Test Bank Brun n n
ner & Suddarth's n n
Textbook of Medical- n n
SurgicalNursing, 15th Edit n n n
,TestnBanknfornBrunnern&nSuddarth'snTextbooknofnMedical-SurgicalnNursing,n15thnEdition
ion
,TestnBanknfornBrunnern&nSuddarth'snTextbooknofnMedical-SurgicalnNursing,n15thnEdition
Chapter 1: Professional Nursing Practice
n n n n
1. Annursenhasnbeennofferednanpositionnonnannobstetricnunitnandnhasnlearnednthatnthenu
nitnoffersntherapeuticnabortions,nanprocedurenthatncontradictsnthennurse'snpersonalnbe
liefs.nWhatnisnthennurse'snethicalnobligationntonthesenclients?
A. Thennursenshouldnadherentonprofessionalnstandardsnofnpracticenandnoffernservicent
onthesenclients.
B. Thennursenshouldnmakenthenchoicentondeclinenthisnpositionnandnpursuenandifferentnn
ursingnrole.
C. Thennursenshouldndeclinentoncarenfornthenclientsnconsideringnabortion.
D. Thennursenshouldnexpressnalternativesntonwomennconsideringnterminatingntheirn
pregnancy.
ANS:nB
Rationale:nTonavoidnfacingnthenethicalndilemmanofnprovidingncarenthatncontradictsnthenn
urse’snpersonalnbeliefs,nthennursenshouldnconsidernworkingninnannareanofnnursingntha
tnwouldnnotnposenthisndilemma.nThennursenshouldnnotnprovidencarentonthenclientnbeca
usenitnisnanconflictnofnpersonalnvalues.nThennursenshouldnnotndenyncarentonthesenclientsn
asnthisnwouldnbenanbreachninnthenCodenofnEthicsnfornnurses.nIfnthenclientnisnnotnrequestin
gninformationnfornalternativesntonabortions,nthennthennursenshouldnnotnbenprovidingnt
hisninformation.
PTS:n1nREF:np.n27
NAT:nClientnNeeds:nSafe,nEffectivenCarenEnvironment:nManagementnofnCarenTOP:
Chaptern1:nProfessionalnNursingnPractice
n
KEY:nIntegratednProcess:nCaringn
BLM:nCognitivenLevel:nApplynNOT:nMultiplenChoice
2. Ann80-year-oldnclientnisnadmittednwithnandiagnosisnofncommunity-
acquirednpneumonia.nDuringnadmissionnthenclientnstates,n"Inhavenanlivingnwill."
n Whatnimplicationnofnthisnshouldnthennursenrecognize?
A. Thisndocumentnisnalwaysnhonored,nregardlessnofncircumstances.
B. Thisndocumentnspecifiesnthenclient'snwishesnbeforenhospitalization.
C. Thisndocumentnisnbindingnfornthendurationnofnthenclient'snlife.
, TestnBanknfornBrunnern&nSuddarth'snTextbooknofnMedical-SurgicalnNursing,n15thnEdition
D. Thisndocumentnhasnbeenndrawnnupnbynthenclient'snfamilyntondeterminenDNRns
tatus.
ANS:nB
Rationale:nAnlivingnwillnisnonentypenofnadvancendirective.nInnmostnsituations,nlivingnwill
snarenlimitedntonsituationsninnwhichnthenclient'snmedicalnconditionnisndeemednterminal.
n Thenothernanswersnarenincorrectnbecausenlivingnwillsnarennotnalwaysnhonoredninnever
yncircumstance,ntheynarennotnbindingnfornthendurationnofnthenclient'snlife,nandntheynarenn
otndrawnnupnbynthenclient'snfamily.
PTS:n1nREF:np.n29
NAT:nClientnNeeds:nSafe,nEffectivenCarenEnvironment:nManagementnofnCarenTOP:
n Chaptern1:nProfessionalnNursingnPractice
KEY:nIntegratednProcess:nCommunicationnandnDocumentationnBLM:nCognitivenLevel
:nAnalyze
NOT:nMultiplenChoice
3. Annursenhasnbeennprovidingnethicalncarenfornmanynyearsnandnisnawarenofnthenneednto
n maintainnthenethicalnprinciplenofnnonmaleficence.nWhichnofnthenfollowingnactionsnwo
uldnbenconsiderednanviolationnofnthisnprinciple?
A. DiscussingnanDNRnordernwithnanterminallynillnclient
B. Assistingnansemi-independentnclientnwithnADLs
C. Refusingntonadministernpainnmedicationnasnprescribed
D. Providingnmorencarenfornonenclientnthannfornanothern
ANS:nC
Rationale:nThendutynnotntoninflictnasnwellnasnpreventnandnremovenharmnisntermednnon
maleficence.nDiscussingnanDNRnordernwithnanterminallynillnclientnandnassistingnanclientn
withnADLsnwouldnnotnbenconsideredncontradictionsntonthennurse'sndutynofnnonmalefice
nce.nSomenclientsnjustifiablynrequirenmorencarenthannothers.
PTS:n1nREF:np.n25
NAT:nClientnNeeds:nSafe,nEffectivenCarenEnvironment:nManagementnofnCare