Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
TestBank u
Brunner&Suddarth's
Textbook ofMedical-Surgical u
Nursing,15thEdition
, Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
Chapter1:ProfessionalNursingPractice
1. A nurse accepts a role on a unit where procedures conflict with personal values. What is the best ethical
response?
• A) Remain in the position and provide care for all patients.
• B) Decline the position to avoid ethical dilemmas.
• C) Selectively refuse patient assignments.
• D) Persuade patients to reconsider procedures.
Correct Answer: B
Rationale: Nurses should seek employment aligned with their ethical beliefs to avoid conflicts
and ensure professional integrity.
2. During admission, a client states, 'I have a living will.' How should the nurse interpret this statement?
• A) The document overrides hospital policies.
• B) It expresses the patient's wishes regarding future care.
• C) It remains unchanged for the patient's lifetime.
• D) It is prepared by family members on the client's behalf.
Correct Answer: B
Rationale: A living will communicates a patient's healthcare preferences but may be updated
based on new decisions.
3. Refusing to administer prescribed pain medication violates which ethical principle?
• A) Justice
• B) Beneficence
• C) Nonmaleficence
• D) Veracity
Correct Answer: C
Rationale: Nonmaleficence involves preventing harm. Withholding necessary medication
causes patient suffering and violates this principle.
1. A nurse has begun creating a client's plan of care shortly after the client's
admission. The nurse knows that it is important that the wording of the chosen
nursing diagnoses falls within the taxonomy of nursing. Which organization is
responsible for developing the taxonomy of a nursing diagnosis?
A. American Nurses Association (ANA)
B. North American Nursing Diagnosis Association (NANDA)
C. National League for Nursing (NLN)
D. JointCommission
,Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
ANS: B
Rationale: NANDA International is the official organization responsible for
developing the taxonomy of nursing diagnoses and formulating nursing diagnoses
acceptableforstudy. The ANA,NLN,andJointCommissionare not chargedwiththe
u
task of developing the taxonomy of nursing diagnoses.
PTS: 1 REF: p. 15
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Understand
NOT: Multiple Choice
2. Amedicalnurse hasobtainedanewclient's healthhistoryandhas completedthe
admission assessment. The nurse followed this by documenting the results and
creating a care plan for the client. Which of the following is the most important
rationale for documenting the client's care?
A. It provides continuity of care.
B. It creates a teaching log for the family.
C. It verifies appropriate staffing levels.
D. It keeps the client fully informed.
, Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
ANS: A
Rationale: This recordprovides a means of communication among members of the
health care team and facilitates coordinated planning and continuity of care. It
serves as the legal and business record for a health care agency and for the
professional staff members who are responsible for the client's care.
Documentation is not primarily a teaching log; it does not verify staffing; and it is
not intended to provide the client with information about treatments.
PTS: 1 REF: p. 14
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Communication and Documentation BLM: Cognitive
Level: Understand
NOT: Multiple Choice
3. The nurse has been assigned to care for a client admitted with an opportunistic
infection secondary to AIDS. The nurse informs the clinical nurse leader that the
nurse refuses to care for a client with AIDS. The nurse has an obligation to this
client under which of the following?
A. Good Samaritan Act
B. Nursing Interventions Classification (NIC)
C. The nurse practice act in the nurse's jurisdiction
D. International Council of Nurses (ICN) Code of Ethics for Nurses
ANS: D
Rationale: The ethical obligation to care for all clients is included in the Code of
Ethics for Nurses. The Good Samaritan Act relates to lay people helping others in
need. The NIC is a standardized classification of nursing treatment that includes
independent and collaborative interventions. Nurse practice acts primarily address
scope of practice.
PTS: 1 REF: p. 27
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TestBank u
Brunner&Suddarth's
Textbook ofMedical-Surgical u
Nursing,15thEdition
, Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
Chapter1:ProfessionalNursingPractice
1. A nurse accepts a role on a unit where procedures conflict with personal values. What is the best ethical
response?
• A) Remain in the position and provide care for all patients.
• B) Decline the position to avoid ethical dilemmas.
• C) Selectively refuse patient assignments.
• D) Persuade patients to reconsider procedures.
Correct Answer: B
Rationale: Nurses should seek employment aligned with their ethical beliefs to avoid conflicts
and ensure professional integrity.
2. During admission, a client states, 'I have a living will.' How should the nurse interpret this statement?
• A) The document overrides hospital policies.
• B) It expresses the patient's wishes regarding future care.
• C) It remains unchanged for the patient's lifetime.
• D) It is prepared by family members on the client's behalf.
Correct Answer: B
Rationale: A living will communicates a patient's healthcare preferences but may be updated
based on new decisions.
3. Refusing to administer prescribed pain medication violates which ethical principle?
• A) Justice
• B) Beneficence
• C) Nonmaleficence
• D) Veracity
Correct Answer: C
Rationale: Nonmaleficence involves preventing harm. Withholding necessary medication
causes patient suffering and violates this principle.
1. A nurse has begun creating a client's plan of care shortly after the client's
admission. The nurse knows that it is important that the wording of the chosen
nursing diagnoses falls within the taxonomy of nursing. Which organization is
responsible for developing the taxonomy of a nursing diagnosis?
A. American Nurses Association (ANA)
B. North American Nursing Diagnosis Association (NANDA)
C. National League for Nursing (NLN)
D. JointCommission
,Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
ANS: B
Rationale: NANDA International is the official organization responsible for
developing the taxonomy of nursing diagnoses and formulating nursing diagnoses
acceptableforstudy. The ANA,NLN,andJointCommissionare not chargedwiththe
u
task of developing the taxonomy of nursing diagnoses.
PTS: 1 REF: p. 15
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Understand
NOT: Multiple Choice
2. Amedicalnurse hasobtainedanewclient's healthhistoryandhas completedthe
admission assessment. The nurse followed this by documenting the results and
creating a care plan for the client. Which of the following is the most important
rationale for documenting the client's care?
A. It provides continuity of care.
B. It creates a teaching log for the family.
C. It verifies appropriate staffing levels.
D. It keeps the client fully informed.
, Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
ANS: A
Rationale: This recordprovides a means of communication among members of the
health care team and facilitates coordinated planning and continuity of care. It
serves as the legal and business record for a health care agency and for the
professional staff members who are responsible for the client's care.
Documentation is not primarily a teaching log; it does not verify staffing; and it is
not intended to provide the client with information about treatments.
PTS: 1 REF: p. 14
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Communication and Documentation BLM: Cognitive
Level: Understand
NOT: Multiple Choice
3. The nurse has been assigned to care for a client admitted with an opportunistic
infection secondary to AIDS. The nurse informs the clinical nurse leader that the
nurse refuses to care for a client with AIDS. The nurse has an obligation to this
client under which of the following?
A. Good Samaritan Act
B. Nursing Interventions Classification (NIC)
C. The nurse practice act in the nurse's jurisdiction
D. International Council of Nurses (ICN) Code of Ethics for Nurses
ANS: D
Rationale: The ethical obligation to care for all clients is included in the Code of
Ethics for Nurses. The Good Samaritan Act relates to lay people helping others in
need. The NIC is a standardized classification of nursing treatment that includes
independent and collaborative interventions. Nurse practice acts primarily address
scope of practice.
PTS: 1 REF: p. 27
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
