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Test Bank Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition

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Test Bank Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition Chapter 1: Professional Nursing Practice 1. A nurse has been offered a position on an obstetric unit and has learned that the unit offers therapeutic abortions, a procedure that contradicts the nurse's personal beliefs. What is the nurse's ethical obligation to these clients? A. The nurse should adhere to professional standards of practice and offer service to these clients. B. The nurse should make the choice to decline this position and pursue a different nursing role. C. The nurse should decline to care for the clients considering abortion. D. The nurse should express alternatives to women considering terminating their pregnancy. ANS: B Rationale: To avoid facing the ethical dilemma of providing care that contradicts the nurse’s personal beliefs, the nurse should consider working in an area of nursing that would not pose this dilemma. The nurse should not provide care to the client because it is a conflict of personal values. The nurse should not deny care to these clients as this would be a breach in the Code of Ethics for nurses. If the client is not requesting information for alternatives to abortions, then the nurse should not be providing this information. PTS: 1 REF: p. 27 NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP: Chapter 1: Professional Nursing Practice KEY: Integrated Process: Caring BLM: Cognitive Level: Apply NOT: Multiple Choice 2. An 80-year-old client is admitted with a diagnosis of community-acquired pneumonia. During admission the client states, "I have a living will." What implication of this should the nurse recognize? A. This document is always honored, regardless of circumstances. B. This document specifies the client's wishes before hospitalization. C. This document is binding for the duration of the client's life. D. This document has been drawn up by the client's family to determine DNR status. ANS: B Rationale: A living will is one type of advance directive. In most situations, living wills are limited to situations in which the client's medical condition is deemed terminal. The other answers are incorrect because living wills are not always honored in every circumstance, they are not binding for the duration of the client's life, and they are not drawn up by the client's family. PTS: 1 REF: p. 29 NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP: Chapter 1: Professional Nursing Practice KEY: Integrated Process: Communication and Documentation BLM: Cognitive Level: Analyze NOT: Multiple Choice 3. A nurse has been providing ethical care for many years and is aware of the need to maintain the ethical principle of nonmaleficence. Which of the following actions would be considered a violation of this principle? A. Discussing a DNR order with a terminally ill client B. Assisting a semi-independent client with ADLs C. Refusing to administer pain medication as prescribed D. Providing more care for one client than for another ANS: C Rationale: The duty not to inflict as well as prevent and remove harm is termed nonmaleficence. Discussing a DNR order with a terminally ill client and assisting a client with ADLs would not be considered contradictions to the nurse's duty of nonmaleficence. Some clients justifiably require more care than others. PTS: 1 REF: p. 25 NAT: Client Needs: Safe, Effective Care Environment: Management of Care

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TestqBankqforqBrunnerq&qSuddarth'sqTextbookqofqMedical-SurgicalqNursing,q15thqEdition




Test Bank
Brunner & Suddarth's
Textbook of Medical-Surgical
Nursing, 15th Edition

,TestqBankqforqBrunnerq&qSuddarth'sqTextbookqofqMedical-SurgicalqNursing,q15thqEdition


Chapter 1: Professional Nursing Practice
q q q q




1. Aqnurseqhasqbeenqofferedqaqpositionqonqanqobstetricqunitqandqhasqlearnedqthatqthequ
nitqoffersqtherapeuticqabortions,qaqprocedureqthatqcontradictsqtheqnurse'sqpersonalqbe
liefs.qWhatqisqtheqnurse'sqethicalqobligationqtoqtheseqclients?
A. Theqnurseqshouldqadhereqtoqprofessionalqstandardsqofqpracticeqandqofferqserviceqt
oqtheseqclients.
B. Theqnurseqshouldqmakeqtheqchoiceqtoqdeclineqthisqpositionqandqpursueqaqdifferentqn
ursingqrole.
C. Theqnurseqshouldqdeclineqtoqcareqforqtheqclientsqconsideringqabortion.
D. Theqnurseqshouldqexpressqalternativesqtoqwomenqconsideringqterminatingqtheirqp
regnancy.


ANS:qB


Rationale:qToqavoidqfacingqtheqethicalqdilemmaqofqprovidingqcareqthatqcontradictsqtheqn
urse’sqpersonalqbeliefs,qtheqnurseqshouldqconsiderqworkingqinqanqareaqofqnursingqtha
tqwouldqnotqposeqthisqdilemma.qTheqnurseqshouldqnotqprovideqcareqtoqtheqclientqbeca
useqitqisqaqconflictqofqpersonalqvalues.qTheqnurseqshouldqnotqdenyqcareqtoqtheseqclientsq
asqthisqwouldqbeqaqbreachqinqtheqCodeqofqEthicsqforqnurses.qIfqtheqclientqisqnotqrequestin
gqinformationqforqalternativesqtoqabortions,qthenqtheqnurseqshouldqnotqbeqprovidingqt
hisqinformation.


PTS:q1qREF:qp.q27
NAT:qClientqNeeds:qSafe,qEffectiveqCareqEnvironment:qManagementqofqCareqTOP:
Chapterq1:qProfessionalqNursingqPractice
q


KEY:qIntegratedqProcess:qCaringq
BLM:qCognitiveqLevel:qApplyqNOT:qMultipleqChoice


2. Anq80-year-oldqclientqisqadmittedqwithqaqdiagnosisqofqcommunity-
acquiredqpneumonia.qDuringqadmissionqtheqclientqstates,q"Iqhaveqaqlivingqwill."
Whatqimplicationqofqthisqshouldqtheqnurseqrecognize?
q


A. Thisqdocumentqisqalwaysqhonored,qregardlessqofqcircumstances.
B. Thisqdocumentqspecifiesqtheqclient'sqwishesqbeforeqhospitalization.
C. Thisqdocumentqisqbindingqforqtheqdurationqofqtheqclient'sqlife.

