Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
Test Bank Brun 7i 7i
ner & Suddarth's 7i 7i
Textbook of Medical- 7i 7i
SurgicalNursing, 15th Edit 7
i 7i 7i
,Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
ion
,Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
Chapter 1: Professional Nursing Practice
7i 7i 7i 7i
1. A nurse has been offered a position on an obstetric unit and has learned that theun
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i i7
it offers therapeutic abortions, a procedure that contradicts the nurse's personalbeli
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i i7
efs. What is the nurse's ethical obligation to these clients?
7i 7i 7i 7i 7i 7i 7i 7i 7i
A. The nurse should adhere to professional standards of practice and offer servicet
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i i7
o these clients.
7i 7i
B. The nurse should make the choice to decline this position and pursue a differentn
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i i7
ursing role. 7i
C. The nurse should decline to care for the clients considering abortion.
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i
D. The nurse should express alternatives to women considering terminating their
7i 7i 7i 7i 7i 7i 7i 7i 7i i7
pregnancy.
ANS: B 7i
Rationale: To avoid facing the ethical dilemma of providing care that contradicts thenu
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i i7
rse’s personal beliefs, the nurse should consider working in an area of nursing tha
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i
t would not pose this dilemma. The nurse should not provide care to the clientbec
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i i7
ause it is a conflict of personal values. The nurse should not deny care to theseclient
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i i7
s as this would be a breach in the Code of Ethics for nurses. If the client is notrequesti
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i i7
ng information for alternatives to abortions, then the nurse should not beprovidin
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i i7
g this information.
7i 7i
PTS: 1 REF: p. 27 7i 7i 7i 7i
NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i
: Chapter 1: Professional Nursing Practice
7i 7i 7i 7i 7i
KEY: Integrated Process: Caring
7i 7i 7i i7
BLM: Cognitive Level: Apply NOT: Multiple Choice
7i 7i 7i 7i 7i 7i
2. An 80-year-old client is admitted with a diagnosis of community-
7i 7i 7i 7i 7i 7i 7i 7i 7i
acquiredpneumonia. During admission the client states, "I have a living will.
i7 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i
" What implication of this should the nurse recognize?
7i 7i 7i 7i 7i 7i 7i 7i
A. This document is always honored, regardless of circumstances.
7i 7i 7i 7i 7i 7i 7i
B. This document specifies the client's wishes before hospitalization.
7i 7i 7i 7i 7i 7i 7i
C. This document is binding for the duration of the client's life.
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i
, Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
D. This document has been drawn up by the client's family to determine DNRs
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i i7
tatus.
ANS: B 7i
Rationale: A living will is one type of advance directive. In most situations, living w
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i
ills are limited to situations in which the client's medical condition is deemed termi
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i
nal. The other answers are incorrect because living wills are not always honored in
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i
every circumstance, they are not binding for the duration of the client'slife, and they
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i i7 7i 7i 7i
are not drawn up by the client's family.
7i 7i 7i 7i 7i 7i 7i
PTS: 1 REF: p. 29 7i 7i 7i 7i
NAT: Client Needs: Safe, Effective Care Environment: Management of CareTOP:
7i 7i 7i 7i 7i 7i 7i 7i 7i i7
7i Chapter 1: Professional Nursing Practice
7i 7i 7i 7i
KEY: Integrated Process: Communication and Documentation BLM: CognitiveLevel
7i 7i 7i 7i 7i 7i 7i i7
: Analyze
7i
NOT: Multiple Choice 7i 7i
3. A nurse has been providing ethical care for many years and is aware of the needto
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i i7
7i maintain the ethical principle of nonmaleficence. Which of the following actionsw
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i i7
ould be considered a violation of this principle?
7i 7i 7i 7i 7i 7i 7i
A. Discussing a DNR order with a terminally ill client 7i 7i 7i 7i 7i 7i 7i 7i
B. Assisting a semi-independent client with ADLs 7i 7i 7i 7i 7i
C. Refusing to administer pain medication as prescribed 7i 7i 7i 7i 7i 7i
D. Providing more care for one client than for another 7i 7i 7i 7i 7i 7i 7i 7i i7
ANS: C 7i
Rationale: The duty not to inflict as well as prevent and remove harm is termed no
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i
nmaleficence. Discussing a DNR order with a terminally ill client and assisting aclien
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i i7
t with ADLs would not be considered contradictions to the nurse's duty of nonmalef
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i
icence. Some clients justifiably require more care than others.
