wQ wQ wQ wQ wQ wQ wQ
Medical-Surgical Nursing 15th Edition Author(s)
wQ wQ wQ wQ wQ
Janice L Hinkle, Kerry H. Cheever
wQ wQ wQ wQ wQ wQ
,Test wQBank wQfor wQBrunner wQ& wQSuddarth's wQTextbook wQof wQMedical-Surgical wQNursing,
wQ15th wQEdition
Chapter1:ProfessionalNursingPractice
1. A wQnurse wQhas wQbeen wQoffered wQa wQposition wQon wQan wQobstetric wQunit wQand wQhas
wQ learned wQ that the
wQ unit
wQ wQ offers therapeutic
wQ wQ abortions, a
wQ procedure
wQ wQthat
wQ contradicts wQ the nurse's
wQ wQ personal wQ beliefs. What
wQ is
wQ the
wQ wQ nurse's wQ ethical
wQ obligation wQto wQthese wQclients?
A. The wQnurse wQshould wQadhere wQto wQprofessional wQstandards wQof wQpractice
wQ and wQoffer wQservice wQto wQthese wQclients.
B. The wQnurse wQshould wQmake wQthe wQchoice wQto wQdecline wQthis wQposition
and wQpursue wQa wQdifferent wQnursing wQrole.
wQ
C. The wQnurse wQshould wQdecline wQto wQcare wQfor wQthe wQclients wQconsidering wQabortion.
D. The wQnurse wQshould wQexpress wQalternatives wQto wQwomen wQconsidering
terminating wQtheir wQpregnancy.
wQ
ANS: wQB
Rationale:Toavoidfacingtheethicaldilemmaofprovidingcarethatcontradicts w Q the
nurse’s wQpersonal wQbeliefs, wQthe wQnurse wQshould wQconsider wQworking wQin wQan wQarea
wQof wQnursing wQthat wQwould wQnot wQpose wQthis wQdilemma. wQThe wQnurse wQshould wQnot
wQ provide wQcare wQto wQthe wQclient wQbecause wQit wQis wQa wQconflict wQof wQpersonal
wQvalues. wQThe wQnurse wQshould wQnot wQdeny wQcare wQto wQthese wQclients wQas wQthis
wQwould wQbe wQa wQbreach wQin wQthe wQCode wQof wQEthics wQfor wQnurses. wQIf wQthe wQclient wQis
wQ not wQrequesting wQinformation wQfor wQalternatives wQto wQabortions, wQthen wQthe
wQ nurse wQshould wQnot wQbe wQ providing wQthis wQinformation.
PTS: wQ1 wQREF: wQp. wQ27
NAT: wQClient wQNeeds: wQSafe, wQEffective wQCare wQEnvironment: wQManagement wQof
wQ Care wQTOP: wQChapter wQ1: wQProfessional wQNursing wQPractice wQKEY: wQIntegrated
wQProcess: wQCaring
BLM: wQCognitive wQLevel: wQApply wQNOT: wQMultiple wQChoice
2. An wQ80-year-old wQclient wQis wQadmitted wQwith wQa wQdiagnosis wQof wQcommunity-
acquired wQpneumonia. wQDuring wQadmission wQthe wQ client wQstates, wQ"I wQhave
wQ a wQ living wQwill." wQ What wQ implication wQof wQ this wQshould wQ the nurse
wQ
,Test wQBank wQfor wQBrunner wQ& wQSuddarth's wQTextbook wQof wQMedical-Surgical wQNursing,
wQ15th wQwQrecognize?
Edition
A. This wQdocument wQis wQalways wQhonored, wQregardless wQof wQcircumstances.
B. This wQdocument wQspecifies wQthe wQclient's wQwishes wQbefore wQhospitalization.
C. This wQdocument wQis wQbinding wQfor wQthe wQduration wQof wQthe wQclient's wQlife
D. This wQdocument wQhas wQbeen wQdrawn wQup wQby wQthe wQclient's wQfamily wQto
wQdetermine wQDNR wQstatus.
ANS: wQB
Rationale: wQ A living
wQ will
wQ wQ is wQ one wQ type wQ of advance
wQ wQ directive. wQ In wQ most
wQsituations, wQliving wQwills wQare wQlimited wQto wQsituations wQin wQwhich wQthe wQclient's
wQ medical wQ condition wQ is deemed
wQ wQ terminal. The
wQ wQother answers
wQ are
wQ
wQ incorrect because
wQ wQ living wQ wills wQ are not
wQ wQ always honored
wQ wQin wQevery
wQ circumstance, wQthey wQare wQnot wQbinding wQfor wQthe wQduration wQof wQthe wQclient's
wQ life, wQand wQthey wQare wQnot wQdrawn wQup wQby wQthe wQclient's wQfamily.
