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In winkelwagen 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 clients 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.
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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.
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.
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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.
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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)
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.
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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.
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The nurse has been assigned to care for a client admitted with an opportunistic
infection secondary to AIDS. The nurse informs the clinical nurse leader that the
nurse refuses to care for a client with AIDS. The nurse has an obligation to this
client under which of the following?
A. Good Samaritan Act
B. Nursing Interventions Classification (NIC)
C. The nurse practice act in the nurse's jurisdiction
D. International Council of Nurses (ICN) Code of Ethics for Nurses
ANS: D
Rationale: The ethical obligation to care for all clients is included in the Code of
Ethics for Nurses. The Good Samaritan Act relates to lay people helping others in
need. The NIC is a standardized classification of nursing treatment that includes
independent and collaborative interventions. Nurse practice acts primarily address
scope of practice.
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The nurse, in collaboration with the client's family, is determining priorities
related to the care of the client. The nurse explains that it is important to consider
the urgency of specific problems when setting priorities. What should the nurse
adopt as the best framework for prioritizing client problems?
A. Availability of hospital resources
B. Family member statements
C. Maslow hierarchy of needs
D. The nurse's skill set
ANS: C
Rationale: The Maslow hierarchy of needs provides a useful framework for
prioritizing problems, with the first level given to meeting physical needs of the
client. Availability of hospital resources, family member statements, and nursing
skill do not provide a framework for prioritization of client problems, though each
may be considered.
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A medical nurse is caring for a client who is receiving palliative care following
cancer metastasis. The nurse is aware of the need to uphold the ethical principle of
beneficence. How can the nurse best exemplify this principle in the care of this
client?
A. The nurse tactfully regulates the number and timing of visitors as per the client's
wishes.
B. The nurse stays with the client during their death.
C. The nurse ensures that all members of the care team are aware of the client's
DNR order.
D. The nurse collaborates with members of the care team to ensure continuity of
care.
ANS: A
Rationale: Beneficence is the duty to do good and the active promotion of
benevolent acts. Enacting the client's wishes regarding visitors is an example of
this. Each of the other nursing actions is consistent with ethical practice, but none
directly exemplifies the principle of beneficence.
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In winkelwagen
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Oefenvragen makenThis quiz assesses knowledge and understanding of professional nursing practice, including ethical principles, legal responsibilities, patient-centered care, and professional standards. It is designed to evaluate critical thinking and decision-making skills in real-world nursing scenarios.
20 oefenvragen
English
15-03-2025
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 clients considering abortion.
D. The nurse should express alternatives to women considering terminating their
pregnancy.
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.
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
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)
C. National League for Nursing (NLN)
D. Joint Commission
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.
The nurse has been assigned to care for a client admitted with an opportunistic
infection secondary to AIDS. The nurse informs the clinical nurse leader that the
nurse refuses to care for a client with AIDS. The nurse has an obligation to this
client under which of the following?
A. Good Samaritan Act
B. Nursing Interventions Classification (NIC)
C. The nurse practice act in the nurse's jurisdiction
D. International Council of Nurses (ICN) Code of Ethics for Nurses
The nurse, in collaboration with the client's family, is determining priorities
related to the care of the client. The nurse explains that it is important to consider
the urgency of specific problems when setting priorities. What should the nurse
adopt as the best framework for prioritizing client problems?
A. Availability of hospital resources
B. Family member statements
C. Maslow hierarchy of needs
D. The nurse's skill set
A medical nurse is caring for a client who is receiving palliative care following
cancer metastasis. The nurse is aware of the need to uphold the ethical principle of
beneficence. How can the nurse best exemplify this principle in the care of this
client?
A. The nurse tactfully regulates the number and timing of visitors as per the client's
wishes.
B. The nurse stays with the client during their death.
C. The nurse ensures that all members of the care team are aware of the client's
DNR order.
D. The nurse collaborates with members of the care team to ensure continuity of
care.
In the process of planning a client's care, the nurse has identified a nursing
diagnosis of Ineffective Health Maintenance related to alcohol use. What must
precede the determination of this nursing diagnosis?
