Brunner & Suddarth’s Textbook Of Medical
Surgical Nursing 13th Edition – Test Bank
Brunner & Suddarth’s Textbook of Medical-Surgical
Nursing 13th Edition – Test Bank
Sample Test
CHAPTER49 3
1. A49nurse49has49been49offered49a49position49on49an49obstetric49unit49and49has49learned49that49the
nit49offers49therapeut49procedure49which49contradicts49the49nurse’s49personal49beliefs.49What49is
he49nurse’s49ethical49obligation49to49th
A) The49nurse49 should49 adhere49 to49 professional49 standards49 of49 practice49 and49 offer49 serv
9 to49 th
B) The49 nurse49 should49 make49 the49choice49 to49 decline49 this49 position49 and49 pursue49 a49 di
ent49 n
C) The49nurse49 should49 decline49 to49 care49 for49 the49 patients49 considerin
9 abortion.
D) The49 nurse49 should49 express49 alternatives49 to49 women49 considering49 terminating49 their49
Ans: B
Feedback:
To49avoid49facing49ethical49dilemmas,49nurses49can49follow49certain49strategies.49For49example,49
en49applying49fo49should49ask49questions49regarding49the49patient49population.49If49a49nurse49is49u
omfortable49with49a49particular49situ49accepting49the49position49would49be49the49best49option.49The
urse49is49only49required49by49law49(and49practice49stand
, care49to49the49patients49the49clinic49accepts;49the49nurse49may49not49discriminate49between49patie
s49and49the49nurse49or49her49own49opinion49and49providing49another49op
on49is49inappropriate.
2. A49terminally49ill49patient49you49are49caring49for49is49complaining49of49pain.49The49physician49has49
ered49a49large49dos49opioids49 by49 continuous49 infusion.49You49know49 that49one49 of49 the49adver
9 effects49 of49 this49 medicine49 is49 respirato
When49 you49 assess49 your49 patient’s49 respiratory49 status,49 you49 find49 that49 the49 rate49 has49 decre
ed49 from49 1649 breath
1049 breaths49 per49 minute.49What49 action49 should49 you49 take?
A) Decrease49the49 rate49 of49 IV49 infusion.
B) Stimulate49 the49 patient49 in49 order49 to49 increase49 respiratory49 rate.
C) Report49 the49 decreased49 respiratory49 rate49 to49 the49 physician.
D) Allow49 the49 patient49 to49 rest49 comfortably.
Ans: C
Feedback:
E
of49life49issues49that49often49involve49ethical49dilemmas49include49pain49control,49“do49not49resus
e”49orders49measures,49and49administration49of49food49and49fluids.49The49risk49of49respiratory49de
ssion49is49not49the49intent49o49pain49control.49Respiratory49depression49should49not49be49used49
an49excuse49to49withhold49pain49medication49for49patient.49The49patient’s49respiratory49status49s
d49be49carefully49monitored49and49any49changes49should49be
physician.
3. An49adult49patient49has49requested49a49“do49not49resuscitate”49(DNR)49order49in49light49of49his4
cent49diagnosis49wi49pancreatic49 cancer.49The49 patient’s49 son49 and49 daughter-in-
law49 are49 strongly49 opposed49 to49 the49 patient’s49 reque
primary49 responsibility49 of49 the49 nurse49 in49 this49 situation?
A) Perform49 a49 “slow49 code”49 until49 a49 decision49 is49 made.
B) Honor49 the49 request49 of49 the49 patient.
C) Contact49 a49 social49 worker49 or49 mediator49 to49 intervene.
D) Temporarily49 withhold49 nursing49 care49 until49 the49 physician49 talks49 to49 th
family.
Ans: B
Feedback:
The49nurse49must49honor49the49patient’s49wishes49and49continue49to49provide49required49nursing
are.49Discussing49the49 physician49may49 lead49 to49 further49 communication49 with49 the49 family,
uring49 which49 the49 family49 may49 r
decision.49 It49 is49 not49 normally49 appropriate49for49 the49 nurse49 to49 seek49 the49 assistance49 of49 a49
al49 worker49 or49
code”49 is49 considered49 unethical.
,4. An49elderly49patient49is49admitted49to49your49unit49with49a49diagnosis49of49community-
acquired49pneumonia.49During49patient49states,49“I49have49a49living49will.”49What49im
cation49of49this49should49the49nurse49recognize?
A) This49 document49 is49 always49 honored,49 regardless49 of49 circumstan
s.
B) This49 document49 specifies49 the49 patient’s49 wishes49 before49 hospitali
ion.
C) This49 document49 that49 is49 binding49 for49 the49 duration49 of49 the49 pa
nt’s49 life.
