1p|pPpapgpe
,2p|pPpapgpe
,3p|pPpapgpe
, Chapter 1: Professional Nursing Practice
p p p p
Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
p p p p p p p p p
MULTIPLEpCHOICE
1. Apnursephaspbeenpofferedpappositionponpanpobstetricpunitpandphasplearnedpthatpthepunitpoffersptherapeuticpa
bortions,papprocedurepthatpcontradictspthepnurse'sppersonalpbeliefs.pWhatpispthepnurse'spethicalpobligation
ptopthesepclients?
A. Thepnursepshouldpadhereptopprofessionalpstandardspofppracticepandpofferpserviceptopthesep
clients.
B. Thepnursepshouldpmakepthepchoiceptopdeclinepthisppositionpandppursuepapdifferentpnursingp
role.
C. Thepnursepshouldpdeclineptopcarepforpthepclient’spconsideringpabortion.
D. Thepnursepshouldpexpresspalternativesptopwomenpconsideringpterminatingptheirppregnancy.
ANS:p B
Rationale:pTopavoidpfacingpthepethicalpdilemmapofpprovidingpcarepthatpcontradictspthepnurse’sppersonalpb
eliefs,pthepnursepshouldpconsiderpworkingpinpanpareapofpnursingpthatpwouldpnotpposepthispdilemma.pThepn
ursepshouldpnotpprovidepcareptopthepclientpbecausepitpispapconflictpofppersonalpvalues.pThepnursepshouldpn
otpdenypcareptopthesepclientspaspthispwouldpbepapbreachpinpthepCodepofpEthicspforpnurses.pIfpthepclientpispno
tprequestingpinformationpforpalternativesptopabortions,pthenpthepnursepshouldpnotpbepprovidingpthispinfor
mation.
PTS:p p 1 REF:p p.p27
NAT:pClientpNeeds:pSafe,pEffectivepCarepEnvironment:pManagementpofpCare
TOP:p Chapterp1:pProfessionalpNursingpPractice
KEY:pIntegratedpProcess:pCaringp
BLM:pCognitivepLevel:pApply
2. Anp80-year-oldpclientpispadmittedpwithpapdiagnosispofpcommunity-
acquiredppneumonia.pDuringpadmissionpthepclientpstates,p"Iphavepaplivingpwill."pWhatpimplicationpofpthisp
shouldpthepnurseprecognize?
A. Thispdocumentpispalwaysphonored,pregardlesspofpcircumstances.
B. Thispdocumentpspecifiespthepclient'spwishespbeforephospitalization.
C. Thispdocumentpispbindingpforpthepdurationpofpthepclient'splife.
D. Thispdocumentphaspbeenpdrawnpuppbypthepclient'spfamilyptopdeterminepDNRpstatus.
ANS:p B
Rationale:pAplivingpwillpisponeptypepofpadvancepdirective.pInpmostpsituations,plivingpwillspareplimitedptopsi
tuationspinpwhichpthepclient'spmedicalpconditionpispdeemedpterminal.pThepotherpanswersparepincorrectpbe
causeplivingpwillsparepnotpalwaysphonoredpinpeverypcircumstance,ptheyparepnotpbindingpforpthepdurationpo
fpthepclient'splife,pandptheyparepnotpdrawnpuppbypthepclient'spfamily.
PTS:p p 1 REF:p p.p29
NAT:pClientpNeeds:pSafe,pEffectivepCarepEnvironment:pManagementpofpCarepT
OP:p Chapterp1:pProfessionalpNursingpPractice
KEY:p IntegratedpProcess:pCommunicationpandpDocumentation
BLM:pCognitivepLevel:pAnalyzep
NOT:pMultiplepChoice
3. Apnursephaspbeenpprovidingpethicalpcarepforpmanypyearspandpispawarepofpthepneedptopmaintainpthepethicalp
principlepofpnonmaleficence.pWhichpofpthepfollowingpactionspwouldpbepconsideredpapviolationpofpthisppri
nciple?
