Test Bank for Brunner & Suddarth's Textbook of Medical-
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Surgical Nursing, 15th Edition
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Test Bank Brun nz nz
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Textbook of Medical- nz nz
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,Test Bank for Brunner & Suddarth's Textbook of Medical-
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tion
Surgical Nursing, 15th Edition
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,Test Bank for Brunner & Suddarth's Textbook of Medical-
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Surgical Nursing, 15th Edition
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Chapter 1: Professional Nursing Practice
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1. A nurse has been offered a position on an obstetric unit and has learned that th
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eunit offers therapeutic abortions, a procedure that contradicts the nurse's person
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albeliefs. What is the nurse's ethical obligation to these clients?
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A. The nurse should adhere to professional standards of practice and offer servic
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eto these clients.
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B. The nurse should make the choice to decline this position and pursue a differen
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tnursing role.
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C. The nurse should decline to care for the clients considering abortion.
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D. The nurse should express alternatives to women considering terminating the
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irpregnancy.
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ANS: B nz
Rationale: To avoid facing the ethical dilemma of providing care that contradicts the
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nurse’s personal beliefs, the nurse should consider working in an area of nursin
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g that would not pose this dilemma. The nurse should not provide care to the c
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lientbecause it is a conflict of personal values. The nurse should not deny care to t
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heseclients as this would be a breach in the Code of Ethics for nurses. If the client i
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s notrequesting information for alternatives to abortions, then the nurse should
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not beproviding this information.
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PTS: 1 REF: p. 27 nz nz nz nz
NAT: Client Needs: Safe, Effective Care Environment: Management of Care T
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OP: Chapter 1: Professional Nursing Practice
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KEY: Integrated Process: Caring
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n
BLM: Cognitive Level: Apply NOT: Multiple Choice
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2. An 80-year-old client is admitted with a diagnosis of community-
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acquiredpneumonia. During admission the client states, "I have a living wi
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ll." What implication of this should the nurse recognize?
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A. This document is always honored, regardless of circumstances.
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B. This document specifies the client's wishes before hospitalization.
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C. This document is binding for the duration of the client's life.
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, Test Bank for Brunner & Suddarth's Textbook of Medical-
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Surgical Nursing, 15th Edition
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D. This document has been drawn up by the client's family to determine DN
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Rstatus. z
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ANS: B nz
Rationale: A living will is one type of advance directive. In most situations, living
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wills are limited to situations in which the client's medical condition is deemed t
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erminal. The other answers are incorrect because living wills are not always hon
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ored in every circumstance, they are not binding for the duration of the client'slife,
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n nz
and they are not drawn up by the client's family.
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PTS: 1 REF: p. 29 nz nz nz nz
NAT: Client Needs: Safe, Effective Care Environment: Management of CareTO
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n
P: Chapter 1: Professional Nursing Practice
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KEY: Integrated Process: Communication and Documentation BLM: CognitiveLev
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el: Analyze nz
NOT: Multiple Choice nz nz
3. A nurse has been providing ethical care for many years and is aware of the nee
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dto maintain the ethical principle of nonmaleficence. Which of the following acti
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onswould be considered a violation of this principle?
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A. Discussing a DNR order with a terminally ill client nz nz nz nz nz nz nz nz
B. Assisting a semi-independent client with ADLs nz nz nz nz nz
C. Refusing to administer pain medication as prescribed nz nz nz nz nz nz
D. Providing more care for one client than for anothe nz nz nz nz nz nz nz nz
rANS: C
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Rationale: The duty not to inflict as well as prevent and remove harm is termed
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nonmaleficence. Discussing a DNR order with a terminally ill client and assisting a
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client with ADLs would not be considered contradictions to the nurse's duty of no
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nmaleficence. Some clients justifiably require more care than others. nz nz nz nz nz nz nz nz
PTS: 1 REF: p. 25 nz nz nz nz
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
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Surgical Nursing, 15th Edition
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Test Bank Brun nz nz
ner & Suddarth's nz nz
Textbook of Medical- nz nz
SurgicalNursing, 15th Edi n
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,Test Bank for Brunner & Suddarth's Textbook of Medical-
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tion
Surgical Nursing, 15th Edition
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,Test Bank for Brunner & Suddarth's Textbook of Medical-
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Surgical Nursing, 15th Edition
nz nz nz
Chapter 1: Professional Nursing Practice
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1. A nurse has been offered a position on an obstetric unit and has learned that th
nz nz nz nz nz nz nz nz nz nz nz nz nz nz nz
eunit offers therapeutic abortions, a procedure that contradicts the nurse's person
z
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albeliefs. What is the nurse's ethical obligation to these clients?
