Medical-Surgical Nursing 15th Edition.
ISBN-13 978-1975161033
2025|2026 | Ultimate Guide Graded A+
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,Chapter1: 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:Toavoidfacingtheethicaldilemmaofprovidingcarethatcontradicts the u
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
, TOP: Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Analyze
NOT: Multiple Choice
4. A nurse has begun creating a client's plan of care shortly after the client's admission.
The nurse knows that it is important that the wording of the chosen nursing diagnoses falls
within the taxonomy of nursing. Which organization is responsible for developing the
taxonomy of a nursing diagnosis?
A. American Nurses Association (ANA)
B. North American Nursing Diagnosis Association (NANDA)
C. National League for Nursing (NLN)
D. JointCommission
ANS: B
Rationale: NANDA International is the official organization responsible for developing the
taxonomy of nursing diagnoses and formulating nursing diagnoses
acceptableforstudy. The ANA,NLN,andJointCommissionare not chargedwiththe task of
u
developing the taxonomy of nursing diagnoses.
PTS: 1 REF: p. 15
NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP:
Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Understand
NOT: Multiple Choice
5. Amedicalnurse hasobtainedanewclient's healthhistoryandhas completedthe admission
assessment. The nurse followed this by documenting the results and creating a care plan for
the client. Which of the following is the most important rationale for documenting the
client's care?
A. It provides continuity of care.
B. It creates a teaching log for the family.
C. It verifies appropriate staffing levels.
D. It keeps the client fully informed.