FULL TEST BANK :
Brunner & Suddarth's Textbook of Medical-Surgical Nursing
Janice L Hinkle, Kerry H. Cheever, Kristen Overbaugh
16th Edition 2
,
,
, 1st chapter : Professional Nursing Practice
Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 16th Edition
MULTIPLE CHOICE
1. A caregiver has been offered a position on an obstetric unit and has learned that the unit offers
therapeutic abortions, a procedure that contradicts the nurse's personal beliefs. What is the nurse's
ethical obligation to these clients?
A. The s caregiver should adhere to professional standards of practice and offer service to
these clients.
B. The caregiver should make the choice to decline this position and pursue a different
nursing role.
C. The caregiver should decline to care for the client’s considering abortion.
D. The caregiver should express alternatives to women considering terminating their pregnancy.
ANS: B
Rationale: To avoid facing the ethical dilemma of providing care that contradicts the caregiver’s
personal beliefs, the caregiver should consider working in an area of nursing that would not pose this
dilemma. The caregiver should not provide care to the client because it is a conflict of personal values.
The nurse should not deny care to these clients as this would be a breach in the Code of Ethics for
nurses. If the client is not requesting information for alternatives to abortions, then the caregiver
should not be providing this information.
PTS: 1 REF: p. 27
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Professional Nursing Practice KEY: Integrated Process: Caring
BLM: Cognitive Level: Apply NOT: Multiple Choice
2. An 80-year-old client is admitted with a diagnosis of community-acquired pneumonia. During admission
the client states, "I have a living will." What implication of this should the nurse recognize? A. This
document is always honored, regardless of circumstances.
B. This document specifies the client's wishes before hospitalization.
C. This document is binding for the duration of the client's life.
D. This document has been drawn up by the client's family to determine DNR status.
ANS: B
Rationale: A living will is one type of advance directive. In most situations, living wills are limited to
situations in which the client's medical condition is deemed terminal. The other answers are incorrect
because living wills are not always honored in every circumstance, they are not binding for the
duration of the client's life, and they are not drawn up by the client's family.
PTS: 1 REF: p. 29
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Professional Nursing Practice
1|Page
Brunner & Suddarth's Textbook of Medical-Surgical Nursing
Janice L Hinkle, Kerry H. Cheever, Kristen Overbaugh
16th Edition 2
,
,
, 1st chapter : Professional Nursing Practice
Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 16th Edition
MULTIPLE CHOICE
1. A caregiver has been offered a position on an obstetric unit and has learned that the unit offers
therapeutic abortions, a procedure that contradicts the nurse's personal beliefs. What is the nurse's
ethical obligation to these clients?
A. The s caregiver should adhere to professional standards of practice and offer service to
these clients.
B. The caregiver should make the choice to decline this position and pursue a different
nursing role.
C. The caregiver should decline to care for the client’s considering abortion.
D. The caregiver should express alternatives to women considering terminating their pregnancy.
ANS: B
Rationale: To avoid facing the ethical dilemma of providing care that contradicts the caregiver’s
personal beliefs, the caregiver should consider working in an area of nursing that would not pose this
dilemma. The caregiver should not provide care to the client because it is a conflict of personal values.
The nurse should not deny care to these clients as this would be a breach in the Code of Ethics for
nurses. If the client is not requesting information for alternatives to abortions, then the caregiver
should not be providing this information.
PTS: 1 REF: p. 27
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Professional Nursing Practice KEY: Integrated Process: Caring
BLM: Cognitive Level: Apply NOT: Multiple Choice
2. An 80-year-old client is admitted with a diagnosis of community-acquired pneumonia. During admission
the client states, "I have a living will." What implication of this should the nurse recognize? A. This
document is always honored, regardless of circumstances.
B. This document specifies the client's wishes before hospitalization.
C. This document is binding for the duration of the client's life.
D. This document has been drawn up by the client's family to determine DNR status.
ANS: B
Rationale: A living will is one type of advance directive. In most situations, living wills are limited to
situations in which the client's medical condition is deemed terminal. The other answers are incorrect
because living wills are not always honored in every circumstance, they are not binding for the
duration of the client's life, and they are not drawn up by the client's family.
PTS: 1 REF: p. 29
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Professional Nursing Practice
1|Page
