,Porth’s Pathophysiology 10th Edition Norris Test Bank
a a a a a a
1. Ataanainternationalanursingaconference,amanyadiscussionsaandabreakoutasessionsafocuseda
onatheaWorldaHealthaOrganizationa(WHO)aviewsaonahealth.aOfatheafollowingacommentsa
madeabyanursesaduringaaadiscussionasession,awhichastatementsawouldabeaconsideredaaago
odarepresentationaofatheaWHOadefinition?aSelectaallathataapply.
A) Interestsainakeepingatheaelderlyapopulationaengagedainasuchaactivitiesaasabooka
reviewsaandawordagamesaduringasocialatime
B) Increaseainatheanumberaofachairaaerobicsaclassesaprovidedainatheaskilledacarea
facilities
C) Interventionsagearedatowardakeepingatheaelderlyapopulationadiagnosedawithadiabet
esamellitusaunderatightabloodaglucoseacontrolabyaprovidingain-
homeacookingaclasses
D) Providingatransportationaforarenaladialysisapatientsatoaandafromatheirahemodialysisa
sessions
E) Providingahandwashingateachingasessionsatoaaagroupaofayoungachildrena
Ans:aA,aB,aC,aE
Feedback:
TheaWHOadefinitionaofahealthaisadefinedaasa“aastateaofacompleteaphysical,amental,aandaso
cialawell-
beingaandanotamerelyatheaabsenceaofadiseaseaandainfirmity.”aEngagingainabookareviewsafa
cilitatesamentalaandasocialawell-being;achairaaerobicsahelpsafacilitateaphysicalawell-
being;aandaassistingawithatightacontrolaofadiabetesahelpsawithafacilitatingaphysicalawell-
beingaevenathoughatheapersonahasaaachronicadisease.aHandwashingaisavitalainatheapreventi
onaofadiseaseaandaspreadaofagerms.
2. Aacommunityahealthanurseaisateachingaaagroupaofarecentagraduatesaaboutathealargeava
rietyaofafactorsathatainfluenceaanaindividual'sahealthaoralackathereof.aTheanurseaisarefer
ringatoatheaHealthyaPeoplea2020areportafromatheaU.S.aDepartmentaofaHealthaandaHum
anaServicesaasaaateachingaexample.aOfatheafollowingaaspectsadiscussed,awhichawoulda
beaconsideredaaadeterminantaofahealthathataisaoutsideatheafocusaofathisareport?
A) TheaclientahasaaadiverseabackgroundabyabeingaofaAsianaandaNativeaAmericanade
scentaandapracticesavariousaalternativeatherapiesatoaminimizeaeffectsaofastress.
B) Theaclientahasaaafamilyahistoryaofacardiovascularadiseasearelatedatoahypercho
lesterolemiaaandaremainsanoncompliantawithatheatreatmentaregime.
C) Theaclientahasaaagoodacareerawithaexceptionalapreventativeahealthacareabenefits.
D) Theaclientalivesainaanaaffluent,aclean,asuburbanacommunityawithaaccessatoamanya
healthacareafacilities.
Ans:aB
Feedback:
InaHealthyaPeoplea2020,atheafocusaisatoapromoteagoodahealthatoaalla(suchaasausingaalternat
iveatherapiesatoaminimizeaeffectsaofastress);aachievingahealthaequityaandapromotingahealth
aforaalla(whichaincludesahavingagoodahealthacareabenefits);aandapromotingagoodahealtha(w
hichaincludesalivingainaaacleanacommunityawithagoodaaccessatoahealthacare).aAaclient'sanon
complianceawithatreatmentsatoacontrolahighacholesterolalevelsawithinatheapresenceaofaaafa
milyahistoryaofaCVadiseaseadoesanotameetathea“attainingalivesafreeaofapreventableadiseasea
andaprematureadeath”adeterminant.
,3. Aaphysicianaisaprovidingacareaforaaanumberaofapatientsaonaaamedicalaunitaofaaalarge,aunive
rsityahospital.aTheaphysicianaisadiscussingawithaaacolleagueatheadifferentiationabetweenadi
seasesathataareacausedabyaabnormalamoleculesaandadiseasesathatacauseadisease.aWhichaofat
heafollowingapatientsamostaclearlyademonstratesatheaconsequencesaofamoleculesathatacaus
eadisease?
A) Aa31-year-
oldawomanawithasickleacellaanemiaawhoaisareceivingaaatransfusionaofapackedareda
bloodacells
B) Aa91-year-
oldawomanawhoahasaexperiencedaanaischemicastrokearesultingafromafamilialahy
percholesterolemia
C) Aa19-year-
oldamanawithaexacerbationaofahisacysticafibrosisarequiringaoxygenatherapyaan
dachestaphysiotherapy
D) Aa30-year-
oldahomelessamanawhoahasaPneumocystisacariniiapneumoniaa(PCP)aandaisaHIVapos
itive.
