Testh2Bankh2forh2Brunnerh2&h2Suddarth'sh2Textbookh2ofh2Medical-
Surgicalh2Nursing,h215thh2Edition
Test Bank
Brunner & Suddarth's
Textbook of Medical-Surgical
Nursing, 15th Edition
,Testh2Bankh2forh2Brunnerh2&h2Suddarth'sh2Textbookh2ofh2Medical-
Surgicalh2Nursing,h215thh2Edition
Chapter 1: Professional Nursing Practice
h2 h2 h2 h2
1. Ah2nurseh2hash2beenh2offeredh2ah2positionh2onh2anh2obstetrich2unith2andh2hash2learnedh2
thath2theh 2 unith2offersh2therapeutich2abortions,h2ah2procedureh2thath2contradictsh2theh2
nurse'sh2personalh 2 beliefs.h2Whath2ish2theh2nurse'sh2ethicalh2obligationh2toh2theseh2clie
nts?
A. Theh2nurseh2shouldh2adhereh2toh2professionalh2standardsh2ofh2practiceh2andh2offerh2
serviceh 2 toh2theseh2clients.
B. Theh2nurseh2shouldh2makeh2theh2choiceh2toh2declineh2thish2positionh2andh2pursueh2ah2d
ifferenth 2 nursingh2role.
C. Theh2nurseh2shouldh2declineh2toh2careh2forh2theh2clientsh2consideringh2abortion.
D. Theh2nurseh2shouldh2expressh2alternativesh2toh2womenh2consideringh2terminating
h2theirh 2 pregnancy.
ANS:h2B
Rationale:h2Toh2avoidh2facingh2theh2ethicalh2dilemmah2ofh2providingh2careh2thath2contradict
sh2theh 2 nurse’sh2personalh2beliefs,h2theh2nurseh2shouldh2considerh2workingh2inh2anh2ar
eah2ofh2nursingh 2 thath2wouldh2noth2poseh2thish2dilemma.h2Theh2nurseh2shouldh2noth2pr
ovideh2careh2toh2theh2clienth 2 becauseh2ith2ish2ah2conflicth2ofh2personalh2values.h2Theh2nur
seh2shouldh2noth2denyh2careh2toh2theseh 2 clientsh2ash2thish2wouldh2beh2ah2breachh2inh2theh2
Codeh2ofh2Ethicsh2forh2nurses.h2Ifh2theh2clienth2ish2noth 2 requestingh2informationh2forh2alt
ernativesh2toh2abortions,h2thenh2theh2nurseh2shouldh2noth2beh 2 providingh2thish2inform
ation.
PTS:h21h2REF:h2p.h227
NAT:h2Clienth2Needs:h2Safe,h2Effectiveh2Careh2Environment:h2Managementh2ofh2Car
eh 2 TOP:h2Chapterh21:h2Professionalh2Nursingh2Practice
KEY:h2Integratedh2Process:h2Cari
ngh 2 BLM:h2Cognitiveh2Level:h2Applyh2NOT:h2Multipleh2Choice
2. Anh280-year-oldh2clienth2ish2admittedh2withh2ah2diagnosish2ofh2community-
acquiredh 2 pneumonia.h2Duringh2admissionh2theh2clienth2states,h2"Ih2haveh2ah2liv
ingh2will."h2Whath 2 implicationh2ofh2thish2shouldh2theh2nurseh2recognize?
A. Thish2documenth2ish2alwaysh2honored,h2regardlessh2ofh2circumstances.
B. Thish2documenth2specifiesh2theh2client'sh2wishesh2beforeh2hospitalization.
,Testh2Bankh2forh2Brunnerh2&h2Suddarth'sh2Textbookh2ofh2Medical-
SurgicalC. Thish2document
h2Nursing, h2ish2bindingh2forh2theh2durationh2ofh2theh2client'sh2life.
h215thh2Edition
, Testh2Bankh2forh2Brunnerh2&h2Suddarth'sh2Textbookh2ofh2Medical-
Surgicalh2Nursing,h215thh2Edition
D. Thish2documenth2hash2beenh2drawnh2uph2byh2theh2client'sh2familyh2toh2determi
neh2DNRh 2 status.