,TestqBankqforqBrunnerq&qSuddarth'sqTextbookqofqMedical-SurgicalqNursing,q15thqEdition


D. Thisqdocumentqhasqbeenqdrawnqupqbyqtheqclient'sqfamilyqtoqdetermineqDNRqst
atus.


ANS:qB


Rationale:qAqlivingqwillqisqoneqtypeqofqadvanceqdirective.qInqmostqsituations,qlivingqwill
sqareqlimitedqtoqsituationsqinqwhichqtheqclient'sqmedicalqconditionqisqdeemedqterminal.
Theqotherqanswersqareqincorrectqbecauseqlivingqwillsqareqnotqalwaysqhonoredqinqever
q


yqcircumstance,qtheyqareqnotqbindingqforqtheqdurationqofqtheqclient'sqlife,qandqtheyqareqn
otqdrawnqupqbyqtheqclient'sqfamily.


PTS:q1qREF:qp.q29
NAT:qClientqNeeds:qSafe,qEffectiveqCareqEnvironment:qManagementqofqCareqTOP:
Chapterq1:qProfessionalqNursingqPractice
q


KEY:qIntegratedqProcess:qCommunicationqandqDocumentationqBLM:qCognitiveqLevel
:qAnalyze
NOT:qMultipleqChoice


3. Aqnurseqhasqbeenqprovidingqethicalqcareqforqmanyqyearsqandqisqawareqofqtheqneedqto
maintainqtheqethicalqprincipleqofqnonmaleficence.qWhichqofqtheqfollowingqactionsqwo
q


uldqbeqconsideredqaqviolationqofqthisqprinciple?
A. DiscussingqaqDNRqorderqwithqaqterminallyqillqclient
B. Assistingqaqsemi-independentqclientqwithqADLs
C. Refusingqtoqadministerqpainqmedicationqasqprescribed
D. Providingqmoreqcareqforqoneqclientqthanqforqanotherq


ANS:qC


Rationale:qTheqdutyqnotqtoqinflictqasqwellqasqpreventqandqremoveqharmqisqtermedqnon
maleficence.qDiscussingqaqDNRqorderqwithqaqterminallyqillqclientqandqassistingqaqclientq
withqADLsqwouldqnotqbeqconsideredqcontradictionsqtoqtheqnurse'sqdutyqofqnonmalefice
nce.qSomeqclientsqjustifiablyqrequireqmoreqcareqthanqothers.


PTS:q1qREF:qp.q25
NAT:qClientqNeeds:qSafe,qEffectiveqCareqEnvironment:qManagementqofqCare

, TestqBankqforqBrunnerq&qSuddarth'sqTextbookqofqMedical-SurgicalqNursing,q15thqEdition


TOP:qChapterq1:qProfessionalqNursingqPractice
KEY:qIntegratedqProcess:qNursingqProcess
BLM:qCognitiveqLevel:qAnalyzeq
NOT:qMultipleqChoice


4. Aqnurseqhasqbegunqcreatingqaqclient'sqplanqofqcareqshortlyqafterqtheqclient'sqad
mission.qTheqnurseqknowsqthatqitqisqimportantqthatqtheqwordingqofqtheqchosenqnurs
ingqdiagnosesqfallsqwithinqtheqtaxonomyqofqnursing.qWhichqorganizationqisqrespo
nsibleqforqdevelopingqtheqtaxonomyqofqaqnursingqdiagnosis?
A. AmericanqNursesqAssociationq(ANA)
B. NorthqAmericanqNursingqDiagnosisqAssociationq(NANDA)
C. NationalqLeagueqforqNursingq(NLN)
D. JointqCommissionq


ANS:qB


Rationale:qNANDAqInternationalqisqtheqofficialqorganizationqresponsibleqforqdevelopin
gqtheqtaxonomyqofqnursingqdiagnosesqandqformulatingqnursingqdiagnosesqacceptableqf
orqstudy.qTheqANA,qNLN,qandqJointqCommissionqareqnotqchargedqwithqtheqtaskqofqdevelo
pingqtheqtaxonomyqofqnursingqdiagnoses.


PTS:q1qREF:qp.q15
NAT:qClientqNeeds:qSafe,qEffectiveqCareqEnvironment:qManagementqofqCareqTOP:
Chapterq1:qProfessionalqNursingqPractice
q



KEY:qIntegratedqProcess:qNursingqProcess
BLM:qCognitiveqLevel:qUnderstandq
NOT:qMultipleqChoice


5. Aqmedicalqnurseqhasqobtainedqaqnewqclient'sqhealthqhistoryqandqhasqcompletedqtheqa
dmissionqassessment.qTheqnurseqfollowedqthisqbyqdocumentingqtheqresultsqandqcrea
tingqaqcareqplanqforqtheqclient.qWhichqofqtheqfollowingqisqtheqmostqimportantqrational
eqforqdocumentingqtheqclient'sqcare?
A. Itqprovidesqcontinuityqofqcare.
B. Itqcreatesqaqteachingqlogqforqtheqfamily.
C. Itqverifiesqappropriateqstaffingqlevels.

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