TEST BANK
x@
Brunner & Suddarth's Textbook of Medical-Surgical Nursing
x@ x@ x@ x@ x@ x@
Janice L Hinkle, Kerry H. Cheever, Kristen Overbaugh
x@ x@ x@ x@ x@ x@ x@
15th Edition
x@
,Table of Contents
x@ x@
Chapterx@ 01 Professional Nursing Practice
x@ x@ x@ 2
Chapter 02
x@ x@Medical-Surgical Nursing x@ 17
Chapterx@ 03 Health Education and Health Promotion
x@ x@ x@ x@ x@ 30
Chapterx@ 04 Adult Health and Physical, Nutritional, and Cultural Assessment
x@ x@ x@ x@ x@ x@ x@ x@ 45
Chapterx@ 05 Stress and Inflammatory Responses
x@ x@ x@ x@ 60
Chapterx@ 06 Genetics and Genomics in Nursing
x@ x@ x@ x@ x@ 76
Chapterx@ 07 Disability and Chronic Illness
x@ x@ x@ x@ 92
Chapterx@ 08 Management of the Older Adult Patient
x@ x@ x@ x@ x@ x@ 107
Chapterx@ 09 Pain Management
x@ x@ 121
Chapterx@ 10 Fluid and Electrolytes
x@ x@ x@ 137
Chapterx@ 11 x@ Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
x@ x@ x@ x@ x@ x@ 153
Chapter 12
x@ x@ Management of Patients with Oncologic Disorders
x@ x@ x@ x@ x@ 169
Chapter 13
x@ x@ Palliative and End-of-Life Care
x@ x@ x@ 183
Chapterx@ 14 x@ Preoperative Nursing Management x@ x@ 199
Chapter 15
x@ x@ Intraoperative Nursing Management x@ x@ 214
Chapter 16
x@ x@ Postoperative Nursing Management x@ x@ 228
Chapterx@ 17 x@ Assessment of Respiratory Function
x@ x@ x@ 243
Chapterx@ 18 x@ Management of Patients with Upper Respiratory Tract Disorders
x@ x@ x@ x@ x@ x@ x@ 258
Chapterx@ 19 x@ Management of Patients with Chest and Lower Respiratory Tract Disorders
x@ x@ x@ x@ x@ x@ x@ x@ x@ 272
Chapter 20 Management of Patients with Chronic Pulmonary Disease
x@ x@ x@ x@ x@ x@ x@ x@ 288
Chapter 21 Assessment of Cardiovascular Function
x@ x@ x@ x@ x@ 304
Chapter 22 Management of Patients with Arrhythmias and Conduction Problems
x@ x@ x@ x@ x@ x@ x@ x@ x@ 318
Chapter 23 Management of Patients with Coronary Vascular Disorders
x@ x@ x@ x@ x@ x@ x@ x@ 331
Chapter 24 Management of Patients with Structural, Infectious, and Inflammatory Cardiac
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
Disorders 347
Chapter 25 Management of Patients with Complications from Heart Disease
x@ x@ x@ x@ x@ x@ x@ x@ x@ 361
Chapter 26 Assessment and Management of Patients with Vascular Disorders and Problems
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
of Peripheral Circulation
x@ x@ 375
Chapter 27
x@ x@Assessment and Management of Patients with Hypertension
x@ x@ x@ x@ x@ x@ 391
Chapter 28
x@ x@Assessment of Hematologic Function and Treatment Modalities
x@ x@ x@ x@ x@ x@ 405
Chapterx@ 29 x@Management of Patients with Nonmalignant Hematologic Disorders
x@ x@ x@ x@ x@ x@ 420
Chapter 30
x@ Management of Patients with Hematologic Neoplasms
x@ x@ x@ x@ x@ x@ 433
Chapterx@ 31 Assessment of Immune Function
x@ x@ x@ x@ 448
Chapterx@ 32 Management of Patients with Immune Deficiency Disorders
x@ x@ x@ x@ x@ x@ x@ 462
Chapter 33
x@ x@Assessment and Management of Patients with Allergic Disorders
x@ x@ x@ x@ x@ x@ x@ 477
Chapter 34
x@ x@Assessment and Management of Patients with Inflammatory Rheumatic Disorders
x@ x@ x@ x@ x@ x@ x@ x@ 492
Chapter 35 Assessment of Musculoskeletal Function
x@ x@ x@ x@ x@ 506
Chapter 36 Management of Patients with Musculoskeletal Disorders
x@ x@ x@ x@ x@ x@ x@ 520
,Chapter 37 Management of Patients with Musculoskeletal Trauma
x@ x@ x@ x@ x@ x@ x@ 535
Chapter 38 Assessment of Digestive and Gastrointestinal Function