ANS:h2B
Rationale:h2Ah2livingh2willh2ish2oneh2typeh2ofh2advanceh2directive.h2Inh2mosth2situations
,h2livingh 2 willsh2areh2limitedh2toh2situationsh2inh2whichh2theh2client'sh2medicalh2conditio
nh2ish2deemedh 2 terminal.h2Theh2otherh2answersh2areh2incorrecth2becauseh2livingh2wills
h2 areh2noth2alwaysh 2 honoredh2inh2everyh2circumstance,h2theyh2areh2noth2bindingh2forh2t
heh2durationh2ofh2theh2client'sh 2 life,h2andh2theyh2areh2noth2drawnh2uph2byh2theh2client's
h2 family.
PTS:h21h2REF:h2p.h229
NAT:h2Clienth2Needs:h2Safe,h2Effectiveh2Careh2Environment:h2Managementh2ofh2
Careh 2 TOP:h2Chapterh21:h2Professionalh2Nursingh2Practice
KEY:h2Integratedh2Process:h2Communicationh2andh2Documentationh2BLM:h2Cognitiveh
2 Level:h2Analyze
NOT:h2Multipleh2Choice
3. Ah2nurseh2hash2beenh2providingh2ethicalh2careh2forh2manyh2yearsh2andh2ish2awareh2ofh2t
heh2needh 2 toh2maintainh2theh2ethicalh2principleh2ofh2nonmaleficence.h2Whichh2ofh2theh
2 followingh2actionsh 2 wouldh2beh2consideredh2ah2violationh2ofh2thish2principle?
A. Discussingh2ah2DNRh2orderh2withh2ah2terminallyh2illh2client
B. Assistingh2ah2semi-independenth2clienth2withh2ADLs
C. Refusingh2toh2administerh2painh2medicationh2ash2prescribed
D. Providingh2moreh2careh2forh2oneh2clienth2thanh2forh2an
otherh 2 ANS:h2C
Rationale:h2Theh2dutyh2noth2toh2inflicth2ash2wellh2ash2preventh2andh2removeh2harmh2ish2
termedh 2 nonmaleficence.h2Discussingh2ah2DNRh2orderh2withh2ah2terminallyh2illh2clienth2
andh2assistingh2ah 2 clienth2withh2ADLsh2wouldh2noth2beh2consideredh2contradictionsh2to
h2 theh2nurse'sh2dutyh2ofh 2 nonmaleficence.h2Someh2clientsh2justifiablyh2requireh2moreh
2 careh2thanh2others.
Surgicalh2Nursing,h215thh2Edition
Test Bank
Brunner & Suddarth's
Textbook of Medical-Surgical
Nursing, 15th Edition
,Testh2Bankh2forh2Brunnerh2&h2Suddarth'sh2Textbookh2ofh2Medical-
Surgicalh2Nursing,h215thh2Edition
Chapter 1: Professional Nursing Practice
h2 h2 h2 h2
1. Ah2nurseh2hash2beenh2offeredh2ah2positionh2onh2anh2obstetrich2unith2andh2hash2learnedh2
thath2theh 2 unith2offersh2therapeutich2abortions,h2ah2procedureh2thath2contradictsh2theh2
nurse'sh2personalh 2 beliefs.h2Whath2ish2theh2nurse'sh2ethicalh2obligationh2toh2theseh2clie
nts?
A. Theh2nurseh2shouldh2adhereh2toh2professionalh2standardsh2ofh2practiceh2andh2offerh2
serviceh 2 toh2theseh2clients.
B. Theh2nurseh2shouldh2makeh2theh2choiceh2toh2declineh2thish2positionh2andh2pursueh2ah2d
ifferenth 2 nursingh2role.
C. Theh2nurseh2shouldh2declineh2toh2careh2forh2theh2clientsh2consideringh2abortion.
D. Theh2nurseh2shouldh2expressh2alternativesh2toh2womenh2consideringh2terminating
h2theirh 2 pregnancy.
ANS:h2B
Rationale:h2Toh2avoidh2facingh2theh2ethicalh2dilemmah2ofh2providingh2careh2thath2contradict
sh2theh 2 nurse’sh2personalh2beliefs,h2theh2nurseh2shouldh2considerh2workingh2inh2anh2ar
eah2ofh2nursingh 2 thath2wouldh2noth2poseh2thish2dilemma.h2Theh2nurseh2shouldh2noth2pr
ovideh2careh2toh2theh2clienth 2 becauseh2ith2ish2ah2conflicth2ofh2personalh2values.h2Theh2nur
seh2shouldh2noth2denyh2careh2toh2theseh 2 clientsh2ash2thish2wouldh2beh2ah2breachh2inh2theh2
Codeh2ofh2Ethicsh2forh2nurses.h2Ifh2theh2clienth2ish2noth 2 requestingh2informationh2forh2alt
ernativesh2toh2abortions,h2thenh2theh2nurseh2shouldh2noth2beh 2 providingh2thish2inform
ation.
