BRUNNERbANDbSUDDARTHSbTEXTBOOKbOFbMEDICALbSURGICALbNURSINGb14THbEDITIONbHINKLEbTESTbBAN
K
TestbBankb-bBrunnerb&bSuddarth'sbTextbookbofbMedical-SurgicalbNursingb14eb(Hinkleb2017) 41
Chapter 03: Critical Thinking, Ethical Decision Making and the Nursing P
b b b b b b b b b b
rocess
1. Abnursebhasbbeenbofferedbabpositionbonbanbobstetricbunitbandbhasblearnedbthatbthebunitboffersbtherapeuticbab
ortions,babprocedurebwhichbcontradictsbthebnursesbpersonalbbeliefs.bWhatbisbthebnursesbethicalb obligationbt
obthesebpatients?
A) Thebnurseb shouldb adhereb tob professionalb standardsb ofbpracticeb andb offerb serviceb tob theseb patients.
B) Thebnursebshouldb makebthebchoiceb tobdeclinebthisb positionbandbpursueb abdifferentbnursingb role.
C) Thebnursebshouldbdeclineb tob carebforb thebpatientsbconsideringbabortion.
D) Theb nurseb shouldb expressb alternativesb tob womenb consideringb terminatingb theirb pregnancy.
Ans: B
Feedback:
Tobavoidbfacingbethicalbdilemmas,bnursesbcanbfollowbcertainbstrategies.bForbexample,bwhenbapplyingbforbabjo
b,babnursebshouldbaskbquestionsbregardingbthebpatientbpopulation.bIfbabnursebisbuncomfortablebwithbabparticula
rb situation,b thenb notb acceptingb theb positionb wouldb beb theb bestb option.b Theb nurseb isb onlyb requiredbbyblawb(
andbpracticebstandards)btobprovidebcarebtobthebpatientsbthebclinicbaccepts;bthebnursebmaybnotbdiscriminatebbet
weenbpatientsbandbthebnursebexpressingbhisborbherbownbopinionbandbprovidingbanotherb optionbisbinappropriat
e.
2. Ab terminallyb illb patientb youb areb caringb forb isb complainingb ofb pain.b Theb physicianb hasb orderedb ab largeb doseb
ofb intravenousb opioidsb byb continuousb infusion.b Youb knowb thatb oneb ofb theb adverseb effectsb ofb thisb medicineb
isbrespiratorybdepression.bWhenbyoubassessbyourbpatientsbrespiratorybstatus,byoubfindbthatbthebratebhasbdecreas
edbfromb16bbreathsbperbminutebtob10bbreathsbperbminute.bWhatbactionbshouldbyoubtake?
A) Decreasebthebratebofb IVbinfusion.
B) Stimulatebthebpatientbinb orderb tobincreasebrespiratoryb rate.
C) Reportbthebdecreasedb respiratoryb ratebtobtheb physician.
D) Allowbthebpatientb tobrestbcomfortably.
Ans: C
Feedback:
End-ofblifeb issuesb thatb oftenb involveb ethicalb dilemmasb includeb painbcontrol,b dob notb resuscitateborders,b life-
NURSINGTB.COM
, BRUNNERbANDbSUDDARTHSbTEXTBOOKbOFbMEDICALbSURGICALbNURSINGb14THbEDITIONbHINKLEbTESTbBAN
K
TestbBankb-bBrunnerb&bSuddarth'sbTextbookbofbMedical-SurgicalbNursingb14eb(Hinkleb2017) 42
supportbmeasures,bandbadministrationbofbfoodbandbfluids.bThebriskbofbrespiratorybdepressionbisbnotbtheb inte
ntbofbthebactionbofbpainbcontrol.bRespiratorybdepressionbshouldbnotbbebusedbasbanbexcusebtobwithholdb painb
medicationbforbabterminallybillbpatient.bThebpatientsbrespiratorybstatusbshouldbbebcarefullybmonitoredbandban
ybchangesbshouldbbebreportedbtobthebphysician.
3. Anbadultbpatientbhasbrequestedbabdobnotbresuscitateb(DNR)borderbinblightbofbhisbrecentbdiagnosisbwithblatebsta
gebpancreaticbcancer.bThebpatientsbsonbandbdaughter-in-
lawbarebstronglybopposedbtobthebpatientsb request.bWhatbisbthebprimarybresponsibilitybofbthebnursebinbthisbsit
uation?
A) Performbabslowbcodebuntilbab decisionbisb made.
B) Honorbtheb requestbofbthebpatient.
C) Contactbabsocialbworkerborb mediatorbtobintervene.