PTS: wQ1 wQREF: wQp. wQ29
NAT: wQClient wQNeeds: wQSafe, wQEffective wQCare wQEnvironment: wQManagement wQof
wQCare wQTOP: wQChapter wQ1: wQProfessional wQNursing wQPractice
KEY: wQIntegrated wQProcess: wQCommunication wQand wQDocumentation wQBLM:
wQCognitive wQLevel: wQAnalyze
NOT: wQMultiple wQChoice
3. A nurse
wQ wQ has been
wQ wQ providing wQ ethical wQ care wQfor wQ many wQ years wQ and wQ is
wQ aware of
wQ wQ the wQ need to
wQ maintain
wQ wQ the wQ ethical wQ principle of
wQ
wQ nonmaleficence. wQWhich wQof wQthe wQfollowing wQactions wQwould wQbe wQconsidered wQa
wQ violation wQof wQthis wQprinciple?
A. Discussing wQa wQDNR wQorder wQwith wQa wQterminally wQill wQclient
B. Assisting wQa wQsemi-independent wQclient wQwith wQADLs
C. Refusing wQto wQadminister wQpain wQmedication wQas wQprescribed
D. Providing wQmore wQcare wQfor wQone wQclient wQthan wQfor wQanother
ANS: wQC
, Test wQBank wQfor wQBrunner wQ& wQSuddarth's wQTextbook wQof wQMedical-Surgical wQNursing,
wQ15th wQEdition
Rationale: wQ The duty
wQ wQ not to
wQ wQ inflict wQas wQ well wQ as wQ prevent and
wQ wQ remove
wQ harm is
wQ wQ termed wQ nonmaleficence. wQ Discussing wQ a DNR
wQ wQ order with
wQ a
wQ
wQ terminally wQill wQclient wQand wQassisting wQ a wQclient wQwith wQADLs wQwould wQnot wQbe
wQ considered contradictions
wQ wQ to the
wQ wQ nurse's duty
wQ wQ of wQ nonmaleficence.
wQ Some wQclients wQjustifiably wQrequire wQmore wQcare wQthan wQothers.
PTS: wQ1 wQREF: wQp. wQ25
NAT: wQClient wQNeeds: wQSafe, wQEffective wQCare wQEnvironment: wQManagement wQof
wQCare wQTOP: wQChapter wQ1: wQProfessional wQNursing wQPractice
KEY: wQIntegrated wQProcess: wQNursing wQProcess wQ BLM: wQCognitive wQLevel:
Analyze wQNOT: wQMultiple wQChoice
wQ
4. A wQnurse wQhas wQbegun wQcreating wQa wQclient's wQplan wQof wQcare wQshortly wQafter
wQ the wQclient's wQadmission. wQThe wQnurse wQknows wQthat wQit wQis wQimportant wQthat wQthe
wQwording wQof wQthe wQchosen wQnursing wQdiagnoses wQfalls wQwithin wQthe wQtaxonomy
wQ of nursing.
wQ wQ Which organization
wQ wQ is wQ responsible wQ for wQ developing the
wQ
wQ taxonomy wQof wQa wQnursing wQdiagnosis?
A. American wQNurses wQAssociation wQ(ANA)
B. North wQAmerican wQNursing wQDiagnosis wQAssociation wQ(NANDA)
C. National wQLeague wQfor wQNursing wQ(NLN)
D. JointCommission
wQ ANS: wQB
Rationale: NANDA
wQ International
wQ wQ is wQ the official
wQ organization
wQ wQ responsible
wQ for wQ developing wQ the wQ taxonomy wQ of wQ nursing wQdiagnoses wQ and formulating
wQ
wQ nursing wQ diagnoses w Q w Q acceptableforstudy. w Q w Q The w Q
w Q ANA,NLN,andJointCommissionare wQnotwQchargedwiththe
task wQof wQdeveloping wQthe wQtaxonomy wQof wQnursing wQdiagnoses.
PTS: wQ1 wQREF: wQp. wQ15
NAT: wQClient wQNeeds: wQSafe, wQEffective wQCare wQEnvironment: wQManagement wQof
wQCare wQTOP: wQChapter wQ1: wQProfessional wQNursing wQPractice
KEY: wQIntegrated wQProcess: wQNursing wQProcess wQ BLM: wQCognitive wQLevel: