Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition by Janice Hinkle | 9781975161033 | | Chapter 1-68 | Complete Questions and Answers A+

Test Bank for Brunner & Suddarth's Textbook of Medical-
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Surgical Nursing, 15th Edition
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Test Bank Brun +y +y




ner & Suddarth's +y +y




Textbook of Medical- +y +y




SurgicalNursing, 15th Edi +
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,Test Bank for Brunner & Suddarth's Textbook of Medical-
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tion
Surgical Nursing, 15th Edition
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,Test Bank for Brunner & Suddarth's Textbook of Medical-
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Surgical Nursing, 15th 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
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theunit offers therapeutic abortions, a procedure that contradicts the nurse's pe
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rsonalbeliefs. 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 ser
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viceto these clients.
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B. The nurse should make the choice to decline this position and pursue a differ
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entnursing 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 t
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heirpregnancy.y
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ANS: B +y




Rationale: To avoid facing the ethical dilemma of providing care that contradicts th
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enurse’s personal beliefs, the nurse should consider working in an area of nur
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sing that would not pose this dilemma. The nurse should not provide care to
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the clientbecause it is a conflict of personal values. The nurse should not deny
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care to theseclients as this would be a breach in the Code of Ethics for nurses. If
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the client is notrequesting information for alternatives to abortions, then the
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nurse should not beproviding this information.
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PTS: 1 REF: p. 27
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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: Carin
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gBLM: Cognitive Level: Apply NOT: Multiple Choice
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2. An 80-year-old client is admitted with a diagnosis of community-
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acquiredpneumonia. During admission the client states, "I have a living
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will." What implication of this should the nurse recognize?
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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-
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Surgical Nursing, 15th Edition
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D. This document has been drawn up by the client's family to determine
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DNRstatus. y
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ANS: B +y




Rationale: A living will is one type of advance directive. In most situations, livi
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ng wills are limited to situations in which the client's medical condition is dee
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med terminal. The other answers are incorrect because living wills are not alw
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ays honored in every circumstance, they are not binding for the duration of the c
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lient'slife, and they are not drawn up by the client's family.
y
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PTS: 1 REF: p. 29
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NAT: Client Needs: Safe, Effective Care Environment: Management of CareT
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OP: Chapter 1: Professional Nursing Practice
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KEY: Integrated Process: Communication and Documentation BLM: CognitiveLe
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vel: Analyze +y



NOT: Multiple Choice
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3. A nurse has been providing ethical care for many years and is aware of the n
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eedto maintain the ethical principle of nonmaleficence. Which of the following
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actionswould be considered a violation of this principle?
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A. Discussing a DNR order with a terminally ill client +y +y +y +y +y +y +y +y




B. Assisting a semi-independent client with ADLs +y +y +y +y +y




C. Refusing to administer pain medication as prescribed
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D. Providing more care for one client than for anoth +y +y +y +y +y +y +y +y




erANS: C
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Rationale: The duty not to inflict as well as prevent and remove harm is term
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ed nonmaleficence. Discussing a DNR order with a terminally ill client and assist
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ing aclient with ADLs would not be considered contradictions to the nurse's dut
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y of nonmaleficence. Some clients justifiably require more care than others.
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PTS: 1 REF: p. 25
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NAT: Client Needs: Safe, Effective Care Environment: Management of Care
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