D) Temporarilyb withholdb nursingb carebuntilb theb physicianb talksb tob thebfamily.
Ans: B
Feedback:
Thebnursebmustbhonorbthebpatientsbwishesbandbcontinuebtobprovidebrequiredbnursingbcare.bDiscussingbtheb
matterbwithbthebphysicianbmaybleadbtobfurtherbcommunicationbwithbthebfamily,bduringbwhichbthebfamilybm
aybreconsiderbtheirbdecision.bItbisbnotbnormallybappropriatebforbthebnursebtobseekbthebassistancebofbab socialb
workerborbmediator.bAbslowbcodebisbconsideredbunethical.
4. Anbelderlybpatientbisbadmittedbtobyourbunitbwithbabdiagnosisbofbcommunity-
acquiredbpneumonia.bDuringbadmissionbthebpatientbstates,bIbhavebablivingbwill.bWhatbimplicationbofbthisbsh
ouldbthebnursebrecognize?
A) Thisb documentb isb alwaysb honored,b regardlessb ofb circumstances.
B) Thisb documentb specifiesb theb patientsb wishesb beforeb hospitalization.
C) Thisbdocumentbthatbisbbindingbforbthebdurationbofbthebpatientsblife.
D) Thisbdocumentbhasbbeenbdrawnbupbbyb thebpatientsb familybtobdeterminebDNRbstatus.
Ans: B
Feedback:
Ablivingbwillbisbonebtypebofbadvancebdirective.bInbmostbsituations,blivingbwillsbareblimitedbtobsituationsbinbw
hichbthebpatientsbmedicalbconditionbisbdeemedbterminal.bThebotherbanswersbarebincorrectbbecauseblivingbwi
llsbarebnotbalwaysbhonored,btheybarebnotbbindingbforbthebdurationbofbthebpatientsblife,bandbtheybarebnotbdraw
nbupbbybthebpatientsbfamily.
NURSINGTB.COM
, BRUNNERbANDbSUDDARTHSbTEXTBOOKbOFbMEDICALbSURGICALbNURSINGb14THbEDITIONbHINKLEbTESTbBAN
K
TestbBankb-bBrunnerb&bSuddarth'sbTextbookbofbMedical-SurgicalbNursingb14eb(Hinkleb2017) 43
5. Abnursebhasbbeenbprovidingbethicalbcarebforbmanybyearsbandbisbawarebofbthebneedbtobmaintainbthebethicalbprin
ciplebofbnonmaleficence.bWhichbofbthebfollowingbactionsbwouldbbebconsideredbabcontradictionbofbthisbprinci
ple?
A) DiscussingbabDNRborderbwithbabterminallyb illbpatient
B) Assistingb ab semi-independentb patientb withb ADLs
C) Refusingbtob administerb painb medicationbasb ordered
D) Providingbmorebcarebforbonebpatientbthanbforbanotherb
Ans: C
Feedback:
Thebdutybnotbtobinflictbasbwellbasbpreventbandbremovebharmbisbtermedbnonmaleficence.bDiscussingbabDNRbo
rderbwithbabterminallybillbpatientbandbassistingbabpatientbwithbADLsbwouldbnotbbebconsideredb contradiction
sbtobthebnursesbdutybofbnonmaleficence.bSomebpatientsbjustifiablybrequirebmorebcarebthanb others.
6. Youbhavebjustbtakenbreportbforbyourbshiftbandbyoubarebdoingbyourbinitialbassessmentbofbyourbpatients.bOneb o
fbyourbpatientsbasksbyoubifbanberrorbhasbbeenbmadebinbherbmedication.bYoubknowbthatbanbincidentbreportbwasb
filedbyesterdaybafterbabnursebinadvertentlybmissedbabscheduledbdosebofbthebpatientsbantibiotic.bWhichb ofbtheb
followingbprinciplesbwouldbapplybifbyoubgivebanbaccuratebresponse?
A) Veracity
B) Confidentiality
C) Respect
D) Justice
Ans: A
Feedback:
Thebobligationbtobtellbthebtruthbandbnotbdeceivebothersbisbtermedbveracity.bThebotherbanswersbarebincorrectbbeca
usebtheybarebnotbobligationsbtobtellbthebtruth.
7. Abnursebhasbbegunbcreatingbabpatientsbplanbofbcarebshortlybafterbthebpatientsbadmission.bItbisbimportantbthatbth
ebwordingbofbthebchosenbnursingbdiagnosesbfallsbwithinbthebtaxonomybofbnursing.bWhichborganizationbisbresp
onsiblebforbdevelopingbthebtaxonomybofbabnursingbdiagnosis?