PTS:h21h2REF:h2p.h227
NAT:h2Clienth2Needs:h2Safe,h2Effectiveh2Careh2Environment:h2Managementh2ofh2Car
eh 2 TOP:h2Chapterh21:h2Professionalh2Nursingh2Practice
KEY:h2Integratedh2Process:h2Cari
ngh 2 BLM:h2Cognitiveh2Level:h2Applyh2NOT:h2Multipleh2Choice
2. Anh280-year-oldh2clienth2ish2admittedh2withh2ah2diagnosish2ofh2community-
acquiredh 2 pneumonia.h2Duringh2admissionh2theh2clienth2states,h2"Ih2haveh2ah2liv
ingh2will."h2Whath 2 implicationh2ofh2thish2shouldh2theh2nurseh2recognize?
A. Thish2documenth2ish2alwaysh2honored,h2regardlessh2ofh2circumstances.
B. Thish2documenth2specifiesh2theh2client'sh2wishesh2beforeh2hospitalization.
,Testh2Bankh2forh2Brunnerh2&h2Suddarth'sh2Textbookh2ofh2Medical-
SurgicalC. Thish2document
h2Nursing, h2ish2bindingh2forh2theh2durationh2ofh2theh2client'sh2life.
h215thh2Edition
, Testh2Bankh2forh2Brunnerh2&h2Suddarth'sh2Textbookh2ofh2Medical-
Surgicalh2Nursing,h215thh2Edition
D. Thish2documenth2hash2beenh2drawnh2uph2byh2theh2client'sh2familyh2toh2determi
neh2DNRh 2 status.
ANS:h2B
Rationale:h2Ah2livingh2willh2ish2oneh2typeh2ofh2advanceh2directive.h2Inh2mosth2situations
,h2livingh 2 willsh2areh2limitedh2toh2situationsh2inh2whichh2theh2client'sh2medicalh2conditio
nh2ish2deemedh 2 terminal.h2Theh2otherh2answersh2areh2incorrecth2becauseh2livingh2wills
h2 areh2noth2alwaysh 2 honoredh2inh2everyh2circumstance,h2theyh2areh2noth2bindingh2forh2t
heh2durationh2ofh2theh2client'sh 2 life,h2andh2theyh2areh2noth2drawnh2uph2byh2theh2client's
h2 family.
PTS:h21h2REF:h2p.h229
NAT:h2Clienth2Needs:h2Safe,h2Effectiveh2Careh2Environment:h2Managementh2ofh2
Careh 2 TOP:h2Chapterh21:h2Professionalh2Nursingh2Practice
KEY:h2Integratedh2Process:h2Communicationh2andh2Documentationh2BLM:h2Cognitiveh
2 Level:h2Analyze
NOT:h2Multipleh2Choice
3. Ah2nurseh2hash2beenh2providingh2ethicalh2careh2forh2manyh2yearsh2andh2ish2awareh2ofh2t
heh2needh 2 toh2maintainh2theh2ethicalh2principleh2ofh2nonmaleficence.h2Whichh2ofh2theh
2 followingh2actionsh 2 wouldh2beh2consideredh2ah2violationh2ofh2thish2principle?
A. Discussingh2ah2DNRh2orderh2withh2ah2terminallyh2illh2client
B. Assistingh2ah2semi-independenth2clienth2withh2ADLs
C. Refusingh2toh2administerh2painh2medicationh2ash2prescribed
D. Providingh2moreh2careh2forh2oneh2clienth2thanh2forh2an
otherh 2 ANS:h2C
Rationale:h2Theh2dutyh2noth2toh2inflicth2ash2wellh2ash2preventh2andh2removeh2harmh2ish2
termedh 2 nonmaleficence.h2Discussingh2ah2DNRh2orderh2withh2ah2terminallyh2illh2clienth2
andh2assistingh2ah 2 clienth2withh2ADLsh2wouldh2noth2beh2consideredh2contradictionsh2to
h2 theh2nurse'sh2dutyh2ofh 2 nonmaleficence.h2Someh2clientsh2justifiablyh2requireh2moreh
2 careh2thanh2others.