TEST BANK
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,Porth’s Pathophysiology 10th Edition Norris Test Bank
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MULTIPLE CHOICE df
1. At an international nursing conference, many discussions and breakout sessions
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df focused on the World Health Organization (WHO) views on health. Of the
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df following comments made by nurses during a discussion session, which statements
df df df df df df df df df df
df would be considered a good representation of the WHO definition? Select all that
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df apply.
A) Interests in keeping the elderly population engaged in such activities as df df df df df df df df df df
book reviews and word games during social time
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B) Increase in the number of chair aerobics classes provided in the skilled df df df df df df df df df df df
care facilities df df
C) Interventions geared toward keeping the elderly population diagnosed with df df df df df df df df
diabetes mellitus under tight blood glucose control by providing in-home
df df df df df df df df df df
cooking classes df df
D) Providing transportation for renal dialysis patients to and from their df df df df df df df df df
hemodialysis sessions
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E) Providing handwashing teaching sessions to a group of young children df df df df df df df df df
Ans: A, B, C, E
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Feedback:
The WHO definition of health is defined as “a state of complete physical, mental,
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and social well-being and not merely the absence of disease and infirmity.”
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Engaging in book reviews facilitates mental and social well-being; chair aerobics
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helps facilitate physical well-being; and assisting with tight control of diabetes
df df df df df df df df df df df
helps with facilitating physical well-being even though the person has a chronic
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disease. Handwashing is vital in the prevention of disease and spread of germs.
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2. A community health nurse is teaching a group of recent graduates about the
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large variety of factors that influence an individual's health or lack thereof. The
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nurse is referring to the Healthy People 2020 report from the U.S. Department of
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Health and Human Services as a teaching example. Of the following aspects
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discussed, which would be considered a determinant of health that is outside
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the focus of this report?
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A) The client has a diverse background by being of Asian and Native
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American descent and practices various alternative therapies to minimize
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effects of stress.df df df
B) The client has a family history of cardiovascular disease related to
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hypercholesterolemia and remains noncompliant with the treatment
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regime. df
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
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many health care facilities.
df df df df
Ans: B df
Feedback:
In Healthy People 2020, the focus is to promote good health to all (such as using
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alternative therapies to minimize effects of stress); achieving health equity and
df df df df df df df df df df df
promoting health for all (which includes having good health care benefits); and
df df df df df df df df df df df df
promoting good health (which includes living in a clean community with good access
df df df df df df df df df df df df df
to health care). A client's noncompliance with treatments to control high cholesterol
df df df df df df df df df df df df
levels
df
, within the presence of a family history of CV disease does not meet the “attaining
df df df df df df df df df df df df df df
lives free of preventable 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,
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university hospital. The physician is discussing with a colleague the differentiation
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between diseases that are caused by abnormal molecules and diseases that cause
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disease. Which of the following patients most clearly demonstrates the
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consequences of molecules that cause disease?
df df df df df df
A) A 31-year-old woman with sickle cell anemia who is receiving a transfusion
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of packed red blood cells
df df df df df
B) A 91-year-old woman who has experienced an ischemic stroke resulting
df df df df df df df df df
from familial hypercholesterolemia
df df df
C) A 19-year-old man with exacerbation of his cystic fibrosis requiring
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oxygen therapy and chest physiotherapy
df df df df df
D) A 30-year-old homeless man who has Pneumocystis carinii pneumonia (PCP)
df df df df df df df df df
and is HIV positive.
df df df df
Ans: D df
Feedback:
PCP is an example of the effect of a molecule that directly contributes to disease.
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Sickle cell anemia, familial hypercholesterolemia, and cystic fibrosis are all
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examples of the effects of abnormal molecules.