A. DiscussingpapDNRporderpwithpapterminallypillpclient
B. Assistingpapsemi-independentpclientpwithpADLs
C. Refusingptopadministerppainpmedicationpaspprescribed
4p|pPpapgpe
,2p|pPpapgpe
,3p|pPpapgpe
, Chapter 1: Professional Nursing Practice
p p p p
Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
p p p p p p p p p
MULTIPLEpCHOICE
1. Apnursephaspbeenpofferedpappositionponpanpobstetricpunitpandphasplearnedpthatpthepunitpoffersptherapeuticpa
bortions,papprocedurepthatpcontradictspthepnurse'sppersonalpbeliefs.pWhatpispthepnurse'spethicalpobligation
ptopthesepclients?
A. Thepnursepshouldpadhereptopprofessionalpstandardspofppracticepandpofferpserviceptopthesep
clients.
B. Thepnursepshouldpmakepthepchoiceptopdeclinepthisppositionpandppursuepapdifferentpnursingp
role.
C. Thepnursepshouldpdeclineptopcarepforpthepclient’spconsideringpabortion.
D. Thepnursepshouldpexpresspalternativesptopwomenpconsideringpterminatingptheirppregnancy.
ANS:p B
Rationale:pTopavoidpfacingpthepethicalpdilemmapofpprovidingpcarepthatpcontradictspthepnurse’sppersonalpb
eliefs,pthepnursepshouldpconsiderpworkingpinpanpareapofpnursingpthatpwouldpnotpposepthispdilemma.pThepn
ursepshouldpnotpprovidepcareptopthepclientpbecausepitpispapconflictpofppersonalpvalues.pThepnursepshouldpn
otpdenypcareptopthesepclientspaspthispwouldpbepapbreachpinpthepCodepofpEthicspforpnurses.pIfpthepclientpispno
tprequestingpinformationpforpalternativesptopabortions,pthenpthepnursepshouldpnotpbepprovidingpthispinfor
mation.
PTS:p p 1 REF:p p.p27
NAT:pClientpNeeds:pSafe,pEffectivepCarepEnvironment:pManagementpofpCare
TOP:p Chapterp1:pProfessionalpNursingpPractice
KEY:pIntegratedpProcess:pCaringp
BLM:pCognitivepLevel:pApply
2. Anp80-year-oldpclientpispadmittedpwithpapdiagnosispofpcommunity-
acquiredppneumonia.pDuringpadmissionpthepclientpstates,p"Iphavepaplivingpwill."pWhatpimplicationpofpthisp
shouldpthepnurseprecognize?
A. Thispdocumentpispalwaysphonored,pregardlesspofpcircumstances.
B. Thispdocumentpspecifiespthepclient'spwishespbeforephospitalization.
C. Thispdocumentpispbindingpforpthepdurationpofpthepclient'splife.
D. Thispdocumentphaspbeenpdrawnpuppbypthepclient'spfamilyptopdeterminepDNRpstatus.
ANS:p B
Rationale:pAplivingpwillpisponeptypepofpadvancepdirective.pInpmostpsituations,plivingpwillspareplimitedptopsi
tuationspinpwhichpthepclient'spmedicalpconditionpispdeemedpterminal.pThepotherpanswersparepincorrectpbe
causeplivingpwillsparepnotpalwaysphonoredpinpeverypcircumstance,ptheyparepnotpbindingpforpthepdurationpo
fpthepclient'splife,pandptheyparepnotpdrawnpuppbypthepclient'spfamily.
PTS:p p 1 REF:p p.p29
NAT:pClientpNeeds:pSafe,pEffectivepCarepEnvironment:pManagementpofpCarepT
OP:p Chapterp1:pProfessionalpNursingpPractice
KEY:p IntegratedpProcess:pCommunicationpandpDocumentation
BLM:pCognitivepLevel:pAnalyzep
NOT:pMultiplepChoice
3. Apnursephaspbeenpprovidingpethicalpcarepforpmanypyearspandpispawarepofpthepneedptopmaintainpthepethicalp
principlepofpnonmaleficence.pWhichpofpthepfollowingpactionspwouldpbepconsideredpapviolationpofpthisppri
nciple?
A. DiscussingpapDNRporderpwithpapterminallypillpclient
B. Assistingpapsemi-independentpclientpwithpADLs
C. Refusingptopadministerppainpmedicationpaspprescribed
4p|pPpapgpe
