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Porth’s Essentials of Pathophysiology 5th Edition by Tommie L Norris Test Bank PDF printed
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Porth’s Essentials of Pathophysiology 5th Edition by Tommie L Norris 657 pages Test Bank PDF printed
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P o r t h ’ s E s s e n t i a l s o fP a t h o p h y s i o l o g y 5 t h E d i t i o n b y
T o m m i e L N o r r i s T e s t B a n k P D F
p r i n t e d WWW.THENURSINGMASTERY.COM1. While attending an international nursing conference, many discussions and break-out sessions focused on the World Health Organization's (WHO) views on health. Of the following comments made by nurses during a discussi on session, which statements would be considered a good representation of the WHO definition? Select all that apply. A. Interests in keeping the older adult population engaged in such activities as bo ok 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 older adult population diagnosed with diabetes mellitus under tight blood glucose control by providing in-home cook ing classes D. Providing transporta tion for renal dialysis clients to and from their hemodialysis sessions E. Providing handwashing teaching sessions to a group of young children Answer: A, B, C, E Rationale: WHO definition of health is defined as "a state of complete physical, mental, an d 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. Question format: Multiple Select Chapter 1: Concepts of Health and Disease Cognitive Level: Apply Client Needs: Safe, Effective Care Environment: Management of Care Reference: p. 2 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 asp ects discussed, which would be considered a determinant of health that is outside t he focus of this report? A. The client has a diverse background by being of Asian and Native American/First Nation descent and practices various alternative therapies to minimize eff ects of stress. B. The client has a family history of cardiovascular disease rel ated to hypercholesterolemia and remains noncompliant with the treatment regime. C. The client has a good career with exceptional preventive health care benefits. D. The client lives in an affluent, clean, suburban community with ac cess to many health care facilities. Answer: B abirb.com/test abirb.com/test abirb.com/test abirb.com/test abirb.com/test abirb.com/test abirb.com/test abirb.com/test abirb.com/test abirb.com/test abirb.com/test abirb.com/test abirb.com/test abirb.com/test abirb.com/test abirb.com/testwww.nursylab.com WWW.THENURSINGMASTERY.COMRationale: In Healthy People 2020 , the focus is to promote good health to all (such as using alternative therapies to minimize effects of stress); achieving he alth 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). Being noncompliant with treatments to co ntrol high cholesterol levels with a family history to CV disease does not meet the "at taining lives free of preventable disease an d premature death" goal/objective. Question format: Multiple Choice Chapter 1: Concepts of Health and Disease Cognitive Level: Apply Client Needs: Health Promotion and Maintenance Reference: p. 2 3. 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 as pect 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 is has increasing serum ammonia levels due to liver cirr hosis. C. A client who was admitted with the effects of methyl alcohol poisoning. D. A client with multiple skeletal injur ies secondary to a motor vehicle accident. Answer: B Rationale: Pathogenesis refers to the progressive and evolutionary co urse of disease, such as the increasing ammonia levels that accompany liver disease. Bacteria, poisons, and traumatic injuries are e xamples of etiologic factors. Question format: Multiple Choice Chapter 1: Concepts of Health and Disease Cognitive Level: Apply Client Needs: Physiological Integrity: Physiological Adaptation Reference: p. 3 4. A new client who suffered a myocardial infarction requires angioplast y and stent placement. He has arrived to his first cardiac rehabilitation appointment. In this first session, a review of the pathogenesis of coronary artery disea se is addressed. Which statement by the client 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 frenc h fries ev ery day." C. "Sounds like this began because of inflammation inside my artery that made it easy to form fatty streaks which led to my clogged artery." D. " If you do not exercise regularly to get your heart rate up, blood pools in th e veins causing a clot which stops blood flow to the muscle and you have a heart attack." Answer: C abirb.com/test abirb.com/test abirb.com/test abirb.com/test abirb.com/test abirb.com/test abirb.com/test abirb.com/test abirb.com/test abirb.com/test abirb.com/test abirb.com/test abirb.com/test abirb.com/test abirb.com/test abirb.com/testwww.nursylab.com WWW.THENURSINGMASTERY.COMRationale: The true etiology/cause of coronary artery disease (CAD) i s 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 c igarette smoking, diet high in fat, and lack of exercise. Question format: Multiple Choice Chapter 1: Concepts of Health and Disease Cognitive Level: Apply Client Needs: Physiological Integrity: Physiological Adaptation Reference: p. 3 5. A 77 -year-old man is a hospital inpatient admitted for exacerbation of his chronic obstructive pulmonary disease (COPD), and a res piratory therapist (RT) is assessing the client for the first time. Which aspect of the client's cur rent state of health would be best characterized as a symptom rather than a sign? A. The client's oxygen saturation is 83% by pulse oximetry. B. The client notes that he has increased work of breathing when lying supine. C. The RT hears diminished breath sounds to the client's lower lung fiel ds bilaterally. D. The client's respiratory rate is 31 breaths per minute. Answer: B Rationale: Symptoms are subjecti ve reports by the person experiencing the health problem, such as reports of breathing difficulty. Oxygen levels, listeni ng to breath sounds, and respiratory rate are all objective, observable signs of disease. Question format: Multiple Choice Chapter 1: Concepts of Health and Disease Cognitive Level: Analyze Client Needs: Physiological Integrity: Physiological Adaptation Reference: p. 5 6. Which situation would be classified as a complication of a disease or outc ome from the treatment regimen? Select all that apply. A. Massive pulmonary emboli following diagnosis of new onset atrial fibrill ation. 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 client di agnosed with Parkinson disease. E. Loss of short -term memory in a client diagnosed with Alzheimer disease. Answer: A, C Rationale: Development of pulmonary emboli and pulmonary fibrosis following chemotherapy are both examples of a complication (adverse extensions of a disease or outcome from treatment). It is normal to expect incisional pain f ollowing abirb.com/test abirb.com/test abirb.com/test abirb.com/test abirb.com/test abirb.com/test abirb.com/test abirb.com/test abirb.com/test abirb.com/test abirb.com/test abirb.com/test abirb.com/test abirb.com/test abirb.com/test abirb.com/testwww.nursylab.com
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