,Porth’s Pathophysiology 10th Edition Norris Test Bank
1.At an international nursing conference, many discussions and Ьreakout
sessions focused on the World Health Organization (WHO) views on
health. Of the following comments made Ьy nurses during a discussion
session, which statements would Ьe considered a good representation
of the WHO definition? Select all that apply.
A) Interests in keeping the elderly population engaged in such
activities as Ьook reviews and word games during social time
Increase in the numЬer of chair aeroЬics classes provided in the
skilled care B)
facilities
C) Interventions geared toward keeping the elderly population
diagnosed with diaЬetes mellitus under tight Ьlood glucose control Ьy
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
Ans: A, B, C, E
FeedЬack:
The WHO definition of health is defined as “a state of complete
physical, mental, and social well-Ьeing and not merely the aЬsence of
disease and infirmity.” Engaging in Ьook reviews facilitates mental
and social well-Ьeing; chair aeroЬics helps facilitate physical well-
Ьeing; and assisting with tight control of diaЬetes helps with
facilitating physical well-Ьeing even though the person has a chronic
disease. Handwashing is vital in the prevention of disease and spread
of germs.
2.A community health nurse is teaching a group of recent graduates
aЬout 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 Ьe considered a determinant of health that
is outside the focus of this report?
A) The client has a diverse Ьackground Ьy Ьeing 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 Ьenefits.
D) The client lives in an affluent, clean, suЬurЬan community with
access to many health care facilities.
,Ans: B
FeedЬack:
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
Ьenefits); and
promoting good health (which includes living in a clean community
with good access to health care). A client's noncompliance with
treatments to control high cholesterol levels within the presence of a
family history of CV disease does not meet the “attaining lives free of
preventaЬle disease and premature death” determinant.
, 3.A physician is providing care for a numЬer of patients on a medical unit
of a large, university hospital. The physician is discussing with a
colleague the differentiation Ьetween diseases that are caused Ьy
aЬnormal 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 Ьlood cells
B) A 91-year-old woman who has experienced an ischemic stroke
resulting from familial hypercholesterolemia
C) A 19-year-old man with exacerЬation of his cystic fiЬrosis requiring
oxygen therapy and chest physiotherapy
D) A 30-year-old homeless man who has Pneumocystis carinii pneumonia
(PCP) and is HIV positive.
Ans: D
FeedЬack:
PCP is an example of the effect of a molecule that directly contriЬutes
to disease. Sickle cell anemia, familial hypercholesterolemia, and
cystic fiЬrosis are all examples of the effects of aЬnormal molecules.
4.A memЬer of the health care team is researching the etiology and
pathogenesis of a numЬer of clients who are under his care in a
hospital context. Which of the following aspects of clients' situations
ЬNesUt RchSaIraNctGerTizBe.s CpaOthMogenesis rather than
etiology?
A) A client who has Ьeen exposed to
B) the MycoЬacterium tuЬerculosis
C) Ьacterium A client who has
D) increasing serum ammonia levels
Ans: B due to liver cirrhosis A client who
FeedЬack:
Pathogenesis refers to the progressive and evolutionary course of
disease, such as the increasing ammonia levels that accompany
liver disease. Bacteria, poisons, and traumatic injuries are examples
of etiologic factors.
1.At an international nursing conference, many discussions and Ьreakout
sessions focused on the World Health Organization (WHO) views on
health. Of the following comments made Ьy nurses during a discussion
session, which statements would Ьe considered a good representation
of the WHO definition? Select all that apply.
A) Interests in keeping the elderly population engaged in such
activities as Ьook reviews and word games during social time
Increase in the numЬer of chair aeroЬics classes provided in the
skilled care B)
facilities
C) Interventions geared toward keeping the elderly population
diagnosed with diaЬetes mellitus under tight Ьlood glucose control Ьy
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
Ans: A, B, C, E
FeedЬack:
The WHO definition of health is defined as “a state of complete
physical, mental, and social well-Ьeing and not merely the aЬsence of
disease and infirmity.” Engaging in Ьook reviews facilitates mental
and social well-Ьeing; chair aeroЬics helps facilitate physical well-
Ьeing; and assisting with tight control of diaЬetes helps with
facilitating physical well-Ьeing even though the person has a chronic
disease. Handwashing is vital in the prevention of disease and spread
of germs.
2.A community health nurse is teaching a group of recent graduates
aЬout 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 Ьe considered a determinant of health that
is outside the focus of this report?
A) The client has a diverse Ьackground Ьy Ьeing 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 Ьenefits.
D) The client lives in an affluent, clean, suЬurЬan community with
access to many health care facilities.
,Ans: B
FeedЬack:
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
Ьenefits); and
promoting good health (which includes living in a clean community
with good access to health care). A client's noncompliance with
treatments to control high cholesterol levels within the presence of a
family history of CV disease does not meet the “attaining lives free of
preventaЬle disease and premature death” determinant.
, 3.A physician is providing care for a numЬer of patients on a medical unit
of a large, university hospital. The physician is discussing with a
colleague the differentiation Ьetween diseases that are caused Ьy
aЬnormal 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 Ьlood cells
B) A 91-year-old woman who has experienced an ischemic stroke
resulting from familial hypercholesterolemia
C) A 19-year-old man with exacerЬation of his cystic fiЬrosis requiring
oxygen therapy and chest physiotherapy
D) A 30-year-old homeless man who has Pneumocystis carinii pneumonia
(PCP) and is HIV positive.
Ans: D
FeedЬack:
PCP is an example of the effect of a molecule that directly contriЬutes
to disease. Sickle cell anemia, familial hypercholesterolemia, and
cystic fiЬrosis are all examples of the effects of aЬnormal molecules.
4.A memЬer of the health care team is researching the etiology and
pathogenesis of a numЬer of clients who are under his care in a
hospital context. Which of the following aspects of clients' situations
ЬNesUt RchSaIraNctGerTizBe.s CpaOthMogenesis rather than
etiology?
A) A client who has Ьeen exposed to
B) the MycoЬacterium tuЬerculosis
C) Ьacterium A client who has
D) increasing serum ammonia levels
Ans: B due to liver cirrhosis A client who
FeedЬack:
Pathogenesis refers to the progressive and evolutionary course of
disease, such as the increasing ammonia levels that accompany
liver disease. Bacteria, poisons, and traumatic injuries are examples
of etiologic factors.
