Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
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TestBank u
Brunner&Suddarth's
g
gTextbook ofMedical-Surgical u
Nursing,15thEdition
g
,Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
g g g g g g g g g g g
Chapter1:ProfessionalNursingPractice
1. A nurse has been offered a position on an obstetric unit and has learned that the
g g g g g g g g g g g g g g g
unit offers therapeutic abortions, a procedure that contradicts the nurse's personal
g g g g g g g g g g g
beliefs. What is the nurse's ethical obligation to these clients?
g g g g g g g g g g
A. The nurse should adhere to professional standards of practice and offer service
g g g g g g g g g g g
g to these clients.
g g
B. The nurse should make the choice to decline this position and pursue a different
g g g g g g g g g g g g g
g nursing role. g
C. The nurse should decline to care for the clients considering abortion.
g g g g g g g g g g
D. The nurse should express alternatives to women considering terminating their
g g g g g g g g g
g pregnancy.
ANS: B g
Rationale:Toavoidfacingtheethicaldilemmaofprovidingcarethatcontradicts the u
nurse’s personal beliefs, the nurse should consider working in an area of nursing
g g g g g g g g g g g g
g that would not pose this dilemma. The nurse should not provide care to the
g g g g g g g g g g g g g
client g because it is a conflict of personal values. The nurse should not deny care to
g g g g g g g g g g g g g g
g these clientsas this would beabreachin the Code ofEthicsfor nurses. Iftheclient is not
g g g g g g g g g g g g g g g g g g
requesting information for alternatives to abortions, then the nurse should
g g g g g g g g g
g not be providing this information.
g g g
PTS: 1 REF: p. 27g g g g
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
g g g g g g g g g
g TOP: Chapter 1: Professional Nursing Practice KEY:IntegratedProcess: Caring
g g g g g g g g
BLM: Cognitive Level: Apply NOT: Multiple Choice
g g g g g g
2. An 80-year-old client is admitted with a diagnosis of community-acquired
g g g g g g g g g
pneumonia. During admission the client states, "I have a living will." What
g g g g g g g g g g g g
g implication of this should the nurse recognize? g g g g g g
A. This document is always honored, regardless of circumstances.
g g g g g g g
B. This document specifies the client's wishes before hospitalization.
g g g g g g g
C. This document is binding for the duration of the client's life.
g g g g g g g g g g
,Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
g g g g g g g g g g g
D. This document has been drawn up by the client's family to determine DNR
g g g g g g g g g g g g
g status.
ANS: B g
Rationale: A living will is one type of advance directive. In most situations, living
g g g g g g g g g g g g g
g wills are limited to situations in which the client's medical condition is deemed
g g g g g g g g g g g g
g terminal. The other answers are incorrect because living wills are not always
g g g g g g g g g g g
g honored in every circumstance, they are not binding for the duration ofthe client's
g g g g g g g g g g g g g
g life, and they are not drawn up by the client's family.
g g g g g g g g g g
PTS: 1 REF: p. 29g g g g
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
g g g g g g g g g
TOP: Chapter 1: Professional Nursing Practice
g g g g g g
KEY: Integrated Process: Communication and Documentation BLM: Cognitive
g g g g g g g
Level: Analyze
g g
NOT: Multiple Choice
g g
3. A nurse has been providing ethical care for many years and is aware of the need to
g g g g g g g g g g g g g g g g
g maintain the ethical principle of nonmaleficence. Which of the following actions
g g g g g g g g g g
g would be considered a violation of this principle?
g g g g g g g
A. Discussing a DNR order with a terminally ill client g g g g g g g g
B. Assisting a semi-independent client with ADLs g g g g g
C. Refusing to administer pain medication as prescribed
g g g g g g
D. Providing more care for one client than for another g g g g g g g g
ANS: C g
Rationale: The duty not to inflict as well as prevent and remove harm is termed
g g g g g g g g g g g g g g
g nonmaleficence. Discussing a DNR order with a terminally ill client and assisting a
g g g g g g g g g g g g
g client with ADLs would not be considered contradictions to the nurse's duty of
g g g g g g g g g g g g
g nonmaleficence. Some clients justifiably require more care than others. g g g g g g g g
PTS: 1 REF: p. 25g g g g
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
g g g g g g g g g
, Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
g g g g g g g g g g g
TOP: Chapter 1: Professional Nursing Practice
g g g g g
KEY: Integrated Process: Nursing Process
g g g g BLM: Cognitive Level: Analyze
g g g
NOT: Multiple Choice
g g g
4. A nurse has begun creating a client's plan of care shortly after the client's
g g g g g g g g g g g g g
g admission. The nurse knows that it is important that the wording of the chosen
g g g g g g g g g g g g g
g nursing diagnoses falls within the taxonomy of nursing. Which organization is
g g g g g g g g g g
g responsible for developing the taxonomy of a nursing diagnosis?
