Test Bank Brunn f f
er & Suddarth's f f
Textbook of Medical- f f
SurgicalNursing, 15th Edit f f f
,TestfBankfforfBrunnerf&fSuddarth'sfTextbookfoffMedical-SurgicalfNursing,f15thfEdition
ion
,TestfBankfforfBrunnerf&fSuddarth'sfTextbookfoffMedical-SurgicalfNursing,f15thfEdition
Chapter 1: Professional Nursing Practice
f f f f
1. Afnursefhasfbeenfofferedfafpositionfonfanfobstetricfunitfandfhasflearnedfthatfthefunitfof
fersftherapeuticfabortions,fafprocedurefthatfcontradictsfthefnurse'sfpersonalfbeliefs.fW
hatfisfthefnurse'sfethicalfobligationftofthesefclients?
A. Thefnursefshouldfadhereftofprofessionalfstandardsfoffpracticefandfofferfserviceftofth
esefclients.
B. Thefnursefshouldfmakefthefchoiceftofdeclinefthisfpositionfandfpursuefafdifferentfnursi
ngfrole.
C. Thefnursefshouldfdeclineftofcarefforfthefclientsfconsideringfabortion.
D. Thefnursefshouldfexpressfalternativesftofwomenfconsideringfterminatingftheirfpre
gnancy.
ANS:fB
Rationale:fTofavoidffacingfthefethicalfdilemmafoffprovidingfcarefthatfcontradictsfthefnurs
e’sfpersonalfbeliefs,fthefnursefshouldfconsiderfworkingfinfanfareafoffnursingfthatfwoul
dfnotfposefthisfdilemma.fThefnursefshouldfnotfprovidefcareftofthefclientfbecausefitfisfafc
onflictfoffpersonalfvalues.fThefnursefshouldfnotfdenyfcareftofthesefclientsfasfthisfwouldfb
efafbreachfinfthefCodefoffEthicsfforfnurses.fIffthefclientfisfnotfrequestingfinformationfforfa
lternativesftofabortions,fthenfthefnursefshouldfnotfbefprovidingfthisfinformation.
PTS:f1fREF:fp.f27
NAT:fClientfNeeds:fSafe,fEffectivefCarefEnvironment:fManagementfoffCarefTOP:fC
hapterf1:fProfessionalfNursingfPractice
KEY:fIntegratedfProcess:fCaringf
BLM:fCognitivefLevel:fApplyfNOT:fMultiplefChoice
2. Anf80-year-oldfclientfisfadmittedfwithfafdiagnosisfoffcommunity-
acquiredfpneumonia.fDuringfadmissionfthefclientfstates,f"Ifhavefaflivingfwill."fW
hatfimplicationfoffthisfshouldfthefnursefrecognize?
A. Thisfdocumentfisfalwaysfhonored,fregardlessfoffcircumstances.
B. Thisfdocumentfspecifiesfthefclient'sfwishesfbeforefhospitalization.
C. Thisfdocumentfisfbindingfforfthefdurationfoffthefclient'sflife.
, TestfBankfforfBrunnerf&fSuddarth'sfTextbookfoffMedical-SurgicalfNursing,f15thfEdition
D. Thisfdocumentfhasfbeenfdrawnfupfbyfthefclient'sffamilyftofdeterminefDNRfstat
us.
ANS:fB
Rationale:fAflivingfwillfisfoneftypefoffadvancefdirective.fInfmostfsituations,flivingfwillsfar
eflimitedftofsituationsfinfwhichfthefclient'sfmedicalfconditionfisfdeemedfterminal.fThefot
herfanswersfarefincorrectfbecauseflivingfwillsfarefnotfalwaysfhonoredfinfeveryfcircumst
ance,ftheyfarefnotfbindingfforfthefdurationfoffthefclient'sflife,fandftheyfarefnotfdrawnfupfb
yfthefclient'sffamily.
PTS:f1fREF:fp.f29
NAT:fClientfNeeds:fSafe,fEffectivefCarefEnvironment:fManagementfoffCarefTOP:fC
hapterf1:fProfessionalfNursingfPractice
KEY:fIntegratedfProcess:fCommunicationfandfDocumentationfBLM:fCognitivefLevel:f
Analyze
NOT:fMultiplefChoice
3. Afnursefhasfbeenfprovidingfethicalfcarefforfmanyfyearsfandfisfawarefoffthefneedftofma
intainfthefethicalfprinciplefoffnonmaleficence.fWhichfofftheffollowingfactionsfwouldfbefc
onsideredfafviolationfoffthisfprinciple?
A. DiscussingfafDNRforderfwithfafterminallyfillfclient
B. Assistingfafsemi-independentfclientfwithfADLs
C. Refusingftofadministerfpainfmedicationfasfprescribed
D. ProvidingfmorefcarefforfonefclientfthanfforfanotherfAN
S:fC
Rationale:fThefdutyfnotftofinflictfasfwellfasfpreventfandfremovefharmfisftermedfnonmal
eficence.fDiscussingfafDNRforderfwithfafterminallyfillfclientfandfassistingfafclientfwithfAD
Lsfwouldfnotfbefconsideredfcontradictionsftofthefnurse'sfdutyfoffnonmaleficence.fSomef
clientsfjustifiablyfrequirefmorefcarefthanfothers.
PTS:f1fREF:fp.f25
NAT:fClientfNeeds:fSafe,fEffectivefCarefEnvironment:fManagementfoffCare