 8i 8i 8i 8i
B. This document specifies the client's wishes before hospitalization.
8i 8i 8i 8i 8i 8i 8i
C. This document is binding for the duration of the client's life.
8i 8i 8i 8i 8i 8i 8i 8i 8i 8i
, Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i
D. This document has been drawn up by the client's family to determine DNRs
8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i i8
tatus.
ANS: B 8i
Rationale: A living will is one type of advance directive. In most situations, living w
8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i
ills are limited to situations in which the client's medical condition is deemed termi
8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i
nal. The other answers are incorrect because living wills are not always honored in
8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i
every circumstance, they are not binding for the duration of the client'slife, and they
8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i i8 8i 8i 8i
are not drawn up by the client's family.
8i 8i 8i 8i 8i 8i 8i
PTS: 1 REF: p. 29 8i 8i 8i 8i
NAT: Client Needs: Safe, Effective Care Environment: Management of CareTOP:
8i 8i 8i 8i 8i 8i 8i 8i 8i i8
8i Chapter 1: Professional Nursing Practice 8i 8i 8i 8i
KEY: Integrated Process: Communication and Documentation BLM: CognitiveLevel
8i 8i 8i 8i 8i 8i 8i i8
: Analyze
8i
NOT: Multiple Choice 8i 8i
3. A nurse has been providing ethical care for many years and is aware of the needto
8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i i8
8i maintain the ethical principle of nonmaleficence. Which of the following actionsw
8i 8i 8i 8i 8i 8i 8i 8i 8i 8i i8
ould be considered a violation of this principle?
8i 8i 8i 8i 8i 8i 8i
A. Discussing a DNR order with a terminally ill client 8i 8i 8i 8i 8i 8i 8i 8i
B. Assisting a semi-independent client with ADLs 8i 8i 8i 8i 8i
C. Refusing to administer pain medication as prescribed 8i 8i 8i 8i 8i 8i
D. Providing more care for one client than for another 8i 8i 8i 8i 8i 8i 8i 8i i8
ANS: C 8i
Rationale: The duty not to inflict as well as prevent and remove harm is termed no
8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i
nmaleficence. Discussing a DNR order with a terminally ill client and assisting aclien
8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i i8
t with ADLs would not be considered contradictions to the nurse's duty of nonmalef
8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i
icence. Some clients justifiably require more care than others.
8i 8i 8i 8i 8i 8i 8i 8i
PTS: 1 REF: p. 25 8i 8i 8i 8i
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
8i 8i 8i 8i 8i 8i 8i 8i 8i