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

RRRR
m




TEST BANK FOR
m m m




Brunner & Suddarth's Textbook Of Medical-Surgical Nursing 16th
m m m m m m m




m Edition By Janice L. Hinkle, Kerry H. Cheever, Kristen Overbaugh,
m m m m m m m m m




m Carolyn E Bradley All Chapters || Complete A+ Guide
m m m m m m m m

,Chapter1:Professional Nursing Practice m m




1. A nurse has been offered a position on an obstetric unit and has learned that the unit
m m m m m m m m m m m m m m m m




moffers therapeutic abortions, a procedure that contradicts the nurse's personal beliefs.
m m m m m m m m m m




mWhat is the nurse's ethical obligation to these clients?
m m m m m m m m




A. The nurse should adhere to professional standards of practice and offer service to
m m m m m m m m m m m m




m these clients. m




B. The nurse should make the choice to decline this position and pursue a different nursing
m m m m m m m m m m m m m m




m role.
C. Thenurse should decline to care for the clients considering abortion.
m m m m m m m m m




D. The nurse should express alternatives to women considering terminating their
m m m m m m m m m




pregnancy.
m




ANSWER : B m m




Rationale:Toavoidfacingtheethicaldilemmaofprovidingcarethatcontradicts m m the
nurse’s personal beliefs, the nurse should consider working in an area of nursing that
m m m m m m m m m m m m m




m would not pose this dilemma. The nurse should not provide care to the client
m m m m m m m m m m m m m m becauseit
misa conflict ofpersonalvalues. Thenurseshouldnotdenycareto these clientsasthiswouldbea
m m m m m




mbreachintheCodeofEthicsfornurses.Iftheclientis not m requesting information for m m




m alternatives to abortions, then the nurse shouldm m m m m m




not be m providing this information. m m




PTS: 1 REF: p. 27
m m m m




NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP:
m m m m m m m m m m




mChapter 1: Professional Nursing Practice
m m m m KEY:IntegratedProcess:Caring
BLM: Cognitive Level: Apply NOT: Multiple Choice
m m m m m m




2. An 80-year-old client is admitted with a diagnosis of community-acquired
m m m m m m m m m




mpneumonia. During admission the client states, "I have a living will." What
m m m m m m m m m m m




mimplication of this should the nurse recognize? m m m m m m




A. Thisdocument is always honored, regardless of circumstances. m m m m m m




B. Thisdocument specifies the client's wishes before hospitalization. m m m m m m




C. Thisdocument is binding for the duration of the client's life. m m m m m m m m m

,D. This document has been drawn up by the client's family to determine DNR status.
m m m m m m m m m m m m m




ANSWER : B m m




Rationale: A living will is one type of advance directive. In most situations, living wills are
m m m m m m m m m m m m m m m




limited to situations in which the client's medical condition is deemed terminal. The
m m m m m m m m m m m m m




other answers are incorrect because living wills are not always
m m m m m m m m m m




honoredineverycircumstance, they are notbindingforthe duration ofthe client's life, and
m m m m m m m m m




they are not drawn up by the client's family.
m m m m m m m m m




PTS: 1 REF: p. 29
m m m m




NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP:
m m m m m m m m m m




Chapter
m m m m m m 1: m m m m m Professional m m m m m Nursing m m m m m Practice
m KEY:Integrated Process: Communication and Documentation BLM: Cognitive
m m m m m m




Level: Analyze
m m




NOT:Multiple Choice m




3. A nurse has been providing ethical care for many years and is aware of the need to
m m m m m m m m m m m m m m m m




m maintain the ethical principle of nonmaleficence. Which of the following actions
m m m m m m m m m m m would
be considered a violation of this principle?
m m m m m m m




A. Discussinga DNR order with a terminally ill client m m m m m m m




B. Assisting a semi-independent client with ADLs
m m m m m




C. Refusingto administer pain medication as prescribedm m m m m




D. Providingmore care for one client than for another m m m m m m m




ANSWER : C m m




Rationale: The duty not to inflict as well as prevent and remove harm is termed
m m m m m m m m m m m m m m




nonmaleficence. Discussing a DNR order with a terminally ill client and assisting a client with
m m m m m m m m m m m m m m m




ADLs would not be considered contradictions to the nurse's duty of nonmaleficence.
m m m m m m m m m m m m




Some clients justifiably require more care than others.
m m m m m m m m




PTS: 1 REF: p. 25
m m m m




NAT: Client Needs: Safe, Effective Care Environment: Management of Care
m m m m m m m m m

, TOP: Chapter 1: Professional Nursing Practice
m m m m m




KEY: Integrated Process: Nursing Process
m m m m BLM:CognitiveLevel: Analyze m




NOT: Multiple Choice
m m m




4. A nurse has begun creating a client's plan of care shortly after the client's
m m m m m m m m m m m m m




admission. The nurse knows that it is important that the wording of the chosen nursing
m m m m m m m m m m m m m m m




diagnoses falls within the taxonomy of nursing. Which organization is responsible for
m m m m m m m m m m m m




developing the taxonomy of a nursing diagnosis?
m m m m m m m




A. American Nurses Association (ANA) m m m




B. NorthAmerican Nursing Diagnosis Association (NANDA) m m m m




C. National League for Nursing (NLN) m m m m




D. JointCommission


ANSWER : B
m m m




Rationale: NANDA International is the official organization responsible for developing the
m m m m m m m m m m




taxonomy of nursingdiagnoses and formulating nursing diagnoses
m m m m m m m




acceptableforstudy.TheANA,NLN,andJointCommissionarenot chargedwiththe task of u m m




developing the taxonomy of nursing diagnoses.
m m m m m m




PTS: 1 REF: p. 15
m m m m




NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP:
m m m m m m m m m m




Chapter 1: Professional Nursing Practice
m m m m m




KEY: Integrated Process: Nursing Process
m m m m BLM:CognitiveLevel: Understand m




m NOT: Multiple Choice
m m




5. Amedicalnursehasobtainedanewclient'shealthhistoryandhas completedthe admission m m




assessment. The nurse followed this by documenting the results and creating a care
m m m m m m m m m m m m m




plan for the client. Which of the following is the most important rationale for
m m m m m m m m m m m m m m




documenting the client's care?
m m m m




A. Itprovides continuity of care. m m m




B. It creates a teaching log for the family.
m m m m m m m




C. Itverifies appropriatestaffing levels. m m




D. It keeps the client fully informed.
m m m m m