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

TestcBankcforcBrunnerc&cSuddarth'scTextbookcofcMedical-SurgicalcNursing,c15thcEdition




Test Bank Brunn c c




er & Suddarth's c c




Textbook of Medical- c c




SurgicalNursing, 15th Edit c c c

,TestcBankcforcBrunnerc&cSuddarth'scTextbookcofcMedical-SurgicalcNursing,c15thcEdition


ion

,TestcBankcforcBrunnerc&cSuddarth'scTextbookcofcMedical-SurgicalcNursing,c15thcEdition


Chapter 1: Professional Nursing Practice
c c c c




1. Acnursechascbeencofferedcacpositionconcancobstetriccunitcandchasclearnedcthatcthecuni
tcoffersctherapeuticcabortions,cacprocedurecthatccontradictscthecnurse'scpersonalcbelief
s.cWhatciscthecnurse'scethicalcobligationctocthesecclients?
A. Thecnursecshouldcadherectocprofessionalcstandardscofcpracticecandcoffercservicectoc
thesecclients.
B. Thecnursecshouldcmakecthecchoicectocdeclinecthiscpositioncandcpursuecacdifferentcnu
rsingcrole.
C. Thecnursecshouldcdeclinectoccarecforcthecclientscconsideringcabortion.
D. Thecnursecshouldcexpresscalternativesctocwomencconsideringcterminatingctheircpr
egnancy.


ANS:cB


Rationale:cTocavoidcfacingcthecethicalcdilemmacofcprovidingccarecthatccontradictscthecnu
rse’scpersonalcbeliefs,cthecnursecshouldcconsidercworkingcincancareacofcnursingcthatc
wouldcnotcposecthiscdilemma.cThecnursecshouldcnotcprovideccarectocthecclientcbecaus
ecitciscacconflictcofcpersonalcvalues.cThecnursecshouldcnotcdenyccarectocthesecclientscasct
hiscwouldcbecacbreachcincthecCodecofcEthicscforcnurses.cIfcthecclientciscnotcrequestingcinf
ormationcforcalternativesctocabortions,cthencthecnursecshouldcnotcbecprovidingcthiscin
formation.


PTS:c1cREF:cp.c27
NAT:cClientcNeeds:cSafe,cEffectivecCarecEnvironment:cManagementcofcCarecTOP:c
Chapterc1:cProfessionalcNursingcPractice
KEY:cIntegratedcProcess:cCaringc
BLM:cCognitivecLevel:cApplycNOT:cMultiplecChoice


2. Anc80-year-oldcclientciscadmittedcwithcacdiagnosiscofccommunity-
acquiredcpneumonia.cDuringcadmissioncthecclientcstates,c"Ichavecaclivingcwill."c
Whatcimplicationcofcthiscshouldcthecnursecrecognize?
A. Thiscdocumentciscalwayschonored,cregardlesscofccircumstances.
B. Thiscdocumentcspecifiescthecclient'scwishescbeforechospitalization.
C. Thiscdocumentciscbindingcforcthecdurationcofcthecclient'sclife.

, TestcBankcforcBrunnerc&cSuddarth'scTextbookcofcMedical-SurgicalcNursing,c15thcEdition


D. Thiscdocumentchascbeencdrawncupcbycthecclient'scfamilyctocdeterminecDNRcst
atus.


ANS:cB


Rationale:cAclivingcwillcisconectypecofcadvancecdirective.cIncmostcsituations,clivingcwills
c areclimitedctocsituationscincwhichcthecclient'scmedicalcconditionciscdeemedcterminal.cT
hecothercanswerscarecincorrectcbecauseclivingcwillscarecnotcalwayschonoredcinceveryccir
cumstance,ctheycarecnotcbindingcforcthecdurationcofcthecclient'sclife,candctheycarecnotcdr
awncupcbycthecclient'scfamily.


PTS:c1cREF:cp.c29
NAT:cClientcNeeds:cSafe,cEffectivecCarecEnvironment:cManagementcofcCarecTOP:c
Chapterc1:cProfessionalcNursingcPractice
KEY:cIntegratedcProcess:cCommunicationcandcDocumentationcBLM:cCognitivecLevel:c
Analyze
NOT:cMultiplecChoice


3. Acnursechascbeencprovidingcethicalccarecforcmanycyearscandciscawarecofcthecneedctoc
maintaincthecethicalcprinciplecofcnonmaleficence.cWhichcofcthecfollowingcactionscwoul
dcbecconsideredcacviolationcofcthiscprinciple?
A. DiscussingcacDNRcordercwithcacterminallycillcclient
B. Assistingcacsemi-independentcclientcwithcADLs
C. Refusingctocadministercpaincmedicationcascprescribed
D. ProvidingcmoreccarecforconecclientcthancforcanothercA


NS:cC


Rationale:cThecdutycnotctocinflictcascwellcascpreventcandcremovecharmcisctermedcnonm
aleficence.cDiscussingcacDNRcordercwithcacterminallycillcclientcandcassistingcacclientcwith
c ADLscwouldcnotcbecconsideredccontradictionsctocthecnurse'scdutycofcnonmaleficence.c
Somecclientscjustifiablycrequirecmoreccarecthancothers.


PTS:c1cREF:cp.c25
NAT:cClientcNeeds:cSafe,cEffectivecCarecEnvironment:cManagementcofcCare