2. An 80-year-old client is admitted with a diagnosis of community-
8i 8i 8i 8i 8i 8i 8i 8i 8i
acquiredpneumonia. During admission the client states, "I have a living will.
i8 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i
" What implication of this should the nurse recognize?
8i 8i 8i 8i 8i 8i 8i 8i
A. This document is always honored, regardless of circumstances.
8i 8i 8i 8i 8i 8i 8i
B. This document specifies the client's wishes before hospitalization.
8i 8i 8i 8i 8i 8i 8i
C. This document is binding for the duration of the client's life.
8i 8i 8i 8i 8i 8i 8i 8i 8i 8i
, Test Bank for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i
D. This document has been drawn up by the client's family to determine DNRs
8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i i8
tatus.
ANS: B 8i
Rationale: A living will is one type of advance directive. In most situations, living w
8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i
ills are limited to situations in which the client's medical condition is deemed termi
8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i
nal. The other answers are incorrect because living wills are not always honored in
8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i
every circumstance, they are not binding for the duration of the client'slife, and they
8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i i8 8i 8i 8i
are not drawn up by the client's family.
8i 8i 8i 8i 8i 8i 8i
PTS: 1 REF: p. 29 8i 8i 8i 8i
NAT: Client Needs: Safe, Effective Care Environment: Management of CareTOP:
8i 8i 8i 8i 8i 8i 8i 8i 8i i8
8i Chapter 1: Professional Nursing Practice 8i 8i 8i 8i
KEY: Integrated Process: Communication and Documentation BLM: CognitiveLevel
8i 8i 8i 8i 8i 8i 8i i8
: Analyze
8i
NOT: Multiple Choice 8i 8i
3. A nurse has been providing ethical care for many years and is aware of the needto
8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i i8
8i maintain the ethical principle of nonmaleficence. Which of the following actionsw
8i 8i 8i 8i 8i 8i 8i 8i 8i 8i i8
ould be considered a violation of this principle?
8i 8i 8i 8i 8i 8i 8i
A. Discussing a DNR order with a terminally ill client 8i 8i 8i 8i 8i 8i 8i 8i
B. Assisting a semi-independent client with ADLs 8i 8i 8i 8i 8i
C. Refusing to administer pain medication as prescribed 8i 8i 8i 8i 8i 8i
D. Providing more care for one client than for another 8i 8i 8i 8i 8i 8i 8i 8i i8
ANS: C 8i
Rationale: The duty not to inflict as well as prevent and remove harm is termed no
8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i
nmaleficence. Discussing a DNR order with a terminally ill client and assisting aclien
8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i i8
t with ADLs would not be considered contradictions to the nurse's duty of nonmalef
8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i 8i
icence. Some clients justifiably require more care than others.
8i 8i 8i 8i 8i 8i 8i 8i
PTS: 1 REF: p. 25 8i 8i 8i 8i
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
8i 8i 8i 8i 8i 8i 8i 8i 8i
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