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.
kr kr kr kr kr kr kr kr kr kr
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.
kr kr kr
PTS: 1 REF: p. 27 k r k r k r k r kr
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
k r kr kr kr kr kr kr kr kr
TOP: Chapter 1: Professional Nursing Practice
k r KEY: Integrated Process: kr kr kr kr k r kr
Caring BLM: Cognitive Level: Apply
kr kr k r kr kr
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?
kr
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
k r kr kr kr kr kr kr kr kr
TOP: Chapter 1: Professional Nursing Practice
kr k r kr kr kr kr
KEY: Integrated Process: Communication and Documentation BLM: Cognitive Level:
k r kr kr kr kr k r kr
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?
kr kr kr
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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