Test75Bank75for75Brunner75&75Suddarth's75Textbook75of75Medical-
Surgical75Nursing,7515th75Edition
TestBank u
Brunner&Suddarth's
Textbook ofMedical-Surgical u
Nursing,15thEdition
,Test75Bank75for75Brunner75&75Suddarth's75Textbook75of75Medical-
Surgical75Nursing,7515th75Edition
Chapter1:ProfessionalNursingPractice
1. A75nurse75has75been75offered75a75position75on75an75obstetric75unit75and75has75 le
arned75that75the75unit75offers75therapeutic75abortions,75a75procedure75that75contra
dicts75the75nurse's75personal75beliefs.75What75is75the75nurse's75ethical75obligatio
n75to75these75clients?
A. The75nurse75should75adhere75to75professional75standards75of75practice75and75off
er75service75to75these75clients.
B. The75nurse75should75make75the75choice75to75decline75this75position75and75pursu
e75a75different75nursing75role.
C. The75nurse75should75decline75to75care75for75the75clients75considering75abortion.
D. The75nurse75should75express75alternatives75to75women75considering75terminat
ing75their75pregnancy.
ANS:75B
Rationale:Toavoidfacingtheethicaldilemmaofprovidingcarethatcontradicts the u
nurse’s75personal75beliefs,75the75nurse75should75consider75working75in75an75area7
5of75nursing75that75would75not75pose75this75dilemma.75The75nurse75should75no
t75provide75care75to75the
client7 5 because75it75is75a75conflict75of75personal75values.75The75nurse75should75not
75deny75care75to75these
clients75as75this75would75be75a75breach75in75the75Code75of75Ethics75for75nurses.75If75t
he75client75is75not
requesting75information75for75alternatives75to75abortions,75then75the75nurs
e75should75not75be providing75this75information.
PTS:75175REF:75p.7527
NAT:75Client75Needs:75Safe,75Effective75Care75Environment:75Management75o
f75Care75TOP:75Chapter751:75Professional75Nursing75Practice
KEY:75Integrated75Process:75Cari
ng
BLM:75Cognitive75Level:75Apply75NOT:75Multiple75Choice
2. An7580-year-
old75client75is75admitted75with75a75diagnosis75of75community-
,Test75Bank75for75Brunner75&75Suddarth's75Textbook75of75Medical-
Surgicalacquired
75Nursing, pneumonia.
7575 75During75admission75the75client75states,75"I75have75
15th75Edition
a75living75will."75What75implication75of75this75should75the75nurse75recogni
ze?
A. This75document75is75always75honored,75regardless75of75circumstances.
B. This75document75specifies75the75client's75wishes75before75hospitalization.
C. This75document75is75binding75for75the75duration75of75the75client's75life.
, Test75Bank75for75Brunner75&75Suddarth's75Textbook75of75Medical-
Surgical75Nursing,7515th75Edition
D. This75document75has75been75drawn75up75by75the75client's75family75to75dete
rmine75DNR75status.
ANS:75B
Rationale:75A75living75will75is75one75type75of75advance75directive.75In75most75situ
ations,75living75wills75are75limited75to75situations75in75which75the75client's75medi
cal75condition75is75deemed75terminal.75The75other75answers75are75incorrect75be
cause75living75wills75are75not75always75honored75in75every75circumstance,75they75
are75not75binding75for75the75duration75of75the75client's75life,75and75they75are75not75
drawn75up75by75the75client's75family.
PTS:75175REF:75p.7529
NAT:75Client75Needs:75Safe,75Effective75Care75Environment:75Management7
5of75Care75TOP:75Chapter751:75Professional75Nursing75Practice
KEY:75Integrated75Process:75Communication75and75Documentation75BLM:75Cogniti
ve75Level:75Analyze
NOT:75Multiple75Choice
3. A75nurse75has75been75providing75ethical75care75for75many75years75and75is75aware
75of75the75need75to75maintain75the75ethical75principle75of75nonmaleficence.75Whic
h75of75the75following75actions7 5 would75be75considered75a75violation75of75this75
principle?
A. Discussing75a75DNR75order75with75a75terminally75ill75client
B. Assisting75a75semi-independent75client75with75ADLs
C. Refusing75to75administer75pain75medication75as75prescribed
D. Providing75more75care75for75one75client75than75for75another
ANS:75C
Rationale:75The75duty75not75to75inflict75as75well75as75prevent75and75remove75ha
rm75is75termed75nonmaleficence.75Discussing75a75DNR75order75with75a75terminally
75ill75client75and75assisting75a75client75with75ADLs75would75not75be75considered75c
ontradictions75to75the75nurse's75duty75of75nonmaleficence.75Some75clients75just
ifiably75require75more75care75than75others.
