Test Bank for Brunner & Suddarth's Textbook of Medical-
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Surgical Nursing, 15th Edition
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Test Bank Brun vg vg
ner & Suddarth's vg vg
Textbook of Medical- vg vg
SurgicalNursing, 15th Edi v
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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 th
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eunit offers therapeutic abortions, a procedure that contradicts the nurse's perso
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nalbeliefs. 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 servi
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ceto these clients.
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B. The nurse should make the choice to decline this position and pursue a differen
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tnursing 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.
v
g
ANS: B vg
Rationale: To avoid facing the ethical dilemma of providing care that contradicts the
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g
nurse’s personal beliefs, the nurse should consider working in an area of nursin
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g that would not pose this dilemma. The nurse should not provide care to the
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clientbecause it is a conflict of personal values. The nurse should not deny care t
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o theseclients as this would be a breach in the Code of Ethics for nurses. If the clie
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nt is notrequesting information for alternatives to abortions, then the nurse sho
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uld not beproviding this information.
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PTS: 1 REF: p. 27 vg vg vg vg
NAT: Client Needs: Safe, Effective Care Environment: Management of Care T
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OP: Chapter 1: Professional Nursing Practice
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KEY: Integrated Process: Caring
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g
BLM: 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 w
v
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ill." 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. v
g
ANS: B vg
Rationale: A living will is one type of advance directive. In most situations, livin
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g wills are limited to situations in which the client's medical condition is deemed
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g terminal. The other answers are incorrect because living wills are not always ho
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nored in every circumstance, they are not binding for the duration of the client'slife
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g
, and they are not drawn up by the client's family.
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PTS: 1 REF: p. 29 vg vg vg vg
NAT: Client Needs: Safe, Effective Care Environment: Management of CareTO
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g
P: Chapter 1: Professional Nursing Practice
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KEY: Integrated Process: Communication and Documentation BLM: CognitiveLev
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g
el: Analyze
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NOT: Multiple Choice vg vg
3. A nurse has been providing ethical care for many years and is aware of the nee
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dto maintain the ethical principle of nonmaleficence. Which of the following acti
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onswould be considered a violation of this principle?
v
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A. Discussing a DNR order with a terminally ill client vg vg vg vg vg vg vg vg
B. Assisting a semi-independent client with ADLs vg vg vg vg vg
C. Refusing to administer pain medication as prescribed vg vg vg vg vg vg
D. Providing more care for one client than for anothe vg vg vg vg vg vg vg vg
rANS: C
v
g vg
Rationale: The duty not to inflict as well as prevent and remove harm is termed
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g nonmaleficence. Discussing a DNR order with a terminally ill client and assisting
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aclient 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. vg vg vg vg vg vg vg vg
PTS: 1 REF: p. 25 vg vg vg vg
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
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vg vg vg vg vg vg vg vg
Surgical Nursing, 15th Edition
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Test Bank Brun vg vg
ner & Suddarth's vg vg
Textbook of Medical- vg vg
SurgicalNursing, 15th Edi v
g vg vg
,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
vg vg vg
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 th
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eunit offers therapeutic abortions, a procedure that contradicts the nurse's perso
v
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nalbeliefs. What is the nurse's ethical obligation to these clients?
v
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A. The nurse should adhere to professional standards of practice and offer servi
vg vg vg vg vg vg vg vg vg vg vg
ceto these clients.
v
g vg vg
B. The nurse should make the choice to decline this position and pursue a differen
vg vg vg vg vg vg vg vg vg vg vg vg vg
tnursing role.
v
g vg
C. The nurse should decline to care for the clients considering abortion.
vg vg vg vg vg vg vg vg vg vg
D. The nurse should express alternatives to women considering terminating th
vg vg vg vg vg vg vg vg vg
eirpregnancy.
