Test Bank For Brunner & Suddarth's Textbook of Medical-Surgical Nursing 15th Edition Author(s) Janice L Hinkle, Kerry H. Cheever

Test Bank For Brunner & Suddarth's Textbook of
Medical-Surgical Nursing 15th Edition Author(s) Janice L
Hinkle, Kerry H. Cheever

,Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition


Chapter1:ProfessionalNursingPractice

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.

,Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition




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.

, Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition



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
u




task of 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.