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4. A member of the health care team is researching the etiology and pathogenesis of
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a number of clients who are under his care in a hospital context. Which of the
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following aspects of clients' situations bN
df esUt R
chSaI
raN
ctGerTizBe.
df s pCaOthMogenesis rather than df df df df df df df df df df df df
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
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accident Ans: B
df df df
Feedback:
Pathogenesis refers to the progressive and evolutionary course of disease, such as the
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increasing ammonia levels that accompany liver disease. Bacteria, poisons, and
df df df df df df df df df df
traumatic injuries are examples of etiologic factors.
df df df df df df df
5. A new myocardial infarction patient requiring angioplasty and stent placement has
d f df df df df df df df df df
arrived to his first cardiac rehabilitation appointment. In this first session, a review
df df df df df df df df df df df df df
of the pathogenesis of coronary artery disease is addressed. Which statement by the
df df df df df df df df df df df df df
patient verifies to the nurse that he has understood the nurse's teachings about
df df df df df df df df df df df df df
coronary artery disease?
df df df
A) “All I have to do is stop smoking, and then I won't have any more heart attacks.”
df df df df df df df df df df df df df df df df
B) “My artery was clogged by fat, so I will need to stop eating fatty foods
df df df df df df df df df df df df df df
like French fries every day.”
df df df df df
C) “Sounds like this began because of inflammation inside my artery that made df df df df df df df df df df df
it easy to form fatty streaks, which lead to my clogged artery.”
df df df df df df df df df df df df
D) “If I do not exercise regularly to get my heart rate up, blood pools in the
df df df df df df df df df df df df df df df
veins causing a clot that stops blood flow to the muscle, and I will have a
df df df df df df df df df df df df df df df df
heart attack.”df df
Ans: C df
, Feedback:
The true etiology/cause of coronary artery disease (CAD) is unknown; however, the
df df df df df df df df df df df
pathogenesis of the disorder relates to the progression of the inflammatory process
df df df df df df df df df df df df
from a fatty streak to the occlusive vessel lesion seen in people with coronary
df df df df df df df df df df df df df df
artery disease. Risk factors for CAD revolve around cigarette smoking, diet high in
df df df df df df df df df df df df df
fat, and lack of exercise.
df df df df df
6. A 77-year-old man is a hospital inpatient admitted for exacerbation of his chronic
df df df df df df df df df df df df
obstructive pulmonary disease (COPD), and a respiratory therapist (RT) is assessing
df df df df df df df df df df df
the client for the first time. WhichNU
df df ofRthSeIfN
df olG
loTwBin.gCaO
spMects of the patient's current
df df df df df df df df
state of health would be best characterized as a symptom rather than a sign?
df df df df df df df df df df df df df df
A) The patient's oxygen saturation is 83% by pulse oxymetry.
df df df df df df df df
B) The patient notes that he has increased work of breathing when lying supine.
df df df df df df df df df df df df
C) The RT hears diminished breath sounds to the patient's lower lung
df df df df df df df df df df
fields bilaterally.
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D) The patient's respiratory rate is 31 breaths/minute.
df df df df df df
Ans: B
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Feedback:
Symptoms are subjective complaints by the person experiencing the health
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problem, such as complaints of breathing difficulty. Oxygen levels, listening to
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breath sounds, and respiratory rate are all objective, observable signs of disease.
df df df df df df df df df df df df
7. Which of the following situations would be classified as a complication of a
d f df df df df df df df df df df df
disease oroutcome from the treatment regimen? Select all that apply.
df df df df df df df df df df
A) Massive pulmonary emboli following diagnosis of new-onset atrial fibrillation
df df df df df df df df
B) Burning, intense incision pain following surgery to remove a portion of colon
df df df df df df df df df df df
due to intestinal aganglionosis
df df df df
C) Development of pulmonary fibrosis following treatment with bleomycin, an df df df df df df df df
antibiotic chemotherapy agent used in treatment of lymphoma
df df df df df df df df
D) Gradual deterioration in ability to walk unassisted for a patient diagnosed
df df df df df df df df df df
with Parkinson disease
df df df
E) Loss of short-term memory in a patient diagnosed with Alzheimer
df df df df df df df df df
disease Ans: A, C
df df df df
Feedback:
Development of pulmonary emboli and pulmonary fibrosis following chemotherapy are
df df df df df df df df df
both examples of a complication (adverse extensions of a disease or outcome from
df df df df df df df df df df df df df
treatment). It is normal to expect incisional pain following surgery. As Parkinson
df df df df df df df df df df df df
disease progresses, the inability to walk independently is expected. This is a normal
df df df df df df df df df df df df df
progression for people diagnosed with Parkinson's. Loss of short-term memory in a
df df df df df df df df df df df df
patient diagnosed with Alzheimer disease is an expected finding.
