Test76Bank76for76Brunner76&76Suddarth's76Textbook76of76Medical-
Surgical76Nursing,7615th76Edition
TestBank u
Brunner&Suddarth's
Textbook ofMedical-Surgical u
Nursing,15thEdition
,Test76Bank76for76Brunner76&76Suddarth's76Textbook76of76Medical-
Surgical76Nursing,7615th76Edition
Chapter1:ProfessionalNursingPractice
1. A76nurse76has76been76offered76a76position76on76an76obstetric76unit76and76has76 le
arned76that76the76unit76offers76therapeutic76abortions,76a76procedure76that76contra
dicts76the76nurse's76personal76beliefs.76What76is76the76nurse's76ethical76obligatio
n76to76these76clients?
A. The76nurse76should76adhere76to76professional76standards76of76practice76and76off
er76service76to76these76clients.
B. The76nurse76should76make76the76choice76to76decline76this76position76and76pursu
e76a76different76nursing76role.
C. The76nurse76should76decline76to76care76for76the76clients76considering76abortion.
D. The76nurse76should76express76alternatives76to76women76considering76terminat
ing76their76pregnancy.
ANS:76B
Rationale:Toavoidfacingtheethicaldilemmaofprovidingcarethatcontradicts the u
nurse’s76personal76beliefs,76the76nurse76should76consider76working76in76an76area7
6of76nursing76that76would76not76pose76this76dilemma.76The76nurse76should76no
t76provide76care76to76the
client7 6 because76it76is76a76conflict76of76personal76values.76The76nurse76should76not
76deny76care76to76these
clients76as76this76would76be76a76breach76in76the76Code76of76Ethics76for76nurses.76If76t
he76client76is76not
requesting76information76for76alternatives76to76abortions,76then76the76nurs
e76should76not76be providing76this76information.
PTS:76176REF:76p.7627
NAT:76Client76Needs:76Safe,76Effective76Care76Environment:76Management76o
f76Care76TOP:76Chapter761:76Professional76Nursing76Practice
KEY:76Integrated76Process:76Cari
ng
BLM:76Cognitive76Level:76Apply76NOT:76Multiple76Choice
2. An7680-year-
old76client76is76admitted76with76a76diagnosis76of76community-
,Test76Bank76for76Brunner76&76Suddarth's76Textbook76of76Medical-
Surgicalacquired
76Nursing, pneumonia.
7676 76During76admission76the76client76states,76"I76have76
15th76Edition
a76living76will."76What76implication76of76this76should76the76nurse76recogni
ze?
A. This76document76is76always76honored,76regardless76of76circumstances.
B. This76document76specifies76the76client's76wishes76before76hospitalization.
C. This76document76is76binding76for76the76duration76of76the76client's76life.
, Test76Bank76for76Brunner76&76Suddarth's76Textbook76of76Medical-
Surgical76Nursing,7615th76Edition
D. This76document76has76been76drawn76up76by76the76client's76family76to76dete
rmine76DNR76status.
ANS:76B
Rationale:76A76living76will76is76one76type76of76advance76directive.76In76most76situ
ations,76living76wills76are76limited76to76situations76in76which76the76client's76medi
cal76condition76is76deemed76terminal.76The76other76answers76are76incorrect76be
cause76living76wills76are76not76always76honored76in76every76circumstance,76they76
are76not76binding76for76the76duration76of76the76client's76life,76and76they76are76not76
drawn76up76by76the76client's76family.
PTS:76176REF:76p.7629
NAT:76Client76Needs:76Safe,76Effective76Care76Environment:76Management7
6of76Care76TOP:76Chapter761:76Professional76Nursing76Practice
KEY:76Integrated76Process:76Communication76and76Documentation76BLM:76Cogniti
ve76Level:76Analyze
NOT:76Multiple76Choice
3. A76nurse76has76been76providing76ethical76care76for76many76years76and76is76aware
76of76the76need76to76maintain76the76ethical76principle76of76nonmaleficence.76Whic
h76of76the76following76actions7 6 would76be76considered76a76violation76of76this76
principle?
A. Discussing76a76DNR76order76with76a76terminally76ill76client
B. Assisting76a76semi-independent76client76with76ADLs
C. Refusing76to76administer76pain76medication76as76prescribed
D. Providing76more76care76for76one76client76than76for76another
ANS:76C
Rationale:76The76duty76not76to76inflict76as76well76as76prevent76and76remove76ha
rm76is76termed76nonmaleficence.76Discussing76a76DNR76order76with76a76terminally
76ill76client76and76assisting76a76client76with76ADLs76would76not76be76considered76c
ontradictions76to76the76nurse's76duty76of76nonmaleficence.76Some76clients76just
ifiably76require76more76care76than76others.