Surgical75Nursing,7515th75Edition
TestBank u
Brunner&Suddarth's
Textbook ofMedical-Surgical u
Nursing,15thEdition
,Test75Bank75for75Brunner75&75Suddarth's75Textbook75of75Medical-
Surgical75Nursing,7515th75Edition
Chapter1:ProfessionalNursingPractice
1. A75nurse75has75been75offered75a75position75on75an75obstetric75unit75and75has75 le
arned75that75the75unit75offers75therapeutic75abortions,75a75procedure75that75contra
dicts75the75nurse's75personal75beliefs.75What75is75the75nurse's75ethical75obligatio
n75to75these75clients?
A. The75nurse75should75adhere75to75professional75standards75of75practice75and75off
er75service75to75these75clients.
B. The75nurse75should75make75the75choice75to75decline75this75position75and75pursu
e75a75different75nursing75role.
C. The75nurse75should75decline75to75care75for75the75clients75considering75abortion.
D. The75nurse75should75express75alternatives75to75women75considering75terminat
ing75their75pregnancy.
ANS:75B
Rationale:Toavoidfacingtheethicaldilemmaofprovidingcarethatcontradicts the u
nurse’s75personal75beliefs,75the75nurse75should75consider75working75in75an75area7
5of75nursing75that75would75not75pose75this75dilemma.75The75nurse75should75no
t75provide75care75to75the
client7 5 because75it75is75a75conflict75of75personal75values.75The75nurse75should75not
75deny75care75to75these
clients75as75this75would75be75a75breach75in75the75Code75of75Ethics75for75nurses.75If75t
he75client75is75not
requesting75information75for75alternatives75to75abortions,75then75the75nurs
e75should75not75be providing75this75information.
PTS:75175REF:75p.7527
NAT:75Client75Needs:75Safe,75Effective75Care75Environment:75Management75o
f75Care75TOP:75Chapter751:75Professional75Nursing75Practice
KEY:75Integrated75Process:75Cari
ng
BLM:75Cognitive75Level:75Apply75NOT:75Multiple75Choice
2. An7580-year-
old75client75is75admitted75with75a75diagnosis75of75community-
,Test75Bank75for75Brunner75&75Suddarth's75Textbook75of75Medical-
Surgicalacquired
75Nursing, pneumonia.
7575 75During75admission75the75client75states,75"I75have75
15th75Edition
a75living75will."75What75implication75of75this75should75the75nurse75recogni
ze?
A. This75document75is75always75honored,75regardless75of75circumstances.
B. This75document75specifies75the75client's75wishes75before75hospitalization.
C. This75document75is75binding75for75the75duration75of75the75client's75life.
, Test75Bank75for75Brunner75&75Suddarth's75Textbook75of75Medical-
Surgical75Nursing,7515th75Edition
D. This75document75has75been75drawn75up75by75the75client's75family75to75dete
rmine75DNR75status.
ANS:75B
Rationale:75A75living75will75is75one75type75of75advance75directive.75In75most75situ
ations,75living75wills75are75limited75to75situations75in75which75the75client's75medi
cal75condition75is75deemed75terminal.75The75other75answers75are75incorrect75be
cause75living75wills75are75not75always75honored75in75every75circumstance,75they75
are75not75binding75for75the75duration75of75the75client's75life,75and75they75are75not75
drawn75up75by75the75client's75family.
PTS:75175REF:75p.7529
NAT:75Client75Needs:75Safe,75Effective75Care75Environment:75Management7
5of75Care75TOP:75Chapter751:75Professional75Nursing75Practice
KEY:75Integrated75Process:75Communication75and75Documentation75BLM:75Cogniti
ve75Level:75Analyze
NOT:75Multiple75Choice
3. A75nurse75has75been75providing75ethical75care75for75many75years75and75is75aware
75of75the75need75to75maintain75the75ethical75principle75of75nonmaleficence.75Whic
h75of75the75following75actions7 5 would75be75considered75a75violation75of75this75
principle?
A. Discussing75a75DNR75order75with75a75terminally75ill75client
B. Assisting75a75semi-independent75client75with75ADLs
C. Refusing75to75administer75pain75medication75as75prescribed
D. Providing75more75care75for75one75client75than75for75another
ANS:75C
Rationale:75The75duty75not75to75inflict75as75well75as75prevent75and75remove75ha
rm75is75termed75nonmaleficence.75Discussing75a75DNR75order75with75a75terminally
75ill75client75and75assisting75a75client75with75ADLs75would75not75be75considered75c
ontradictions75to75the75nurse's75duty75of75nonmaleficence.75Some75clients75just
ifiably75require75more75care75than75others.