A. Establishing of a plan to address the underlying problem
B. Assigning a positive value to each consequence of the diagnosis
C. Collecting and analyzing data that corroborate the diagnosis
D. Evaluating the client's chances of recover
The provider has recommended an amniocentesis for an 18-year-old
primiparous client. The client is at 34 weeks' gestation and does not want this
procedure, but the health care provider arranges for the amniocentesis to be
performed. The nurse should recognize that the provider is in violation of which
ethical principle?
A. Veracity
B. Beneficence
C. Nonmaleficence
D. Autonomy
During a discussion with the client and the client's spouse, the nurse discovers
that the client has a living will. How does the presence of a living will influence the
client's care?
A. The client is legally unable to refuse basic life support.
B. The health care provider can override the client's desires for treatment if desires
are not evidence based.
C. The client may nullify the living will during the hospitalization.
D. Power of attorney may change while the client is hospitalized.
The nurse is providing care for a client who has a diagnosis of pneumonia due
to Streptococcus pneumonia infection. What aspect of nursing care would
constitute part of the planning phase of the nursing process?
A. Achieve SaO2 92% at all times.
B. Auscultate chest q4h.
C. Administer oral fluids q1h and PRN.
D. Avoid overexertion at all times.
A recent nursing graduate is aware of the differences between nursing actions
that are independent and nursing actions that are interdependent. A nurse
performs an interdependent nursing intervention when performing which of the
following actions?
A. Auscultating a client's apical heart rate during an admission assessment
B. Providing mouth care to a client who is unconscious following a cerebrovascular
accident
C. Administering an IV bolus of normal saline to a client with hypotension
D. Providing discharge teaching to a postsurgical client about the rationale for a
course of oral antibiotics
A hospital audit reveals that four clients in the hospital have current orders for
restraints. The nurse knows that restraints are an intervention of last resort, and
that it is inappropriate to apply restraints to which of the following clients?
A. A postlaryngectomy client who is attempting to pull out the tracheostomy tube
B. A client in hypovolemic shock trying to remove the dressing over a central
venous catheter
C. A client with urosepsis who is ringing the call bell incessantly to use the bedside
commode
D. A client with depression who has just tried to commit suicide and whose
medications are not achieving adequate symptom control
A client agreed to be a part of a research study involving migraine headache
management. The client asks the nurse if a placebo was given for pain
management or if the new drug that is undergoing clinical trials was given. After
discussing the client's distress, it becomes evident to the nurse that the client did
not fully understand the informed consent document that was signed at the start of
the research study. What is the best response by the nurse?
A. "The research study is in place and there is no way to know now."
B. "I have no idea what is being given for your migraine."
C. "What difference does it make? How is your headache?"
D. "You signed the informed consent documents prior to the treatment."
A care conference has been organized for a client with complex medical and
psychosocial needs. When applying the principles of critical thinking to this client's
care planning, the nurse should most exemplify what characteristic?
A. Willingness to observe behaviors
B. A desire to utilize the nursing scope of practice fully
C. An ability to base decisions on what has happened in the past
D. Openness to various viewpoints
The nurse cites a list of skills that support critical thinking in clinical situations.
The nurse should describe skills in which of the following domains? Select all that
apply.
A. Self-esteem
B. Self-regulation
C. Inference
D. Autonomy
E. Interpretation
The nurse is providing care for a client with chronic obstructive pulmonary
disease (COPD). The nurse's most recent assessment reveals an SaO2 of 89%. The
nurse is aware that part of critical thinking is determining the significance of data
that have been gathered. What characteristic of critical thinking is used in
determining the best response to this assessment finding?
A. Extrapolation
B. Inference
C. Characterization
D. Interpretation
A nurse is admitting a new client to the medical unit. During the initial nursing
assessment, the nurse has asked many supplementary open-ended questions while
gathering information about the new client. What is the nurse achieving through
this approach?
A. Interpreting what the client has said
B. Evaluating what the client has said
C. Assessing what the client has said
D. Validating what the client has said
A nurse provides care on an orthopedic reconstruction unit and is admitting two
new clients, both status post knee replacement. What would be the best
explanation why their care plans may be different from each other?
A. Clients may have different qualifications for government subsidies.
B. Individual clients are seen as unique and dynamic, with individual needs.
C. Nursing care may be coordinated by members of two different health disciplines.
D. Clients are viewed as dissimilar according to their attitude toward surgery.
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