Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
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Test Bank
Brunner & Suddarth's io io
Textbook of Medical-Surgical io io
Nursing, 15th Edition
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,Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
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Chapter 1: Professional Nursing Practice io io io io
1. A nurse has been offered a position on an obstetric unit and has learned that theun
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i
it offers therapeutic abortions, a procedure that contradicts the nurse's personalbeli
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i
efs. What is the nurse's ethical obligation to these clients?
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A. The nurse should adhere to professional standards of practice and offer servicet
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i
o these clients.
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B. The nurse should make the choice to decline this position and pursue a differentnu
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i
rsing role. io
C. The nurse should decline to care for the clients considering abortion.
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D. The nurse should express alternatives to women considering terminating their
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i
pregnancy.
ANS: B io
Rationale: To avoid facing the ethical dilemma of providing care that contradicts thenur
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se’s personal beliefs, the nurse should consider working in an area of nursing that
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owould not pose this dilemma. The nurse should not provide care to the clientbeca
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i
use it is a conflict of personal values. The nurse should not deny care to theseclients
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as this would be a breach in the Code of Ethics for nurses. If the client is notrequesting
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i
io information for alternatives to abortions, then the nurse should not beproviding t
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his information. io
PTS: 1 REF: p. 27 io io io io
NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP
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: Chapter 1: Professional Nursing Practice
io io io io io
KEY: Integrated Process: Caring
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i
BLM: Cognitive Level: Apply NOT: Multiple Choice
io io io io io io
2. An 80-year-old client is admitted with a diagnosis of community-
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acquiredpneumonia. During admission the client states, "I have a living will.
o
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" What implication of this should the nurse recognize?
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A. This document is always honored, regardless of circumstances.
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B. This document specifies the client's wishes before hospitalization.
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C. This document is binding for the duration of the client's life.
io io io io io io io io io io
,Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
io io io io io io io io io io io
D. This document has been drawn up by the client's family to determine DNRs
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i
tatus.
ANS: B io
Rationale: A living will is one type of advance directive. In most situations, living wi
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lls are limited to situations in which the client's medical condition is deemed termin
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al. The other answers are incorrect because living wills are not always honored in e
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very circumstance, they are not binding for the duration of the client'slife, and they ar
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e not drawn up by the client's family.
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PTS: 1 REF: p. 29 io io io io
NAT: Client Needs: Safe, Effective Care Environment: Management of CareTOP:
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i i
oChapter 1: Professional Nursing Practice io io io io
KEY: Integrated Process: Communication and Documentation BLM: CognitiveLevel
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i
: Analyze
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NOT: Multiple Choice io io
3. A nurse has been providing ethical care for many years and is aware of the needto
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maintain the ethical principle of nonmaleficence. Which of the following actionswo
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i
uld be considered a violation of this principle?
io io io io io io io
A. Discussing a DNR order with a terminally ill client io io io io io io io io
B. Assisting a semi-independent client with ADLs io io io io io
C. Refusing to administer pain medication as prescribed io io io io io io
D. Providing more care for one client than for another io io io io io io io io o
i
ANS: C io
Rationale: The duty not to inflict as well as prevent and remove harm is termed no
io io io io io io io io io io io io io io io
nmaleficence. Discussing a DNR order with a terminally ill client and assisting aclient
io io io io io io io io io io io io o
i
io with ADLs would not be considered contradictions to the nurse's duty of nonmalefi
io io io io io io io io io io io io
cence. Some clients justifiably require more care than others.
io io io io io io io io
PTS: 1 REF: p. 25 io io io io
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
io io io io io io io io io
, Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
io io io io io io io io io io io
TOP: Chapter 1: Professional Nursing Practice
io io io io io
KEY: Integrated Process: Nursing Process
io io io io
BLM: Cognitive Level: Analyze
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i
NOT: Multiple Choice
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4. A nurse has begun creating a client's plan of care shortly after the client's ad
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mission. The nurse knows that it is important that the wording of the chosennur
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i
sing diagnoses falls within the taxonomy of nursing. Which organization is resp
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onsible for developing the taxonomy of a nursing diagnosis?
