Test5Bank5for5Brunner5&5Suddarth's5Textbook5of5Medical-
Surgical5Nursing,515th5Edition
Test Bank Brun 5 5
ner & Suddarth's 5 5
Textbook of Medical- 5 5
SurgicalNursing, 15th Edit 5 5 5
,Test5Bank5for5Brunner5&5Suddarth's5Textbook5of5Medical-
ion
Surgical5Nursing,515th5Edition
,Test5Bank5for5Brunner5&5Suddarth's5Textbook5of5Medical-
Surgical5Nursing,515th5Edition
Chapter 1: Professional Nursing Practice
5 5 5 5
1. A5nurse5has5been5offered5a5position5on5an5obstetric5unit5and5has5learned5that5the5
unit5offers5therapeutic5abortions,5a5procedure5that5contradicts5the5nurse's5personal5
beliefs.5What5is5the5nurse's5ethical5obligation5to5these5clients?
A. The5nurse5should5adhere5to5professional5standards5of5practice5and5offer5service5
to5these5clients.
B. The5nurse5should5make5the5choice5to5decline5this5position5and5pursue5a5different5
nursing5role.
C. The5nurse5should5decline5to5care5for5the5clients5considering5abortion.
D. The5nurse5should5express5alternatives5to5women5considering5terminating5their5
pregnancy.
ANS:5B
Rationale:5To5avoid5facing5the5ethical5dilemma5of5providing5care5that5contradicts5the5
nurse’s5personal5beliefs,5the5nurse5should5consider5working5in5an5area5of5nursing5
that5would5not5pose5this5dilemma.5The5nurse5should5not5provide5care5to5the5client5
because5it5is5a5conflict5of5personal5values.5The5nurse5should5not5deny5care5to5these5
clients5as5this5would5be5a5breach5in5the5Code5of5Ethics5for5nurses.5If5the5client5is5not5
requesting5information5for5alternatives5to5abortions,5then5the5nurse5should5not5be5
providing5this5information.
PTS:515REF:5p.527
NAT:5Client5Needs:5Safe,5Effective5Care5Environment:5Management5of5Care5TO
P:5Chapter51:5Professional5Nursing5Practice
KEY:5Integrated5Process:5Caring5
BLM:5Cognitive5Level:5Apply5NOT:5Multiple5Choice
2. An580-year-old5client5is5admitted5with5a5diagnosis5of5community-
acquired5pneumonia.5During5admission5the5client5states,5"I5have5a5living5will
."5What5implication5of5this5should5the5nurse5recognize?
A. This5document5is5always5honored,5regardless5of5circumstances.
B. This5document5specifies5the5client's5wishes5before5hospitalization.
C. This5document5is5binding5for5the5duration5of5the5client's5life.
, Test5Bank5for5Brunner5&5Suddarth's5Textbook5of5Medical-
Surgical5Nursing,515th5Edition
D. This5document5has5been5drawn5up5by5the5client's5family5to5determine5DNR5
status.
ANS:5B
Rationale:5A5living5will5is5one5type5of5advance5directive.5In5most5situations,5living5w
ills5are5limited5to5situations5in5which5the5client's5medical5condition5is5deemed5termi
nal.5The5other5answers5are5incorrect5because5living5wills5are5not5always5honored5in
5every5circumstance,5they5are5not5binding5for5the5duration5of5the5client's5life,5and5the
y5are5not5drawn5up5by5the5client's5family.
PTS:515REF:5p.529
NAT:5Client5Needs:5Safe,5Effective5Care5Environment:5Management5of5Care5TO
P:5Chapter51:5Professional5Nursing5Practice
KEY:5Integrated5Process:5Communication5and5Documentation5BLM:5Cognitive5Leve
l:5Analyze
NOT:5Multiple5Choice
3. A5nurse5has5been5providing5ethical5care5for5many5years5and5is5aware5of5the5need5
to5maintain5the5ethical5principle5of5nonmaleficence.5Which5of5the5following5actions5
would5be5considered5a5violation5of5this5principle?
A. Discussing5a5DNR5order5with5a5terminally5ill5client
B. Assisting5a5semi-independent5client5with5ADLs
C. Refusing5to5administer5pain5medication5as5prescribed
D. Providing5more5care5for5one5client5than5for5another5
ANS:5C
Rationale:5The5duty5not5to5inflict5as5well5as5prevent5and5remove5harm5is5termed5no
nmaleficence.5Discussing5a5DNR5order5with5a5terminally5ill5client5and5assisting5a5clie
nt5with5ADLs5would5not5be5considered5contradictions5to5the5nurse's5duty5of5nonmal
eficence.5Some5clients5justifiably5require5more5care5than5others.