x@ x@ x@ x@ x@ x@ x@ 550
Chapter 39 Management of Patients with Oral and Esophageal Disorders
x@ x@ x@ x@ x@ x@ x@ x@ x@ 564
Chapter 40
x@ x@Management of Patients with Gastric and Duodenal Disorders
x@ x@ x@ x@ x@ x@ x@ 578
Chapter 41
x@ x@Management of Patients with Intestinal and Rectal Disorders
x@ x@ x@ x@ x@ x@ x@ 591
Chapter 42
x@ x@Assessment and Management of Patients with Obesity
x@ x@ x@ x@ x@ x@ 606
Chapter 43
x@ x@Assessment and Management of Patients with Hepatic Disorders
x@ x@ x@ x@ x@ x@ x@ 621
Chapterx@ 44 Management of Patients with Biliary Disorders
x@ x@ x@ x@ x@ x@ 635
Chapter 45
x@ Assessment and Management of Patients with Endocrine Disorders
x@ x@ x@ x@ x@ x@ x@ x@ 650
Chapterx@ 46 x@Management of Patients with Diabetes
x@ x@ x@ x@ 665
Chapterx@ 47 Assessment of Kidney and Urinary Function
x@ x@ x@ x@ x@ x@ 680
Chapterx@ 48 Management of Patients with Kidney Disorders
x@ x@ x@ x@ x@ x@ 695
Chapter 49 Management of Patients with Urinary Disorders
x@ x@ x@ x@ x@ x@ x@ 710
Chapter 50 Assessment and Management of Patients with Female Physiologic Processes
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ 725
Chapterx@ 51 x@Management of Patients with
x@ x@ x@ x@ Female Reproductive Disorders
x@ x@ 741
Chapter 52
x@ x@Assessment and Management
x@ x@ x@ of Patients with Breast Disorders
x@ x@ x@ x@ 757
Chapter 53
x@ x@Assessment and Management
x@ x@ x@ of Patients with Male Reproductive Disorders
x@ x@ x@ x@ x@ 771
Chapter 54
x@ x@Assessment and Management
x@ x@ x@ of Patients Who Are LGBTQ
x@ x@ x@ x@ 786
Chapterx@ 55 Assessment of Integumentary
x@ x@ x@ x@ Function 794
Chapter 56
x@ Management of Patients with
x@ x@ x@ x@ x@ Dermatologic Disorders x@ 808
Chapterx@ 57 Management of Patients with
x@ x@ x@ x@ x@ Burn Injuryx@ 822
Chapterx@ 58 Assessment and Management of Patients with Eye and Vision Disorders
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ 837
Chapterx@ 59 x@Assessment and Management of Patients with Hearing and Balance Disorders
x@ x@ x@ x@ x@ x@ x@ x@ x@ 851
Chapter 60
x@ Assessment of Neurologic Function
x@ x@ x@ x@ 866
Chapter 61
x@ Management of Patients With Neurologic Dysfunction
x@ x@ x@ x@ x@ x@ 881
Chapterx@ 62 Management of Patients With Cerebrovascular Disorders
x@ x@ x@ x@ x@ x@ 895
Chapter 63
x@ Management of Patients with Neurologic Trauma
x@ x@ x@ x@ x@ x@ 911
Chapter 64
x@ x@Management of Patients with Neurologic Infections, Autoimmune Disorders, and
x@ x@ x@ x@ x@ x@ x@ x@
Neuropathies 926
Chapter 65 Management of Patients with Oncologic or Degenerative Neurologic Disorders
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ 940
Chapter 66 Management of Patients with Infectious Diseases
x@ x@ x@ x@ x@ x@ x@ 955
Chapter 67 Emergency Nursing
x@ x@ x@ 968
Chapter 68 Disaster Nursing
x@ x@ x@ 977
, Testx@Bankx@-x@Brunnerx@&x@Suddarth'sx@Textbookx@ofx@Medical-
Surgical Nursing, 15e (Hinkle, 2022)
Chapter 1: Professional Nursing Practice
x@ x@ x@ x@
Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
x@ x@ x@ x@ x@ x@ x@ x@ x@
MULTIPLE CHOICE x@
1. A nurse has been offered a position on an obstetric unit and has learned that the unit offers
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
therapeutic abortions, a procedure that contradicts the nurse's personal beliefs. What is the nu
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
rse's ethical obligation to these clients?
