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

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




TestBank u u




Brunner & Suddarth's u u




Textbook of Medical-Surgical u u u




Nursing, 15th Edition u u

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

Chapter1:Professional Nursing Practice
u u u u




1. A nurse has been offered a position on an obstetric unit and has learned that the
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unit offers therapeutic abortions, a procedure that contradicts the nurse's personal
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beliefs. What is the nurse's ethical obligation to these clients?
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A. The nurse should adhere to professional standards of practice and offer service
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u to these clients.
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B. The nurse should make the choice to decline this position and pursue a different
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nursing role. u




C. The nurse should decline to care for the clients considering abortion.
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D. The nurse should express alternatives to women considering terminating their
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u pregnancy.


ANS: B u




Rationale: To avoid facing the ethical dilemma of providing care that contradicts the
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nurse’s personal beliefs, the nurse should consider working in an area of nursing
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u that would not pose this dilemma. The nurse should not provide care to the
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client because it is a conflict of personal values. The nurse should not deny care to
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these u clients as this would be a breach in the Code of Ethics for nurses. If the client is
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not requesting information for alternatives to abortions, then the nurse should
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not be providing this information.
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PTS: 1 REF: p. 27 u u u u




NAT: Client Needs: Safe, Effective Care Environment: Management of Care
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TOP: Chapter 1: Professional Nursing Practice
u u u u u KEY: Integrated Process: Caring
u u u




u BLM: Cognitive Level: Apply NOT: Multiple Choice
u u u u u u




2. An 80-year-old client is admitted with a diagnosis of community-acquired
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pneumonia. During admission the client states, "I have a living will." What
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implication of this should the nurse recognize? u u u u u u




A. This document is always honored, regardless of circumstances.
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B. This document specifies the client's wishes before hospitalization.
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C. This document is binding for the duration of the client's life.
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,Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition

D. This document has been drawn up by the client's family to determine DNR
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u status.


ANS: B u




Rationale: A living will is one type of advance directive. In most situations, living
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wills are limited to situations in which the client's medical condition is deemed
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terminal. The other answers are incorrect because living wills are not always
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honored in every circumstance, they are not binding for the duration of the client's
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life, and they are not drawn up by the client's family.
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PTS: 1 REF: p. 29
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NAT: Client Needs: Safe, Effective Care Environment: Management of Care
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TOP: Chapter 1: Professional Nursing Practice
u u u u u




KEY: Integrated Process: Communication and Documentation BLM: Cognitive
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Level: Analyze u




NOT: Multiple Choiceu u




3. A nurse has been providing ethical care for many years and is aware of the need
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to maintain the ethical principle of nonmaleficence. Which of the following
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actions u would be considered a violation of this principle?
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A. Discussing a DNR order with a terminally ill client u u u u u u u u




B. Assisting a semi-independent client with ADLs u u u u u




C. Refusing to administer pain medication as prescribed
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D. Providing more care for one client than for another u u u u u u u u u




ANS: C u




Rationale: The duty not to inflict as well as prevent and remove harm is termed
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nonmaleficence. Discussing a DNR order with a terminally ill client and assisting a u u u u u u u u u u u u u




client with ADLs would not be considered contradictions to the nurse's duty of
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nonmaleficence. Some clients justifiably require more care than others. u u u u u u u u




PTS: 1 REF: p. 25
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NAT: Client Needs: Safe, Effective Care Environment: Management of Care
u u u u u u u u u

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

TOP: Chapter 1: Professional Nursing Practice
u u u u u




KEY: Integrated Process: Nursing Process
u u u u BLM: Cognitive Level: Analyze
u u u




u NOT: Multiple Choice
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4. A nurse has begun creating a client's plan of care shortly after the client's
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admission. The nurse knows that it is important that the wording of the chosen
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nursing diagnoses falls within the taxonomy of nursing. Which organization is
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responsible for developing the taxonomy of a nursing diagnosis?
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A. American Nurses Association (ANA) u u u




B. North American Nursing Diagnosis Association (NANDA)
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C. National League for Nursing (NLN) u u u u




D. Joint Commission u




u ANS: B u




Rationale: NANDA International is the official organization responsible for
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developing the taxonomy of nursing diagnoses and formulating nursing diagnoses
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u acceptable for study. The ANA, NLN, and Joint Commission are not charged with the
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task of developing the taxonomy of nursing diagnoses.
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PTS: 1 REF: p. 15
u u u u




NAT: Client Needs: Safe, Effective Care Environment: Management of Care
u u u u u u u u u u




TOP: Chapter 1: Professional Nursing Practice
u u u u u




KEY: Integrated Process: Nursing Process
u u u u BLM: Cognitive Level: Understand
u u u




u NOT: Multiple Choice
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5. A medical nurse has obtained a new client's health history and has completed the
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admission assessment. The nurse followed this by documenting the results and
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creating a care plan for the client. Which of the following is the most important
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rationale for documenting the client's care?
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A. It provides continuity of care.
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B. It creates a teaching log for the family.
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C. It verifies appropriate staffing levels.
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D. It keeps the client fully informed.
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