Test Bank for Brunner & Suddarth's Textbook of Medical-
Chapter1:ProfessionalNursingPractice
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 c
lients?
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. The nurse should decline to care for the clients considering abortion.
D. The nurse should express alternatives to women considering terminating
their pregnancy.
ANS: B
Rationale:Toavoidfacingtheethicaldilemmaofprovidingcarethatcontradicts the
nurse’s personal beliefs, the nurse should consider working in an area of
,Test Bank for Brunner & Suddarth's Textbook of Medical-
nursing that would not pose this dilemma. The nurse should not provid
e care to the
client because it is a conflict of personal values. The nurse should not den
y care to these
clients as this would be a breach in the Code ofwsEthics for nurses. If the clie
nt is not
requesting information for alternatives to abortions, then the nurse
should not be providing this information.
PTS: 1 REF: p. 27
NAT: Client Needs: Safe, Effective Care Environment: Management of C
are TOP: Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Carin
g
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 l
,Test[ Bank[ for[ Brunner[ &[ Suddarth's[ Textbook[ of[ Medical-
iving[ will."[ What[ implication[ of[ this[ should[ the[ nurse[ recognize?
A. This[ document[ is[ always[ honored,[ regardless[ of[ circumstances.
B. This[ document[ specifies[ the[ client's[ wishes[ before[ hospitalization.
C. This[ document[ is[ binding[ for[ the[ duration[ of[ the[ client's[ life.
, Test[ Bank[ for[ Brunner[ &[ Suddarth's[ Textbook[ of[ Medical-
D. This[ document[ has[ been[ drawn[ up[ by[ the[ client's[ family[ to[ determin
[e[ DNR[ status.
ANS:[ B
Rationale:[ A[ living[ will[ is[ one[ type[ of[ advance[ directive.[ In[ most[ situation[
s,[ living[ wills[ are[ limited[ to[ situations[ in[ which[ the[ client's[ medical[ cond[ ition
[ is[ deemed[ terminal.[ The[ other[ answers[ are[ incorrect[ because[ living
wills[ are[ not[ always[ honored[in[ every[circumstance,[ they[are[ not[binding[ f[
or[ the[ duration[ of[the[ client's[ life,[ and[ they[ are[ not[ drawn[ up[ by[ the[ cli[e
nt's[ family.
PTS:[ 1[ REF:[ p.[ 29
NAT:[ Client[ Needs:[ Safe,[ Effective[ Care[ Environment:[ Management[ of[Ca
re[ TOP:[ Chapter[ 1:[ Professional[ Nursing[ Practice
KEY:[Integrated[ Process:[ Communication[ and[Documentation[ BLM:[ Cognitive[L
evel:[ Analyze
NOT:[Multiple[ Choice
3. A[ nurse[ has[ been[ providing[ ethical[ care[ for[ many[ years[ and[ is[ aware[ of[ t[
he[ need[ to[ maintain[ the[ ethical[ principle[ of[ nonmaleficence.[ Which[ of[ the
following[ actions would[ be[ considered[ a[ violation[ of[ this[ principle?
A. Discussing[ a[ DNR[ order[ with[ a[ terminally[ ill[ client
B. Assisting[ a[ semi-independent[ client[ with[ ADLs
C. Refusing[to[ administer[ pain[ medication[ as[ prescribed
D. Providing[ more[ care[ for[ one[ client[ than[ for[ another
ANS:[ C
Rationale:[ The[ duty[ not[ to[ inflict[ as[ well[ as[ prevent[ and[ remove[ harm[ i
s termed[ nonmaleficence.[ Discussing[ a[ DNR[ order[ with[ a[ terminally[ ill[ clien
t 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.
Chapter1:ProfessionalNursingPractice
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 c
lients?
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. The nurse should decline to care for the clients considering abortion.
D. The nurse should express alternatives to women considering terminating
their pregnancy.
ANS: B
Rationale:Toavoidfacingtheethicaldilemmaofprovidingcarethatcontradicts the
nurse’s personal beliefs, the nurse should consider working in an area of
,Test Bank for Brunner & Suddarth's Textbook of Medical-
nursing that would not pose this dilemma. The nurse should not provid
e care to the
client because it is a conflict of personal values. The nurse should not den
y care to these
clients as this would be a breach in the Code ofwsEthics for nurses. If the clie
nt is not
requesting information for alternatives to abortions, then the nurse
should not be providing this information.
PTS: 1 REF: p. 27
NAT: Client Needs: Safe, Effective Care Environment: Management of C
are TOP: Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Carin
g
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 l
,Test[ Bank[ for[ Brunner[ &[ Suddarth's[ Textbook[ of[ Medical-
iving[ will."[ What[ implication[ of[ this[ should[ the[ nurse[ recognize?
A. This[ document[ is[ always[ honored,[ regardless[ of[ circumstances.
B. This[ document[ specifies[ the[ client's[ wishes[ before[ hospitalization.
C. This[ document[ is[ binding[ for[ the[ duration[ of[ the[ client's[ life.
, Test[ Bank[ for[ Brunner[ &[ Suddarth's[ Textbook[ of[ Medical-
D. This[ document[ has[ been[ drawn[ up[ by[ the[ client's[ family[ to[ determin
[e[ DNR[ status.
ANS:[ B
Rationale:[ A[ living[ will[ is[ one[ type[ of[ advance[ directive.[ In[ most[ situation[
s,[ living[ wills[ are[ limited[ to[ situations[ in[ which[ the[ client's[ medical[ cond[ ition
[ is[ deemed[ terminal.[ The[ other[ answers[ are[ incorrect[ because[ living
wills[ are[ not[ always[ honored[in[ every[circumstance,[ they[are[ not[binding[ f[
or[ the[ duration[ of[the[ client's[ life,[ and[ they[ are[ not[ drawn[ up[ by[ the[ cli[e
nt's[ family.
PTS:[ 1[ REF:[ p.[ 29
NAT:[ Client[ Needs:[ Safe,[ Effective[ Care[ Environment:[ Management[ of[Ca
re[ TOP:[ Chapter[ 1:[ Professional[ Nursing[ Practice
KEY:[Integrated[ Process:[ Communication[ and[Documentation[ BLM:[ Cognitive[L
evel:[ Analyze
NOT:[Multiple[ Choice
3. A[ nurse[ has[ been[ providing[ ethical[ care[ for[ many[ years[ and[ is[ aware[ of[ t[
he[ need[ to[ maintain[ the[ ethical[ principle[ of[ nonmaleficence.[ Which[ of[ the
following[ actions would[ be[ considered[ a[ violation[ of[ this[ principle?
A. Discussing[ a[ DNR[ order[ with[ a[ terminally[ ill[ client
B. Assisting[ a[ semi-independent[ client[ with[ ADLs
C. Refusing[to[ administer[ pain[ medication[ as[ prescribed
D. Providing[ more[ care[ for[ one[ client[ than[ for[ another
ANS:[ C
Rationale:[ The[ duty[ not[ to[ inflict[ as[ well[ as[ prevent[ and[ remove[ harm[ i
s termed[ nonmaleficence.[ Discussing[ a[ DNR[ order[ with[ a[ terminally[ ill[ clien
t 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.
