med surg test bank__

TestvBankvforvBrunnerv&vSuddarth'svTextbookvofvMedical-SurgicalvNursing,v15thvEdition




Test Bank Brunn v v




er & Suddarth's v v




Textbook of Medical- v v




SurgicalNursing, 15th Edit v v v

,TestvBankvforvBrunnerv&vSuddarth'svTextbookvofvMedical-SurgicalvNursing,v15thvEdition


ion

,TestvBankvforvBrunnerv&vSuddarth'svTextbookvofvMedical-SurgicalvNursing,v15thvEdition


Chapter 1: Professional Nursing Practice
v v v v




1. Avnursevhasvbeenvofferedvavpositionvonvanvobstetricvunitvandvhasvlearnedvthatvthevun
itvoffersvtherapeuticvabortions,vavprocedurevthatvcontradictsvthevnurse'svpersonalvbeli
efs.vWhatvisvthevnurse'svethicalvobligationvtovthesevclients?
A. Thevnursevshouldvadherevtovprofessionalvstandardsvofvpracticevandvoffervservicevto
v thesevclients.
B. Thevnursevshouldvmakevthevchoicevtovdeclinevthisvpositionvandvpursuevavdifferentvn
ursingvrole.
C. Thevnursevshouldvdeclinevtovcarevforvthevclientsvconsideringvabortion.
D. Thevnursevshouldvexpressvalternativesvtovwomenvconsideringvterminatingvtheirvp
regnancy.


ANS:vB


Rationale:vTovavoidvfacingvthevethicalvdilemmavofvprovidingvcarevthatvcontradictsvthevn
urse’svpersonalvbeliefs,vthevnursevshouldvconsidervworkingvinvanvareavofvnursingvtha
tvwouldvnotvposevthisvdilemma.vThevnursevshouldvnotvprovidevcarevtovthevclientvbeca
usevitvisvavconflictvofvpersonalvvalues.vThevnursevshouldvnotvdenyvcarevtovthesevclientsv
asvthisvwouldvbevavbreachvinvthevCodevofvEthicsvforvnurses.vIfvthevclientvisvnotvrequestin
gvinformationvforvalternativesvtovabortions,vthenvthevnursevshouldvnotvbevprovidingvt
hisvinformation.


PTS:v1vREF:vp.v27
NAT:vClientvNeeds:vSafe,vEffectivevCarevEnvironment:vManagementvofvCarevTOP:v
Chapterv1:vProfessionalvNursingvPractice
KEY:vIntegratedvProcess:vCaringv
BLM:vCognitivevLevel:vApplyvNOT:vMultiplevChoice


2. Anv80-year-oldvclientvisvadmittedvwithvavdiagnosisvofvcommunity-
acquiredvpneumonia.vDuringvadmissionvthevclientvstates,v"Ivhavevavlivingvwill."
v Whatvimplicationvofvthisvshouldvthevnursevrecognize?
A. Thisvdocumentvisvalwaysvhonored,vregardlessvofvcircumstances.
B. Thisvdocumentvspecifiesvthevclient'svwishesvbeforevhospitalization.
C. Thisvdocumentvisvbindingvforvthevdurationvofvthevclient'svlife.

, TestvBankvforvBrunnerv&vSuddarth'svTextbookvofvMedical-SurgicalvNursing,v15thvEdition


D. Thisvdocumentvhasvbeenvdrawnvupvbyvthevclient'svfamilyvtovdeterminevDNRvst
atus.


ANS:vB


Rationale:vAvlivingvwillvisvonevtypevofvadvancevdirective.vInvmostvsituations,vlivingvwill
svarevlimitedvtovsituationsvinvwhichvthevclient'svmedicalvconditionvisvdeemedvterminal.v
Thevothervanswersvarevincorrectvbecausevlivingvwillsvarevnotvalwaysvhonoredvinveveryv
circumstance,vtheyvarevnotvbindingvforvthevdurationvofvthevclient'svlife,vandvtheyvarevnot
v drawnvupvbyvthevclient'svfamily.


PTS:v1vREF:vp.v29
NAT:vClientvNeeds:vSafe,vEffectivevCarevEnvironment:vManagementvofvCarevTOP:
v Chapterv1:vProfessionalvNursingvPractice
KEY:vIntegratedvProcess:vCommunicationvandvDocumentationvBLM:vCognitivevLevel:
v Analyze
NOT:vMultiplevChoice


3. Avnursevhasvbeenvprovidingvethicalvcarevforvmanyvyearsvandvisvawarevofvthevneedvtov
maintainvthevethicalvprinciplevofvnonmaleficence.vWhichvofvthevfollowingvactionsvwoul
dvbevconsideredvavviolationvofvthisvprinciple?
A. DiscussingvavDNRvordervwithvavterminallyvillvclient
B. Assistingvavsemi-independentvclientvwithvADLs
C. Refusingvtovadministervpainvmedicationvasvprescribed
D. ProvidingvmorevcarevforvonevclientvthanvforvanothervA


NS:vC


Rationale:vThevdutyvnotvtovinflictvasvwellvasvpreventvandvremovevharmvisvtermedvnon
maleficence.vDiscussingvavDNRvordervwithvavterminallyvillvclientvandvassistingvavclientv
withvADLsvwouldvnotvbevconsideredvcontradictionsvtovthevnurse'svdutyvofvnonmalefice
nce.vSomevclientsvjustifiablyvrequirevmorevcarevthanvothers.


PTS:v1vREF:vp.v25
NAT:vClientvNeeds:vSafe,vEffectivevCarevEnvironment:vManagementvofvCare