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Test Bank For Porth’s Pathophysiology Concepts of Altered Health States 10th Edition By Tommie L.Norris
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TEST BANK For Porth's Pathophysiology Concepts of Altered Health States 11th Edition by Tommie L. Norris, Verified Chapters 1 - 52, Complete Newest Version
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TEST BANK For Porth's Pathophysiology Concepts of Altered Health States 11th Edition by Tommie L. Norris, Verified Chapters 1 - 52, Complete Newest Version
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Test bank For Porths Pathophysiology 10th Edition Norris |9781496377555 | All Chapters with Answers and Rationals
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 - ANSWER: 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
E) Providing handwashing teaching sessions to a group of young children
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. - ANSWER: B) The client has a family history of cardiovascular disease related to
hypercholesterolemia and remains noncompliant with the treatment regime.
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. -
ANSWER: D) A 30-year-old homeless man who has Pneumocystis carinii pneumonia (PCP) and is HIV
positive.
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 best characterizes pathogenesis 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 - ANSWER: B) A client
who has increasing serum ammonia levels due to liver cirrhosis
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." - ANSWER: 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."
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 the client for the first time.
Which of the following aspects 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. - ANSWER: B) The patient notes that he has
increased work of breathing when lying supine.
7. Which of the following situations would be classified as a complication of a disease or outcome
from the treatment regimen? Select all that apply.
A) Massive pulmonary emboli following diagnosis of new-onset atrial fibrillation
B) Burning, intense incision pain following surgery to remove a portion of colon due to intestinal
aganglionosis
C) Development of pulmonary fibrosis following treatment with bleomycin, an antibiotic
chemotherapy agent used in treatment of lymphoma
D) Gradual deterioration in ability to walk unassisted for a patient diagnosed with Parkinson disease
E) Loss of short-term memory in a patient diagnosed with Alzheimer disease - ANSWER: A) Massive
pulmonary emboli following diagnosis of new-onset atrial fibrillation
C) Development of pulmonary fibrosis following treatment with bleomycin, an antibiotic
chemotherapy agent used in treatment of lymphoma
8. Laboratory testing is ordered for a male patient during a clinic visit for a routine follow-up
assessment of hypertension. When interpreting lab values, the nurse knows that
A) a normal value represents the test results that fall within the bell curve.
B) if the lab result is above the 50% distribution, the result is considered elevated.
C) all lab values are adjusted for gender and weight.
D) if the result of a very sensitive test is negative, that does not mean the person is disease free. -
ANSWER: A) a normal value represents the test results that fall within the bell curve.
9. The laboratory technologists are discussing a new blood test that helps establish a differential
diagnosis between shortness of breath with a cardiac etiology and shortness of breath with a
respiratory/pulmonary etiology. A positive result is purported to indicate a cardiac etiology. The
marketers of the test report that 99.8% of patients who have confirmed cardiac etiologies test
positive in the test. However, 1.3% of patients who do not have cardiac etiologies for their shortness
of breath also test positive. Which of the following statements best characterizes this blood test?
A) Low validity; high reliability
B) High sensitivity; low specificity
C) High specificity; low reliability
D) High sensitivity; low reliability - ANSWER: B) High sensitivity; low specificity
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