I I I I I I
1. AtIanIinternationalInursingIconference,ImanyIdiscussionsIandIbreakoutIsessionsIfocusedIonI
theIWorldIHealthIOrganizationI(WHO)IviewsIonIhealth.IOfItheIfollowingIcommentsImadeI
byInursesIduringIaIdiscussionIsession,IwhichIstatementsIwouldIbeIconsideredIaIgoodIrepres
entationIofItheIWHOIdefinition?ISelectIallIthatIapply.
A) InterestsIinIkeepingItheIelderlyIpopulationIengagedIinIsuchIactivitiesIasIbookIre
viewsIandIwordIgamesIduringIsocialItime
B) IncreaseIinItheInumberIofIchairIaerobicsIclassesIprovidedIinItheIskilledIcareIfac
ilities
C) InterventionsIgearedItowardIkeepingItheIelderlyIpopulationIdiagnosedIwithIdiabetesI
mellitusIunderItightIbloodIglucoseIcontrolIbyIprovidingIin-homeIcookingIclasses
D) ProvidingItransportationIforIrenalIdialysisIpatientsItoIandIfromItheirIhemodialysisIse
ssions
E) ProvidingIhandwashingIteachingIsessionsItoIaIgroupIofIyoungIchildrenIA
ns:IA,IB,IC,IE
Feedback:
TheIWHOIdefinitionIofIhealthIisIdefinedIasI―aIstateIofIcompleteIphysical,Imental,IandIsocial
Iwell-
beingIandInotImerelyItheIabsenceIofIdiseaseIandIinfirmity.‖IEngagingIinIbookIreviewsIfacili
tatesImentalIandIsocialIwell-being;IchairIaerobicsIhelpsIfacilitateIphysicalIwell-
being;IandIassistingIwithItightIcontrolIofIdiabetesIhelpsIwithIfacilitatingIphysicalIwell-
beingIevenIthoughItheIpersonIhasIaIchronicIdisease.IHandwashingIisIvitalIinItheIpreventionI
ofIdiseaseIandIspreadIofIgerms.
2. AIcommunityIhealthInurseIisIteachingIaIgroupIofIrecentIgraduatesIaboutItheIlargeIvariet
yIofIfactorsIthatIinfluenceIanIindividual'sIhealthIorIlackIthereof.ITheInurseIisIreferringIto
ItheIHealthyIPeopleI2020IreportIfromItheIU.S.IDepartmentIofIHealthIandIHumanIServic
esIasIaIteachingIexample.IOfItheIfollowingIaspectsIdiscussed,IwhichIwouldIbeIconsider
edIaIdeterminantIofIhealthIthatIisIoutsideItheIfocusIofIthisIreport?
A) TheIclientIhasIaIdiverseIbackgroundIbyIbeingIofIAsianIandINativeIAmericanIdesce
ntIandIpracticesIvariousIalternativeItherapiesItoIminimizeIeffectsIofIstress.
B) TheIclientIhasIaIfamilyIhistoryIofIcardiovascularIdiseaseIrelatedItoIhyperchole
sterolemiaIandIremainsInoncompliantIwithItheItreatmentIregime.
C) TheIclientIhasIaIgoodIcareerIwithIexceptionalIpreventativeIhealthIcareIbenefits.
D) TheIclientIlivesIinIanIaffluent,Iclean,IsuburbanIcommunityIwithIaccessItoImanyIhea
lthIcareIfacilities.
Ans:IB
Feedback:
InIHealthyIPeopleI2020,ItheIfocusIisItoIpromoteIgoodIhealthItoIallI(suchIasIusingIalternativeI
therapiesItoIminimizeIeffectsIofIstress);IachievingIhealthIequityIandIpromotingIhealthIforIal
lI(whichIincludesIhavingIgoodIhealthIcareIbenefits);IandIpromotingIgoodIhealthI(whichIincl
udesIlivingIinIaIcleanIcommunityIwithIgoodIaccessItoIhealthIcare).IAIclient'sInoncomplianc
eIwithItreatmentsItoIcontrolIhighIcholesterolIlevelsIwithinItheIpresenceIofIaIfamilyIhistoryIo
fICVIdiseaseIdoesInotImeetItheI―attainingIlivesIfreeIofIpreventableIdiseaseIandIprematureIde
ath‖Ideterminant.
,3. AIphysicianIisIprovidingIcareIforIaInumberIofIpatientsIonIaImedicalIunitIofIaIlarge,Iuniversit
yIhospital.ITheIphysicianIisIdiscussingIwithIaIcolleagueItheIdifferentiationIbetweenIdiseases
IthatIareIcausedIbyIabnormalImoleculesIandIdiseases IthatIcauseIdisease.IWhichIofItheIfollowi
ngIpatientsImostIclearlyIdemonstratesItheIconsequencesIofImoleculesIthatIcauseIdisease?
A) AI31-year-
oldIwomanIwithIsickleIcellIanemiaIwhoIisIreceivingIaItransfusionIofIpackedIredIbl
oodIcells
B) AI91-year-
oldIwomanIwhoIhasIexperiencedIanIischemicIstrokeIresultingIfromIfamilialIhype
rcholesterolemia
C) AI19-year-
oldImanIwithIexacerbationIofIhisIcysticIfibrosisIrequiringIoxygenItherapyIandIc
hestIphysiotherapy
D) AI30-year-
oldIhomelessImanIwhoIhasIPneumocystisIcariniiIpneumoniaI(PCP)IandIisIHIVIpositi
ve.