x@ x@ x@ x@ x@
A. The nurse should adhere to professional standards of practice and offer service
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
to these clients.
x@ x@
B. The nurse should make the choice to decline this position and pursue a different
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
nursing role.
@ x@
C. The nurse should decline to care for the client’s considering abortion.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
D. The nurse should express alternatives to women considering terminating their pregnancy.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ANS: B x @
Rationale: To avoid facing the ethical dilemma of providing care that contradicts the nurse’s
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
personal beliefs, the nurse should consider working in an area of nursing that would not pose
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@this dilemma. The nurse should not provide care to the client because it is a conflict of pers
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
onal values. The nurse should not deny care to these clients as this would be a breach in th
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
e Code of Ethics for nurses. If the client is not requesting information for alternatives to abo
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
rtions, then the nurse should not be providing this information.
x@ x@ x@ x@ x@ x@ x@ x@ x@
PTS: 1 REF:
x @ x @ p. 27 x@x@ x@
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
x @ x@ x@ x@ x@ x@ x@ x@ x@
TOP: Chapter 1: Professional Nursing Practice
x @ x@ x@ x@ x@
KEY: Integrated Process: Caring BLM: Cognitive x @ x@ x@ x@ x @ x
@Level: Apply x@ NOT: Multiple Choice x @ x@
2. An 80-year-old client is admitted with a diagnosis of community-
x@ x@ x@ x@ x@ x@ x@ x@ x@
acquired pneumonia. During admission the client states, "I have a living will." What implicati
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
on of this should the nurse recognize?
x@ x@ x@ x@ x@ x@
A. This document is always honored, regardless of circumstances.
x@ x@ x@ x@ x@ x@ x@
B. This document specifies the client's wishes before hospitalization.
x@ x@ x@ x@ x@ x@ x@
C. This document is binding for the duration of the client's life.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
D. This document has been drawn up by the client's family to determine DNR status.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ANS: B x @
Rationale: A living will is one type of advance directive. In most situations, living wills are l
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
imited to situations in which the client's medical condition is deemed terminal. The other ans
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
wers are incorrect because living wills are not always honored in every circumstance, they ar
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
e not binding for the duration of the client's life, and they are not drawn up by the client's
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
family.
PTS: 1 REF:
x @ x @ p. 29 x@x@ x@
NAT: Client Needs: Safe, Effective Care Environment: Management of
x @ x@ x@ x@ x@ x@ x@ x@ x@
Care TOP: Chapter 1: Professional Nursing Practice
x@ x @ x@ x@ x@ x@
KEY: Integrated Process: Communication and Documentation
x @ x@ x@ x@ x@
BLM: Cognitive Level: Analy x@ x@ x@
ze NOT: Multiple Choice
x@ x @ x@
3. A nurse has been providing ethical care for many years and is aware of the need to maintain
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@the ethical principle of nonmaleficence. Which of the following actions would be considered
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
a violation of this principle?