g g g g g g g g
A. American Nurses Association (ANA) g g g
B. North American Nursing Diagnosis Association (NANDA)
g g g g g
C. National League for Nursing (NLN) g g g g
D. JointCommission
ANS: B
g g
Rationale: NANDA International is the official organization responsible for
g g g g g g g g
g developing the taxonomy of nursing diagnoses and formulating nursing diagnoses
g g g g g g g g g
acceptableforstudy.TheANA,NLN,andJointCommissionarenot chargedwiththe g g g u
g task of developing the taxonomy of nursing diagnoses.
g g g g g g g
PTS: 1 REF: p. 15 g g g g
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
g g g g g g g g g
TOP: Chapter 1: Professional Nursing Practice
g g g g g g
KEY: Integrated Process: Nursing Process
g g g g BLM: Cognitive Level: Understand
g g g
g NOT: Multiple Choiceg g
5. Amedicalnursehasobtainedanewclient'shealthhistoryandhas completedthe g g g
g admission assessment. The nurse followed this by documenting the results and
g g g g g g g g g g
g creating a care plan for the client. Which of the following is the most important
g g g g g g g g g g g g g g
g rationale for documenting the client's care?
g g g g g
A. It provides continuity of care.
g g g g
B. It creates a teaching log for the family.
g g g g g g g
C. It verifies appropriate staffing levels.
g g g g
D. It keeps the client fully informed.
g g g g g
g g g g g g g g g g g
TestBank u
Brunner&Suddarth's
g
gTextbook ofMedical-Surgical u
Nursing,15thEdition
g
,Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
g g g g g g g g g g g
Chapter1:ProfessionalNursingPractice
1. A nurse has been offered a position on an obstetric unit and has learned that the
g g g g g g g g g g g g g g g
unit offers therapeutic abortions, a procedure that contradicts the nurse's personal
g g g g g g g g g g g
beliefs. What is the nurse's ethical obligation to these clients?
g g g g g g g g g g
A. The nurse should adhere to professional standards of practice and offer service
g g g g g g g g g g g
g to these clients.
g g
B. The nurse should make the choice to decline this position and pursue a different
g g g g g g g g g g g g g
g nursing role. g
C. The nurse should decline to care for the clients considering abortion.
g g g g g g g g g g
D. The nurse should express alternatives to women considering terminating their
g g g g g g g g g
g pregnancy.
ANS: B g
Rationale:Toavoidfacingtheethicaldilemmaofprovidingcarethatcontradicts the u
nurse’s personal beliefs, the nurse should consider working in an area of nursing
g g g g g g g g g g g g
g that would not pose this dilemma. The nurse should not provide care to the
g g g g g g g g g g g g g
client g because it is a conflict of personal values. The nurse should not deny care to
g g g g g g g g g g g g g g
g these clientsas this would beabreachin the Code ofEthicsfor nurses. Iftheclient is not
g g g g g g g g g g g g g g g g g g
requesting information for alternatives to abortions, then the nurse should
g g g g g g g g g
g not be providing this information.
g g g
PTS: 1 REF: p. 27g g g g
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
g g g g g g g g g
g TOP: Chapter 1: Professional Nursing Practice KEY:IntegratedProcess: Caring
g g g g g g g g
BLM: Cognitive Level: Apply NOT: Multiple Choice
g g g g g g
2. An 80-year-old client is admitted with a diagnosis of community-acquired
g g g g g g g g g
pneumonia. During admission the client states, "I have a living will." What
g g g g g g g g g g g g
g implication of this should the nurse recognize? g g g g g g
A. This document is always honored, regardless of circumstances.
g g g g g g g
B. This document specifies the client's wishes before hospitalization.
g g g g g g g
C. This document is binding for the duration of the client's life.
g g g g g g g g g g
,Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
g g g g g g g g g g g
D. This document has been drawn up by the client's family to determine DNR
g g g g g g g g g g g g
g status.
