Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition (Hinkle, 2023)| chapter 1-68 Latest Test Bank 100% Verified Answers

Test Bankfor Brunner &Suddarth'sTextbook of Medical-Surgical Nursing, 15th Edition
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TestBank u




Brunner&Suddarth's
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Textbook ofMedical-Surgical
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Nursing,15thEdition
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,Test Bankfor Brunner &Suddarth'sTextbook 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 unit
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offers therapeutic abortions, a procedure that contradicts the nurse's personal beliefs.
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x 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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x 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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nursing role.
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C. Thenurseshoulddeclinetocare forthe clientsconsideringabortion.
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D. The nurse should express alternatives to women considering terminating
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x their pregnancy. x




ANS: B x




Rationale:Toavoidfacingtheethicaldilemmaofprovidingcarethatcontradicts the x




nurse’s personalbeliefs, the nurse should consider working in an area of nursing that
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x would not pose this dilemma. The nurse should not provide care to the client
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x becauseit isa conflict ofpersonalvalues.Thenurseshouldnotdenycareto these
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clientsasthiswouldbeabreachintheCodeofEthicsfornurses.Iftheclientis not
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requesting information for alternatives to abortions, then the nurse should x x x x x x x x x




not be x providing this information. x x




PTS:1REF: p.27 x x x x




NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP:
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x Chapter 1: Professional Nursing Practice x x x x KEY:IntegratedProcess:Caring x x x




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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x implication of this should the nurse recognize? x x x x x x




A. Thisdocument is always honored,regardless ofcircumstances.
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B. Thisdocumentspecifies the client's wishes before hospitalization.
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C. Thisdocumentis bindingforthe duration ofthe client's life.
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,Test Bankfor Brunner &Suddarth'sTextbook of Medical-Surgical Nursing, 15th Edition
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D. This document has been drawn up by the client's family to determine
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x DNR status. x




ANS: B x




Rationale: A livingwill isone type ofadvance directive.In most situations, living wills
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x are limited to situations in which the client's medical condition is deemed terminal.
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x The other answers are incorrect because living wills are not always honoredinevery
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circumstance,theyarenotbindingforthedurationoftheclient's life, and they are not
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x drawn up by the client's family. x x x x x




PTS:1REF: p.29 x x x x




NAT:ClientNeeds: Safe,EffectiveCare Environment:ManagementofCare
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TOP: Chapter 1: Professional Nursing Practice
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KEY:IntegratedProcess:CommunicationandDocumentationBLM: Cognitive Level:
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x Analyze
NOT:Multiple Choice x x




3. A nurse has been providing ethical care for many years and is aware of the need to
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maintain the ethical principle of nonmaleficence. Which of the following actions would
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x be considered a violation of this principle?
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A. DiscussingaDNR order with a terminally ill client x x x x x x x x




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




C. Refusingto administer pain medication as prescribed x x x x x x




D. Providingmorecare foroneclientthanfor another x x x x x x x x




ANS: C x




Rationale: The duty not to inflict as well as prevent and remove harm is termed
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x nonmaleficence. Discussing a DNR order with aterminally illclient and assisting a client x x x x x x x x x x x x x




x with ADLs would not be considered contradictions to the nurse's duty of
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x nonmaleficence. Some clients justifiably require more care than others. x x x x x x x x




PTS: 1REF: p.25 x x x x




NAT: ClientNeeds: Safe, Effective Care Environment:Management ofCare
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, Test Bankfor Brunner &Suddarth'sTextbook of Medical-Surgical Nursing, 15th Edition
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TOP: Chapter1: ProfessionalNursing Practice
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KEY: Integrated Process: Nursing Process
x x x x BLM:CognitiveLevel:Analyze
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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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x admission. The nurse knows that it is important that the wording of the chosen
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x nursing diagnoses falls within the taxonomy of nursing. Which organization is
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x responsible for developing the taxonomy of a nursing diagnosis? x x x x x x x x




A. AmericanNurses Association (ANA) x x x




B. NorthAmericanNursingDiagnosis Association(NANDA)
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C. NationalLeague forNursing(NLN) x x x x




D. JointCommission


ANS: B
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Rationale: NANDA International is the official organization responsible for
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x developingthetaxonomyofnursingdiagnoses andformulatingnursingdiagnoses
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acceptableforstudy.TheANA,NLN,andJointCommissionarenotchargedwiththe x x x x




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




NAT:ClientNeeds:Safe,EffectiveCare Environment:ManagementofCare TOP:
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x Chapter 1: Professional Nursing Practice
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KEY: Integrated Process: Nursing Process
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x NOT: Multiple Choice x x




5. Amedicalnurse hasobtainedanewclient's healthhistoryandhas completedthe x x x




x admissionassessment.Thenurse followed this bydocumenting the results and
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x creatinga care plan forthe client.Which of the following is the most important
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x rationale for documenting the client's care? x x x x x




A. Itprovidescontinuity ofcare.
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B. Itcreates ateaching logforthe family.
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C. Itverifies appropriatestaffing levels.
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D. Itkeepstheclient fully informed.
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