D) This49 document49 has49 been49 drawn49 up49 by49 the49 patient’s49 family49 to49 de
mine49 DNR49 statu
Ans: B
Feedback:
A49living49will49is49one49type49of49advance49directive.49In49most49situations,49living49wills49are49
ted49to49situations49i49patient’s49medical49condition49is49deemed49terminal.49The49other49answers
e49incorrect49because49living49wills49a49honored,49they49are49not49binding49for49the49duration49of4
e49patient’s49life,49and49they49are49not49drawn49up49by49the49p
5. A49nurse49has49been49providing49ethical49care49for49many49years49and49is49aware49of49the49need
o49maintain49the49ethi49nonmaleficence.49Which49 of49 the49 following49 actions49 would49 be4
onsidered49 a49 contradiction49 of49 this49 pri
A) Discussing49 a49DNR49 order49 with49 a49 terminally49 ill49 patient
B) Assisting49 a49 semi-independent49 patient49 with49ADLs
C) Refusing49 to49 administer49 pain49 medication49 as49 ordered
D) Providing49 more49 care49 for49 one49 patient49 than49 for49 another
Ans: C
Feedback:
The49duty49not49to49inflict49as49well49as49prevent49and49remove49harm49is49termed49nonmaleficen
9Discussing49a49DN49terminally49 ill49 patient49 and49 assisting49 a49 patient49 with49ADLs49 would49 no
be49 considered49 contradictions49 to49 the49 n
nonmaleficence.49 Some49 patients49 justifiably49 require49 more49 care49 than49
ers.
6. You49have49just49taken49report49for49your49shift49and49you49are49doing49your49initial49assessme
9of49your49patients.49patients49asks49you49if4 9 an49error49has49been49made49in49her49medication.49
u49know49that49an49incident49report49was49after49a49nurse49inadvertently49missed49a49scheduled49
e49of49the49patient’s49antibiotic.49Which49of49the49following49p
apply49 if49 you49 give49 an49 accurate49 response?
A) Veracity
, B) Confidentiality
C) Respect
D) Justice
Ans: A
Feedback:
The49obligation49 to49 tell49 the49 truth49 and49 not49 deceive49 others49 is49 termed49 veracity.49The49o
49 answers49 are49 incor
they49 are49 not49 obligations49 to49 tell49 the49 truth.
Surgical Nursing 13th Edition – Test Bank
Brunner & Suddarth’s Textbook of Medical-Surgical
Nursing 13th Edition – Test Bank
Sample Test
CHAPTER49 3
1. A49nurse49has49been49offered49a49position49on49an49obstetric49unit49and49has49learned49that49the
nit49offers49therapeut49procedure49which49contradicts49the49nurse’s49personal49beliefs.49What49is
he49nurse’s49ethical49obligation49to49th
A) The49nurse49 should49 adhere49 to49 professional49 standards49 of49 practice49 and49 offer49 serv
9 to49 th
B) The49 nurse49 should49 make49 the49choice49 to49 decline49 this49 position49 and49 pursue49 a49 di
ent49 n
C) The49nurse49 should49 decline49 to49 care49 for49 the49 patients49 considerin
9 abortion.
D) The49 nurse49 should49 express49 alternatives49 to49 women49 considering49 terminating49 their49
Ans: B
Feedback:
To49avoid49facing49ethical49dilemmas,49nurses49can49follow49certain49strategies.49For49example,49
en49applying49fo49should49ask49questions49regarding49the49patient49population.49If49a49nurse49is49u
omfortable49with49a49particular49situ49accepting49the49position49would49be49the49best49option.49The
urse49is49only49required49by49law49(and49practice49stand
, care49to49the49patients49the49clinic49accepts;49the49nurse49may49not49discriminate49between49patie
s49and49the49nurse49or49her49own49opinion49and49providing49another49op
on49is49inappropriate.
2. A49terminally49ill49patient49you49are49caring49for49is49complaining49of49pain.49The49physician49has49
ered49a49large49dos49opioids49 by49 continuous49 infusion.49You49know49 that49one49 of49 the49adver
9 effects49 of49 this49 medicine49 is49 respirato
When49 you49 assess49 your49 patient’s49 respiratory49 status,49 you49 find49 that49 the49 rate49 has49 decre
ed49 from49 1649 breath
1049 breaths49 per49 minute.49What49 action49 should49 you49 take?
A) Decrease49the49 rate49 of49 IV49 infusion.
B) Stimulate49 the49 patient49 in49 order49 to49 increase49 respiratory49 rate.
C) Report49 the49 decreased49 respiratory49 rate49 to49 the49 physician.
