Test Bank - Porth’s Pathophysiology-Concepts of Altered Health States, 11th Edition (Norris, 2024), Chapter 1-52 | All Chapters

PORTH'S PATHOPHYSIOLOGY CONCEPTS OF
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ALTERED HEALTH STATES 11TH EDITION TOMMIE
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L. NORRIS TEST BANK
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CH 1: Concepts of Health and Disease
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1. At an international nursing conference, many discussions and breakout sessions
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focusedon the World Health Organization (WHO) views on health. Of the following
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commentsmade by Nursing attendants during a discussion session, which statements
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would be considered a good representation of the WHO definition? Select all that
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apply.
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A) Interests in keeping the elderly population engaged in such activities as j1 j1 j1 j1 j1 j1 j1 j1 j1 j1



bookreviews and word games during social time
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B) Increase in the number of chair aerobics classes provided in the skilled j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1



carefacilities j1 j1



C) Interventions geared toward keeping the elderly population diagnosed with j1 j1 j1 j1 j1 j1 j1 j1



diabetes mellitus under tight blood glucose control by providing in-home
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cookingclasses j1 j1



D) Providing transportation for renal dialysis hospital patients to and from their j1 j1 j1 j1 j1 j1 j1 j1 j1 j1



hemodialysissessions j1 j1



E) Providing handwashing teaching sessions to a group of young j1 j1 j1 j1 j1 j1 j1 j1



childrenPRECISE CHOICE:- A, B, C, E
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Reasoning:->>>
The WHO definition of health is defined as ―a state of complete physical, mental,
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andsocial well-being and not merely the absence of illness and infirmity.‖ Engaging in
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book reviews facilitates mental and social well-being; chair aerobics helps facilitate
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physical well-being; and assisting with tight control of diabetes helps with facilitating
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physical well-being even though the person has a chronic illness. Handwashing is vitalin
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the prevention of illness and spread of germs.
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2. A community health Nursing attendant is teaching a group of recent graduates
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about the large variety of factors that influence an individual's health or lack
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thereof. The Nursing attendant is referring to the Healthy People 2020 report
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fromthe U.S. Department of Health and Human Services as a teaching example.
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Of the following aspects discussed, which would be considered a determinant of
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health that is outside the focus of this report?
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A) The hospital patient 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. j1 j1 j1



B) The hospital patient has a family history of cardiovascular illness related
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to hypercholesterolemia and remains noncompliant with the treatment
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regime. j1



C) The hospital patient has a good career with exceptional preventative primary health care
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benefits. j1



D) The hospital patient lives in an affluent, clean, suburban community with
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access tomany primary health care facilities.
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PRECISE CHOICE:- B j1 j1



Reasoning:->>>
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
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promoting health for all (which includes having good primary health care benefits);
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andpromoting good health (which includes living in a clean community with good
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access tohealth care). A hospital patient's noncompliance with treatments to control
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high cholesterol levels within the presence of a family history of CV illness does not
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meet the ―attaininglives free of preventable illness and premature death‖ determinant.
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,
, 3. A physician is providing care for a number of hospital patients on a medical unit of a
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large, university hospital. The physician is discussing with a colleague the
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differentiation between illnesss that are caused by abnormal molecules and illnesss
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that cause illness.Which of the following hospital patients most clearly demonstrates
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the consequences of molecules that cause illness?
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A) A 31-year-old woman with sickle cell anemia who is receiving a transfusion
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ofpacked red blood cells
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B) A 91-year-old woman who has experienced an ischemic stroke resulting
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fromfamilial hypercholesterolemia
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C) A 19-year-old man with exacerbation of his cystic fibrosis requiring
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oxygentherapy and chest physiotherapy
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D) A 30-year-old homeless man who has Pneumocystis carinii pneumonia (PCP)
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andis HIV positive.
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PRECISE CHOICE:- D j1 j1



Reasoning :->>>PCP is an example of the effect of a molecule that directly contributes to
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illness. Sicklecell 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 primary health care team is researching the etiology and
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pathogenesis of a number of hospital patients who are under his care in a hospital
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context. Which of the following aspects of hospital patients' situations best
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characterizes pathogenesisrather than etiology?
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A) A hospital patient who has been exposed to the Mycobacterium tuberculosis bacterium
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B) A hospital patient who has increasing serum ammonia levels due to liver cirrhosis
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C) A hospital patient who was admitted with the effects of methyl alcohol poisoning
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D) A hospital patient with multiple skeletal injuries secondary to a motor
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vehicleaccident PRECISE CHOICE:- B
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Reasoning:->>>Pathogenesis refers to the progressive and evolutionary course of illness, j1 j1 j1 j1 j1 j1 j1 j1 j1



such as theincreasing ammonia levels that accompany liver illness. Bacteria, poisons, and
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traumatic injuries are examples of etiologic factors.
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5. A new myocardial infarction hospital patient requiring angioplasty and stent
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placement has arrived to his first cardiac rehabilitation appointment. In this first
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session, a review of the pathogenesis of coronary artery illness is addressed. Which
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statement by the hospital patientverifies to the Nursing attendant that he has
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understood the Nursing attendant's teachings about coronary artery illness?
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A) ―All I have to do is stop smoking, and then I won't have any more heart attacks.‖
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B) ―My artery was clogged by fat, so I will need to stop eating fatty foods
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likeFrench fries every day.‖
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C) ―Sounds like this began because of inflammation inside my artery that made j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1



iteasy 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
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causing a clot that stops blood flow to the muscle, and I will have a heart attack.‖
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PRECISE CHOICE:- C j1 j1



Reasoning:->>>The true etiology/cause of coronary artery illness (CAD) is unknown; j1 j1 j1 j1 j1 j1 j1 j1 j1



however, the
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