i a
t h
b u
m
ALL CHAPTERS INCLUDED
,Chapter1:Professional Nursing Practice
1. A nurse 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 nurse should adhere to professional standards of practice and offer service to these
clients.
B. The nurse should make the choice to decline this position and pursue a different nursing
role.
C. Thenurse should decline to care for the clients considering abortion.
D. The nurse should express alternatives to women considering terminating their
pregnancy.
i a
ANSWER : B t h
Rationale:Toavoidfacingtheethicaldilemmaofprovidingcarethatcontradicts the
u
nurse’s personal beliefs, the nurse should consider working in an area of nursing that would
not pose this dilemma. The nurse should not provide care to the client because it isa
b
conflict ofpersonalvalues. The nurseshouldnot denycareto these clientsasthiswouldbea
breachintheCodeofEthicsfornurses.Iftheclientis not requesting information for
not be providing this information.
m
alternatives to abortions, then the nurse should
PTS: 1 REF: p. 27
NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP: Chapter
1: Professional Nursing Practice KEY:IntegratedProcess: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. Thisdocument 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.
ANSWER : 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 honoredineverycircumstance, they
are notbindingfor the duration ofthe client's life, and they are not drawn up by the client's
family.
PTS: 1 REF: p. 29
a
NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP:
Chapter 1: Professional Nursing Practice
i
KEY:Integrated Process: Communication andDocumentation BLM: Cognitive Level:
Analyze
h
NOT:Multiple Choice
t u
3. A nurse has been providing ethical care for many years and is aware of the need to maintain
b
the ethical principle of nonmaleficence. Which of the following actions would be considered
a violation of this principle?
A. Discussinga DNR order with a terminally ill client
B. Assisting a semi-independent client with ADLs
m
C. Refusingto administer pain medication as prescribed
D. Providingmore care for one client than for another
ANSWER : C
Rationale: The duty not to inflict as well as prevent and remove harm is termed
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 nonmaleficence. Some
clients justifiably require more care than others.
PTS: 1 REF: p. 25
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
, TOP: Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Nursing Process BLM:CognitiveLevel: Analyze
NOT: Multiple Choice
4. A nurse has begun creating a client's plan of care shortly after the client's admission.
The nurse knows that it is important that the wording of the chosen nursing diagnoses falls
within the taxonomy of nursing. Which organization is responsible for developing the
taxonomy of a nursing diagnosis?
A. American Nurses Association (ANA)
B. NorthAmerican Nursing Diagnosis Association (NANDA)
C. National League for Nursing (NLN)
D. JointCommission
i a
ANSWER : B t h
Rationale: NANDA International is the official organization responsible for developing the
u
taxonomy of nursing diagnoses and formulating nursing diagnoses
acceptableforstudy.TheANA,NLN,andJointCommissionarenot chargedwiththe task of
b u
developing the taxonomy of nursing diagnoses.
PTS: 1 REF: p. 15
m
NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP:
Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Nursing Process BLM:CognitiveLevel:Understand
NOT: Multiple Choice
5. Amedicalnursehasobtainedanewclient'shealthhistoryandhas completedthe admission
assessment. The nurse followed this by documenting the results and creating a care plan
for the client. Which of the following is the most important rationale for documenting the
client's care?
A. It provides continuity of care.
B. It creates a teaching log for the family.
C. It verifies appropriate staffing levels.
D. It keeps the client fully informed.
t h
b u
m
ALL CHAPTERS INCLUDED
,Chapter1:Professional Nursing Practice
1. A nurse 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 nurse should adhere to professional standards of practice and offer service to these
clients.
B. The nurse should make the choice to decline this position and pursue a different nursing
role.
C. Thenurse should decline to care for the clients considering abortion.
D. The nurse should express alternatives to women considering terminating their
pregnancy.
i a
ANSWER : B t h
Rationale:Toavoidfacingtheethicaldilemmaofprovidingcarethatcontradicts the
u
nurse’s personal beliefs, the nurse should consider working in an area of nursing that would
not pose this dilemma. The nurse should not provide care to the client because it isa
b
conflict ofpersonalvalues. The nurseshouldnot denycareto these clientsasthiswouldbea
breachintheCodeofEthicsfornurses.Iftheclientis not requesting information for
not be providing this information.
m
alternatives to abortions, then the nurse should
PTS: 1 REF: p. 27
NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP: Chapter
1: Professional Nursing Practice KEY:IntegratedProcess: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. Thisdocument 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.
ANSWER : 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 honoredineverycircumstance, they
are notbindingfor the duration ofthe client's life, and they are not drawn up by the client's
family.
PTS: 1 REF: p. 29
a
NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP:
Chapter 1: Professional Nursing Practice
i
KEY:Integrated Process: Communication andDocumentation BLM: Cognitive Level:
Analyze
h
NOT:Multiple Choice
t u
3. A nurse has been providing ethical care for many years and is aware of the need to maintain
b
the ethical principle of nonmaleficence. Which of the following actions would be considered
a violation of this principle?
A. Discussinga DNR order with a terminally ill client
B. Assisting a semi-independent client with ADLs
m
C. Refusingto administer pain medication as prescribed
D. Providingmore care for one client than for another
ANSWER : C
Rationale: The duty not to inflict as well as prevent and remove harm is termed
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 nonmaleficence. Some
clients justifiably require more care than others.
PTS: 1 REF: p. 25
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
, TOP: Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Nursing Process BLM:CognitiveLevel: Analyze
NOT: Multiple Choice
4. A nurse has begun creating a client's plan of care shortly after the client's admission.
The nurse knows that it is important that the wording of the chosen nursing diagnoses falls
within the taxonomy of nursing. Which organization is responsible for developing the
taxonomy of a nursing diagnosis?
A. American Nurses Association (ANA)
B. NorthAmerican Nursing Diagnosis Association (NANDA)
C. National League for Nursing (NLN)
D. JointCommission
i a
ANSWER : B t h
Rationale: NANDA International is the official organization responsible for developing the
u
taxonomy of nursing diagnoses and formulating nursing diagnoses
acceptableforstudy.TheANA,NLN,andJointCommissionarenot chargedwiththe task of
b u
developing the taxonomy of nursing diagnoses.
PTS: 1 REF: p. 15
m
NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP:
Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Nursing Process BLM:CognitiveLevel:Understand
NOT: Multiple Choice
5. Amedicalnursehasobtainedanewclient'shealthhistoryandhas completedthe admission
assessment. The nurse followed this by documenting the results and creating a care plan
for the client. Which of the following is the most important rationale for documenting the
client's care?
A. It provides continuity of care.
B. It creates a teaching log for the family.
C. It verifies appropriate staffing levels.
D. It keeps the client fully informed.