Ans:aD
Feedback:
PCPaisaanaexampleaofatheaeffectaofaaamoleculeathatadirectlyacontributesatoadisease.aSickleac
ellaanemia,afamilialahypercholesterolemia,aandacysticafibrosisaareaallaexamplesaofatheaeffe
ctsaofaabnormalamolecules.
4. Aamemberaofatheahealthacareateamaisaresearchingatheaetiologyaandapathogenesisaofaaanu
mberaofaclientsawhoaareaunderahisacareainaaahospitalacontext.aWhichaofatheafollowingaasp
ectsaofaclients'asituationsabN
esUtaR
chSaI
raN
ctGerTizBe.
sapCaOt hMo ge n e s i s aratherathanaetiology?
A) AaclientawhoahasabeenaexposedatoatheaMycobacteriumatuberculosisabacterium
B) Aaclientawhoahasaincreasingaserumaammoniaalevelsadueatoaliveracirrhosis
C) Aaclientawhoawasaadmittedawithatheaeffectsaofamethylaalcoholapoisoning
D) Aaclientawithamultipleaskeletalainjuriesasecondaryatoaaamotoravehicleaaccidenta
Ans:aB
Feedback:
Pathogenesisarefersatoatheaprogressiveaandaevolutionaryacourseaofadisease,asuchaasatheaincr
easingaammoniaalevelsathataaccompanyaliveradisease.aBacteria,apoisons,aandatraumaticainj
uriesaareaexamplesaofaetiologicafactors.
, 5. Aanewamyocardialainfarctionapatientarequiringaangioplastyaandastentaplacementahasaarriv
edatoahisafirstacardiacarehabilitationaappointment.aInathisafirstasession,aaareviewaofatheapath
ogenesisaofacoronaryaarteryadiseaseaisaaddressed.aWhichastatementabyatheapatientaverifiesa
toatheanurseathataheahasaunderstoodatheanurse'sateachingsaaboutacoronaryaarteryadisease?
A) “AllaIahaveatoadoaisastopasmoking,aandathenaIawon'tahaveaanyamoreaheartattacks.”
B) “Myaarteryawasacloggedabyafat,asoaIawillaneedatoastopaeatingafattyafoodsalikea
Frenchafriesaeveryaday.”
C) “Soundsalikeathisabeganabecauseaofainflammationainsideamyaarteryathatamadeaita
easyatoaformafattyastreaks,awhichaleadatoamyacloggedaartery.”
D) “IfaIadoanotaexercisearegularlyatoagetamyaheartarateaup,abloodapoolsainatheaveinsacau
singaaaclotathatastopsabloodaflowatoatheamuscle,aandaIawillahaveaaaheartaattack.”
Ans:aC
Feedback:
Theatrueaetiology/causeaofacoronaryaarteryadiseasea(CAD)aisaunknown;ahowever,atheapath
ogenesisaofatheadisorderarelatesatoatheaprogressionaofatheainflammatoryaprocessafromaaafatt
yastreakatoatheaocclusiveavesselalesionaseenainapeopleawithacoronaryaarteryadisease.aRiskaf
actorsaforaCADarevolveaaroundacigaretteasmoking,adietahighainafat,aandalackaofaexercise.
6. Aa77-year-
oldamanaisaaahospitalainpatientaadmittedaforaexacerbationaofahisachronicaobstructiveapulm
onaryadiseasea(COPD),aandaaarespiratoryatherapista(RT)aisaassessingatheaclientaforatheafirst
atime.aWhich NUofRthSeIfN
olG
loTwBin.gCaO
spMectsaofatheapatient'sacurrentastateaofahealthawouldabeabes
tacharacterizedaasaaasymptomaratherathanaaasign?
A) Theapatient'saoxygenasaturationaisa83%abyapulseaoxymetry.
B) Theapatientanotesathataheahasaincreasedaworkaofabreathingawhenalyingasupine.
C) TheaRTahearsadiminishedabreathasoundsatoatheapatient'saloweralungafieldsa
bilaterally.
D) Theapatient'sarespiratoryarateaisa31abreaths/minute.a
Ans:aB
Feedback:
Symptomsaareasubjectiveacomplaintsabyatheapersonaexperiencingatheahealthaproblem,a
suchaasacomplaintsaofabreathingadifficulty.aOxygenalevels,alisteningatoabreathasounds,a
andarespiratoryarateaareaallaobjective,aobservableasignsaofadisease.
