Test Bank For Brunner & Suddarth's Textbook of Medical-Surgical Nursing 15th Edition Author(s) Janice L Hinkle, Kerry H. Cheever

Test Bank For Brunner & Suddarth's Textbook of
Medical-Surgical Nursing 15th Edition Author(s) Janice L
Hinkle, Kerry H. Cheever

,Test8Bank8for8Brunner8&8Suddarth's8Textbook8of8Medical-Surgical8Nursing,815th8Edition


Chapter1:ProfessionalNursingPractice

1. A8nurse8has8been8offered8a8position8on8an8obstetric8unit8and8has8learned8that8
the8unit8offers8therapeutic8abortions,8a8procedure8that8contradicts8the8nurse's8pe
rsonal8beliefs.8What8is8the8nurse's8ethical8obligation8to8these8clients?
A. The8nurse8should8adhere8to8professional8standards8of8practice8and8offer
8 service8to8these8clients.
B. The8nurse8should8make8the8choice8to8decline8this8position8and8pursue8a
8 different8nursing8role.
C. The8nurse8should8decline8to8care8for8the8clients8considering8abortion.

D. The8nurse8should8express8alternatives8to8women8considering8terminating
8 their8pregnancy.


ANS:8B


Rationale:Toavoidfacingtheethicaldilemmaofprovidingcarethatcontradicts8 the
nurse’s8personal8beliefs,8the8nurse8should8consider8working8in8an8area8of8nursing8
that8would8not8pose8this8dilemma.8The8nurse8should8not8provide8care8to8the8clien
t8because8it8is8a8conflict8of8personal8values.8The8nurse8should8not8deny8care8to8th
ese8clients8as8this8would8be8a8breach8in8the8Code8of8Ethics8for8nurses.8If8the8clien
t8is8not8requesting8information8for8alternatives8to8abortions,8then8the8nurse8shou
ld8not8be8 providing8this8information.


PTS:818REF:8p.827
NAT:8Client8Needs:8Safe,8Effective8Care8Environment:8Management8of8Care8TO
P:8Chapter81:8Professional8Nursing8Practice8KEY:8Integrated8Process:8Caring
BLM:8Cognitive8Level:8Apply8NOT:8Multiple8Choice



2. An880-year-old8client8is8admitted8with8a8diagnosis8of8community-
acquired8pneumonia.8During8admission8the8client8states,8"I8have8a8living8w
ill."8What8implication8of8this8should8the8nurse8recognize?
A. This8document8is8always8honored,8regardless8of8circumstances.
B. This8document8specifies8the8client's8wishes8before8hospitalization.
C. This8document8is8binding8for8the8duration8of8the8client's8life.

,Test8Bank8for8Brunner8&8Suddarth's8Textbook8of8Medical-Surgical8Nursing,815th8Edition




D. This8document8has8been8drawn8up8by8the8client's8family8to8determine8DNR
8 status.


ANS:8B


Rationale:8A8living8will8is8one8type8of8advance8directive.8In8most8situations,8living
8 wills8are8limited8to8situations8in8which8the8client's8medical8condition8is8deemed8
terminal.8The8other8answers8are8incorrect8because8living8wills8are8not8always8ho
nored8in8every8circumstance,8they8are8not8binding8for8the8duration8of8the8client'
s8life,8and8they8are8not8drawn8up8by8the8client's8family.


PTS:818REF:8p.829
NAT:8Client8Needs:8Safe,8Effective8Care8Environment:8Management8of8Care8TO
P:8Chapter81:8Professional8Nursing8Practice
KEY:8Integrated8Process:8Communication8and8Documentation8BLM:8Cognitive8Le
vel:8Analyze
NOT:8Multiple8Choice


3. A8nurse8has8been8providing8ethical8care8for8many8years8and8is8aware8of8the8ne
ed8to8maintain8the8ethical8principle8of8nonmaleficence.8Which8of8the8following8act
ions8would8be8considered8a8violation8of8this8principle?
A. Discussing8a8DNR8order8with8a8terminally8ill8client

B. Assisting8a8semi-independent8client8with8ADLs
C. Refusing8to8administer8pain8medication8as8prescribed
D. Providing8more8care8for8one8client8than8for8another


ANS:8C


Rationale:8The8duty8not8to8inflict8as8well8as8prevent8and8remove8harm8is8termed
8 nonmaleficence.8Discussing8a8DNR8order8with8a8terminally8ill8client8and8assistin
g8a8client8with8ADLs8would8not8be8considered8contradictions8to8the8nurse's8duty8
of8nonmaleficence.8Some8clients8justifiably8require8more8care8than8others.

, Test8Bank8for8Brunner8&8Suddarth's8Textbook8of8Medical-Surgical8Nursing,815th8Edition



PTS:818REF:8p.825
NAT:8Client8Needs:8Safe,8Effective8Care8Environment:8Management8of8Care8TO
P:8Chapter81:8Professional8Nursing8Practice
KEY:8Integrated8Process:8Nursing8Process8 BLM:8Cognitive8Level:8Analyze8NOT:8
Multiple8Choice


4. A8nurse8has8begun8creating8a8client's8plan8of8care8shortly8after8the8client's8
admission.8The8nurse8knows8that8it8is8important8that8the8wording8of8the8chosen
8 nursing8diagnoses8falls8within8the8taxonomy8of8nursing.8Which8organization8i
s8responsible8for8developing8the8taxonomy8of8a8nursing8diagnosis?
A. American8Nurses8Association8(ANA)
B. North8American8Nursing8Diagnosis8Association8(NANDA)
C. National8League8for8Nursing8(NLN)
D. JointCommission


ANS:8B
8




Rationale:8NANDA8International8is8the8official8organization8responsible8for8devel
oping8the8taxonomy8of8nursing8diagnoses8and8formulating8nursing8diagnoses8
8 acceptableforstudy.8 8 The8 8 ANA,NLN,andJointCommissionare8not8chargedw
iththe
task8of8developing8the8taxonomy8of8nursing8diagnoses.


PTS:818REF:8p.815
NAT:8Client8Needs:8Safe,8Effective8Care8Environment:8Management8of8Care8TO
P:8Chapter81:8Professional8Nursing8Practice
KEY:8Integrated8Process:8Nursing8Process8 BLM:8Cognitive8Level:8Understand8N
OT:8Multiple8Choice


5. Amedicalnurse8hasobtainedanewclient's8healthhistoryandhas8completedthe8
admission8assessment.8The8nurse8followed8this8by8documenting8the8results8and
8 creating8a8care8plan8for8the8client.8Which8of8the8following8is8the8most8importan
t8rationale8for8documenting8the8client's8care?8A.8It8provides8continuity8of8care.