D) Allow49 the49 patient49 to49 rest49 comfortably.
Ans: C
Feedback:
E
of49life49issues49that49often49involve49ethical49dilemmas49include49pain49control,49“do49not49resus
e”49orders49measures,49and49administration49of49food49and49fluids.49The49risk49of49respiratory49de
ssion49is49not49the49intent49o49pain49control.49Respiratory49depression49should49not49be49used49
an49excuse49to49withhold49pain49medication49for49patient.49The49patient’s49respiratory49status49s
d49be49carefully49monitored49and49any49changes49should49be
physician.
3. An49adult49patient49has49requested49a49“do49not49resuscitate”49(DNR)49order49in49light49of49his4
cent49diagnosis49wi49pancreatic49 cancer.49The49 patient’s49 son49 and49 daughter-in-
law49 are49 strongly49 opposed49 to49 the49 patient’s49 reque
primary49 responsibility49 of49 the49 nurse49 in49 this49 situation?
A) Perform49 a49 “slow49 code”49 until49 a49 decision49 is49 made.
B) Honor49 the49 request49 of49 the49 patient.
C) Contact49 a49 social49 worker49 or49 mediator49 to49 intervene.
D) Temporarily49 withhold49 nursing49 care49 until49 the49 physician49 talks49 to49 th
family.
Ans: B
Feedback:
The49nurse49must49honor49the49patient’s49wishes49and49continue49to49provide49required49nursing
are.49Discussing49the49 physician49may49 lead49 to49 further49 communication49 with49 the49 family,
uring49 which49 the49 family49 may49 r
decision.49 It49 is49 not49 normally49 appropriate49for49 the49 nurse49 to49 seek49 the49 assistance49 of49 a49
al49 worker49 or49
code”49 is49 considered49 unethical.
,4. An49elderly49patient49is49admitted49to49your49unit49with49a49diagnosis49of49community-
acquired49pneumonia.49During49patient49states,49“I49have49a49living49will.”49What49im
cation49of49this49should49the49nurse49recognize?
A) This49 document49 is49 always49 honored,49 regardless49 of49 circumstan
s.
B) This49 document49 specifies49 the49 patient’s49 wishes49 before49 hospitali
ion.
C) This49 document49 that49 is49 binding49 for49 the49 duration49 of49 the49 pa
nt’s49 life.
D) This49 document49 has49 been49 drawn49 up49 by49 the49 patient’s49 family49 to49 de
mine49 DNR49 statu
Ans: B
Feedback:
A49living49will49is49one49type49of49advance49directive.49In49most49situations,49living49wills49are49
ted49to49situations49i49patient’s49medical49condition49is49deemed49terminal.49The49other49answers
e49incorrect49because49living49wills49a49honored,49they49are49not49binding49for49the49duration49of4
e49patient’s49life,49and49they49are49not49drawn49up49by49the49p
5. A49nurse49has49been49providing49ethical49care49for49many49years49and49is49aware49of49the49need
o49maintain49the49ethi49nonmaleficence.49Which49 of49 the49 following49 actions49 would49 be4
onsidered49 a49 contradiction49 of49 this49 pri
A) Discussing49 a49DNR49 order49 with49 a49 terminally49 ill49 patient
B) Assisting49 a49 semi-independent49 patient49 with49ADLs
C) Refusing49 to49 administer49 pain49 medication49 as49 ordered
D) Providing49 more49 care49 for49 one49 patient49 than49 for49 another
Ans: C
Feedback:
The49duty49not49to49inflict49as49well49as49prevent49and49remove49harm49is49termed49nonmaleficen
9Discussing49a49DN49terminally49 ill49 patient49 and49 assisting49 a49 patient49 with49ADLs49 would49 no
be49 considered49 contradictions49 to49 the49 n
nonmaleficence.49 Some49 patients49 justifiably49 require49 more49 care49 than49
ers.
6. You49have49just49taken49report49for49your49shift49and49you49are49doing49your49initial49assessme
9of49your49patients.49patients49asks49you49if4 9 an49error49has49been49made49in49her49medication.49
u49know49that49an49incident49report49was49after49a49nurse49inadvertently49missed49a49scheduled49
e49of49the49patient’s49antibiotic.49Which49of49the49following49p
apply49 if49 you49 give49 an49 accurate49 response?
A) Veracity
, B) Confidentiality
C) Respect
D) Justice
Ans: A
Feedback:
The49obligation49 to49 tell49 the49 truth49 and49 not49 deceive49 others49 is49 termed49 veracity.49The49o
49 answers49 are49 incor
they49 are49 not49 obligations49 to49 tell49 the49 truth.
