Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
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Test Bank Brun zi zi
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Textbook of Medical- zi zi
SurgicalNursing, 15th Edit iz zi zi
,Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
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ion
,Test Bank for Brunner & Suddarth's Textbook of Medical-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 theuni
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t offers therapeutic abortions, a procedure that contradicts the nurse's personalbelie
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fs. 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 servicet
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o these clients.
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B. The nurse should make the choice to decline this position and pursue a differentnu
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rsing role. zi
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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pregnancy.
ANS: B zi
Rationale: To avoid facing the ethical dilemma of providing care that contradicts thenur
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se’s personal beliefs, the nurse should consider working in an area of nursing that
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would not pose this dilemma. The nurse should not provide care to the clientbecau
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se it is a conflict of personal values. The nurse should not deny care to theseclients as
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this would be a breach in the Code of Ethics for nurses. If the client is notrequesting inf
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ormation for alternatives to abortions, then the nurse should not beproviding this i
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nformation.
PTS: 1 REF: p. 27 zi zi zi zi
NAT: Client Needs: Safe, Effective Care Environment: Management of Care TOP:
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Chapter 1: Professional Nursing Practice
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KEY: Integrated Process: Caring
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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 will.
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" 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-Surgical Nursing, 15th Edition
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D. This document has been drawn up by the client's family to determine DNRst
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atus.
ANS: B zi
Rationale: A living will is one type of advance directive. In most situations, living wil
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ls are limited to situations in which the client's medical condition is deemed terminal
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. The other answers are incorrect because living wills are not always honored in ever
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y circumstance, they are not binding for the duration of the client'slife, and they are n
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ot drawn up by the client's family.
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PTS: 1 REF: p. 29 zi zi zi zi
NAT: Client Needs: Safe, Effective Care Environment: Management of CareTOP:
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Chapter 1: Professional Nursing Practice zi zi zi zi
KEY: Integrated Process: Communication and Documentation BLM: CognitiveLevel:
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zi Analyze
NOT: Multiple Choice zi zi
3. A nurse has been providing ethical care for many years and is aware of the needto
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maintain the ethical principle of nonmaleficence. Which of the following actionswou
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ld be considered a violation of this principle?
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A. Discussing a DNR order with a terminally ill client zi zi zi zi zi zi zi zi
B. Assisting a semi-independent client with ADLs zi zi zi zi zi
C. Refusing to administer pain medication as prescribed zi zi zi zi zi zi
D. Providing more care for one client than for anotherA zi zi zi zi zi zi zi zi iz
NS: C zi
Rationale: The duty not to inflict as well as prevent and remove harm is termed non
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maleficence. Discussing a DNR order with a terminally ill client and assisting aclient
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with ADLs would not be considered contradictions to the nurse's duty of nonmalefic
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ence. Some clients justifiably require more care than others.
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PTS: 1 REF: p. 25 zi zi zi zi
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
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