TestnBank nf or nBrunner n&nSuddarth'snTextbook nof nMedical-SurgicalnNursing,n15th nEdition
Test Bank Brunner&Suddart
u n
h's Textbook ofMedical-
n u
Surgical Nursing,15thEditio n
n
,TestnBank nf or nBrunner n&nSuddarth'snTextbook nof nMedical-SurgicalnNursing,n15th nEdition
Chapter1:ProfessionalNursingPractice
1. Annursenhasnbeen noffered nanposition non nan nobstetricnunitnand nhasnlearned nthatnthenu
nitnoffersntherapeuticnabortions,nanprocedurenthatncontradictsnthennurse'snpersonalnb
eliefs.nWhatnisnthennurse'snethicalnobligation ntonthesenclients?
A. Thennursenshould nadherentonprofessionalnstandardsnof npracticenand noffernservicent
onthesenclients.
B. Thennursenshould nmakenthenchoicentondeclinenthisnposition nand npursuenandifferentnn
ursing nrole.
C. Thennursenshould ndeclinentoncarenfornthenclientsnconsidering nabortion.
D. Thennursenshould nexpressnalternativesntonwomen nconsidering nterminating ntheirn
pregnancy.
ANS:nB
Rationale:Toavoidfacingtheethicaldilemmaofprovidingcarethatcontradicts the u
nurse’snpersonalnbeliefs,nthennursenshouldnconsidernworking nin nan nareanof nnursing nt
hatnwould nnotnposenthisndilemma.nThennursenshould nnotnprovidencarentonthe
clientn becausenitnisnanconflictnofnpersonalnvalues.nThennursenshould nnotndenyncarentont
hese clientsnasnthisnwouldnbenanbreachninnthenCodenofnEthicsnfornnurses.nIf nthenclientnisnnot
requestingninformationnfornalternativesntonabortions,nthennthennursenshouldnn
otnbe providing nthisninformation.
PTS:n1 nREF:np.n27
NAT:nClientnNeeds:nSafe,nEffectivenCarenEnvironment:nManagementnof nCarenTOP
:nChaptern1:nProfessionalnNursing nPractice KEY:nIntegratednProcess:nCaring
BLM:nCognitivenLevel:nApplynNOT:nMultiplenChoice
2. An n80-year-old nclientnisnadmitted nwith nandiagnosisnof ncommunity-
acquired npneumonia.nDuring nadmission nthenclientnstates,n"Inhavenanliving nwill
."nWhatnimplication nof nthisnshould nthennursenrecognize?
A. Thisndocumentnisnalwaysnhonored,nregardlessnof ncircumstances.
B. Thisndocumentnspecifiesnthenclient'snwishesnbeforenhospitalization.
C. Thisndocumentnisnbinding nfornthenduration nof nthenclient'snlife.
,TestnBank nf or nBrunner n&nSuddarth'snTextbook nof nMedical-SurgicalnNursing,n15th nEdition
D. Thisndocumentnhasnbeen ndrawnnupnbynthenclient'snfamilyntondeterminenDNRns
tatus.
ANS:nB
Rationale:nAnliving nwillnisnonentypenof nadvancendirective.nIn nmostnsituations,nlivingnw
illsnarenlimited ntonsituationsnin nwhichnthenclient'snmedicalnconditionnisndeemednterm
inal.nThenothernanswersnarenincorrectnbecausenlivingnwillsnarennotnalwaysnhonored ni
n neveryncircumstance,ntheynarennotnbindingnfornthendurationnof nthenclient'snlife,nandnth
eynarennotndrawn nupnbynthenclient'snfamily.
PTS:n1 nREF:np.n29
NAT:nClientnNeeds:nSafe,nEffectivenCarenEnvironment:nManagementnofnCarenT
OP:nChaptern1:nProfessionalnNursing nPractice
KEY:nIntegratednProcess:nCommunicationnandnDocumentationnBLM:nCognitivenLevel
:nAnalyze
NOT:nMultiplenChoice
3. Annursenhasnbeen nproviding nethicalncarenfornmanynyearsnandnisnawarenof nthenneed nt
onmaintain nthenethicalnprinciplenof nnonmaleficence.nWhich nof nthenfollowing nactionsn
would nbenconsidered nanviolation nof nthisnprinciple?
A. Discussing nanDNRnordernwith nanterminallynillnclient
B. Assisting nansemi-independentnclientnwith nADLs
C. Refusing ntonadministernpain nmedication nasnprescribed
D. Providing nmorencarenfornonenclientnthan nfornanother
ANS:nC
Rationale:nThendutynnotntoninflictnasnwellnasnpreventnand nremovenharmnisntermed nn
onmaleficence.nDiscussingnanDNRnordernwith nanterminallynillnclientnandnassisting nancli
entnwith nADLsnwouldnnotnbenconsideredncontradictionsntonthennurse'sndutynofnnonm
aleficence.nSomenclientsnjustifiablynrequirenmorencarenthan nothers.