x@ x@ x@ x@
A. Discussing a DNR order with a terminally ill client
x@ x@ x@ x@ x@ x@ x@ x@
B. Assisting a semi-independent client with ADLs
x@ x@ x@ x@ x@
C. Refusing to administer pain medication as prescribed
x@ x@ x@ x@ x@ x@
1 | P a g
x@ x@ x@ x@ x@
e
x@
Brunner & Suddarth's Textbook of Medical-Surgical Nursing
x@ x@ x@ x@ x@ x@
Janice L Hinkle, Kerry H. Cheever, Kristen Overbaugh
x@ x@ x@ x@ x@ x@ x@
15th Edition
x@
,Table of Contents
x@ x@
Chapterx@ 01 Professional Nursing Practice
x@ x@ x@ 2
Chapter 02
x@ x@Medical-Surgical Nursing x@ 17
Chapterx@ 03 Health Education and Health Promotion
x@ x@ x@ x@ x@ 30
Chapterx@ 04 Adult Health and Physical, Nutritional, and Cultural Assessment
x@ x@ x@ x@ x@ x@ x@ x@ 45
Chapterx@ 05 Stress and Inflammatory Responses
x@ x@ x@ x@ 60
Chapterx@ 06 Genetics and Genomics in Nursing
x@ x@ x@ x@ x@ 76
Chapterx@ 07 Disability and Chronic Illness
x@ x@ x@ x@ 92
Chapterx@ 08 Management of the Older Adult Patient
x@ x@ x@ x@ x@ x@ 107
Chapterx@ 09 Pain Management
x@ x@ 121
Chapterx@ 10 Fluid and Electrolytes
x@ x@ x@ 137
Chapterx@ 11 x@ Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
x@ x@ x@ x@ x@ x@ 153
Chapter 12
x@ x@ Management of Patients with Oncologic Disorders
x@ x@ x@ x@ x@ 169
Chapter 13
x@ x@ Palliative and End-of-Life Care
x@ x@ x@ 183
Chapterx@ 14 x@ Preoperative Nursing Management x@ x@ 199
Chapter 15
x@ x@ Intraoperative Nursing Management x@ x@ 214
Chapter 16
x@ x@ Postoperative Nursing Management x@ x@ 228
Chapterx@ 17 x@ Assessment of Respiratory Function
x@ x@ x@ 243
Chapterx@ 18 x@ Management of Patients with Upper Respiratory Tract Disorders
x@ x@ x@ x@ x@ x@ x@ 258
Chapterx@ 19 x@ Management of Patients with Chest and Lower Respiratory Tract Disorders
x@ x@ x@ x@ x@ x@ x@ x@ x@ 272
Chapter 20 Management of Patients with Chronic Pulmonary Disease
x@ x@ x@ x@ x@ x@ x@ x@ 288
Chapter 21 Assessment of Cardiovascular Function
x@ x@ x@ x@ x@ 304
Chapter 22 Management of Patients with Arrhythmias and Conduction Problems
x@ x@ x@ x@ x@ x@ x@ x@ x@ 318
Chapter 23 Management of Patients with Coronary Vascular Disorders
x@ x@ x@ x@ x@ x@ x@ x@ 331
Chapter 24 Management of Patients with Structural, Infectious, and Inflammatory Cardiac
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
Disorders 347
Chapter 25 Management of Patients with Complications from Heart Disease
x@ x@ x@ x@ x@ x@ x@ x@ x@ 361
Chapter 26 Assessment and Management of Patients with Vascular Disorders and Problems
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
of Peripheral Circulation
x@ x@ 375
Chapter 27
x@ x@Assessment and Management of Patients with Hypertension
x@ x@ x@ x@ x@ x@ 391
Chapter 28
x@ x@Assessment of Hematologic Function and Treatment Modalities
x@ x@ x@ x@ x@ x@ 405
Chapterx@ 29 x@Management of Patients with Nonmalignant Hematologic Disorders
x@ x@ x@ x@ x@ x@ 420
Chapter 30
x@ Management of Patients with Hematologic Neoplasms
x@ x@ x@ x@ x@ x@ 433
Chapterx@ 31 Assessment of Immune Function
x@ x@ x@ x@ 448
Chapterx@ 32 Management of Patients with Immune Deficiency Disorders
x@ x@ x@ x@ x@ x@ x@ 462
Chapter 33
x@ x@Assessment and Management of Patients with Allergic Disorders
x@ x@ x@ x@ x@ x@ x@ 477
Chapter 34
x@ x@Assessment and Management of Patients with Inflammatory Rheumatic Disorders
x@ x@ x@ x@ x@ x@ x@ x@ 492
Chapter 35 Assessment of Musculoskeletal Function
x@ x@ x@ x@ x@ 506
Chapter 36 Management of Patients with Musculoskeletal Disorders
x@ x@ x@ x@ x@ x@ x@ 520
,Chapter 37 Management of Patients with Musculoskeletal Trauma
