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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$17.99
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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
TEST BANK For Porth's Pathophysiology Concepts of Altered Health States 11th Edition by Tommie L. Norris, Verified Chapters 1 - 52, Complete Newest Version
being; and assisting with tight control of diabetes helps with facilitating physical well-
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being even though the person has a chronic disease. Handwashing is vital in the preventi
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on of disease and spread of germs.
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2. A community health nurse is teaching a group of recent graduates about the large v
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ariety of factors that influence an individual's health or lack thereof. The nurse is re
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ferring to the Healthy People 2020 report from the U.S. Department of Health and H
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uman Services as a teaching example. Of the following aspects discussed, which w
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ould be considered a determinant of health that is outside the focus of this report?
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A) The client has a diverse background by being of Asian and Native American d
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escent and practices various alternative therapies to minimize effects of stress.
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B) The client has a family history of cardiovascular disease related to hyperch
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olesterolemia and remains noncompliant with the treatment regime. $i $i $i $i $i $i $i
C) The client has a good career with exceptional preventative health care benefits.
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D) The client lives in an affluent, clean, suburban community with access to many
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health care facilities. $i $i
Ans: B $i
Feedback:
In Healthy People 2020, the focus is to promote good health to all (such as using altern
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ative therapies to minimize effects of stress); achieving health equity and promoting he
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alth for all (which includes having good health care benefits); and promoting good healt
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h (which includes living in a clean community with good access to health care). A client
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's noncompliance with treatments to control high cholesterol levels within the presence
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of a family history of CV disease does not meet the ―attaining lives free of preventable
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disease and premature death‖ determinant.
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,3. A physician is providing care for a number of patients on a medical unit of a large, univ
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ersity hospital. The physician is discussing with a colleague the differentiation between
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diseases that are caused by abnormal molecules and diseases that cause disease. Which o
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f the following patients most clearly demonstrates the consequences of molecules that c
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ause disease? $i
A) A 31-year- $i
old woman with sickle cell anemia who is receiving a transfusion of packed red
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blood cells $i $i
B) A 91-year- $i
old woman who has experienced an ischemic stroke resulting from familial hy
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percholesterolemia
C) A 19-year- $i
old man with exacerbation of his cystic fibrosis requiring oxygen therapy an
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d chest physiotherapy $i $i
D) A 30-year- $i
old homeless man who has Pneumocystis carinii pneumonia (PCP) and is HIV pos
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itive.
Ans: D $i
Feedback:
PCP is an example of the effect of a molecule that directly contributes to disease. Sickle
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cell anemia, familial hypercholesterolemia, and cystic fibrosis are all examples of the ef
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fects of abnormal molecules.
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4. A member of the health care team is researching the etiology and pathogenesis of a n
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umber of clients who are under his care in a hospital context. Which of the following a
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spects of clients' situations bN
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chSaI
$iraN
ctGerTizBe.
s pCaOt hMo ge n e s i s rather than etiology?
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A) A client who has been exposed to the Mycobacterium tuberculosis bacterium
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B) A client who has increasing serum ammonia levels due to liver cirrhosis
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C) A client who was admitted with the effects of methyl alcohol poisoning
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D) A client with multiple skeletal injuries secondary to a motor vehicle accident
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Ans: B $i
Feedback:
Pathogenesis refers to the progressive and evolutionary course of disease, such as the inc
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reasing ammonia levels that accompany liver disease. Bacteria, poisons, and traumatic i
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njuries are examples of etiologic factors.
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, 5. A new myocardial infarction patient requiring angioplasty and stent placement has arriv
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ed to his first cardiac rehabilitation appointment. In this first session, a review of the pat
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hogenesis of coronary artery disease is addressed. Which statement by the patient verifie
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s to the nurse that he has understood the nurse's teachings about coronary artery disease
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?
A) ―All I have to do is stop smoking, and then I won't have any more heartattacks.‖
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B) ―My artery was clogged by fat, so I will need to stop eating fatty foods like
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French fries every day.‖ $i $i $i
C) ―Sounds like this began because of inflammation inside my artery that made it
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easy to form fatty streaks, which lead to my clogged artery.‖
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D) ―If I do not exercise regularly to get my heart rate up, blood pools in the veins c
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ausing a clot that stops blood flow to the muscle, and I will have a heart attack.‖
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Ans: C $i
Feedback:
The true etiology/cause of coronary artery disease (CAD) is unknown; however, the pat
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hogenesis of the disorder relates to the progression of the inflammatory process from a f
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atty streak to the occlusive vessel lesion seen in people with coronary artery disease. Ri
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sk factors for CAD revolve around cigarette smoking, diet high in fat, and lack of exerc
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ise.
6. A 77-year-$i
old man is a hospital inpatient admitted for exacerbation of his chronic obstructive pul
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monary disease (COPD), and a respiratory therapist (RT) is assessing the client for the f
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irst time. WhichNU
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olG
loTwBin.gCaO
spMects of the patient's current state of health would be
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best characterized as a symptom rather than a sign?
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A) The patient's oxygen saturation is 83% by pulse oxymetry.
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B) The patient notes that he has increased work of breathing when lying supine.
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C) The RT hears diminished breath sounds to the patient's lower lung fields
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bilaterally.
D) The patient's respiratory rate is 31 breaths/minute.
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Ans: B $i
Feedback:
Symptoms are subjective complaints by the person experiencing the health problem,
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such as complaints of breathing difficulty. Oxygen levels, listening to breath sounds,
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and respiratory rate are all objective, observable signs of disease.
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