PTS:n1 nREF:np.n25
NAT:nClientnNeeds:nSafe,nEffectivenCarenEnvironment:nManagementnof nCare
, TestnBank nf or nBrunner n&nSuddarth'snTextbook nof nMedical-SurgicalnNursing,n15th nEdition
TOP:nChaptern1:nProfessionalnNursing nPractice
KEY:nIntegrated nProcess:nNursing nProcess
BLM:nCognitivenLevel:nAnalyzen
NOT:nMultiplenChoice
4. Annursenhasnbegunncreatingnanclient'snplan nofncarenshortlynafternthenclient'sna
dmission.nThennursenknowsnthatnitnisnimportantnthatnthenwordingnof nthenchosennnu
rsing ndiagnosesnfallsnwithinnthentaxonomynofnnursing.nWhichnorganization nisnres
ponsiblenforndeveloping nthentaxonomynof nannursing ndiagnosis?
A. American nNursesnAssociation n(ANA)
B. North nAmerican nNursing nDiagnosisnAssociation n(NANDA)
C. NationalnLeaguenfornNursing n(NLN)
D. JointCommission
nANS:nB
Rationale:nNANDAnInternationalnisnthenofficialnorganizationnresponsiblenforndevelop
ing nthentaxonomynof nnursing ndiagnosesnand nformulating nnursing ndiagnoses
acceptableforstudy.nThenANA,NLN,andJointCommissionarennot chargedwiththenta
u
sknof ndeveloping nthentaxonomynof nnursing ndiagnoses.
PTS:n1 nREF:np.n15
NAT:nClientnNeeds:nSafe,nEffectivenCarenEnvironment:nManagementnofnCarenT
OP:nChaptern1:nProfessionalnNursing nPractice
KEY:nIntegrated nProcess:nNursing nProcess
BLM:nCognitivenLevel:nUnderstandn
NOT:nMultiplenChoice
5. Amedicalnursenhasobtainedanewclient'snhealthhistoryandhasncompletedthenad
mission nassessment.nThennursenfollowednthisnbyndocumentingnthenresultsnandncre
ating nancarenplan nfornthenclient.nWhich nofnthenfollowing nisnthenmostnimportantnratio
nalenforndocumenting nthenclient'sncare?
A. Itnprovidesncontinuitynof ncare.
B. Itncreatesnanteaching nlog nfornthenfamily.
C. Itnverifiesnappropriatenstaffing nlevels.
Test Bank Brunner&Suddart
u n
h's Textbook ofMedical-
n u
Surgical Nursing,15thEditio n
n
,TestnBank nf or nBrunner n&nSuddarth'snTextbook nof nMedical-SurgicalnNursing,n15th nEdition
Chapter1:ProfessionalNursingPractice
1. Annursenhasnbeen noffered nanposition non nan nobstetricnunitnand nhasnlearned nthatnthenu
nitnoffersntherapeuticnabortions,nanprocedurenthatncontradictsnthennurse'snpersonalnb
eliefs.nWhatnisnthennurse'snethicalnobligation ntonthesenclients?
A. Thennursenshould nadherentonprofessionalnstandardsnof npracticenand noffernservicent
onthesenclients.
B. Thennursenshould nmakenthenchoicentondeclinenthisnposition nand npursuenandifferentnn
ursing nrole.
C. Thennursenshould ndeclinentoncarenfornthenclientsnconsidering nabortion.
D. Thennursenshould nexpressnalternativesntonwomen nconsidering nterminating ntheirn
pregnancy.
ANS:nB
Rationale:Toavoidfacingtheethicaldilemmaofprovidingcarethatcontradicts the u
nurse’snpersonalnbeliefs,nthennursenshouldnconsidernworking nin nan nareanof nnursing nt
hatnwould nnotnposenthisndilemma.nThennursenshould nnotnprovidencarentonthe
clientn becausenitnisnanconflictnofnpersonalnvalues.nThennursenshould nnotndenyncarentont
hese clientsnasnthisnwouldnbenanbreachninnthenCodenofnEthicsnfornnurses.nIf nthenclientnisnnot
requestingninformationnfornalternativesntonabortions,nthennthennursenshouldnn
otnbe providing nthisninformation.
PTS:n1 nREF:np.n27
NAT:nClientnNeeds:nSafe,nEffectivenCarenEnvironment:nManagementnof nCarenTOP
:nChaptern1:nProfessionalnNursing nPractice KEY:nIntegratednProcess:nCaring
BLM:nCognitivenLevel:nApplynNOT:nMultiplenChoice
2. An n80-year-old nclientnisnadmitted nwith nandiagnosisnof ncommunity-
acquired npneumonia.nDuring nadmission nthenclientnstates,n"Inhavenanliving nwill
."nWhatnimplication nof nthisnshould nthennursenrecognize?