x@ x@ x@ x@ x@ x@ x@ 535
Chapter 38 Assessment of Digestive and Gastrointestinal Function
x@ x@ x@ x@ x@ x@ x@ 550
Chapter 39 Management of Patients with Oral and Esophageal Disorders
x@ x@ x@ x@ x@ x@ x@ x@ x@ 564
Chapter 40
x@ x@Management of Patients with Gastric and Duodenal Disorders
x@ x@ x@ x@ x@ x@ x@ 578
Chapter 41
x@ x@Management of Patients with Intestinal and Rectal Disorders
x@ x@ x@ x@ x@ x@ x@ 591
Chapter 42
x@ x@Assessment and Management of Patients with Obesity
x@ x@ x@ x@ x@ x@ 606
Chapter 43
x@ x@Assessment and Management of Patients with Hepatic Disorders
x@ x@ x@ x@ x@ x@ x@ 621
Chapterx@ 44 Management of Patients with Biliary Disorders
x@ x@ x@ x@ x@ x@ 635
Chapter 45
x@ Assessment and Management of Patients with Endocrine Disorders
x@ x@ x@ x@ x@ x@ x@ x@ 650
Chapterx@ 46 x@Management of Patients with Diabetes
x@ x@ x@ x@ 665
Chapterx@ 47 Assessment of Kidney and Urinary Function
x@ x@ x@ x@ x@ x@ 680
Chapterx@ 48 Management of Patients with Kidney Disorders
x@ x@ x@ x@ x@ x@ 695
Chapter 49 Management of Patients with Urinary Disorders
x@ x@ x@ x@ x@ x@ x@ 710
Chapter 50 Assessment and Management of Patients with Female Physiologic Processes
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ 725
Chapterx@ 51 x@Management of Patients with
x@ x@ x@ x@ Female Reproductive Disorders
x@ x@ 741
Chapter 52
x@ x@Assessment and Management
x@ x@ x@ of Patients with Breast Disorders
x@ x@ x@ x@ 757
Chapter 53
x@ x@Assessment and Management
x@ x@ x@ of Patients with Male Reproductive Disorders
x@ x@ x@ x@ x@ 771
Chapter 54
x@ x@Assessment and Management
x@ x@ x@ of Patients Who Are LGBTQ
x@ x@ x@ x@ 786
Chapterx@ 55 Assessment of Integumentary
x@ x@ x@ x@ Function 794
Chapter 56
x@ Management of Patients with
x@ x@ x@ x@ x@ Dermatologic Disorders x@ 808
Chapterx@ 57 Management of Patients with
x@ x@ x@ x@ x@ Burn Injuryx@ 822
Chapterx@ 58 Assessment and Management of Patients with Eye and Vision Disorders
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ 837
Chapterx@ 59 x@Assessment and Management of Patients with Hearing and Balance Disorders
x@ x@ x@ x@ x@ x@ x@ x@ x@ 851
Chapter 60
x@ Assessment of Neurologic Function
x@ x@ x@ x@ 866
Chapter 61
x@ Management of Patients With Neurologic Dysfunction
x@ x@ x@ x@ x@ x@ 881
Chapterx@ 62 Management of Patients With Cerebrovascular Disorders
x@ x@ x@ x@ x@ x@ 895
Chapter 63
x@ Management of Patients with Neurologic Trauma
x@ x@ x@ x@ x@ x@ 911
Chapter 64
x@ x@Management of Patients with Neurologic Infections, Autoimmune Disorders, and
x@ x@ x@ x@ x@ x@ x@ x@
Neuropathies 926
Chapter 65 Management of Patients with Oncologic or Degenerative Neurologic Disorders
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ 940
Chapter 66 Management of Patients with Infectious Diseases
x@ x@ x@ x@ x@ x@ x@ 955
Chapter 67 Emergency Nursing
x@ x@ x@ 968
Chapter 68 Disaster Nursing
x@ x@ x@ 977
, Testx@Bankx@-x@Brunnerx@&x@Suddarth'sx@Textbookx@ofx@Medical-
Surgical Nursing, 15e (Hinkle, 2022)
Chapter 1: Professional Nursing Practice
x@ x@ x@ x@
Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
x@ x@ x@ x@ x@ x@ x@ x@ x@
MULTIPLE CHOICE x@
1. A nurse has been offered a position on an obstetric unit and has learned that the unit offers
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
therapeutic abortions, a procedure that contradicts the nurse's personal beliefs. What is the nu
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
rse's ethical obligation to these clients?
