1. A nurse has been offered a position on an obstetric unit and has learned that the unit offers
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therapeutic abortions, a procedure that contradicts the nurse's personal beliefs. What is the nurse's
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ethical obligation to these clients?
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A. The nurse should adhere to professional standards of practice and offer service to
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these clients. kr kr
B. The nurse should make the choice to decline this position and pursue a different
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nursing role. kr kr
C. The nurse should decline to care for the client’s considering abortion.
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D. The nurse should express alternatives to women considering terminating their pregnancy.
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ANS: B k r
Rationale: To avoid facing the ethical dilemma of providing care that contradicts the nurse’s personal
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beliefs, the nurse should consider working in an area of nursing that would not pose this dilemma.
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The nurse should not provide care to the client because it is a conflict of personal values. The nurse
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should not deny care to these clients as this would be a breach in the Code of Ethics for nurses. If
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the client is not requesting information for alternatives to abortions, then the nurse should not be
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providing this information.
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PTS: 1 REF: p. 27 k r k r k r k r kr
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
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TOP: Chapter 1: Professional Nursing Practice
k r KEY: Integrated Process: kr kr kr kr k r kr
Caring BLM: Cognitive Level: Apply
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2. An 80-year-old client is admitted with a diagnosis of community-acquired pneumonia. During
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admission the client states, "I have a living will." What implication of this should the nurse
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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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D. This document has been drawn up by the client's family to determine DNR status.
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ANS: B k r
Rationale: A living will is one type of advance directive. In most situations, living wills are limited
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to situations in which the client's medical condition is deemed terminal. The other answers are
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incorrect because living wills are not always honored in every circumstance, they are not binding
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for the duration of the client's life, and they are not drawn up by the client's family.
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PTS: 1 REF: p. 29 k r k r k r k r kr
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
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TOP: Chapter 1: Professional Nursing Practice
kr k r kr kr kr kr
KEY: Integrated Process: Communication and Documentation BLM: Cognitive Level:
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Analyze NOT: Multiple Choice
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3. A nurse has been providing ethical care for many years and is aware of the need to maintain the
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ethical principle of nonmaleficence. Which of the following actions would be considered a violation
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of this principle?
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A. Discussing a DNR order with a terminally ill client kr kr kr kr kr kr kr kr
B. Assisting a semi-independent client with ADLs kr kr kr kr kr
C. Refusing to administer pain medication as prescribed kr kr kr kr kr kr
1|Pag kr kr kr kr
e
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