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Edition
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Test Bank -? -
Brunner & Suddarth's
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Textbook of Medical-Surgical -? -? -
Nursing, 15th Edition
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,Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th
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Edition
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Chapter 1: Professional Nursing Practice
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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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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. 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
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? theirpregnancy. -?
ANS: B -?
Rationale: To avoid facing the ethical dilemma of providing care that contradicts the
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nurse’s personal beliefs, the nurse should consider working in an area of nursing
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? that would not pose this dilemma. The nurse should not provide care to the
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? clientbecause it is a conflict of personal values. The nurse should not deny care to
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theseclients as this would be a breach in the Code of Ethics for nurses. If the client is
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notrequesting information for alternatives to abortions, then the nurse should
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? not beproviding this information.
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PTS: 1 REF: p. 27 -? -? -? -?
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
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? TOP: Chapter 1: Professional Nursing Practice KEY: Integrated Process: 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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? implication of this should the nurse recognize? -? -? -? -? -? -?
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
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Edition
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D. This document has been drawn up by the client's family to determine DNR
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status.
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ANS: B -?
Rationale: A living will is one type of advance directive. In most situations, living
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? wills are limited to situations in which the client's medical condition is deemed
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? terminal. The other answers are incorrect because living wills are not always
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? honored in every circumstance, they are not binding for the duration of the client's
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life, and they are not drawn up by the client's family.
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PTS: 1 REF: p. 29 -? -? -? -?
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-? -?
3. A nurse has been providing ethical care for many years and is aware of the need
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to maintain the ethical principle of nonmaleficence. Which of the following actions
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would be considered a violation of this principle?
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A. Discussing a DNR order with a terminally ill client -? -? -? -? -? -? -? -?
B. Assisting a semi-independent client with ADLs -? -? -? -? -?
C. Refusing to administer pain medication as prescribed -? -? -? -? -? -?
D. Providing more care for one client than for another -? -? -? -? -? -? -? -? -
ANS: C
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Rationale: The duty not to inflict as well as prevent and remove harm is termed
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? nonmaleficence. Discussing a DNR order with a terminally ill client and assisting a-? -? -? -? -? -? -? -? -? -? -? -? -
client with ADLs would not be considered contradictions to the nurse's duty of
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? nonmaleficence. Some clients justifiably require more care than others. -? -? -? -? -? -? -? -?
PTS: 1 REF: p. 25 -? -? -? -?
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
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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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? admission. The nurse knows that it is important that the wording of the chosen
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nursing diagnoses falls within the taxonomy of nursing. Which organization is
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? responsible for developing the taxonomy of a nursing diagnosis?
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A. American Nurses Association (ANA) -? -? -?
B. North American Nursing Diagnosis Association (NANDA)
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C. National League for Nursing (NLN) -? -? -? -?
D. Joint Commission -? -
ANS: B
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Rationale: NANDA International is the official organization responsible for
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? developing the taxonomy of nursing diagnoses and formulating nursing diagnoses
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acceptable for study. The ANA, NLN, and Joint Commission are not charged with the
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task of developing 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 Care
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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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5. A medical nurse has obtained a new client's health history and has completed the
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admission assessment. The nurse followed this by documenting the results and
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? creating a care plan for the client. Which of the following is the most important
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? 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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