A) Americanb Nursesb Associationb (ANA)
NURSINGTB.COM
K
TestbBankb-bBrunnerb&bSuddarth'sbTextbookbofbMedical-SurgicalbNursingb14eb(Hinkleb2017) 41
Chapter 03: Critical Thinking, Ethical Decision Making and the Nursing P
b b b b b b b b b b
rocess
1. Abnursebhasbbeenbofferedbabpositionbonbanbobstetricbunitbandbhasblearnedbthatbthebunitboffersbtherapeuticbab
ortions,babprocedurebwhichbcontradictsbthebnursesbpersonalbbeliefs.bWhatbisbthebnursesbethicalb obligationbt
obthesebpatients?
A) Thebnurseb shouldb adhereb tob professionalb standardsb ofbpracticeb andb offerb serviceb tob theseb patients.
B) Thebnursebshouldb makebthebchoiceb tobdeclinebthisb positionbandbpursueb abdifferentbnursingb role.
C) Thebnursebshouldbdeclineb tob carebforb thebpatientsbconsideringbabortion.
D) Theb nurseb shouldb expressb alternativesb tob womenb consideringb terminatingb theirb pregnancy.
Ans: B
Feedback:
Tobavoidbfacingbethicalbdilemmas,bnursesbcanbfollowbcertainbstrategies.bForbexample,bwhenbapplyingbforbabjo
b,babnursebshouldbaskbquestionsbregardingbthebpatientbpopulation.bIfbabnursebisbuncomfortablebwithbabparticula
rb situation,b thenb notb acceptingb theb positionb wouldb beb theb bestb option.b Theb nurseb isb onlyb requiredbbyblawb(
andbpracticebstandards)btobprovidebcarebtobthebpatientsbthebclinicbaccepts;bthebnursebmaybnotbdiscriminatebbet
weenbpatientsbandbthebnursebexpressingbhisborbherbownbopinionbandbprovidingbanotherb optionbisbinappropriat
e.
2. Ab terminallyb illb patientb youb areb caringb forb isb complainingb ofb pain.b Theb physicianb hasb orderedb ab largeb doseb
ofb intravenousb opioidsb byb continuousb infusion.b Youb knowb thatb oneb ofb theb adverseb effectsb ofb thisb medicineb
isbrespiratorybdepression.bWhenbyoubassessbyourbpatientsbrespiratorybstatus,byoubfindbthatbthebratebhasbdecreas
edbfromb16bbreathsbperbminutebtob10bbreathsbperbminute.bWhatbactionbshouldbyoubtake?
A) Decreasebthebratebofb IVbinfusion.
B) Stimulatebthebpatientbinb orderb tobincreasebrespiratoryb rate.
C) Reportbthebdecreasedb respiratoryb ratebtobtheb physician.
D) Allowbthebpatientb tobrestbcomfortably.
Ans: C
Feedback:
End-ofblifeb issuesb thatb oftenb involveb ethicalb dilemmasb includeb painbcontrol,b dob notb resuscitateborders,b life-
NURSINGTB.COM
, BRUNNERbANDbSUDDARTHSbTEXTBOOKbOFbMEDICALbSURGICALbNURSINGb14THbEDITIONbHINKLEbTESTbBAN
K
TestbBankb-bBrunnerb&bSuddarth'sbTextbookbofbMedical-SurgicalbNursingb14eb(Hinkleb2017) 42
supportbmeasures,bandbadministrationbofbfoodbandbfluids.bThebriskbofbrespiratorybdepressionbisbnotbtheb inte
ntbofbthebactionbofbpainbcontrol.bRespiratorybdepressionbshouldbnotbbebusedbasbanbexcusebtobwithholdb painb
medicationbforbabterminallybillbpatient.bThebpatientsbrespiratorybstatusbshouldbbebcarefullybmonitoredbandban
ybchangesbshouldbbebreportedbtobthebphysician.
3. Anbadultbpatientbhasbrequestedbabdobnotbresuscitateb(DNR)borderbinblightbofbhisbrecentbdiagnosisbwithblatebsta
gebpancreaticbcancer.bThebpatientsbsonbandbdaughter-in-
lawbarebstronglybopposedbtobthebpatientsb request.bWhatbisbthebprimarybresponsibilitybofbthebnursebinbthisbsit
uation?
A) Performbabslowbcodebuntilbab decisionbisb made.
B) Honorbtheb requestbofbthebpatient.
C) Contactbabsocialbworkerborb mediatorbtobintervene.
D) Temporarilyb withholdb nursingb carebuntilb theb physicianb talksb tob thebfamily.