df df df df df df df df df
8. Laboratory testing is ordered for a male patient during a clinic visit for a routine
df df df df df df df df df df df df df df
follow-up assessment of hypertension. When interpreting lab values, the nurse
df df df df df df df df df df
knows that
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A) a normal value r epr es enNtsUtRheStIesNt Gr eTsuBl .
df t s Ct hOa Mt fal within the bel curve.
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B) if the lab result is above the 50% distribution, the result is considered elevated.
df df df df df df df df df df df df df
C) all lab values are adjusted for gender and weight.
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D) if the result of a very sensitive test is negative, that does not mean the person is
df df df df df df df df df df df df df df df df
df
,Porth’s Pathophysiology 10th Edition Norris Test Bank
df df df df df df df
MULTIPLE CHOICE df
1. At an international nursing conference, many discussions and breakout sessions
df df df df df df df df df
df focused on the World Health Organization (WHO) views on health. Of the
df df df df df df df df df df df
df following comments made by nurses during a discussion session, which statements
df df df df df df df df df df
df would be considered a good representation of the WHO definition? Select all that
df df df df df df df df df df df df
df apply.
A) Interests in keeping the elderly population engaged in such activities as df df df df df df df df df df
book reviews and word games during social time
df df df df df df df df
B) Increase in the number of chair aerobics classes provided in the skilled df df df df df df df df df df df
care facilities df df
C) Interventions geared toward keeping the elderly population diagnosed with df df df df df df df df
diabetes mellitus under tight blood glucose control by providing in-home
df df df df df df df df df df
cooking classes df df
D) Providing transportation for renal dialysis patients to and from their df df df df df df df df df
hemodialysis sessions
df df
E) Providing handwashing teaching sessions to a group of young children df df df df df df df df df
Ans: A, B, C, E
df df df df df
Feedback:
The WHO definition of health is defined as “a state of complete physical, mental,
df df df df df df df df df df df df df
and social well-being and not merely the absence of disease and infirmity.”
df df df df df df df df df df df df
Engaging in book reviews facilitates mental and social well-being; chair aerobics
df df df df df df df df df df df
helps facilitate physical well-being; and assisting with tight control of diabetes
df df df df df df df df df df df
helps with facilitating physical well-being even though the person has a chronic
df df df df df df df df df df df df
disease. Handwashing is vital in the prevention of disease and spread of germs.
df df df df df df df df df df df df df
2. A community health nurse is teaching a group of recent graduates about the
df df df df df df df df df df df df
large variety of factors that influence an individual's health or lack thereof. The
df df df df df df df df df df df df df
nurse is referring to the Healthy People 2020 report from the U.S. Department of
df df df df df df df df df df df df df df
Health and Human Services as a teaching example. Of the following aspects
df df df df df df df df df df df df
discussed, which would be considered a determinant of health that is outside
df df df df df df df df df df df df
the focus of this report?
df df df df df
A) The client has a diverse background by being of Asian and Native
df df df df df df df df df df df
American descent and practices various alternative therapies to minimize
df df df df df df df df df
effects of stress.df df df
B) The client has a family history of cardiovascular disease related to
df df df df df df df df df df
hypercholesterolemia and remains noncompliant with the treatment
df df df df df df df
regime. df
C) The client has a good career with exceptional preventative health care benefits.
df df df df df df df df df df df
D) The client lives in an affluent, clean, suburban community with access to
df df df df df df df df df df df
many health care facilities.
