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

,Test5Bank5for5Brunner5&5Suddarth's5Textbook5of5Medical-Surgical5Nursing,515th5Edition


Chapter1:ProfessionalNursingPractice

1. A5nurse5has5been5offered5a5position5on5an5obstetric5unit5and5has5learned5that5
the5unit5offers5therapeutic5abortions,5a5procedure5that5contradicts5the5nurse's5pe
rsonal5beliefs.5What5is5the5nurse's5ethical5obligation5to5these5clients?
A. The5nurse5should5adhere5to5professional5standards5of5practice5and5offer
5 service5to5these5clients.
B. The5nurse5should5make5the5choice5to5decline5this5position5and5pursue5a
5 different5nursing5role.
C. The5nurse5should5decline5to5care5for5the5clients5considering5abortion.

D. The5nurse5should5express5alternatives5to5women5considering5terminating
5 their5pregnancy.


ANS:5B


Rationale:Toavoidfacingtheethicaldilemmaofprovidingcarethatcontradicts5 the
nurse’s5personal5beliefs,5the5nurse5should5consider5working5in5an5area5of5nursing5
that5would5not5pose5this5dilemma.5The5nurse5should5not5provide5care5to5the5clien
t5because5it5is5a5conflict5of5personal5values.5The5nurse5should5not5deny5care5to5th
ese5clients5as5this5would5be5a5breach5in5the5Code5of5Ethics5for5nurses.5If5the5clien
t5is5not5requesting5information5for5alternatives5to5abortions,5then5the5nurse5shou
ld5not5be5 providing5this5information.


PTS:515REF:5p.527
NAT:5Client5Needs:5Safe,5Effective5Care5Environment:5Management5of5Care5TO
P:5Chapter51:5Professional5Nursing5Practice5KEY:5Integrated5Process:5Caring
BLM:5Cognitive5Level:5Apply5NOT:5Multiple5Choice



2. An580-year-old5client5is5admitted5with5a5diagnosis5of5community-
acquired5pneumonia.5During5admission5the5client5states,5"I5have5a5living5w
ill."5What5implication5of5this5should5the5nurse5recognize?
A. This5document5is5always5honored,5regardless5of5circumstances.
B. This5document5specifies5the5client's5wishes5before5hospitalization.
C. This5document5is5binding5for5the5duration5of5the5client's5life.

,Test5Bank5for5Brunner5&5Suddarth's5Textbook5of5Medical-Surgical5Nursing,515th5Edition




D. This5document5has5been5drawn5up5by5the5client's5family5to5determine5DNR
5 status.


ANS:5B


Rationale:5A5living5will5is5one5type5of5advance5directive.5In5most5situations,5living
5 wills5are5limited5to5situations5in5which5the5client's5medical5condition5is5deemed5
terminal.5The5other5answers5are5incorrect5because5living5wills5are5not5always5ho
nored5in5every5circumstance,5they5are5not5binding5for5the5duration5of5the5client'
s5life,5and5they5are5not5drawn5up5by5the5client's5family.


PTS:515REF:5p.529
NAT:5Client5Needs:5Safe,5Effective5Care5Environment:5Management5of5Care5TO
P:5Chapter51:5Professional5Nursing5Practice
KEY:5Integrated5Process:5Communication5and5Documentation5BLM:5Cognitive5Le
vel:5Analyze
NOT:5Multiple5Choice


3. A5nurse5has5been5providing5ethical5care5for5many5years5and5is5aware5of5the5ne
ed5to5maintain5the5ethical5principle5of5nonmaleficence.5Which5of5the5following5act
ions5would5be5considered5a5violation5of5this5principle?
A. Discussing5a5DNR5order5with5a5terminally5ill5client

B. Assisting5a5semi-independent5client5with5ADLs
C. Refusing5to5administer5pain5medication5as5prescribed
D. Providing5more5care5for5one5client5than5for5another


ANS:5C


Rationale:5The5duty5not5to5inflict5as5well5as5prevent5and5remove5harm5is5termed
5 nonmaleficence.5Discussing5a5DNR5order5with5a5terminally5ill5client5and5assistin
g5a5client5with5ADLs5would5not5be5considered5contradictions5to5the5nurse's5duty5
of5nonmaleficence.5Some5clients5justifiably5require5more5care5than5others.

, Test5Bank5for5Brunner5&5Suddarth's5Textbook5of5Medical-Surgical5Nursing,515th5Edition



PTS:515REF:5p.525
NAT:5Client5Needs:5Safe,5Effective5Care5Environment:5Management5of5Care5TO
P:5Chapter51:5Professional5Nursing5Practice
KEY:5Integrated5Process:5Nursing5Process5 BLM:5Cognitive5Level:5Analyze5NOT:5
Multiple5Choice


4. A5nurse5has5begun5creating5a5client's5plan5of5care5shortly5after5the5client's5
admission.5The5nurse5knows5that5it5is5important5that5the5wording5of5the5chosen
5 nursing5diagnoses5falls5within5the5taxonomy5of5nursing.5Which5organization5i
s5responsible5for5developing5the5taxonomy5of5a5nursing5diagnosis?
A. American5Nurses5Association5(ANA)
B. North5American5Nursing5Diagnosis5Association5(NANDA)
C. National5League5for5Nursing5(NLN)
D. JointCommission


ANS:5B
5




Rationale:5NANDA5International5is5the5official5organization5responsible5for5devel
oping5the5taxonomy5of5nursing5diagnoses5and5formulating5nursing5diagnoses5
5 acceptableforstudy.5 5 The5 5 ANA,NLN,andJointCommissionare5not5chargedw
iththe
task5of5developing5the5taxonomy5of5nursing5diagnoses.


PTS:515REF:5p.515
NAT:5Client5Needs:5Safe,5Effective5Care5Environment:5Management5of5Care5TO
P:5Chapter51:5Professional5Nursing5Practice
KEY:5Integrated5Process:5Nursing5Process5 BLM:5Cognitive5Level:5Understand5N
OT:5Multiple5Choice


5. Amedicalnurse5hasobtainedanewclient's5healthhistoryandhas5completedthe5
admission5assessment.5The5nurse5followed5this5by5documenting5the5results5and
5 creating5a5care5plan5for5the5client.5Which5of5the5following5is5the5most5importan
t5rationale5for5documenting5the5client's5care?5A.5It5provides5continuity5of5care.