A. Thisndocumentnisnalwaysnhonored,nregardlessnof ncircumstances.
B. Thisndocumentnspecifiesnthenclient'snwishesnbeforenhospitalization.
C. Thisndocumentnisnbinding nfornthenduration nof nthenclient'snlife.
,TestnBank nf or nBrunner n&nSuddarth'snTextbook nof nMedical-SurgicalnNursing,n15th nEdition
D. Thisndocumentnhasnbeen ndrawnnupnbynthenclient'snfamilyntondeterminenDNRns
tatus.
ANS:nB
Rationale:nAnliving nwillnisnonentypenof nadvancendirective.nIn nmostnsituations,nlivingnw
illsnarenlimited ntonsituationsnin nwhichnthenclient'snmedicalnconditionnisndeemednterm
inal.nThenothernanswersnarenincorrectnbecausenlivingnwillsnarennotnalwaysnhonored ni
n neveryncircumstance,ntheynarennotnbindingnfornthendurationnof nthenclient'snlife,nandnth
eynarennotndrawn nupnbynthenclient'snfamily.
PTS:n1 nREF:np.n29
NAT:nClientnNeeds:nSafe,nEffectivenCarenEnvironment:nManagementnofnCarenT
OP:nChaptern1:nProfessionalnNursing nPractice
KEY:nIntegratednProcess:nCommunicationnandnDocumentationnBLM:nCognitivenLevel
:nAnalyze
NOT:nMultiplenChoice
3. Annursenhasnbeen nproviding nethicalncarenfornmanynyearsnandnisnawarenof nthenneed nt
onmaintain nthenethicalnprinciplenof nnonmaleficence.nWhich nof nthenfollowing nactionsn
would nbenconsidered nanviolation nof nthisnprinciple?
A. Discussing nanDNRnordernwith nanterminallynillnclient
B. Assisting nansemi-independentnclientnwith nADLs
C. Refusing ntonadministernpain nmedication nasnprescribed
D. Providing nmorencarenfornonenclientnthan nfornanother
ANS:nC
Rationale:nThendutynnotntoninflictnasnwellnasnpreventnand nremovenharmnisntermed nn
onmaleficence.nDiscussingnanDNRnordernwith nanterminallynillnclientnandnassisting nancli
entnwith nADLsnwouldnnotnbenconsideredncontradictionsntonthennurse'sndutynofnnonm
aleficence.nSomenclientsnjustifiablynrequirenmorencarenthan nothers.
PTS:n1 nREF:np.n25
NAT:nClientnNeeds:nSafe,nEffectivenCarenEnvironment:nManagementnof nCare
, TestnBank nf or nBrunner n&nSuddarth'snTextbook nof nMedical-SurgicalnNursing,n15th nEdition
TOP:nChaptern1:nProfessionalnNursing nPractice
KEY:nIntegrated nProcess:nNursing nProcess
BLM:nCognitivenLevel:nAnalyzen
NOT:nMultiplenChoice
4. Annursenhasnbegunncreatingnanclient'snplan nofncarenshortlynafternthenclient'sna
dmission.nThennursenknowsnthatnitnisnimportantnthatnthenwordingnof nthenchosennnu
rsing ndiagnosesnfallsnwithinnthentaxonomynofnnursing.nWhichnorganization nisnres
ponsiblenforndeveloping nthentaxonomynof nannursing ndiagnosis?
A. American nNursesnAssociation n(ANA)
B. North nAmerican nNursing nDiagnosisnAssociation n(NANDA)
C. NationalnLeaguenfornNursing n(NLN)
D. JointCommission
nANS:nB
Rationale:nNANDAnInternationalnisnthenofficialnorganizationnresponsiblenforndevelop
ing nthentaxonomynof nnursing ndiagnosesnand nformulating nnursing ndiagnoses
acceptableforstudy.nThenANA,NLN,andJointCommissionarennot chargedwiththenta
u
sknof ndeveloping nthentaxonomynof nnursing ndiagnoses.
PTS:n1 nREF:np.n15
NAT:nClientnNeeds:nSafe,nEffectivenCarenEnvironment:nManagementnofnCarenT
OP:nChaptern1:nProfessionalnNursing nPractice
KEY:nIntegrated nProcess:nNursing nProcess
BLM:nCognitivenLevel:nUnderstandn
NOT:nMultiplenChoice
5. Amedicalnursenhasobtainedanewclient'snhealthhistoryandhasncompletedthenad
mission nassessment.nThennursenfollowednthisnbyndocumentingnthenresultsnandncre
ating nancarenplan nfornthenclient.nWhich nofnthenfollowing nisnthenmostnimportantnratio
nalenforndocumenting nthenclient'sncare?
A. Itnprovidesncontinuitynof ncare.
B. Itncreatesnanteaching nlog nfornthenfamily.
C. Itnverifiesnappropriatenstaffing nlevels.
