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COMPLETE TEST BANK. PORTH-S PATHOPHYSIOLOGY CONCEPTS OF ALTERED HEALTH STATES 10TH EDITION BY TOMMIE L. NORRIS (AUTHOR).
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COMPLETE TEST BANK. PORTH-S PATHOPHYSIOLOGY CONCEPTS OF ALTERED HEALTH STATES 10TH EDITION BY TOMMIE L. NORRIS (AUTHOR). 1. At an international nursing conference, many discussions and breakout sessions focused on the World Health Organization (WHO) views on health. Of the following comments mad...

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  • August 9, 2024
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COMPLETE TEST BANK. PORTH'S PATHOPHYSIOLOGY:
CONCEPTS OF ALTERED HEALTH STATES 10TH EDITION BY
TOMMIE L. NORRIS (AUTHOR)

,Porth’s .Pathophysiology .10th .Edition .Norris .Test .Bank

1. At .an .international .nursing .conference, .many .discussions .and .breakout .sessions
.focused.on .the .World .Health .Organization .(WHO) .views .on .health. .Of .the .following
.comments.made .by .nurses .during .a .discussion .session, .which .statements .would .be
.considered .a .good .representation .of .the .WHO .definition? .Select .all .that .apply.
A) Interests .in .keeping .the .elderly .population .engaged .in .such .activities .as
.book.reviews .and .word .games .during .social .time
B) Increase .in .the .number .of .chair .aerobics .classes .provided .in .the .skilled
.care.facilities
C) Interventions .geared .toward .keeping .the .elderly .population .diagnosed .with
.diabetes .mellitus .under .tight .blood .glucose .control .by .providing .in-home
.cooking.classes
D) Providing .transportation .for .renal .dialysis .patients .to .and .from .their
.hemodialysis.sessions
E) Providing .handwashing .teaching .sessions .to .a .group .of .young
.children.Ans: .A, .B, .C, . E
Feedback:
The .WHO .definition .of .health .is .defined .as .―a .state .of .complete .physical, .mental,
.and .social .well-being .and .not .merely .the .absence .of .disease .and .infirmity.‖
.Engaging .in .book .reviews .facilitates .mental .and .social .well-being; .chair .aerobics
.helps .facilitate .physical .well-being; .and .assisting .with .tight .control .of .diabetes .helps
.with .facilitating .physical .well-being .even .though .the .person .has .a .chronic .disease.
.Handwashing .is .vital.in .the .prevention .of .disease .and .spread .of .germs.


2. A .community .health .nurse .is .teaching .a .group .of .recent .graduates .about .the .large
.variety .of .factors .that .influence .an .individual's .health .or .lack .thereof. .The .nurse
.is .referring .to .the .Healthy .People .2020 .report .from .the .U.S. .Department .of
.Health .and.Human .Services .as .a .teaching .example. .Of .the .following .aspects
.discussed, .which .would .be .considered .a .determinant .of .health .that .is .outside .the
.focus .of .this .report?
A) The .client .has .a .diverse .background .by .being .of .Asian .and .Native .American
.descent .and .practices .various .alternative .therapies .to .minimize .effects .of
.stress.
B) The .client .has .a .family .history .of .cardiovascular .disease .related .to
.hypercholesterolemia .and .remains .noncompliant . with .the .treatment
.regime.
C) The .client .has .a .good .career .with .exceptional .preventative .health .care .benefits.
D) The .client .lives .in .an .affluent, .clean, .suburban .community .with .access .to
.many.health .care .facilities.
Ans: .B
Feedback:
In .Healthy .People .2020, .the .focus .is .to .promote .good .health .to .all .(such .as .using
.alternative .therapies .to .minimize .effects .of .stress); .achieving .health .equity .and
.promoting .health .for .all .(which .includes .having .good .health .care .benefits); .and
.promoting .good .health .(which .includes .living .in .a .clean .community .with .good
.access .to.health .care). .A .client's .noncompliance .with .treatments .to .control .high
.cholesterol .levels.within .the .presence .of .a .family .history .of .CV .disease .does .not .meet
.the .―attaining .lives .free .of .preventable .disease .and .premature .death‖ .determinant.