Ans: B
Feedback:
Thebnursebmustbhonorbthebpatientsbwishesbandbcontinuebtobprovidebrequiredbnursingbcare.bDiscussingbtheb
matterbwithbthebphysicianbmaybleadbtobfurtherbcommunicationbwithbthebfamily,bduringbwhichbthebfamilybm
aybreconsiderbtheirbdecision.bItbisbnotbnormallybappropriatebforbthebnursebtobseekbthebassistancebofbab socialb
workerborbmediator.bAbslowbcodebisbconsideredbunethical.
4. Anbelderlybpatientbisbadmittedbtobyourbunitbwithbabdiagnosisbofbcommunity-
acquiredbpneumonia.bDuringbadmissionbthebpatientbstates,bIbhavebablivingbwill.bWhatbimplicationbofbthisbsh
ouldbthebnursebrecognize?
A) Thisb documentb isb alwaysb honored,b regardlessb ofb circumstances.
B) Thisb documentb specifiesb theb patientsb wishesb beforeb hospitalization.
C) Thisbdocumentbthatbisbbindingbforbthebdurationbofbthebpatientsblife.
D) Thisbdocumentbhasbbeenbdrawnbupbbyb thebpatientsb familybtobdeterminebDNRbstatus.
Ans: B
Feedback:
Ablivingbwillbisbonebtypebofbadvancebdirective.bInbmostbsituations,blivingbwillsbareblimitedbtobsituationsbinbw
hichbthebpatientsbmedicalbconditionbisbdeemedbterminal.bThebotherbanswersbarebincorrectbbecauseblivingbwi
llsbarebnotbalwaysbhonored,btheybarebnotbbindingbforbthebdurationbofbthebpatientsblife,bandbtheybarebnotbdraw
nbupbbybthebpatientsbfamily.
NURSINGTB.COM
, BRUNNERbANDbSUDDARTHSbTEXTBOOKbOFbMEDICALbSURGICALbNURSINGb14THbEDITIONbHINKLEbTESTbBAN
K
TestbBankb-bBrunnerb&bSuddarth'sbTextbookbofbMedical-SurgicalbNursingb14eb(Hinkleb2017) 43
5. Abnursebhasbbeenbprovidingbethicalbcarebforbmanybyearsbandbisbawarebofbthebneedbtobmaintainbthebethicalbprin
ciplebofbnonmaleficence.bWhichbofbthebfollowingbactionsbwouldbbebconsideredbabcontradictionbofbthisbprinci
ple?
A) DiscussingbabDNRborderbwithbabterminallyb illbpatient
B) Assistingb ab semi-independentb patientb withb ADLs
C) Refusingbtob administerb painb medicationbasb ordered
D) Providingbmorebcarebforbonebpatientbthanbforbanotherb
Ans: C
Feedback:
Thebdutybnotbtobinflictbasbwellbasbpreventbandbremovebharmbisbtermedbnonmaleficence.bDiscussingbabDNRbo
rderbwithbabterminallybillbpatientbandbassistingbabpatientbwithbADLsbwouldbnotbbebconsideredb contradiction
sbtobthebnursesbdutybofbnonmaleficence.bSomebpatientsbjustifiablybrequirebmorebcarebthanb others.
6. Youbhavebjustbtakenbreportbforbyourbshiftbandbyoubarebdoingbyourbinitialbassessmentbofbyourbpatients.bOneb o
fbyourbpatientsbasksbyoubifbanberrorbhasbbeenbmadebinbherbmedication.bYoubknowbthatbanbincidentbreportbwasb
filedbyesterdaybafterbabnursebinadvertentlybmissedbabscheduledbdosebofbthebpatientsbantibiotic.bWhichb ofbtheb
followingbprinciplesbwouldbapplybifbyoubgivebanbaccuratebresponse?
A) Veracity
B) Confidentiality
C) Respect
D) Justice
Ans: A
Feedback:
Thebobligationbtobtellbthebtruthbandbnotbdeceivebothersbisbtermedbveracity.bThebotherbanswersbarebincorrectbbeca
usebtheybarebnotbobligationsbtobtellbthebtruth.
7. Abnursebhasbbegunbcreatingbabpatientsbplanbofbcarebshortlybafterbthebpatientsbadmission.bItbisbimportantbthatbth
ebwordingbofbthebchosenbnursingbdiagnosesbfallsbwithinbthebtaxonomybofbnursing.bWhichborganizationbisbresp
onsiblebforbdevelopingbthebtaxonomybofbabnursingbdiagnosis?
A) Americanb Nursesb Associationb (ANA)
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