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A. American Nurses Association (ANA) io io io
B. North American Nursing Diagnosis Association (NANDA)
io io io io io
C. National League for Nursing (NLN) io io io io
D. Joint Commission io o
i
ANS: B io
Rationale: NANDA International is the official organization responsible for developi
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ng the taxonomy of nursing diagnoses and formulating nursing diagnosesacceptable
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for study. The ANA, NLN, and Joint Commission are not charged with thetask of develop
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i o
i o
i io o
i o
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ing the taxonomy of nursing diagnoses.
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PTS: 1 REF: p. 15
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NAT: Client Needs: Safe, Effective Care Environment: Management of CareTOP:
io io io io io io io io io o
i i
Chapter 1: Professional Nursing Practice
o io io io io
KEY: Integrated Process: Nursing Process
io io io io
BLM: Cognitive Level: Understand
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i
NOT: Multiple Choice
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5. A medical nurse has obtained a new client's health history and has completed thead
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i o
i o
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i o
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i
mission assessment. The nurse followed this by documenting the results and crea
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ting a care plan for the client. Which of the following is the most important ration
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ale for documenting the client's care?
io io io io io
A. It provides continuity of care.
io io io io
B. It creates a teaching log for the family.
io io io io io io io
C. It verifies appropriate staffing levels.
io io io io
io io io io io io io io io io io
Test Bank
Brunner & Suddarth's io io
Textbook of Medical-Surgical io io
Nursing, 15th Edition
o
i io io
,Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
io io io io io io io io io io io
Chapter 1: Professional Nursing Practice io io io io
1. A nurse has been offered a position on an obstetric unit and has learned that theun
io io io io io io io io io io io io io io io o
i
it offers therapeutic abortions, a procedure that contradicts the nurse's personalbeli
io io io io io io io io io io o
i
efs. What is the nurse's ethical obligation to these clients?
io io io io io io io io io
A. The nurse should adhere to professional standards of practice and offer servicet
io io io io io io io io io io io o
i
o these clients.
io io
B. The nurse should make the choice to decline this position and pursue a differentnu
io io io io io io io io io io io io io o
i
rsing role. io
C. The nurse should decline to care for the clients considering abortion.
io io io io io io io io io io
D. The nurse should express alternatives to women considering terminating their
io io io io io io io io io o
i
pregnancy.
ANS: B io
Rationale: To avoid facing the ethical dilemma of providing care that contradicts thenur
io o
i o
i o
i o
i o
i o
i o
i o
i io o
i o
i o
i
se’s personal beliefs, the nurse should consider working in an area of nursing that
io io io io io io io io io io io io io i
owould not pose this dilemma. The nurse should not provide care to the clientbeca
io io io io io io io io io io io io io o
i
use it is a conflict of personal values. The nurse should not deny care to theseclients
io io io io io io io io io io io io io io io o
i io
as this would be a breach in the Code of Ethics for nurses. If the client is notrequesting
io io io io io io io io io io io io io io io io io o
i
io information for alternatives to abortions, then the nurse should not beproviding t
io io io io io io io io io io o
i io
his information. io
PTS: 1 REF: p. 27 io io io io
NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP
io io io io io io io io io io
: Chapter 1: Professional Nursing Practice
io io io io io
KEY: Integrated Process: Caring
io io io o
i
BLM: Cognitive Level: Apply NOT: Multiple Choice
io io io io io io
2. An 80-year-old client is admitted with a diagnosis of community-
io io io io io io io io io
acquiredpneumonia. During admission the client states, "I have a living will.
o
i io io io io io io io io io io
" What implication of this should the nurse recognize?
io io io io io io io io
A. This document is always honored, regardless of circumstances.
io io io io io io io
B. This document specifies the client's wishes before hospitalization.
io io io io io io io
C. This document is binding for the duration of the client's life.
io io io io io io io io io io
,Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
io io io io io io io io io io io
D. This document has been drawn up by the client's family to determine DNRs
io io io io io io io io io io io io o
i
tatus.