z
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A. The nurse should adhere to professional standards of practice and offer servic
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eto these clients.
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B. The nurse should make the choice to decline this position and pursue a differen
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tnursing role.
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C. The nurse should decline to care for the clients considering abortion.
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D. The nurse should express alternatives to women considering terminating the
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irpregnancy.
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ANS: B nz
Rationale: To avoid facing the ethical dilemma of providing care that contradicts the
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nurse’s personal beliefs, the nurse should consider working in an area of nursin
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g that would not pose this dilemma. The nurse should not provide care to the c
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lientbecause it is a conflict of personal values. The nurse should not deny care to t
z
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heseclients as this would be a breach in the Code of Ethics for nurses. If the client i
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s notrequesting information for alternatives to abortions, then the nurse should
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not beproviding this information.
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PTS: 1 REF: p. 27 nz nz nz nz
NAT: Client Needs: Safe, Effective Care Environment: Management of Care T
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OP: Chapter 1: Professional Nursing Practice
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KEY: Integrated Process: Caring
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n
BLM: Cognitive Level: Apply NOT: Multiple Choice
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2. An 80-year-old client is admitted with a diagnosis of community-
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acquiredpneumonia. During admission the client states, "I have a living wi
z
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ll." What implication of this should the nurse recognize?
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A. This document is always honored, regardless of circumstances.
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B. This document specifies the client's wishes before hospitalization.
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C. This document is binding for the duration of the client's life.
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, Test Bank for Brunner & Suddarth's Textbook of Medical-
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Surgical Nursing, 15th Edition
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D. This document has been drawn up by the client's family to determine DN
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Rstatus. z
n
ANS: B nz
Rationale: A living will is one type of advance directive. In most situations, living
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wills are limited to situations in which the client's medical condition is deemed t
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erminal. The other answers are incorrect because living wills are not always hon
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ored in every circumstance, they are not binding for the duration of the client'slife,
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n nz
and they are not drawn up by the client's family.
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PTS: 1 REF: p. 29 nz nz nz nz
NAT: Client Needs: Safe, Effective Care Environment: Management of CareTO
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n
P: Chapter 1: Professional Nursing Practice
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KEY: Integrated Process: Communication and Documentation BLM: CognitiveLev
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n
el: Analyze nz
NOT: Multiple Choice nz nz
3. A nurse has been providing ethical care for many years and is aware of the nee
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dto maintain the ethical principle of nonmaleficence. Which of the following acti
z
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onswould be considered a violation of this principle?
z
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A. Discussing a DNR order with a terminally ill client nz nz nz nz nz nz nz nz
B. Assisting a semi-independent client with ADLs nz nz nz nz nz
C. Refusing to administer pain medication as prescribed nz nz nz nz nz nz
D. Providing more care for one client than for anothe nz nz nz nz nz nz nz nz
rANS: C
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Rationale: The duty not to inflict as well as prevent and remove harm is termed
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nonmaleficence. Discussing a DNR order with a terminally ill client and assisting a
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n
client with ADLs would not be considered contradictions to the nurse's duty of no
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nmaleficence. Some clients justifiably require more care than others. nz nz nz nz nz nz nz nz
PTS: 1 REF: p. 25 nz nz nz nz
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
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