,3. A .physician .is .providing .care .for .a .number .of .patients .on .a .medical .unit .of .a .large,
.university .hospital. .The .physician .is .discussing .with .a .colleague .the .differentiation
.between .diseases .that .are .caused .by .abnormal .molecules .and .diseases .that .cause
.disease..Which .of .the .following .patients .most .clearly .demonstrates .the .consequences
.of .molecules .that .cause .disease?
A) A .31-year-old .woman .with .sickle .cell .anemia .who .is .receiving .a .transfusion
.of.packed .red .blood .cells
B) A .91-year-old .woman .who .has .experienced .an .ischemic .stroke .resulting
.from.familial .hypercholesterolemia
C) A .19-year-old .man .with .exacerbation .of .his .cystic .fibrosis .requiring
.oxygen.therapy .and .chest .physiotherapy
D) A .30-year-old .homeless .man .who .has .Pneumocystis .carinii .pneumonia .(PCP)
.and.is .HIV .positive.
Ans: .D
Feedback:
PCP .is .an .example .of .the .effect .of .a .molecule .that .directly .contributes .to .disease.
.Sickle.cell .anemia, .familial .hypercholesterolemia, .and .cystic .fibrosis .are .all .examples
.of .the .effects .of .abnormal .molecules.




4. A .member .of .the .health .care .team .is .researching .the .etiology .and .pathogenesis .of .a
.number .of .clients .who .are .under .his .care .in .a .hospital .context. .Which .of .the
.following.aspects .of .clients' .situations .bN
esUt.R
chSaI
raN
ctGerTizBe.
s .C
paOthMogenesis .rather .than
.etiology?
A) A .client .who .has .been .exposed .to .the .Mycobacterium .tuberculosis .bacterium
B) A .client .who .has .increasing .serum .ammonia .levels .due .to .liver .cirrhosis
C) A .client .who .was .admitted .with .the .effects .of .methyl .alcohol .poisoning
D) A .client .with .multiple .skeletal .injuries .secondary .to .a .motor .vehicle
.accident.Ans: . B
Feedback:
Pathogenesis .refers .to .the .progressive .and .evolutionary .course .of .disease, .such .as
.the.increasing .ammonia .levels .that .accompany .liver .disease. .Bacteria, .poisons, .and
.traumatic .injuries .are .examples .of .etiologic .factors.

, 5. A .new .myocardial .infarction .patient .requiring .angioplasty .and .stent .placement .has
.arrived .to .his .first .cardiac .rehabilitation .appointment. .In .this .first .session, .a .review
.of .the .pathogenesis .of .coronary .artery .disease .is .addressed. .Which .statement .by .the
.patient.verifies .to .the .nurse .that .he .has .understood .the .nurse's .teachings .about
.coronary .artery .disease?
A) ―All .I .have .to .do .is .stop .smoking, .and .then .I .won't .have .any .more .heart .attacks.‖
B) ―My .artery .was .clogged .by .fat, .so .I .will .need .to .stop .eating .fatty .foods
.like.French .fries .every .day.‖
C) ―Sounds .like .this .began .because .of .inflammation .inside .my .artery .that
.made .it.easy .to .form .fatty .streaks, .which .lead .to .my .clogged .artery.‖
D) ―If .I .do .not .exercise .regularly .to .get .my .heart .rate .up, .blood .pools .in .the
.veins .causing .a .clot .that .stops .blood .flow .to .the .muscle, .and .I .will .have .a
.heart .attack.‖
Ans: .C
Feedback:
The .true .etiology/cause .of .coronary .artery .disease .(CAD) .is .unknown; .however, .the
.pathogenesis .of .the .disorder .relates .to .the .progression .of .the .inflammatory .process
.from.a .fatty .streak .to .the .occlusive .vessel .lesion .seen .in .people .with .coronary .artery
.disease. .Risk .factors .for .CAD .revolve .around .cigarette .smoking, .diet .high .in .fat, .and
.lack .of .exercise.




6. A .77-year-old .man .is .a .hospital .inpatient .admitted .for .exacerbation .of .his .chronic
.obstructive .pulmonary .disease .(COPD), .and .a .respiratory .therapist .(RT) .is .assessing
NU
.the.client .for .the .first .time. .Which ofRthSeIfN
olG
loTwBin.gCaO
spMects .of .the .patient's .current .state
.of .health .would .be .best .characterized .as .a .symptom .rather .than .a .sign?
A) The .patient's .oxygen .saturation .is .83% .by .pulse .oxymetry.
B) The .patient .notes .that .he .has .increased .work .of .breathing .when .lying .supine.
C) The .RT .hears .diminished .breath .sounds .to .the .patient's .lower .lung
.fields.bilaterally.
D) The .patient's .respiratory .rate .is .31
.breaths/minute..Ans: . B
Feedback:
Symptoms .are .subjective .complaints .by .the .person .experiencing .the .health
.problem, .such .as .complaints .of .breathing .difficulty. .Oxygen .levels, .listening .to
.breath .sounds,.and .respiratory .rate .are .all .objective, .observable .signs .of .disease.

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