BRUNNERcANDcSUDDARTHScTEXTBOOKcOFcMEDICALcSURGICALcNURSINGc14THcEDITIONcHINKLEcTESTcBANK
TestcBankc-cBrunnerc&cSuddarth'scTextbookcofcMedical-SurgicalcNursingc14ec(Hinklec2017) 41
Chapter 03: Critical Thinking, Ethical Decision Making and the Nursing Pro
c c c c c c c c c c
cess
1. Acnursechascbeencofferedcacpositionconcancobstetriccunitcandchasclearnedcthatcthecunitcoffersctherapeuticcab
ortions,cacprocedurecwhichccontradictscthecnursescpersonalcbeliefs.cWhatciscthecnursescethicalcobligati
onctocthesecpatients?
A) Thecnursecshouldcadherectoc professionalc standardsc ofc practicec andcoffercservicec tocthesec patients.
B) Thecnursec shouldc makecthec choicectocdeclinec thiscpositionc andcpursuec ac differentcnursingcrole.
C) Thecnursecshouldcdeclinec toc carecforcthecpatientsc consideringcabortion.
D) Thecnursecshouldcexpresscalternativesc toc womenc consideringcterminatingc theirc pregnancy.
Ans: B
Feedback:
Tocavoidcfacingcethicalcdilemmas,cnursesccancfollowccertaincstrategies.cForcexample,cwhencapplyingcforcacjob,c
acnursecshouldcaskcquestionscregardingcthecpatientcpopulation.cIfcacnurseciscuncomfortablecwithcacparticul
arcsituation,cthencnotcacceptingcthecpositioncwouldcbecthecbestcoption.cThecnursecisconlycrequiredcbyclawc(an
dcpracticecstandards)ctocprovideccarectocthecpatientsctheccliniccaccepts;cthecnursecmaycnotcdiscriminatecbet
weencpatientscandcthecnursecexpressingchiscorchercowncopinioncandcprovidingc anothercoptionciscinappropr
iate.
2. Acterminallycillcpatientcyoucareccaringcforcisccomplainingcofcpain.cThecphysicianchascorderedcaclargecdoseco
fcintravenouscopioidscbyccontinuousc infusion.cYoucknowcthatconecofcthecadverseceffectscofcthiscmedicinec iscr
espiratorycdepression.cWhencyoucassesscyourcpatientscrespiratorycstatus,cyoucfindcthatcthecratechascdecre
asedcfromc16cbreathscpercminutectoc10cbreathscpercminute.cWhatcactioncshouldcyouctake?
A) Decreasecthecratecofc IVcinfusion.
B) Stimulatecthecpatientc inc orderctoc increasec respiratoryc rate.
C) Reportcthecdecreasedcrespiratoryc ratec tocthec physician.
D) Allowcthecpatientctocrestccomfortably.
Ans: C
Feedback:
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, BRUNNERcANDcSUDDARTHScTEXTBOOKcOFcMEDICALcSURGICALcNURSINGc14THcEDITIONcHINKLEcTESTcBANK
TestcBankc-cBrunnerc&cSuddarth'scTextbookcofcMedical-SurgicalcNursingc14ec(Hinklec2017) 42
End-ofclifec issuescthatc oftenc involvec ethicalcdilemmasc includecpainccontrol,c doc notcresuscitatec orders,c life-
NURSINGTB.COM
, BRUNNERcANDcSUDDARTHScTEXTBOOKcOFcMEDICALcSURGICALcNURSINGc14THcEDITIONcHINKLEcTESTcBANK
TestcBankc-cBrunnerc&cSuddarth'scTextbookcofcMedical-SurgicalcNursingc14ec(Hinklec2017) 43
supportcmeasures,candcadministrationcofcfoodcandcfluids.cThecriskcofcrespiratorycdepressionciscnotcthecin
tentcofcthecactioncofcpainccontrol.cRespiratorycdepressioncshouldcnotcbecusedcascancexcusectocwithholdcpai
ncmedicationcforcacterminallycillcpatient.cThecpatientscrespiratorycstatuscshouldcbeccarefullycmonitoredcandca
nycchangescshouldcbecreportedctocthecphysician.
