Test Bank Brunner & Suddarth’s Textbook of Medical-Surgical Nursing 13th Edition

1.                          A nurse has been offered a position on an obstetric unit and has learned that t which contradicts the nurse’s personal beliefs. What is the nurse’s ethical oblig

A)                       The nurse should adhere to professional standards of practice and

B)                       The nurse should make the choice to decline this position and purs

C)                       The nurse should decline to care for the patients considering aborti

D)                       The nurse should express alternatives to women considering termin

Ans:          B

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To avoid facing ethical dilemmas, nurses can follow certain strategies. For exa questions regarding the patient population. If a nurse is uncomfortable with a p

would be the best option. The nurse is only required by law (and practice stan accepts; the nurse may not discriminate between patients and the nurse expre option is inappropriate.

A terminally ill patient you are caring for is complaining of pain. The physician

2.                          continuous infusion. You know that one of the adverse effects of this medicine patient’s respiratory status, you find that the rate has decreased from 16 breat

should you take?

A)                       Decrease the rate of IV infusion.

B)                       Stimulate the patient in order to increase respiratory rate.

C)                       Report the decreased respiratory rate to the physician.

D)                       Allow the patient to rest comfortably.

Ans:          C

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End-of life issues that often involve ethical dilemmas include pain control, “do administration of food and fluids. The risk of respiratory depression is not the i depression should not be used as an excuse to withhold pain medication for a should be carefully monitored and any changes should be reported to the phys

An adult patient has requested a “do not resuscitate” (DNR) order in light of hi

3.                          The patient’s son and daughter-in-law are strongly opposed to the patient’s re nurse in this situation?

A)                       Perform a “slow code” until a decision is made.

B)                       Honor the request of the patient.

C)                       Contact a social worker or mediator to intervene.

D)                       Temporarily withhold nursing care until the physician talks to the fa Ans:       B

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The nurse must honor the patient’s wishes and continue to provide required nu physician may lead to further communication with the family, during which the normally appropriate for the nurse to seek the assistance of a social worker or

4.                          An elderly patient is admitted to your unit with a diagnosis of community-acqui 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 patient’s wishes before hospitalization.

C)                       This document that is binding for the duration of the patient’s life.

D)                       This document has been drawn up by the patient’s family to determ

Ans:          B

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A living will is one type of advance directive. In most situations, living wills are condition is deemed terminal. The other answers are incorrect because living for the duration of the patient’s life, and they are not drawn up by the patient’s

5.                          A nurse has been providing ethical care for many years and is aware of the ne nonmaleficence. Which of the following actions would be considered a contrad

A)                       Discussing a DNR order with a terminally ill patient

B)                       Assisting a semi-independent patient with ADLs

C)                       Refusing to administer pain medication as ordered

D)                       Providing more care for one patient than for another Ans:        C

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The duty not to inflict as well as prevent and remove harm is termed nonmalefi patient and assisting a patient with ADLs would not be considered contradictio patients justifiably require more care than others.

You have just taken report for your shift and you are doing your initial assessm

6.                          if an error has been made in her medication. You know that an incident report missed a scheduled dose of the patient’s antibiotic. Which of the following prin

response?

A)                       Veracity

B)                       Confidentiality

C)                       Respect

D)                       Justice

Ans:          A

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The obligation to tell the truth and not deceive others is termed veracity. The o obligations to tell the