Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
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Test Bank Brunn at at
er & Suddarth's at at
Textbook of Medical- at at
SurgicalNursing, 15th Edit ta at at
,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 at at at at
1. A nurse has been offered a position on an obstetric unit and has learned that theunit
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t at
offers therapeutic abortions, a procedure that contradicts the nurse's personalbeliefs
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t
. 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 serviceto
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t a
these clients.
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B. The nurse should make the choice to decline this position and pursue a differentnur
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sing role. at
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 theirp
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t
regnancy.
ANS: B at
Rationale: To avoid facing the ethical dilemma of providing care that contradicts thenurs
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t
e’s personal beliefs, the nurse should consider working in an area of nursing that w
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ould not pose this dilemma. The nurse should not provide care to the clientbecause
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it is a conflict of personal values. The nurse should not deny care to theseclients as thi
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s would be a breach in the Code of Ethics for nurses. If the client is notrequesting infor
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mation for alternatives to abortions, then the nurse should not beproviding this info
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t at at
rmation.
PTS: 1 REF: p. 27 at at at at
NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP:
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Chapter 1: Professional Nursing Practice at at at at
KEY: Integrated Process: Caring at at at a
t
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."
a
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t 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 DNRst
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t
atus.
ANS: B at
Rationale: A living will is one type of advance directive. In most situations, living will
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s are limited to situations in which the client's medical condition is deemed terminal.
at at at at at at at at at at at at at a
t The other answers are incorrect because living wills are not always honored in every
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circumstance, they are not binding for the duration of the client'slife, and they are notat at at at at at at at at at a
t at at at at at
drawn up by the client's family. at at at at at
PTS: 1 REF: p. 29 at at at at
NAT: Client Needs: Safe, Effective Care Environment: Management of CareTOP:
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t at
Chapter 1: Professional Nursing Practice at at at at
KEY: Integrated Process: Communication and Documentation BLM: CognitiveLevel:
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t at
Analyze
NOT: Multiple Choice at at
3. A nurse has been providing ethical care for many years and is aware of the needto
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maintain the ethical principle of nonmaleficence. Which of the following actionswoul
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d be considered a violation of this principle?
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A. Discussing a DNR order with a terminally ill client at at at at at at at at
B. Assisting a semi-independent client with ADLs at at at at at
C. Refusing to administer pain medication as prescribed at at at at at at
D. Providing more care for one client than for anotherA at at at at at at at at a
t
NS: C at
Rationale: The duty not to inflict as well as prevent and remove harm is termed non
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maleficence. Discussing a DNR order with a terminally ill client and assisting aclient w
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t at
ith ADLs would not be considered contradictions to the nurse's duty of nonmaleficen
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ce. Some clients justifiably require more care than others.
at at at at at at at at
PTS: 1 REF: p. 25 at at at at
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
at at at at at at at at at
at at at at at at at at at at at
Test Bank Brunn at at
er & Suddarth's at at
Textbook of Medical- at at
SurgicalNursing, 15th Edit ta at at
,Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
at at at at at at at at at at at
ion
,Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
at at at at at at at at at at at
Chapter 1: Professional Nursing Practice at at at at
1. A nurse has been offered a position on an obstetric unit and has learned that theunit
at at at at at at at at at at at at at at at a
t at
offers therapeutic abortions, a procedure that contradicts the nurse's personalbeliefs
at at at at at at at at at a
t
. What is the nurse's ethical obligation to these clients?
at at at at at at at at at
A. The nurse should adhere to professional standards of practice and offer serviceto
at at at at at at at at at at at a
t a
these clients.
t at
B. The nurse should make the choice to decline this position and pursue a differentnur
at at at at at at at at at at at at at a
t
sing role. at
C. The nurse should decline to care for the clients considering abortion.
at at at at at at at at at at
D. The nurse should express alternatives to women considering terminating theirp
at at at at at at at at at a
t
regnancy.
ANS: B at
Rationale: To avoid facing the ethical dilemma of providing care that contradicts thenurs
at at at at at at at at at at at at a
t
e’s personal beliefs, the nurse should consider working in an area of nursing that w
at at at at at at at at at at at at at at
ould not pose this dilemma. The nurse should not provide care to the clientbecause
at at at at at at at at at at at at at a
t at
it is a conflict of personal values. The nurse should not deny care to theseclients as thi
at at at at at at at at at at at at at at a
t at at
s would be a breach in the Code of Ethics for nurses. If the client is notrequesting infor
at at at at at at at at at at at at at at at at a
t at
mation for alternatives to abortions, then the nurse should not beproviding this info
at at at at at at at at at at a
t at at
rmation.
PTS: 1 REF: p. 27 at at at at
NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP:
at at at at at at at at at at at
Chapter 1: Professional Nursing Practice at at at at
KEY: Integrated Process: Caring at at at a
t
BLM: Cognitive Level: Apply NOT: Multiple Choice
at at at at at at
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."
a
t at at at at at at at at at at a
t What implication of this should the nurse recognize?
at at at at at at at
A. This document is always honored, regardless of circumstances.
at at at at at at at
B. This document specifies the client's wishes before hospitalization.
at at at at at at at
C. This document is binding for the duration of the client's life.
at at at at at at at at at at
, Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
at at at at at at at at at at at
D. This document has been drawn up by the client's family to determine DNRst
at at at at at at at at at at at at a
t
atus.
ANS: B at
Rationale: A living will is one type of advance directive. In most situations, living will
at at at at at at at at at at at at at at
s are limited to situations in which the client's medical condition is deemed terminal.
at at at at at at at at at at at at at a
t The other answers are incorrect because living wills are not always honored in every
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circumstance, they are not binding for the duration of the client'slife, and they are notat at at at at at at at at at a
t at at at at at
drawn up by the client's family. at at at at at
PTS: 1 REF: p. 29 at at at at
NAT: Client Needs: Safe, Effective Care Environment: Management of CareTOP:
at at at at at at at at at a
t at
Chapter 1: Professional Nursing Practice at at at at
KEY: Integrated Process: Communication and Documentation BLM: CognitiveLevel:
at at at at at at at a
t at
Analyze
NOT: Multiple Choice at at
3. A nurse has been providing ethical care for many years and is aware of the needto
at at at at at at at at at at at at at at at a
t at
maintain the ethical principle of nonmaleficence. Which of the following actionswoul
at at at at at at at at at at a
t
d be considered a violation of this principle?
at at at at at at at
A. Discussing a DNR order with a terminally ill client at at at at at at at at
B. Assisting a semi-independent client with ADLs at at at at at
C. Refusing to administer pain medication as prescribed at at at at at at
D. Providing more care for one client than for anotherA at at at at at at at at a
t
NS: C at
Rationale: The duty not to inflict as well as prevent and remove harm is termed non
at at at at at at at at at at at at at at at
maleficence. Discussing a DNR order with a terminally ill client and assisting aclient w
at at at at at at at at at at at at a
t at
ith ADLs would not be considered contradictions to the nurse's duty of nonmaleficen
at at at at at at at at at at at at
ce. Some clients justifiably require more care than others.
at at at at at at at at
PTS: 1 REF: p. 25 at at at at
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
at at at at at at at at at