Ans:ID
Feedback:
PCPIisIanIexampleIofItheIeffectIofIaImoleculeIthatIdirectlyIcontributesItoIdisease.ISickleIcellI
anemia,IfamilialIhypercholesterolemia,IandIcysticIfibrosisIareIallIexamplesIofItheIeffectsIofI
abnormalImolecules.
4. AImemberIofItheIhealthIcareIteamIisIresearchingItheIetiologyIandIpathogenesisIofIaInumb
erIofIclientsIwhoIareIunderIhisIcareIinIaIhospitalIcontext.IWhichIofItheIfollowingIaspectsIofI
clients'IsituationsIbN
esUtIR
chSaI
raNctGerTizBe.
sIpCaOt hMo g e n e s i s IratherIthanIetiology?
A) AIclientIwhoIhasIbeenIexposedItoItheIMycobacteriumItuberculosisIbacterium
B) AIclientIwhoIhasIincreasingIserumIammoniaIlevelsIdueItoIliverIcirrhosis
C) AIclientIwhoIwasIadmittedIwithItheIeffectsIofImethylIalcoholIpoisoning
D) AIclientIwithImultipleIskeletalIinjuriesIsecondaryItoIaImotorIvehicleIaccidentIAn
s:IB
Feedback:
PathogenesisIrefersItoItheIprogressiveIandIevolutionaryIcourseIofIdisease,IsuchIasItheIincrea
singIammoniaIlevelsIthatIaccompanyIliverIdisease.IBacteria,Ipoisons,IandItraumaticIinjuries
IareIexamplesIofIetiologicIfactors.
, 5. AInewImyocardialIinfarctionIpatientIrequiringIangioplastyIandIstentIplacementIhasIarrivedI
toIhisIfirstIcardiacIrehabilitationIappointment.IInIthisIfirstIsession,IaIreviewIofItheIpathogen
esisIofIcoronaryIarteryIdiseaseIisIaddressed.IWhichIstatementIbyItheIpatientIverifiesItoItheIn
urseIthatIheIhasIunderstoodItheInurse'sIteachingsIaboutIcoronaryIarteryIdisease?
A) ―AllIIIhaveItoIdoIisIstopIsmoking,IandIthenIIIwon'tIhaveIanyImoreIheartattacks.‖
B) ―MyIarteryIwasIcloggedIbyIfat,IsoIIIwillIneedItoIstopIeatingIfattyIfoodsIlikeIFre
nchIfriesIeveryIday.‖
C) ―SoundsIlikeIthisIbeganIbecauseIofIinflammationIinsideImyIarteryIthatImadeIitIeas
yItoIformIfattyIstreaks,IwhichIleadItoImyIcloggedIartery.‖
D) ―IfIIIdoInotIexerciseIregularlyItoIgetImyIheartIrateIup,IbloodIpoolsIinItheIveinsIcausin
gIaIclotIthatIstopsIbloodIflowItoItheImuscle,IandIIIwillIhaveIaIheartIattack.‖
Ans:IC
Feedback:
TheItrueIetiology/causeIofIcoronaryIarteryIdiseaseI(CAD)IisIunknown;Ihowever,ItheIpathog
enesisIofItheIdisorderIrelatesItoItheIprogressionIofItheIinflammatoryIprocessIfromIaIfattyIstre
akItoItheIocclusiveIvesselIlesionIseenIinIpeopleIwithIcoronaryIarteryIdisease.IRiskIfactorsIfo
rICADIrevolveIaroundIcigaretteIsmoking,IdietIhighIinIfat,IandIlackIofIexercise.
6. AI77-year-
oldImanIisIaIhospitalIinpatientIadmittedIforIexacerbationIofIhisIchronicIobstructiveIpulmon
aryIdiseaseI(COPD),IandIaIrespiratoryItherapistI(RT)IisIassessingItheIclientIforItheIfirstItime.
IWhich NUofRthSeIfN
olG
loTwBin.gCaO
spMectsIofItheIpatient'sIcurrentIstateIofIhealthIwouldIbeIbestIcharact
erizedIasIaIsymptomIratherIthanIaIsign?
A) TheIpatient'sIoxygenIsaturationIisI83%IbyIpulseIoxymetry.
B) TheIpatientInotesIthatIheIhasIincreasedIworkIofIbreathingIwhenIlyingIsupine.
C) TheIRTIhearsIdiminishedIbreathIsoundsItoItheIpatient'sIlowerIlungIfieldsIbil
aterally.
D) TheIpatient'sIrespiratoryIrateIisI31Ibreaths/minute.I
Ans:IB
Feedback:
SymptomsIareIsubjectiveIcomplaintsIbyItheIpersonIexperiencingItheIhealthIproblem,Isu
chIasIcomplaintsIofIbreathingIdifficulty.IOxygenIlevels,IlisteningItoIbreathIsounds,IandIr
espiratoryIrateIareIallIobjective,IobservableIsignsIofIdisease.