,
,
, TestjBank - Brunnerj& Suddarth's Textbook ofjMedical-Surgical Nursing, 16ej(Hinkle,
Chapter 1: Professional Nursing Practice
Hinkle: Brunner &jSuddarth's Textbook ofjMedical-Surgical Nursing, 16th Edition
MULTIPLE CHOICEj
1. A nurse has beenjoffered ajpositionjon an obstetricjunit and has learnedthatjthe unitjoffers
therapeutic a bortions, a procedure that contradicts the nurse's personal beliefs. What is the
nurse's ethical obligation to t hese clients?
A. The nursejshouldjadhere to professional standards ofjpractice andjofferjservice to
these clients.
B. The nursejshouldjmake the choice to decline this position andjpursueja
different nursing role.
C. The nurse shouldjdecline to care for the client’s considering abortion.
D. The nursejshouldexpress alternatives to women considering terminatingjtheirjpregnancy.
ANS: B
Rationale: To avoidjfacing the ethical dilemmajofjproviding care that contradicts the
nurse’s personal belie fs, the nurse should considerjworking in an area ofjnursing that would not
pose this dilemma. The nurse sho uldjnot provide care to the client because it is a conflict
ofjpersonal values. The nurse should not denyjcarejt o these clients as this wouldjbe a breach in
the Code ofjEthics forjnurses. Ifjthe client is not requestingjinfor mation forjalternatives to
abortions, then the nurse should not be providing this information.
PTS: 1 REF: p. 27
NAT: Client Needs: Safe, Effective Care Environment: Management ofjCare
TOP: Chapterj1: Professional Nursing Practice KEY: Integrated Process:
Caring BLM: Cognitive Level: Apply NOT: Multiple Choice
2. An 80-year-old client is admittedjwitha diagnosis ofjcommunity-
acquiredjpneumonia. Duringjadmission the client states, "I have ajliving will."
What implicationjofjthis shoul d the nurse recognize? A. This documentjis always honored,
regardlessjofjcircumstances.
B. Thisdocumentjspecifies the client's wishes beforehospitalization.
C. Thisdocumentjis binding for thejduration ofjthe client's life.
D. Thisdocumentjhas beenjdrawn up by the client's familyjto determinejDNR status.
ANS: B
Rationale: A living will is one type ofjadvance directive. In most situations, living wills are limitedjto
situat ions in which the client's medicaljcondition is deemedjterminal. The other answers are
incorrect because li ving wills are not always honored in every circumstance, theyjare not
bindingfor the durationjofjthe client' s life, andjthey are not drawn up by the client's family.
PTS: 1 REF: p. 29
NAT: ClientjNeeds: Safe, Effective Care Environment: Management
ofjCare TOP: Chapterj1: Professional Nursing Practice
KEY: IntegratedjProcess: Communication and Documentation BLM: Cognitive Level:
Analyze NOT: Multiple Choice
principl e ofjnonmaleficence. Which ofjthe following actions wouldjbejconsidered a violationjofjthis
principle?
1 | Pag
,
, TestjBank - Brunnerj& Suddarth's Textbook ofjMedical-Surgical Nursing, 16ej(Hinkle,
Chapter 1: Professional Nursing Practice
Hinkle: Brunner &jSuddarth's Textbook ofjMedical-Surgical Nursing, 16th Edition
MULTIPLE CHOICEj
1. A nurse has beenjoffered ajpositionjon an obstetricjunit and has learnedthatjthe unitjoffers
therapeutic a bortions, a procedure that contradicts the nurse's personal beliefs. What is the
nurse's ethical obligation to t hese clients?
A. The nursejshouldjadhere to professional standards ofjpractice andjofferjservice to
these clients.
B. The nursejshouldjmake the choice to decline this position andjpursueja
different nursing role.
C. The nurse shouldjdecline to care for the client’s considering abortion.
D. The nursejshouldexpress alternatives to women considering terminatingjtheirjpregnancy.
ANS: B
Rationale: To avoidjfacing the ethical dilemmajofjproviding care that contradicts the
nurse’s personal belie fs, the nurse should considerjworking in an area ofjnursing that would not
pose this dilemma. The nurse sho uldjnot provide care to the client because it is a conflict
ofjpersonal values. The nurse should not denyjcarejt o these clients as this wouldjbe a breach in
the Code ofjEthics forjnurses. Ifjthe client is not requestingjinfor mation forjalternatives to
abortions, then the nurse should not be providing this information.
PTS: 1 REF: p. 27
NAT: Client Needs: Safe, Effective Care Environment: Management ofjCare
TOP: Chapterj1: Professional Nursing Practice KEY: Integrated Process:
Caring BLM: Cognitive Level: Apply NOT: Multiple Choice
2. An 80-year-old client is admittedjwitha diagnosis ofjcommunity-
acquiredjpneumonia. Duringjadmission the client states, "I have ajliving will."
What implicationjofjthis shoul d the nurse recognize? A. This documentjis always honored,
regardlessjofjcircumstances.
B. Thisdocumentjspecifies the client's wishes beforehospitalization.
C. Thisdocumentjis binding for thejduration ofjthe client's life.
D. Thisdocumentjhas beenjdrawn up by the client's familyjto determinejDNR status.
ANS: B
Rationale: A living will is one type ofjadvance directive. In most situations, living wills are limitedjto
situat ions in which the client's medicaljcondition is deemedjterminal. The other answers are
incorrect because li ving wills are not always honored in every circumstance, theyjare not
bindingfor the durationjofjthe client' s life, andjthey are not drawn up by the client's family.
PTS: 1 REF: p. 29
NAT: ClientjNeeds: Safe, Effective Care Environment: Management
ofjCare TOP: Chapterj1: Professional Nursing Practice
KEY: IntegratedjProcess: Communication and Documentation BLM: Cognitive Level:
Analyze NOT: Multiple Choice
principl e ofjnonmaleficence. Which ofjthe following actions wouldjbejconsidered a violationjofjthis
principle?
1 | Pag
