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.
i7 7i 7i 7i 7i 7i 7i 7i 7i 7i 7i
" 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
D. This document has been drawn up by the client's family to determine DNRs
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tatus.
ANS: B 7i
Rationale: A living will is one type of advance directive. In most situations, living w
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ills are limited to situations in which the client's medical condition is deemed termi
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nal. The other answers are incorrect because living wills are not always honored in
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every circumstance, they are not binding for the duration of the client'slife, and they
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are not drawn up by the client's family.
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PTS: 1 REF: p. 29 7i 7i 7i 7i
NAT: Client Needs: Safe, Effective Care Environment: Management of CareTOP:
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7i Chapter 1: Professional Nursing Practice
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KEY: Integrated Process: Communication and Documentation BLM: CognitiveLevel
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: Analyze
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NOT: Multiple Choice 7i 7i
3. A nurse has been providing ethical care for many years and is aware of the needto
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7i maintain the ethical principle of nonmaleficence. Which of the following actionsw
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ould be considered a violation of this principle?
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A. Discussing a DNR order with a terminally ill client 7i 7i 7i 7i 7i 7i 7i 7i
B. Assisting a semi-independent client with ADLs 7i 7i 7i 7i 7i
C. Refusing to administer pain medication as prescribed 7i 7i 7i 7i 7i 7i
D. Providing more care for one client than for another 7i 7i 7i 7i 7i 7i 7i 7i i7
ANS: C 7i
Rationale: The duty not to inflict as well as prevent and remove harm is termed no
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nmaleficence. Discussing a DNR order with a terminally ill client and assisting aclien
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t with ADLs would not be considered contradictions to the nurse's duty of nonmalef
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icence. Some clients justifiably require more care than others.
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PTS: 1 REF: p. 25 7i 7i 7i 7i
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
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