Surgical76Nursing,7615th76Edition
TestBank u
Brunner&Suddarth's
Textbook ofMedical-Surgical u
Nursing,15thEdition
,Test76Bank76for76Brunner76&76Suddarth's76Textbook76of76Medical-
Surgical76Nursing,7615th76Edition
Chapter1:ProfessionalNursingPractice
1. A76nurse76has76been76offered76a76position76on76an76obstetric76unit76and76has76 le
arned76that76the76unit76offers76therapeutic76abortions,76a76procedure76that76contra
dicts76the76nurse's76personal76beliefs.76What76is76the76nurse's76ethical76obligatio
n76to76these76clients?
A. The76nurse76should76adhere76to76professional76standards76of76practice76and76off
er76service76to76these76clients.
B. The76nurse76should76make76the76choice76to76decline76this76position76and76pursu
e76a76different76nursing76role.
C. The76nurse76should76decline76to76care76for76the76clients76considering76abortion.
D. The76nurse76should76express76alternatives76to76women76considering76terminat
ing76their76pregnancy.
ANS:76B
Rationale:Toavoidfacingtheethicaldilemmaofprovidingcarethatcontradicts the u
nurse’s76personal76beliefs,76the76nurse76should76consider76working76in76an76area7
6of76nursing76that76would76not76pose76this76dilemma.76The76nurse76should76no
t76provide76care76to76the
client7 6 because76it76is76a76conflict76of76personal76values.76The76nurse76should76not
76deny76care76to76these
clients76as76this76would76be76a76breach76in76the76Code76of76Ethics76for76nurses.76If76t
he76client76is76not
requesting76information76for76alternatives76to76abortions,76then76the76nurs
e76should76not76be providing76this76information.
PTS:76176REF:76p.7627
NAT:76Client76Needs:76Safe,76Effective76Care76Environment:76Management76o
f76Care76TOP:76Chapter761:76Professional76Nursing76Practice
KEY:76Integrated76Process:76Cari
ng
BLM:76Cognitive76Level:76Apply76NOT:76Multiple76Choice
2. An7680-year-
old76client76is76admitted76with76a76diagnosis76of76community-
,Test76Bank76for76Brunner76&76Suddarth's76Textbook76of76Medical-
Surgicalacquired
76Nursing, pneumonia.
7676 76During76admission76the76client76states,76"I76have76
15th76Edition
a76living76will."76What76implication76of76this76should76the76nurse76recogni
ze?
A. This76document76is76always76honored,76regardless76of76circumstances.
B. This76document76specifies76the76client's76wishes76before76hospitalization.
C. This76document76is76binding76for76the76duration76of76the76client's76life.
, Test76Bank76for76Brunner76&76Suddarth's76Textbook76of76Medical-
Surgical76Nursing,7615th76Edition
D. This76document76has76been76drawn76up76by76the76client's76family76to76dete
rmine76DNR76status.
ANS:76B
Rationale:76A76living76will76is76one76type76of76advance76directive.76In76most76situ
ations,76living76wills76are76limited76to76situations76in76which76the76client's76medi
cal76condition76is76deemed76terminal.76The76other76answers76are76incorrect76be
cause76living76wills76are76not76always76honored76in76every76circumstance,76they76
are76not76binding76for76the76duration76of76the76client's76life,76and76they76are76not76
drawn76up76by76the76client's76family.
PTS:76176REF:76p.7629
NAT:76Client76Needs:76Safe,76Effective76Care76Environment:76Management7
6of76Care76TOP:76Chapter761:76Professional76Nursing76Practice
KEY:76Integrated76Process:76Communication76and76Documentation76BLM:76Cogniti
ve76Level:76Analyze
NOT:76Multiple76Choice
3. A76nurse76has76been76providing76ethical76care76for76many76years76and76is76aware
76of76the76need76to76maintain76the76ethical76principle76of76nonmaleficence.76Whic
h76of76the76following76actions7 6 would76be76considered76a76violation76of76this76
principle?
A. Discussing76a76DNR76order76with76a76terminally76ill76client
B. Assisting76a76semi-independent76client76with76ADLs
C. Refusing76to76administer76pain76medication76as76prescribed
D. Providing76more76care76for76one76client76than76for76another
ANS:76C
Rationale:76The76duty76not76to76inflict76as76well76as76prevent76and76remove76ha
rm76is76termed76nonmaleficence.76Discussing76a76DNR76order76with76a76terminally
76ill76client76and76assisting76a76client76with76ADLs76would76not76be76considered76c
ontradictions76to76the76nurse's76duty76of76nonmaleficence.76Some76clients76just
ifiably76require76more76care76than76others.