Test Bank For Brunner & Suddarth's Textbook Of Medical-Surgical Nursing 16th Edition By Janice L. Hinkle, Kerry H. Cheever, Kristen Overbaugh, Carolyn E Bradley All Chapters || Complete A+ Guide

Test Bank for Brunner & Suddarth's Textbook of Medical-




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 c
lients?
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
nurse’s personal beliefs, the nurse should consider working in an area of

,Test Bank for Brunner & Suddarth's Textbook of Medical-
nursing that would not pose this dilemma. The nurse should not provid
e care to the
client because it is a conflict of personal values. The nurse should not den
y care to these
clients as this would be a breach in the Code ofwsEthics for nurses. If the clie
nt 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 C
are TOP: Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Carin
g
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 l

,Test’ Bank’ for’ Brunner’ &’ Suddarth's’ Textbook’ of’ Medical-
iving’ 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-

D. This’ document’ has’ been’ drawn’ up’ by’ the’ client's’ family’ to’ determin’e’
DNR’ status.


ANS:’ B


Rationale:’ A’ living’ will’ is’ one’ type’ of’ advance’ directive.’ In’ most’ situation’s,’ li
ving’ wills’ are’ limited’ to’ situations’ in’ which’ the’ client's’ medical’ cond’ ition’ is’ de
emed’ terminal.’ The’ other’ answers’ are’ incorrect’ because’ living
wills’ are’ not’ always’ honored’in’ every’circumstance,’ they’are’ not’binding’ f’or’ t
he’ duration’ of’the’ client's’ life,’ and’ they’ are’ not’ drawn’ up’ by’ the’ cli’ent's’ fa
mily.


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’Le
vel:’ Analyze
NOT:’Multiple’ Choice


3. A’ nurse’ has’ been’ providing’ ethical’ care’ for’ many’ years’ and’ is’ aware’ of’ t’he’ n
eed’ 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’ i
s termed’ nonmaleficence.’ Discussing’ a’ DNR’ order’ with’ a’ terminally’ ill’ clien
t 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.