x@ x@ x@ x@ x@
A. The nurse should adhere to professional standards of practice and offer service
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
to these clients.
x@ x@
B. The nurse should make the choice to decline this position and pursue a different
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
nursing role.
@ x@
C. The nurse should decline to care for the client’s considering abortion.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
D. The nurse should express alternatives to women considering terminating their pregnancy.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ANS: B x @
Rationale: To avoid facing the ethical dilemma of providing care that contradicts the nurse’s
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
personal beliefs, the nurse should consider working in an area of nursing that would not pose
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@this dilemma. The nurse should not provide care to the client because it is a conflict of pers
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
onal values. The nurse should not deny care to these clients as this would be a breach in th
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
e Code of Ethics for nurses. If the client is not requesting information for alternatives to abo
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
rtions, then the nurse should not be providing this information.
x@ x@ x@ x@ x@ x@ x@ x@ x@
PTS: 1 REF:
x @ x @ p. 27 x@x@ x@
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
x @ x@ x@ x@ x@ x@ x@ x@ x@
TOP: Chapter 1: Professional Nursing Practice
x @ x@ x@ x@ x@
KEY: Integrated Process: Caring BLM: Cognitive x @ x@ x@ x@ x @ x
@Level: Apply x@ NOT: Multiple Choice x @ x@
2. An 80-year-old client is admitted with a diagnosis of community-
x@ x@ x@ x@ x@ x@ x@ x@ x@
acquired pneumonia. During admission the client states, "I have a living will." What implicati
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
on of this should the nurse recognize?
x@ x@ x@ x@ x@ x@
A. This document is always honored, regardless of circumstances.
x@ x@ x@ x@ x@ x@ x@
B. This document specifies the client's wishes before hospitalization.
x@ x@ x@ x@ x@ x@ x@
C. This document is binding for the duration of the client's life.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
D. This document has been drawn up by the client's family to determine DNR status.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ANS: B x @
Rationale: A living will is one type of advance directive. In most situations, living wills are l
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
imited to situations in which the client's medical condition is deemed terminal. The other ans
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
wers are incorrect because living wills are not always honored in every circumstance, they ar
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
e not binding for the duration of the client's life, and they are not drawn up by the client's
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
family.
PTS: 1 REF:
x @ x @ p. 29 x@x@ x@
NAT: Client Needs: Safe, Effective Care Environment: Management of
x @ x@ x@ x@ x@ x@ x@ x@ x@
Care TOP: Chapter 1: Professional Nursing Practice
x@ x @ x@ x@ x@ x@
KEY: Integrated Process: Communication and Documentation
x @ x@ x@ x@ x@
BLM: Cognitive Level: Analy x@ x@ x@
ze NOT: Multiple Choice
x@ x @ x@
3. A nurse has been providing ethical care for many years and is aware of the need to maintain
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@the ethical principle of nonmaleficence. Which of the following actions would be considered
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
a violation of this principle?
x@ x@ x@ x@
A. Discussing a DNR order with a terminally ill client
x@ x@ x@ x@ x@ x@ x@ x@
B. Assisting a semi-independent client with ADLs
x@ x@ x@ x@ x@
C. Refusing to administer pain medication as prescribed
x@ x@ x@ x@ x@ x@
1 | P a g
x@ x@ x@ x@ x@
e
