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

TesthBankhforhBrunnerh&hSuddarth'shTextbookhofhMedical-SurgicalhNursing,h15thhEdition




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Textbook of Medical- h h




SurgicalNursing, 15th Edit h h h

,TesthBankhforhBrunnerh&hSuddarth'shTextbookhofhMedical-SurgicalhNursing,h15thhEdition


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,TesthBankhforhBrunnerh&hSuddarth'shTextbookhofhMedical-SurgicalhNursing,h15thhEdition


Chapter 1: Professional Nursing Practice
h h h h




1. Ahnursehhashbeenhofferedhahpositionhonhanhobstetrichunithandhhashlearnedhthaththehu
nithoffershtherapeutichabortions,hahprocedurehthathcontradictshthehnurse'shpersonalhbe
liefs.hWhathishthehnurse'shethicalhobligationhtohthesehclients?
A. Thehnursehshouldhadherehtohprofessionalhstandardshofhpracticehandhofferhserviceht
ohthesehclients.
B. Thehnursehshouldhmakehthehchoicehtohdeclinehthishpositionhandhpursuehahdifferenthn
ursinghrole.
C. Thehnursehshouldhdeclinehtohcarehforhthehclientshconsideringhabortion.
D. Thehnursehshouldhexpresshalternativeshtohwomenhconsideringhterminatinghtheirh
pregnancy.


ANS:hB


Rationale:hTohavoidhfacinghthehethicalhdilemmahofhprovidinghcarehthathcontradictshthehn
urse’shpersonalhbeliefs,hthehnursehshouldhconsiderhworkinghinhanhareahofhnursinghtha
thwouldhnothposehthishdilemma.hThehnursehshouldhnothprovidehcarehtohthehclienthbeca
usehithishahconflicthofhpersonalhvalues.hThehnursehshouldhnothdenyhcarehtohthesehclientsh
ashthishwouldhbehahbreachhinhthehCodehofhEthicshforhnurses.hIfhthehclienthishnothrequestin
ghinformationhforhalternativeshtohabortions,hthenhthehnursehshouldhnothbehprovidinght
hishinformation.


PTS:h1hREF:hp.h27
NAT:hClienthNeeds:hSafe,hEffectivehCarehEnvironment:hManagementhofhCarehTOP:
Chapterh1:hProfessionalhNursinghPractice
h


KEY:hIntegratedhProcess:hCaringh
BLM:hCognitivehLevel:hApplyhNOT:hMultiplehChoice


2. Anh80-year-oldhclienthishadmittedhwithhahdiagnosishofhcommunity-
acquiredhpneumonia.hDuringhadmissionhthehclienthstates,h"Ihhavehahlivinghwill."
h Whathimplicationhofhthishshouldhthehnursehrecognize?
A. Thishdocumenthishalwayshhonored,hregardlesshofhcircumstances.
B. Thishdocumenthspecifieshthehclient'shwisheshbeforehhospitalization.
C. Thishdocumenthishbindinghforhthehdurationhofhthehclient'shlife.

, TesthBankhforhBrunnerh&hSuddarth'shTextbookhofhMedical-SurgicalhNursing,h15thhEdition


D. Thishdocumenthhashbeenhdrawnhuphbyhthehclient'shfamilyhtohdeterminehDNRhs
tatus.


ANS:hB


Rationale:hAhlivinghwillhishonehtypehofhadvancehdirective.hInhmosthsituations,hlivinghwill
sharehlimitedhtohsituationshinhwhichhthehclient'shmedicalhconditionhishdeemedhterminal.
h Thehotherhanswersharehincorrecthbecausehlivinghwillsharehnothalwayshhonoredhinhever
yhcircumstance,htheyharehnothbindinghforhthehdurationhofhthehclient'shlife,handhtheyharehn
othdrawnhuphbyhthehclient'shfamily.


PTS:h1hREF:hp.h29
NAT:hClienthNeeds:hSafe,hEffectivehCarehEnvironment:hManagementhofhCarehTOP:
h Chapterh1:hProfessionalhNursinghPractice
KEY:hIntegratedhProcess:hCommunicationhandhDocumentationhBLM:hCognitivehLevel
:hAnalyze
NOT:hMultiplehChoice


3. Ahnursehhashbeenhprovidinghethicalhcarehforhmanyhyearshandhishawarehofhthehneedhto
h maintainhthehethicalhprinciplehofhnonmaleficence.hWhichhofhthehfollowinghactionshwo
uldhbehconsideredhahviolationhofhthishprinciple?
A. DiscussinghahDNRhorderhwithhahterminallyhillhclient
B. Assistinghahsemi-independenthclienthwithhADLs
C. Refusinghtohadministerhpainhmedicationhashprescribed
D. Providinghmorehcarehforhonehclienththanhforhanotherh


ANS:hC


Rationale:hThehdutyhnothtohinflicthashwellhashpreventhandhremovehharmhishtermedhnon
maleficence.hDiscussinghahDNRhorderhwithhahterminallyhillhclienthandhassistinghahclienth
withhADLshwouldhnothbehconsideredhcontradictionshtohthehnurse'shdutyhofhnonmalefice
nce.hSomehclientshjustifiablyhrequirehmorehcarehthanhothers.


PTS:h1hREF:hp.h25
NAT:hClienthNeeds:hSafe,hEffectivehCarehEnvironment:hManagementhofhCare