,
,
, Lewis's Medical-Surgical Nursing, 12th Edition
Authors: Mariann M. Harding, Jeffrey Kwong, Debra Hagler, Courtney Reinisch
SECTION 1 — Concepts in Nursing Practice
Chapter 1: Professional Nursing Practice
Lewis's Medical-Surgical Nursing, 12th Edition
MULTIPLE CHOICE
1. A nurse is caring for a client who is scheduled for a therapeutic abortion. This procedure
contradicts the nurse's personal beliefs. What is the most appropriate action for the
nurse to take?
A. Adhere to professional standards and provide care to the client.
B. Request a transfer to another unit or client assignment.
C. Refuse to care for the client and document the refusal in the chart.
D. Provide the client with information about alternatives to abortion.
ANS: B
Rationale: When a nurse's personal beliefs conflict with a client's care, the ethical
obligation is to ensure the client receives care while respecting the nurse's conscience.
The nurse should request a transfer to another assignment rather than refusing care
outright, which could abandon the client. The nurse should not impose personal beliefs
or provide unsolicited information about alternatives.
PTS: 1
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Professional Nursing Practice KEY: Integrated Process: Caring
HLM: Cognitive Level: Apply
2. A nurse is reviewing the Quality and Safety Education for Nurses (QSEN) competencies.
Which action by the nurse best demonstrates the competency of safety?
A. Using evidence-based practices to reduce the risk of harm to the client.
B. Involving the client and family in decision-making regarding care.
C. Recognizing personal limitations in knowledge and skills.
D. Functioning effectively within a nursing team to deliver care.
ANS: A
Rationale: The QSEN competency of safety involves minimizing the risk of harm to clients
and providers through both system effectiveness and individual performance, often
utilizing evidence-based practices. Involving the client relates to patient-centered care.
Recognizing limitations relates to quality improvement or professional development.
Functioning within a team relates to teamwork and collaboration.
,
, Lewis's Medical-Surgical Nursing, 12th Edition
Authors: Mariann M. Harding, Jeffrey Kwong, Debra Hagler, Courtney Reinisch
SECTION 1 — Concepts in Nursing Practice
Chapter 1: Professional Nursing Practice
Lewis's Medical-Surgical Nursing, 12th Edition
MULTIPLE CHOICE
1. A nurse is caring for a client who is scheduled for a therapeutic abortion. This procedure
contradicts the nurse's personal beliefs. What is the most appropriate action for the
nurse to take?
A. Adhere to professional standards and provide care to the client.
B. Request a transfer to another unit or client assignment.
C. Refuse to care for the client and document the refusal in the chart.
D. Provide the client with information about alternatives to abortion.
ANS: B
Rationale: When a nurse's personal beliefs conflict with a client's care, the ethical
obligation is to ensure the client receives care while respecting the nurse's conscience.
The nurse should request a transfer to another assignment rather than refusing care
outright, which could abandon the client. The nurse should not impose personal beliefs
or provide unsolicited information about alternatives.
PTS: 1
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Professional Nursing Practice KEY: Integrated Process: Caring
HLM: Cognitive Level: Apply
2. A nurse is reviewing the Quality and Safety Education for Nurses (QSEN) competencies.
Which action by the nurse best demonstrates the competency of safety?
A. Using evidence-based practices to reduce the risk of harm to the client.
B. Involving the client and family in decision-making regarding care.
C. Recognizing personal limitations in knowledge and skills.
D. Functioning effectively within a nursing team to deliver care.
ANS: A
Rationale: The QSEN competency of safety involves minimizing the risk of harm to clients
and providers through both system effectiveness and individual performance, often
utilizing evidence-based practices. Involving the client relates to patient-centered care.
Recognizing limitations relates to quality improvement or professional development.
Functioning within a team relates to teamwork and collaboration.