v
g
ANS: B vg
Rationale: To avoid facing the ethical dilemma of providing care that contradicts the
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g
nurse’s personal beliefs, the nurse should consider working in an area of nursin
vg vg vg vg vg vg vg vg vg vg vg vg
g that would not pose this dilemma. The nurse should not provide care to the
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
clientbecause it is a conflict of personal values. The nurse should not deny care t
v
g vg vg vg vg vg vg vg vg vg vg vg vg vg vg
o theseclients as this would be a breach in the Code of Ethics for nurses. If the clie
vg v
g vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
nt is notrequesting information for alternatives to abortions, then the nurse sho
vg vg v
g vg vg vg vg vg vg vg vg vg
uld not beproviding this information.
vg vg v
g vg vg
PTS: 1 REF: p. 27 vg vg vg vg
NAT: Client Needs: Safe, Effective Care Environment: Management of Care T
vg vg vg vg vg vg vg vg vg vg
OP: Chapter 1: Professional Nursing Practice
vg vg vg vg vg
KEY: Integrated Process: Caring
vg vg vg v
g
BLM: Cognitive Level: Apply NOT: Multiple Choice
vg vg vg vg vg vg
2. An 80-year-old client is admitted with a diagnosis of community-
vg vg vg vg vg vg vg vg vg
acquiredpneumonia. During admission the client states, "I have a living w
v
g vg vg vg vg vg vg vg vg vg vg
ill." What implication of this should the nurse recognize?
vg vg vg vg vg vg vg vg
A. This document is always honored, regardless of circumstances.
vg vg vg vg vg vg vg
B. This document specifies the client's wishes before hospitalization.
vg vg vg vg vg vg vg
C. This document is binding for the duration of the client's life.
vg vg vg vg vg vg vg vg vg vg
, Test Bank for Brunner & Suddarth's Textbook of Medical-
vg vg vg vg vg vg vg vg
Surgical Nursing, 15th Edition
vg vg vg
D. This document has been drawn up by the client's family to determine D
vg vg vg vg vg vg vg vg vg vg vg vg
NRstatus. v
g
ANS: B vg
Rationale: A living will is one type of advance directive. In most situations, livin
vg vg vg vg vg vg vg vg vg vg vg vg vg
g wills are limited to situations in which the client's medical condition is deemed
vg vg vg vg vg vg vg vg vg vg vg vg vg v
g terminal. The other answers are incorrect because living wills are not always ho
vg vg vg vg vg vg vg vg vg vg vg vg
nored in every circumstance, they are not binding for the duration of the client'slife
vg vg vg vg vg vg vg vg vg vg vg vg vg v
g
, and they are not drawn up by the client's family.
vg vg vg vg vg vg vg vg vg vg
PTS: 1 REF: p. 29 vg vg vg vg
NAT: Client Needs: Safe, Effective Care Environment: Management of CareTO
vg vg vg vg vg vg vg vg vg v
g
P: Chapter 1: Professional Nursing Practice
vg vg vg vg vg
KEY: Integrated Process: Communication and Documentation BLM: CognitiveLev
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g
el: Analyze
vg
NOT: Multiple Choice vg vg
3. A nurse has been providing ethical care for many years and is aware of the nee
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
dto maintain the ethical principle of nonmaleficence. Which of the following acti
v
g vg vg vg vg vg vg vg vg vg vg vg
onswould be considered a violation of this principle?
v
g vg vg vg vg vg vg vg
A. Discussing a DNR order with a terminally ill client vg vg vg vg vg vg vg vg
B. Assisting a semi-independent client with ADLs vg vg vg vg vg
C. Refusing to administer pain medication as prescribed vg vg vg vg vg vg
D. Providing more care for one client than for anothe vg vg vg vg vg vg vg vg
rANS: C
v
g vg
Rationale: The duty not to inflict as well as prevent and remove harm is termed
vg vg vg vg vg vg vg vg vg vg vg vg vg vg v
g nonmaleficence. Discussing a DNR order with a terminally ill client and assisting
vg vg vg vg vg vg vg vg vg vg vg vg
aclient with ADLs would not be considered contradictions to the nurse's duty of
v
g vg vg vg vg vg vg vg vg vg vg vg vg vg
nonmaleficence. Some clients justifiably require more care than others. vg vg vg vg vg vg vg vg
PTS: 1 REF: p. 25 vg vg vg vg
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
vg vg vg vg vg vg vg vg vg