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TEST BANK Brunner & Suddarth's Textbook of Medical - Surgical Nursing 15th Edition By Janice L Hinkle, Kerry H. Cheever, Kristen Overbaugh | Complete Guide A+$12.99
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TEST BANK Brunner & Suddarth's Textbook of Medical - Surgical Nursing 15th Edition By Janice L Hinkle, Kerry H. Cheever, Kristen Overbaugh | Complete Guide A+
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Created By : TestsBanks
TEST BANK Brunner & Suddarth's Textbook of Medical -
Surgical Nursing 15th Edition By Janice L Hinkle,
Kerry H. Cheever, Kristen Overbaugh
Page | 1
,Created By : TestsBanks
Chapter 1: Professional Nursing Practice
Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th
Edition
MULTIPLE CHOICE
1. A nurse has been offered a position on an obstetric unit and has learned that the unit
offers therapeutic abortions, a procedure that contradicts the nurse's personal beliefs.
What is the nurse's ethical obligation to these clients?
A. The nurse should adhere to professional standards of practice and offer service to
these clients.
B. The nurse should make the choice to decline this position and pursue a different
nursing role.
C. The nurse should decline to care for the client’s considering abortion.
D. The nurse should express alternatives to women considering terminating their
pregnancy.
ANS: B
Rationale: To avoid facing the ethical dilemma of providing care that contradicts the
nurse’s personal beliefs, the nurse should consider working in an area of nursing that
would not pose this dilemma. The nurse should not provide care to the client because it
is a conflict of personal values. The nurse should not deny care to these clients as this
would be a breach in the Code of Ethics for nurses. If the client is not requesting
information for alternatives to abortions, then the nurse should not be providing this
information.
PTS: 1 REF: p. 27
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Caring
BLM: Cognitive Level: Apply NOT: Multiple Choice
2. An 80-year-old client is admitted with a diagnosis of community-acquired pneumonia.
During admission the client states, "I have a living will." What implication of this should
the nurse recognize?
A. This document is always honored, regardless of circumstances.
B. This document specifies the client's wishes before hospitalization.
C. This document is binding for the duration of the client's life.
D. This document has been drawn up by the client's family to determine DNR status.
Page | 2
,Created By : TestsBanks
ANS: B
Rationale: A living will is one type of advance directive. In most situations, living wills
are limited to situations in which the client's medical condition is deemed terminal. The
other answers are incorrect because living wills are not always honored in every
circumstance, they are not binding for the duration of the client's life, and they are not
drawn up by the client's family.
PTS: 1 REF: p. 29
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Communication and Documentation
BLM: Cognitive Level: Analyze NOT: Multiple Choice
3. A nurse has been providing ethical care for many years and is aware of the need to
maintain the ethical principle of nonmaleficence. Which of the following actions would
be considered a violation of this principle?
A. Discussing a DNR order with a terminally ill client
B. Assisting a semi-independent client with ADLs
C. Refusing to administer pain medication as prescribed
D.Providing more care for one client than for another
ANS: C
Rationale: The duty not to inflict as well as prevent and remove harm is termed
nonmaleficence. Discussing a DNR order with a terminally ill client and assisting a client
with ADLs would not be considered contradictions to the nurse's duty of
nonmaleficence. Some clients justifiably require more care than others.
PTS: 1 REF: p. 25
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Analyze NOT: Multiple Choice
4. A nurse has begun creating a client's plan of care shortly after the client's admission.
The nurse knows that it is important that the wording of the chosen nursing diagnoses
falls within the taxonomy of nursing. Which organization is responsible for developing
the taxonomy of a nursing diagnosis?
A. American Nurses Association (ANA)
B. North American Nursing Diagnosis Association (NANDA)
Page | 3
, Created By : TestsBanks
C. National League for Nursing (NLN)
D. Joint Commission
ANS: B
Rationale: NANDA International is the official organization responsible for developing
the taxonomy of nursing diagnoses and formulating nursing diagnoses acceptable for
study. The ANA, NLN, and Joint Commission are not charged with the task of
developing the taxonomy of nursing diagnoses.
PTS: 1 REF: p. 15
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Understand NOT: Multiple Choice
5. A medical nurse has obtained a new client's health history and has completed the
admission assessment. The nurse followed this by documenting the results and creating
a care plan for the client. Which of the following is the most important rationale for
documenting the client's care?
A. It provides continuity of care.
B. It creates a teaching log for the family.
C. It verifies appropriate staffing levels.
D. It keeps the client fully informed.
ANS: A
Rationale: This record provides a means of communication among members of the
health care team and facilitates coordinated planning and continuity of care. It serves as
the legal and business record for a health care agency and for the professional staff
members who are responsible for the client's care. Documentation is not primarily a
teaching log; it does not verify staffing; and it is not intended to provide the client with
information about treatments.
PTS: 1 REF: p. 14
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Professional Nursing Practice KEY: Integrated Process:
Communication and Documentation
BLM: Cognitive Level: Understand NOT: Multiple Choice
Page | 4
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