ANS: B g
Rationale: A living will is one type of advance directive. In most situations, living
g g g g g g g g g g g g g
g wills are limited to situations in which the client's medical condition is deemed
g g g g g g g g g g g g
g terminal. The other answers are incorrect because living wills are not always
g g g g g g g g g g g
g honored in every circumstance, they are not binding for the duration ofthe client's
g g g g g g g g g g g g g
g life, and they are not drawn up by the client's family.
g g g g g g g g g g
PTS: 1 REF: p. 29g g g g
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
g g g g g g g g g
TOP: Chapter 1: Professional Nursing Practice
g g g g g g
KEY: Integrated Process: Communication and Documentation BLM: Cognitive
g g g g g g g
Level: Analyze
g g
NOT: Multiple Choice
g g
3. A nurse has been providing ethical care for many years and is aware of the need to
g g g g g g g g g g g g g g g g
g maintain the ethical principle of nonmaleficence. Which of the following actions
g g g g g g g g g g
g would be considered a violation of this principle?
g g g g g g g
A. Discussing a DNR order with a terminally ill client g g g g g g g g
B. Assisting a semi-independent client with ADLs g g g g g
C. Refusing to administer pain medication as prescribed
g g g g g g
D. Providing more care for one client than for another g g g g g g g g
ANS: C g
Rationale: The duty not to inflict as well as prevent and remove harm is termed
g g g g g g g g g g g g g g
g nonmaleficence. Discussing a DNR order with a terminally ill client and assisting a
g g g g g g g g g g g g
g client with ADLs would not be considered contradictions to the nurse's duty of
g g g g g g g g g g g g
g nonmaleficence. Some clients justifiably require more care than others. g g g g g g g g
PTS: 1 REF: p. 25g g g g
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
g g g g g g g g g
, Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
g g g g g g g g g g g
TOP: Chapter 1: Professional Nursing Practice
g g g g g
KEY: Integrated Process: Nursing Process
g g g g BLM: Cognitive Level: Analyze
g g g
NOT: Multiple Choice
g g g
4. A nurse has begun creating a client's plan of care shortly after the client's
g g g g g g g g g g g g g
g admission. The nurse knows that it is important that the wording of the chosen
g g g g g g g g g g g g g
g nursing diagnoses falls within the taxonomy of nursing. Which organization is
g g g g g g g g g g
g responsible for developing the taxonomy of a nursing diagnosis?
g g g g g g g g
A. American Nurses Association (ANA) g g g
B. North American Nursing Diagnosis Association (NANDA)
g g g g g
C. National League for Nursing (NLN) g g g g
D. JointCommission
ANS: B
g g
Rationale: NANDA International is the official organization responsible for
g g g g g g g g
g developing the taxonomy of nursing diagnoses and formulating nursing diagnoses
g g g g g g g g g
acceptableforstudy.TheANA,NLN,andJointCommissionarenot chargedwiththe g g g u
g task of developing the taxonomy of nursing diagnoses.
g g g g g g g
PTS: 1 REF: p. 15 g g g g
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
g g g g g g g g g
TOP: Chapter 1: Professional Nursing Practice
g g g g g g
KEY: Integrated Process: Nursing Process
g g g g BLM: Cognitive Level: Understand
g g g
g NOT: Multiple Choiceg g
5. Amedicalnursehasobtainedanewclient'shealthhistoryandhas completedthe g g g
g admission assessment. The nurse followed this by documenting the results and
g g g g g g g g g g
g creating a care plan for the client. Which of the following is the most important
g g g g g g g g g g g g g g
g rationale for documenting the client's care?
g g g g g
A. It provides continuity of care.
g g g g
B. It creates a teaching log for the family.
g g g g g g g
C. It verifies appropriate staffing levels.
g g g g
D. It keeps the client fully informed.
g g g g g