df df df df
Ans: B df
Feedback:
In Healthy People 2020, the focus is to promote good health to all (such as using
df df df df df df df df df df df df df df df
alternative therapies to minimize effects of stress); achieving health equity and
df df df df df df df df df df df
promoting health for all (which includes having good health care benefits); and
df df df df df df df df df df df df
promoting good health (which includes living in a clean community with good access
df df df df df df df df df df df df df
to health care). A client's noncompliance with treatments to control high cholesterol
df df df df df df df df df df df df
levels
df
, within the presence of a family history of CV disease does not meet the “attaining
df df df df df df df df df df df df df df
lives free of preventable disease and premature death” determinant.
df df df df df df df df df
3. A physician is providing care for a number of patients on a medical unit of a large,
df df df df df df df df df df df df df df df df
university hospital. The physician is discussing with a colleague the differentiation
df df df df df df df df df df df
between diseases that are caused by abnormal molecules and diseases that cause
df df df df df df df df df df df df
disease. Which of the following patients most clearly demonstrates the
df df df df df df df df df df
consequences of molecules that cause disease?
df df df df df df
A) A 31-year-old woman with sickle cell anemia who is receiving a transfusion
df df df df df df df df df df df
of packed red blood cells
df df df df df
B) A 91-year-old woman who has experienced an ischemic stroke resulting
df df df df df df df df df
from familial hypercholesterolemia
df df df
C) A 19-year-old man with exacerbation of his cystic fibrosis requiring
df df df df df df df df df
oxygen therapy and chest physiotherapy
df df df df df
D) A 30-year-old homeless man who has Pneumocystis carinii pneumonia (PCP)
df df df df df df df df df
and is HIV positive.
df df df df
Ans: D df
Feedback:
PCP is an example of the effect of a molecule that directly contributes to disease.
df df df df df df df df df df df df df df
Sickle cell anemia, familial hypercholesterolemia, and cystic fibrosis are all
df df df df df df df df df df
examples of the effects of abnormal molecules.
df df df df df df df
4. A member of the health care team is researching the etiology and pathogenesis of
df df df df df df df df df df df df df
a number of clients who are under his care in a hospital context. Which of the
df df df df df df df df df df df df df df df df
following aspects of clients' situations bN
df esUt R
chSaI
raN
ctGerTizBe.
df s pCaOthMogenesis rather than df df df df df df df df df df df df
etiology?
df
A) A client who has been exposed to the Mycobacterium tuberculosis bacterium
df df df df df df df df df df
B) A client who has increasing serum ammonia levels due to liver cirrhosis
df df df df df df df df df df df
C) A client who was admitted with the effects of methyl alcohol poisoning
df df df df df df df df df df df
D) A client with multiple skeletal injuries secondary to a motor vehicle
df df df df df df df df df df
accident Ans: B
df df df
Feedback:
Pathogenesis refers to the progressive and evolutionary course of disease, such as the
df df df df df df df df df df df df
increasing ammonia levels that accompany liver disease. Bacteria, poisons, and
df df df df df df df df df df
traumatic injuries are examples of etiologic factors.
df df df df df df df
5. A new myocardial infarction patient requiring angioplasty and stent placement has
d f df df df df df df df df df
arrived to his first cardiac rehabilitation appointment. In this first session, a review
df df df df df df df df df df df df df
of the pathogenesis of coronary artery disease is addressed. Which statement by the
df df df df df df df df df df df df df
patient verifies to the nurse that he has understood the nurse's teachings about
df df df df df df df df df df df df df
coronary artery disease?
df df df
A) “All I have to do is stop smoking, and then I won't have any more heart attacks.”
df df df df df df df df df df df df df df df df
B) “My artery was clogged by fat, so I will need to stop eating fatty foods
df df df df df df df df df df df df df df
like French fries every day.”
df df df df df
C) “Sounds like this began because of inflammation inside my artery that made df df df df df df df df df df df
it easy to form fatty streaks, which lead to my clogged artery.”