ANS: B io
Rationale: A living will is one type of advance directive. In most situations, living wi
io io io io io io io io io io io io io io
lls are limited to situations in which the client's medical condition is deemed termin
io io io io io io io io io io io io io
al. The other answers are incorrect because living wills are not always honored in e
io io io io io io io io io io io io io io
very circumstance, they are not binding for the duration of the client'slife, and they ar
io io io io io io io io io io io o
i io io io
e not drawn up by the client's family.
io io io io io io io
PTS: 1 REF: p. 29 io io io io
NAT: Client Needs: Safe, Effective Care Environment: Management of CareTOP:
io io io io io io io io io o
i i
oChapter 1: Professional Nursing Practice io io io io
KEY: Integrated Process: Communication and Documentation BLM: CognitiveLevel
io io io io io io io o
i
: Analyze
io
NOT: Multiple Choice io io
3. A nurse has been providing ethical care for many years and is aware of the needto
io io io io io io io io io io io io io io io o
i io
maintain the ethical principle of nonmaleficence. Which of the following actionswo
io io io io io io io io io io o
i
uld be considered a violation of this principle?
io io io io io io io
A. Discussing a DNR order with a terminally ill client io io io io io io io io
B. Assisting a semi-independent client with ADLs io io io io io
C. Refusing to administer pain medication as prescribed io io io io io io
D. Providing more care for one client than for another io io io io io io io io o
i
ANS: C io
Rationale: The duty not to inflict as well as prevent and remove harm is termed no
io io io io io io io io io io io io io io io
nmaleficence. Discussing a DNR order with a terminally ill client and assisting aclient
io io io io io io io io io io io io o
i
io with ADLs would not be considered contradictions to the nurse's duty of nonmalefi
io io io io io io io io io io io io
cence. Some clients justifiably require more care than others.
io io io io io io io io
PTS: 1 REF: p. 25 io io io io
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
io io io io io io io io io
, Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
io io io io io io io io io io io
TOP: Chapter 1: Professional Nursing Practice
io io io io io
KEY: Integrated Process: Nursing Process
io io io io
BLM: Cognitive Level: Analyze
io io io o
i
NOT: Multiple Choice
io io
4. A nurse has begun creating a client's plan of care shortly after the client's ad
io io io io io io io io io io io io io io
mission. The nurse knows that it is important that the wording of the chosennur
io io io io io io io io io io io io io o
i
sing diagnoses falls within the taxonomy of nursing. Which organization is resp
io io io io io io io io io io io
onsible for developing the taxonomy of a nursing diagnosis?
io io io io io io io io
A. American Nurses Association (ANA) io io io
B. North American Nursing Diagnosis Association (NANDA)
io io io io io
C. National League for Nursing (NLN) io io io io
D. Joint Commission io o
i
ANS: B io
Rationale: NANDA International is the official organization responsible for developi
io io io io io io io io io
ng the taxonomy of nursing diagnoses and formulating nursing diagnosesacceptable
io io io io io io io io io o
i io
for study. The ANA, NLN, and Joint Commission are not charged with thetask of develop
o
i io io o
i io o
i o
i o
i io o
i o
i io o
i io io
ing the taxonomy of nursing diagnoses.
io io io io io
PTS: 1 REF: p. 15
io io io io
NAT: Client Needs: Safe, Effective Care Environment: Management of CareTOP:
io io io io io io io io io o
i i
Chapter 1: Professional Nursing Practice
o io io io io
KEY: Integrated Process: Nursing Process
io io io io
BLM: Cognitive Level: Understand
io io io o
i
NOT: Multiple Choice
io io
5. A medical nurse has obtained a new client's health history and has completed thead
o
i o
i io io o
i o
i o
i io o
i o
i io io o
i o
i
mission assessment. The nurse followed this by documenting the results and crea
io io io io io io io io io io io
ting a care plan for the client. Which of the following is the most important ration
io io io io io io io io io io io io io io io
ale for documenting the client's care?
io io io io io
A. It provides continuity of care.
io io io io
B. It creates a teaching log for the family.
io io io io io io io
C. It verifies appropriate staffing levels.
io io io io