BRUNNER & SUDDARTH'S TEXTBOOK OF MEDICAL-SURGICAL NURSING 15TH EDITION HINKLE LATEST TEST BANK UPDATE (CHAPTER 1 TO 68) A+ GUARANTEE

Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
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Brunner&Suddarth's
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gTextbook ofMedical-Surgical u




Nursing,15thEdition
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,Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
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Chapter1:ProfessionalNursingPractice

1. A nurse has been offered a position on an obstetric unit and has learned that the
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unit offers therapeutic abortions, a procedure that contradicts the nurse's personal
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beliefs. 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 service
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g to these clients.
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B. The nurse should make the choice to decline this position and pursue a different
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g nursing role. g



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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g pregnancy.


ANS: B g




Rationale:Toavoidfacingtheethicaldilemmaofprovidingcarethatcontradicts the u




nurse’s personal beliefs, the nurse should consider working in an area of nursing
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g that would not pose this dilemma. The nurse should not provide care to the
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client g because it is a conflict of personal values. The nurse should not deny care to
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g these clientsas this would beabreachin the Code ofEthicsfor nurses. Iftheclient is not
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requesting information for alternatives to abortions, then the nurse should
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g not be providing this information.
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PTS: 1 REF: p. 27g g g g




NAT: Client Needs: Safe, Effective Care Environment: Management of Care
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g TOP: Chapter 1: Professional Nursing Practice KEY:IntegratedProcess: Caring
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BLM: Cognitive Level: Apply NOT: Multiple Choice
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2. An 80-year-old client is admitted with a diagnosis of community-acquired
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pneumonia. During admission the client states, "I have a living will." What
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g implication of this should the nurse recognize? g g g g g g



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.
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,Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
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D. This document has been drawn up by the client's family to determine DNR
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g status.


ANS: B g




Rationale: A living will is one type of advance directive. In most situations, living
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g wills are limited to situations in which the client's medical condition is deemed
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g terminal. The other answers are incorrect because living wills are not always
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g honored in every circumstance, they are not binding for the duration ofthe client's
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g life, and they are not drawn up by the client's family.
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PTS: 1 REF: p. 29g g g g




NAT: Client Needs: Safe, Effective Care Environment: Management of Care
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TOP: Chapter 1: Professional Nursing Practice
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KEY: Integrated Process: Communication and Documentation BLM: Cognitive
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Level: Analyze
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NOT: Multiple Choice
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3. A nurse has been providing ethical care for many years and is aware of the need to
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g maintain the ethical principle of nonmaleficence. Which of the following actions
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g would be considered a violation of this principle?
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A. Discussing a DNR order with a terminally ill client g g g g g g g g




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




C. Refusing to administer pain medication as prescribed
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D. Providing more care for one client than for another g g g g g g g g




ANS: C g




Rationale: The duty not to inflict as well as prevent and remove harm is termed
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g nonmaleficence. Discussing a DNR order with a terminally ill client and assisting a
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g client with ADLs would not be considered contradictions to the nurse's duty of
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g nonmaleficence. Some clients justifiably require more care than others. g g g g g g g g




PTS: 1 REF: p. 25g g g g




NAT: Client Needs: Safe, Effective Care Environment: Management of Care
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, Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
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TOP: Chapter 1: Professional Nursing Practice
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KEY: Integrated Process: Nursing Process
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NOT: Multiple Choice
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4. A nurse has begun creating a client's plan of care shortly after the client's
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g admission. The nurse knows that it is important that the wording of the chosen
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g nursing diagnoses falls within the taxonomy of nursing. Which organization is
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g responsible for developing the taxonomy of a nursing diagnosis?
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A. American Nurses Association (ANA) g g g




B. North American Nursing Diagnosis Association (NANDA)
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C. National League for Nursing (NLN) g g g g




D. JointCommission


ANS: B
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Rationale: NANDA International is the official organization responsible for
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g developing the taxonomy of nursing diagnoses and formulating nursing diagnoses
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acceptableforstudy.TheANA,NLN,andJointCommissionarenot chargedwiththe g g g u




g task of developing the taxonomy of nursing diagnoses.
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PTS: 1 REF: p. 15 g g g g




NAT: Client Needs: Safe, Effective Care Environment: Management of Care
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TOP: Chapter 1: Professional Nursing Practice
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KEY: Integrated Process: Nursing Process
g g g g BLM: Cognitive Level: Understand
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g NOT: Multiple Choiceg g




5. Amedicalnursehasobtainedanewclient'shealthhistoryandhas completedthe g g g




g admission assessment. The nurse followed this by documenting the results and
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g creating a care plan for the client. Which of the following is the most important
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g rationale for documenting the client's care?
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A. It provides continuity of care.
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B. It creates a teaching log for the family.
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C. It verifies appropriate staffing levels.
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D. It keeps the client fully informed.
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