PTS:515REF:5p.525
NAT:5Client5Needs:5Safe,5Effective5Care5Environment:5Management5of5Care
Surgical5Nursing,515th5Edition
Test Bank Brun 5 5
ner & Suddarth's 5 5
Textbook of Medical- 5 5
SurgicalNursing, 15th Edit 5 5 5
,Test5Bank5for5Brunner5&5Suddarth's5Textbook5of5Medical-
ion
Surgical5Nursing,515th5Edition
,Test5Bank5for5Brunner5&5Suddarth's5Textbook5of5Medical-
Surgical5Nursing,515th5Edition
Chapter 1: Professional Nursing Practice
5 5 5 5
1. A5nurse5has5been5offered5a5position5on5an5obstetric5unit5and5has5learned5that5the5
unit5offers5therapeutic5abortions,5a5procedure5that5contradicts5the5nurse's5personal5
beliefs.5What5is5the5nurse's5ethical5obligation5to5these5clients?
A. The5nurse5should5adhere5to5professional5standards5of5practice5and5offer5service5
to5these5clients.
B. The5nurse5should5make5the5choice5to5decline5this5position5and5pursue5a5different5
nursing5role.
C. The5nurse5should5decline5to5care5for5the5clients5considering5abortion.
D. The5nurse5should5express5alternatives5to5women5considering5terminating5their5
pregnancy.
ANS:5B
Rationale:5To5avoid5facing5the5ethical5dilemma5of5providing5care5that5contradicts5the5
nurse’s5personal5beliefs,5the5nurse5should5consider5working5in5an5area5of5nursing5
that5would5not5pose5this5dilemma.5The5nurse5should5not5provide5care5to5the5client5
because5it5is5a5conflict5of5personal5values.5The5nurse5should5not5deny5care5to5these5
clients5as5this5would5be5a5breach5in5the5Code5of5Ethics5for5nurses.5If5the5client5is5not5
requesting5information5for5alternatives5to5abortions,5then5the5nurse5should5not5be5
providing5this5information.
PTS:515REF:5p.527
NAT:5Client5Needs:5Safe,5Effective5Care5Environment:5Management5of5Care5TO
P:5Chapter51:5Professional5Nursing5Practice
KEY:5Integrated5Process:5Caring5
BLM:5Cognitive5Level:5Apply5NOT:5Multiple5Choice
2. An580-year-old5client5is5admitted5with5a5diagnosis5of5community-
acquired5pneumonia.5During5admission5the5client5states,5"I5have5a5living5will
."5What5implication5of5this5should5the5nurse5recognize?
A. This5document5is5always5honored,5regardless5of5circumstances.
B. This5document5specifies5the5client's5wishes5before5hospitalization.
C. This5document5is5binding5for5the5duration5of5the5client's5life.
, Test5Bank5for5Brunner5&5Suddarth's5Textbook5of5Medical-
Surgical5Nursing,515th5Edition
D. This5document5has5been5drawn5up5by5the5client's5family5to5determine5DNR5
status.
ANS:5B
Rationale:5A5living5will5is5one5type5of5advance5directive.5In5most5situations,5living5w
ills5are5limited5to5situations5in5which5the5client's5medical5condition5is5deemed5termi
nal.5The5other5answers5are5incorrect5because5living5wills5are5not5always5honored5in
5every5circumstance,5they5are5not5binding5for5the5duration5of5the5client's5life,5and5the
y5are5not5drawn5up5by5the5client's5family.
PTS:515REF:5p.529
NAT:5Client5Needs:5Safe,5Effective5Care5Environment:5Management5of5Care5TO
P:5Chapter51:5Professional5Nursing5Practice
KEY:5Integrated5Process:5Communication5and5Documentation5BLM:5Cognitive5Leve
l:5Analyze
NOT:5Multiple5Choice
3. A5nurse5has5been5providing5ethical5care5for5many5years5and5is5aware5of5the5need5
to5maintain5the5ethical5principle5of5nonmaleficence.5Which5of5the5following5actions5
would5be5considered5a5violation5of5this5principle?
A. Discussing5a5DNR5order5with5a5terminally5ill5client
B. Assisting5a5semi-independent5client5with5ADLs
C. Refusing5to5administer5pain5medication5as5prescribed
D. Providing5more5care5for5one5client5than5for5another5
ANS:5C
Rationale:5The5duty5not5to5inflict5as5well5as5prevent5and5remove5harm5is5termed5no
nmaleficence.5Discussing5a5DNR5order5with5a5terminally5ill5client5and5assisting5a5clie
nt5with5ADLs5would5not5be5considered5contradictions5to5the5nurse's5duty5of5nonmal
eficence.5Some5clients5justifiably5require5more5care5than5others.
PTS:515REF:5p.525
NAT:5Client5Needs:5Safe,5Effective5Care5Environment:5Management5of5Care