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Test Bank Brunner & Suddarth's Textbook of Medical-Surgical Nursing 13th Edition.docx

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A nurse has been offered a position on an obstetric unit and has learned that the unit offers therapeutic abortions, a procedure which contradicts the nurse’s personal beliefs. What is the nurse’s ethical obligation to these patients? A) The nurse should adhere to professional standards of practice and offer service to these patients. 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 patients considering abortion. D) The nurse should express alternatives to women considering terminating their pregnancy. Ans: B Feedback: To avoid facing ethical dilemmas, nurses can follow certain strategies. For example, when applying for a job, a nurse should ask questions regarding the patient population. If a nurse is uncomfortable with a particular situation, then not accepting the position Surgical Nursing would be the best option. The nurse is only required by law (and practice standards) to provide care to the patients the clinic accepts; the nurse may not discriminate between patients and the nurse expressing his or her own opinion and providing another option is inappropriate. 2. A terminally ill patient you are caring for is complaining of pain. The physician has ordered a large dose of intravenous opioids by continuous infusion. You know that one of the adverse effects of this medicine is respiratory depression. When you assess your patient’s respiratory status, you find that the rate has decreased from 16 breaths per minute to 10 breaths per minute. What action should you take? A) Decrease the rate of IV infusion. B) Stimulate the patient in order to increase respiratory rate. C) Report the decreased respiratory rate to the physician. D) Allow the patient to rest comfortably. Ans: C Feedback: End-of life issues that often involve ethical dilemmas include pain control, “do not resuscitate” orders, life-support measures, and administration of food and fluids. The risk of respiratory depression is not the intent of the action of pain control. Respiratory depression should not be used as an excuse to withhold pain medication for a terminally ill patient. The patient’s respiratory status should be carefully monitored and any changes should be reported to the physician. 3. An adult patient has requested a “do not resuscitate” (DNR) order in light of his recent diagnosis with late stage pancreatic cancer. The patient’s son and daughter-in-law are strongly opposed to the patient’s request. What is the primary responsibility of the nurse in this situation? A) Perform a “slow code” until a decision is made. B) Honor the request of the patient. C) Contact a social worker or mediator to intervene. D) Temporarily withhold nursing care until the physician talks to the family. Ans: B Feedback: The nurse must honor the patient’s wishes and continue to provide required nursing care. Discussing the matter with the physician may lead to further communication with the family, during which the family may reconsider their decision. It is not normally appropriate for the nurse to seek the assistance of a social worker or mediator. A “slow code” is considered unethical. 4. An elderly patient is admitted to your unit with a diagnosis of community-acquired pneumonia. During admission the patient states, “I have a living will.” What implication of this should the nurse recognize? A) This document is always honored

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Test Bank Brunner & Suddarth’s Textbook
of Medical-Surgical Nursing 13th Edition

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Sample Test
Chapter 03

A nurse has been offered a position on an obstetric unit and has learned tha
1.
which contradicts the nurse’s personal beliefs. What is the nurse’s ethical ob

A) The nurse should adhere to professional standards of practice an

B) The nurse should make the choice to decline this position and pu

C) The nurse should decline to care for the patients considering abo

D) The nurse should express alternatives to women considering term

Ans: B

Feedback:

To avoid facing ethical dilemmas, nurses can follow certain strategies. For e
questions regarding the patient population. If a nurse is uncomfortable with

, would be the best option. The nurse is only required by law (and practice sta
accepts; the nurse may not discriminate between patients and the nurse exp
option is inappropriate.




A terminally ill patient you are caring for is complaining of pain. The physicia
continuous infusion. You know that one of the adverse effects of this medicin
2.
patient’s respiratory status, you find that the rate has decreased from 16 bre
should you take?

A) Decrease the rate of IV infusion.

B) Stimulate the patient in order to increase respiratory rate.

C) Report the decreased respiratory rate to the physician.

D) Allow the patient to rest comfortably.

Ans: C

Feedback:

End-of life issues that often involve ethical dilemmas include pain control, “d
administration of food and fluids. The risk of respiratory depression is not the
depression should not be used as an excuse to withhold pain medication for
should be carefully monitored and any changes should be reported to the ph




An adult patient has requested a “do not resuscitate” (DNR) order in light of
3. The patient’s son and daughter-in-law are strongly opposed to the patient’s
nurse in this situation?

A) Perform a “slow code” until a decision is made.

B) Honor the request of the patient.

, C) Contact a social worker or mediator to intervene.

D) Temporarily withhold nursing care until the physician talks to the

Ans: B

Feedback:

The nurse must honor the patient’s wishes and continue to provide required
physician may lead to further communication with the family, during which th
normally appropriate for the nurse to seek the assistance of a social worker




An elderly patient is admitted to your unit with a diagnosis of community-acq
4.
states, “I have a living will.” What implication of this should the nurse recogn

A) This document is always honored, regardless of circumstances.

B) This document specifies the patient’s wishes before hospitalizatio

C) This document that is binding for the duration of the patient’s life.

D) This document has been drawn up by the patient’s family to dete

Ans: B

Feedback:

A living will is one type of advance directive. In most situations, living wills ar
condition is deemed terminal. The other answers are incorrect because livin
for the duration of the patient’s life, and they are not drawn up by the patient




A nurse has been providing ethical care for many years and is aware of the
5.
nonmaleficence. Which of the following actions would be considered a contr

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