3. Ancadultcpatientchascrequestedcacdocnotcresuscitatec(DNR)cordercinclightcofchiscrecentcdiagnosiscwithclatecsta
gecpancreaticccancer.cThecpatientscsoncandcdaughter-in-
lawcarecstronglycopposedctocthecpatientscrequest.cWhatciscthecprimarycresponsibilitycofcthecnursecincthisc
situation?
A) Performcacslowccodecuntilcacdecisionciscmade.
B) Honorcthecrequestcofcthecpatient.
C) Contactcacsocialcworkercorcmediatorc tocintervene.
D) Temporarilycwithholdcnursingc carecuntilc thec physicianc talksctocthecfamily.
Ans: B
Feedback:
Thecnursecmustchonorcthecpatientscwishescandccontinuectocprovidecrequiredcnursingccare.cDiscussingcthecmatterc
withcthecphysiciancmaycleadctocfurtherccommunicationcwithcthecfamily,cduringcwhichcthecfamilycmaycrecons
iderctheircdecision.cItciscnotcnormallycappropriatecforcthecnursectocseekcthecassistancecofcacsocialcworkercorc
mediator.cAcslowccodeciscconsideredcunethical.
4. Ancelderlycpatientciscadmittedctocyourcunitcwithcacdiagnosiscofccommunity-
acquiredcpneumonia.cDuringcadmissioncthecpatientcstates,cIchavecaclivingcwill.cWhatcimplicationcofcthiscs
houldcthecnursecrecognize?
A) Thiscdocumentciscalwayschonored,cregardlesscofc circumstances.
B) Thiscdocumentcspecifiescthec patientsc wishesc beforec hospitalization.
C) Thiscdocumentc thatciscbindingcforcthec durationc ofcthec patientsclife.
D) Thiscdocumentchascbeencdrawnc upcbycthecpatientsc familyc toc determinec DNRcstatus.
Ans: B
Feedback:
Aclivingcwillcisconectypecofcadvancecdirective.cIncmostcsituations,clivingcwillscareclimitedctocsituationscincwhi
chcthecpatientscmedicalcconditionciscdeemedcterminal.cThecothercanswerscarecincorrectcbecauseclivingcwillscare
cnotcalways chonored,ctheycarecnotcbinding cforcthecduration cofcthecpatientsclife,candctheycarecnotcdrawncupcb
ycthecpatientscfamily.
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TestcBankc-cBrunnerc&cSuddarth'scTextbookcofcMedical-SurgicalcNursingc14ec(Hinklec2017) 41
Chapter 03: Critical Thinking, Ethical Decision Making and the Nursing Pro
c c c c c c c c c c
cess
1. Acnursechascbeencofferedcacpositionconcancobstetriccunitcandchasclearnedcthatcthecunitcoffersctherapeuticcab
ortions,cacprocedurecwhichccontradictscthecnursescpersonalcbeliefs.cWhatciscthecnursescethicalcobligati
onctocthesecpatients?
A) Thecnursecshouldcadherectoc professionalc standardsc ofc practicec andcoffercservicec tocthesec patients.
B) Thecnursec shouldc makecthec choicectocdeclinec thiscpositionc andcpursuec ac differentcnursingcrole.
C) Thecnursecshouldcdeclinec toc carecforcthecpatientsc consideringcabortion.
D) Thecnursecshouldcexpresscalternativesc toc womenc consideringcterminatingc theirc pregnancy.
Ans: B
Feedback:
Tocavoidcfacingcethicalcdilemmas,cnursesccancfollowccertaincstrategies.cForcexample,cwhencapplyingcforcacjob,c
acnursecshouldcaskcquestionscregardingcthecpatientcpopulation.cIfcacnurseciscuncomfortablecwithcacparticul
arcsituation,cthencnotcacceptingcthecpositioncwouldcbecthecbestcoption.cThecnursecisconlycrequiredcbyclawc(an
dcpracticecstandards)ctocprovideccarectocthecpatientsctheccliniccaccepts;cthecnursecmaycnotcdiscriminatecbet
weencpatientscandcthecnursecexpressingchiscorchercowncopinioncandcprovidingc anothercoptionciscinappropr
iate.