df df df df df df df df df df df df
D) “If I do not exercise regularly to get my heart rate up, blood pools in the
df df df df df df df df df df df df df df df
veins causing a clot that stops blood flow to the muscle, and I will have a
df df df df df df df df df df df df df df df df
heart attack.”df df
Ans: C df
, Feedback:
The true etiology/cause of coronary artery disease (CAD) is unknown; however, the
df df df df df df df df df df df
pathogenesis of the disorder relates to the progression of the inflammatory process
df df df df df df df df df df df df
from a fatty streak to the occlusive vessel lesion seen in people with coronary
df df df df df df df df df df df df df df
artery disease. Risk factors for CAD revolve around cigarette smoking, diet high in
df df df df df df df df df df df df df
fat, and lack of exercise.
df df df df df
6. A 77-year-old man is a hospital inpatient admitted for exacerbation of his chronic
df df df df df df df df df df df df
obstructive pulmonary disease (COPD), and a respiratory therapist (RT) is assessing
df df df df df df df df df df df
the client for the first time. WhichNU
df df ofRthSeIfN
df olG
loTwBin.gCaO
spMects of the patient's current
df df df df df df df df
state of health would be best characterized as a symptom rather than a sign?
df df df df df df df df df df df df df df
A) The patient's oxygen saturation is 83% by pulse oxymetry.
df df df df df df df df
B) The patient notes that he has increased work of breathing when lying supine.
df df df df df df df df df df df df
C) The RT hears diminished breath sounds to the patient's lower lung
df df df df df df df df df df
fields bilaterally.
df df
D) The patient's respiratory rate is 31 breaths/minute.
df df df df df df
Ans: B
df df
Feedback:
Symptoms are subjective complaints by the person experiencing the health
df df df df df df df df df
problem, such as complaints of breathing difficulty. Oxygen levels, listening to
df df df df df df df df df df df
breath sounds, and respiratory rate are all objective, observable signs of disease.
df df df df df df df df df df df df
7. Which of the following situations would be classified as a complication of a
d f df df df df df df df df df df df
disease oroutcome from the treatment regimen? Select all that apply.
df df df df df df df df df df
A) Massive pulmonary emboli following diagnosis of new-onset atrial fibrillation
df df df df df df df df
B) Burning, intense incision pain following surgery to remove a portion of colon
df df df df df df df df df df df
due to intestinal aganglionosis
df df df df
C) Development of pulmonary fibrosis following treatment with bleomycin, an df df df df df df df df
antibiotic chemotherapy agent used in treatment of lymphoma
df df df df df df df df
D) Gradual deterioration in ability to walk unassisted for a patient diagnosed
df df df df df df df df df df
with Parkinson disease
df df df
E) Loss of short-term memory in a patient diagnosed with Alzheimer
df df df df df df df df df
disease Ans: A, C
df df df df
Feedback:
Development of pulmonary emboli and pulmonary fibrosis following chemotherapy are
df df df df df df df df df
both examples of a complication (adverse extensions of a disease or outcome from
df df df df df df df df df df df df df
treatment). It is normal to expect incisional pain following surgery. As Parkinson
df df df df df df df df df df df df
disease progresses, the inability to walk independently is expected. This is a normal
df df df df df df df df df df df df df
progression for people diagnosed with Parkinson's. Loss of short-term memory in a
df df df df df df df df df df df df
patient diagnosed with Alzheimer disease is an expected finding.
df df df df df df df df df
8. Laboratory testing is ordered for a male patient during a clinic visit for a routine
df df df df df df df df df df df df df df
follow-up assessment of hypertension. When interpreting lab values, the nurse
df df df df df df df df df df
knows that
df df
A) a normal value r epr es enNtsUtRheStIesNt Gr eTsuBl .
df t s Ct hOa Mt fal within the bel curve.
df df df df df df d f df df df df
B) if the lab result is above the 50% distribution, the result is considered elevated.
df df df df df df df df df df df df df
C) all lab values are adjusted for gender and weight.
df df df df df df df df
D) if the result of a very sensitive test is negative, that does not mean the person is
df df df df df df df df df df df df df df df df
