Test Bank for Brunner & Suddarth's Textbook of Medical-
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Surgical Nursing, 15th Edition
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Test Bank Brun wz wz
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Textbook of Medical- wz wz
SurgicalNursing, 15th Edi w
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,Test Bank for Brunner & Suddarth's Textbook of Medical-
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tion
Surgical Nursing, 15th Edition
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,Test Bank for Brunner & Suddarth's Textbook of Medical-
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Surgical Nursing, 15th Edition
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Chapter 1: Professional Nursing Practice
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1. A nurse has been offered a position on an obstetric unit and has learned that t
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heunit offers therapeutic abortions, a procedure that contradicts the nurse's pers
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onalbeliefs. 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 serv
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iceto these clients.
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B. The nurse should make the choice to decline this position and pursue a differe
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ntnursing role.
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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 th
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eirpregnancy.
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ANS: B wz
Rationale: To avoid facing the ethical dilemma of providing care that contradicts th
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enurse’s personal beliefs, the nurse should consider working in an area of nur
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sing that would not pose this dilemma. The nurse should not provide care to t
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he clientbecause it is a conflict of personal values. The nurse should not deny c
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are to theseclients as this would be a breach in the Code of Ethics for nurses. If t
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he client is notrequesting information for alternatives to abortions, then the nu
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rse should not beproviding this information.
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PTS: 1 REF: p. 27
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NAT: Client Needs: Safe, Effective Care Environment: Management of Care
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TOP: Chapter 1: Professional Nursing Practice
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KEY: Integrated Process: Carin
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gBLM: Cognitive Level: Apply NOT: Multiple Choice
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2. An 80-year-old client is admitted with a diagnosis of community-
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acquiredpneumonia. During admission the client states, "I have a living
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will." What implication of this should the nurse recognize?
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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-
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Surgical Nursing, 15th Edition
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D. This document has been drawn up by the client's family to determine D
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NRstatus. z
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ANS: B wz
Rationale: A living will is one type of advance directive. In most situations, livi
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ng wills are limited to situations in which the client's medical condition is deem
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ed 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
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'slife, and they are not drawn up by the client's family.
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PTS: 1 REF: p. 29 wz wz wz wz
NAT: Client Needs: Safe, Effective Care Environment: Management of CareT
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OP: Chapter 1: Professional Nursing Practice
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KEY: Integrated Process: Communication and Documentation BLM: CognitiveLev
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el: Analyze
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NOT: Multiple Choice wz wz
3. A nurse has been providing ethical care for many years and is aware of the ne
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edto maintain the ethical principle of nonmaleficence. Which of the following a
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ctionswould be considered a violation of this principle?
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A. Discussing a DNR order with a terminally ill client wz wz wz wz wz wz wz wz
B. Assisting a semi-independent client with ADLs wz wz wz wz wz
C. Refusing to administer pain medication as prescribed
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D. Providing more care for one client than for anoth wz wz wz wz wz wz wz wz
erANS: C
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Rationale: The duty not to inflict as well as prevent and remove harm is terme
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d nonmaleficence. Discussing a DNR order with a terminally ill client and assistin
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g aclient with ADLs would not be considered contradictions to the nurse's duty
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of nonmaleficence. Some clients justifiably require more care than others.
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PTS: 1 REF: p. 25 wz wz wz wz
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
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Surgical Nursing, 15th Edition
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Test Bank Brun wz wz
ner & Suddarth's wz wz
Textbook of Medical- wz wz
SurgicalNursing, 15th Edi w
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,Test Bank for Brunner & Suddarth's Textbook of Medical-
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tion
Surgical Nursing, 15th Edition
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,Test Bank for Brunner & Suddarth's Textbook of Medical-
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Surgical Nursing, 15th Edition
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Chapter 1: Professional Nursing Practice
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1. A nurse has been offered a position on an obstetric unit and has learned that t
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heunit offers therapeutic abortions, a procedure that contradicts the nurse's pers
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onalbeliefs. 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 serv
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iceto these clients.
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B. The nurse should make the choice to decline this position and pursue a differe
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ntnursing role.
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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 th
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eirpregnancy.
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ANS: B wz
Rationale: To avoid facing the ethical dilemma of providing care that contradicts th
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enurse’s personal beliefs, the nurse should consider working in an area of nur
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sing that would not pose this dilemma. The nurse should not provide care to t
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he clientbecause it is a conflict of personal values. The nurse should not deny c
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are to theseclients as this would be a breach in the Code of Ethics for nurses. If t
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he client is notrequesting information for alternatives to abortions, then the nu
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rse should not beproviding this information.
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PTS: 1 REF: p. 27
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NAT: Client Needs: Safe, Effective Care Environment: Management of Care
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TOP: Chapter 1: Professional Nursing Practice
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KEY: Integrated Process: Carin
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gBLM: Cognitive Level: Apply NOT: Multiple Choice
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2. An 80-year-old client is admitted with a diagnosis of community-
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acquiredpneumonia. During admission the client states, "I have a living
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will." What implication of this should the nurse recognize?
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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-
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Surgical Nursing, 15th Edition
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D. This document has been drawn up by the client's family to determine D
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NRstatus. z
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ANS: B wz
Rationale: A living will is one type of advance directive. In most situations, livi
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ng wills are limited to situations in which the client's medical condition is deem
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ed 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
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'slife, and they are not drawn up by the client's family.
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PTS: 1 REF: p. 29 wz wz wz wz
NAT: Client Needs: Safe, Effective Care Environment: Management of CareT
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OP: Chapter 1: Professional Nursing Practice
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KEY: Integrated Process: Communication and Documentation BLM: CognitiveLev
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el: Analyze
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NOT: Multiple Choice wz wz
3. A nurse has been providing ethical care for many years and is aware of the ne
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edto maintain the ethical principle of nonmaleficence. Which of the following a
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ctionswould be considered a violation of this principle?
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A. Discussing a DNR order with a terminally ill client wz wz wz wz wz wz wz wz
B. Assisting a semi-independent client with ADLs wz wz wz wz wz
C. Refusing to administer pain medication as prescribed
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D. Providing more care for one client than for anoth wz wz wz wz wz wz wz wz
erANS: C
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Rationale: The duty not to inflict as well as prevent and remove harm is terme
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d nonmaleficence. Discussing a DNR order with a terminally ill client and assistin
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g aclient with ADLs would not be considered contradictions to the nurse's duty
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of nonmaleficence. Some clients justifiably require more care than others.
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PTS: 1 REF: p. 25 wz wz wz wz
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
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