2. Acterminallycillcpatientcyoucareccaringcforcisccomplainingcofcpain.cThecphysicianchascorderedcaclargecdoseco
fcintravenouscopioidscbyccontinuousc infusion.cYoucknowcthatconecofcthecadverseceffectscofcthiscmedicinec iscr
espiratorycdepression.cWhencyoucassesscyourcpatientscrespiratorycstatus,cyoucfindcthatcthecratechascdecre
asedcfromc16cbreathscpercminutectoc10cbreathscpercminute.cWhatcactioncshouldcyouctake?
A) Decreasecthecratecofc IVcinfusion.
B) Stimulatecthecpatientc inc orderctoc increasec respiratoryc rate.
C) Reportcthecdecreasedcrespiratoryc ratec tocthec physician.
D) Allowcthecpatientctocrestccomfortably.
Ans: C
Feedback:
NURSINGTB.COM
, BRUNNERcANDcSUDDARTHScTEXTBOOKcOFcMEDICALcSURGICALcNURSINGc14THcEDITIONcHINKLEcTESTcBANK
TestcBankc-cBrunnerc&cSuddarth'scTextbookcofcMedical-SurgicalcNursingc14ec(Hinklec2017) 42
End-ofclifec issuescthatc oftenc involvec ethicalcdilemmasc includecpainccontrol,c doc notcresuscitatec orders,c life-
NURSINGTB.COM
, BRUNNERcANDcSUDDARTHScTEXTBOOKcOFcMEDICALcSURGICALcNURSINGc14THcEDITIONcHINKLEcTESTcBANK
TestcBankc-cBrunnerc&cSuddarth'scTextbookcofcMedical-SurgicalcNursingc14ec(Hinklec2017) 43
supportcmeasures,candcadministrationcofcfoodcandcfluids.cThecriskcofcrespiratorycdepressionciscnotcthecin
tentcofcthecactioncofcpainccontrol.cRespiratorycdepressioncshouldcnotcbecusedcascancexcusectocwithholdcpai
ncmedicationcforcacterminallycillcpatient.cThecpatientscrespiratorycstatuscshouldcbeccarefullycmonitoredcandca
nycchangescshouldcbecreportedctocthecphysician.
3. Ancadultcpatientchascrequestedcacdocnotcresuscitatec(DNR)cordercinclightcofchiscrecentcdiagnosiscwithclatecsta
gecpancreaticccancer.cThecpatientscsoncandcdaughter-in-
lawcarecstronglycopposedctocthecpatientscrequest.cWhatciscthecprimarycresponsibilitycofcthecnursecincthisc
situation?
A) Performcacslowccodecuntilcacdecisionciscmade.
B) Honorcthecrequestcofcthecpatient.
C) Contactcacsocialcworkercorcmediatorc tocintervene.
D) Temporarilycwithholdcnursingc carecuntilc thec physicianc talksctocthecfamily.
Ans: B
Feedback:
Thecnursecmustchonorcthecpatientscwishescandccontinuectocprovidecrequiredcnursingccare.cDiscussingcthecmatterc
withcthecphysiciancmaycleadctocfurtherccommunicationcwithcthecfamily,cduringcwhichcthecfamilycmaycrecons
iderctheircdecision.cItciscnotcnormallycappropriatecforcthecnursectocseekcthecassistancecofcacsocialcworkercorc
mediator.cAcslowccodeciscconsideredcunethical.
4. Ancelderlycpatientciscadmittedctocyourcunitcwithcacdiagnosiscofccommunity-
acquiredcpneumonia.cDuringcadmissioncthecpatientcstates,cIchavecaclivingcwill.cWhatcimplicationcofcthiscs
houldcthecnursecrecognize?
A) Thiscdocumentciscalwayschonored,cregardlesscofc circumstances.
B) Thiscdocumentcspecifiescthec patientsc wishesc beforec hospitalization.
C) Thiscdocumentc thatciscbindingcforcthec durationc ofcthec patientsclife.
D) Thiscdocumentchascbeencdrawnc upcbycthecpatientsc familyc toc determinec DNRcstatus.
Ans: B
Feedback:
Aclivingcwillcisconectypecofcadvancecdirective.cIncmostcsituations,clivingcwillscareclimitedctocsituationscincwhi
chcthecpatientscmedicalcconditionciscdeemedcterminal.cThecothercanswerscarecincorrectcbecauseclivingcwillscare
cnotcalways chonored,ctheycarecnotcbinding cforcthecduration cofcthecpatientsclife,candctheycarecnotcdrawncupcb
ycthecpatientscfamily.
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