Test Bank for Porth's Pathophysiology; Concepts of Altered Health States (LWW-November 3,2018) 10th Edition by Norris, ISBN No; 9781496377555 (NEWEST 2024)
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,Test Bank for Porth's Pathophysiology; Concepts of Altered Health States (LWW-November 3,2018) 10th Edition by Norris, ISBN No; 9781496377555 (NEWEST 2024)
Pathophysiology 10th Edition Norris Test Bank (NEWEST 2024)
1. At an international nursing conference, many discussions and breakout sessions focusedon 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 bookreviews 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 cookingclasses
D) Providing transportation for renal dialysis patients to and from their hemodialysissessions
E) Providing handwashing teaching sessions to a group of young childrenAns: A, B, C, E
Feedback:
complete physical, mental, and social well-being and not
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 vitalin 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 andHuman 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 manyhealth 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 tohealth
care). A client's noncompliance with treatments to control high cholesterol levelswithin the presence of a family
free of preventable disease and premature
determinant.
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,Test Bank for Porth's Pathophysiology; Concepts of Altered Health States (LWW-November 3,2018) 10th Edition by Norris, ISBN No; 9781496377555 (NEWEST 2024)
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 ofpacked red blood cells
B) A 91-year-old woman who has experienced an ischemic stroke resulting fromfamilial
hypercholesterolemia
C) A 19-year-old man with exacerbation of his cystic fibrosis requiring oxygentherapy and chest
physiotherapy
D) A 30-year-old homeless man who has Pneumocystis carinii pneumonia (PCP) andis HIV positive.
Ans: D
Feedback:
PCP is an example of the effect of a molecule that directly contributes to disease. Sicklecell 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 followingaspects of clients' situations bN
esUtR
chSaIraN
ctG
erTizBe.s
pCaO
thMogenesis 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 accidentAns: B
Feedback:
Pathogenesis refers to the progressive and evolutionary course of disease, such as theincreasing ammonia
levels that accompany liver disease. Bacteria, poisons, and traumatic injuries are examples of etiologic factors.
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, Test Bank for Porth's Pathophysiology; Concepts of Altered Health States (LWW-November 3,2018) 10th Edition by Norris, ISBN No; 9781496377555 (NEWEST 2024)
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 patientverifies to the nurse that he has understood the nurse's teachings about
coronary artery disease?
A) I have to do is stop smoking, and then I won't have any more heart
B) artery was clogged by fat, so I will need to stop eating fatty foods likeFrench fries every
C) like this began because of inflammation inside my artery that made iteasy to form fatty
streaks, which lead to my
D) 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
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 froma 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 theclient for the first time. WhichNU
ofRthSeIfN
olGoTwBin.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 fieldsbilaterally.
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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