7i 7i 7i 7i 7i 7i 7i 7i
PTS: 1 REF: p. 25 7i 7i 7i 7i
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
7i 7i 7i 7i 7i 7i 7i 7i 7i
Test Bank Brun 7i 7i
ner & Suddarth's 7i 7i
Textbook of Medical- 7i 7i
SurgicalNursing, 15th Edit 7
i 7i 7i
,Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
ion
,Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
Chapter 1: Professional Nursing Practice
7i 7i 7i 7i
1. A nurse has been offered a position on an obstetric unit and has learned that theun
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i i7
it offers therapeutic abortions, a procedure that contradicts the nurse's personalbeli
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i i7
efs. What is the nurse's ethical obligation to these clients?
7i 7i 7i 7i 7i 7i 7i 7i 7i
A. The nurse should adhere to professional standards of practice and offer servicet
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i i7
o these clients.
7i 7i
B. The nurse should make the choice to decline this position and pursue a differentn
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i i7
ursing role. 7i
C. The nurse should decline to care for the clients considering abortion.
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i
D. The nurse should express alternatives to women considering terminating their
7i 7i 7i 7i 7i 7i 7i 7i 7i i7
pregnancy.
ANS: B 7i
Rationale: To avoid facing the ethical dilemma of providing care that contradicts thenu
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i i7
rse’s personal beliefs, the nurse should consider working in an area of nursing tha
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i
t would not pose this dilemma. The nurse should not provide care to the clientbec
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i i7
ause it is a conflict of personal values. The nurse should not deny care to theseclient
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i i7
s as this would be a breach in the Code of Ethics for nurses. If the client is notrequesti
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i i7
ng information for alternatives to abortions, then the nurse should not beprovidin
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i i7
g this information.
7i 7i
PTS: 1 REF: p. 27 7i 7i 7i 7i
NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i
: Chapter 1: Professional Nursing Practice
7i 7i 7i 7i 7i
KEY: Integrated Process: Caring
7i 7i 7i i7
BLM: Cognitive Level: Apply NOT: Multiple Choice
7i 7i 7i 7i 7i 7i
2. An 80-year-old client is admitted with a diagnosis of community-
7i 7i 7i 7i 7i 7i 7i 7i 7i
acquiredpneumonia. During admission the client states, "I have a living will.
i7 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i
" What implication of this should the nurse recognize?
7i 7i 7i 7i 7i 7i 7i 7i
A. This document is always honored, regardless of circumstances.
7i 7i 7i 7i 7i 7i 7i
B. This document specifies the client's wishes before hospitalization.
7i 7i 7i 7i 7i 7i 7i
C. This document is binding for the duration of the client's life.
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i
, Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
D. This document has been drawn up by the client's family to determine DNRs
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i i7
tatus.
ANS: B 7i
Rationale: A living will is one type of advance directive. In most situations, living w
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i
ills are limited to situations in which the client's medical condition is deemed termi
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i
nal. The other answers are incorrect because living wills are not always honored in
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i
every circumstance, they are not binding for the duration of the client'slife, and they
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i i7 7i 7i 7i
are not drawn up by the client's family.
7i 7i 7i 7i 7i 7i 7i
PTS: 1 REF: p. 29 7i 7i 7i 7i
NAT: Client Needs: Safe, Effective Care Environment: Management of CareTOP:
7i 7i 7i 7i 7i 7i 7i 7i 7i i7
7i Chapter 1: Professional Nursing Practice
7i 7i 7i 7i
KEY: Integrated Process: Communication and Documentation BLM: CognitiveLevel
7i 7i 7i 7i 7i 7i 7i i7
: Analyze
7i
NOT: Multiple Choice 7i 7i
3. A nurse has been providing ethical care for many years and is aware of the needto
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i i7
7i maintain the ethical principle of nonmaleficence. Which of the following actionsw
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i i7
ould be considered a violation of this principle?
7i 7i 7i 7i 7i 7i 7i
A. Discussing a DNR order with a terminally ill client 7i 7i 7i 7i 7i 7i 7i 7i
B. Assisting a semi-independent client with ADLs 7i 7i 7i 7i 7i
C. Refusing to administer pain medication as prescribed 7i 7i 7i 7i 7i 7i
D. Providing more care for one client than for another 7i 7i 7i 7i 7i 7i 7i 7i i7
ANS: C 7i
Rationale: The duty not to inflict as well as prevent and remove harm is termed no
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i
nmaleficence. Discussing a DNR order with a terminally ill client and assisting aclien
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i i7
t with ADLs would not be considered contradictions to the nurse's duty of nonmalef
7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i
icence. Some clients justifiably require more care than others.
7i 7i 7i 7i 7i 7i 7i 7i
PTS: 1 REF: p. 25 7i 7i 7i 7i
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
7i 7i 7i 7i 7i 7i 7i 7i 7i