TEST BANK For Porth's Pathophysiology Concepts of Altered Health States 11th Edition by Tommie L. Norris, Verified Chapters 1 - 52, Complete Newest Version

,Porth’s Pathophysiology 10th Edition Norris Test Bank
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1. At an international nursing conference, many discussions and breakout sessions focuse
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d on the World Health Organization (WHO) views on health. Of the following comm
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ents made by nurses during a discussion session, which statements would be consider
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ed a good representation of the WHO definition? Select all that apply.
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A) Interests in keeping the elderly population engaged in such activities as bo
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ok reviews and word games during social time
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B) Increase in the number of chair aerobics classes provided in the skilled ca
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re facilities Vl


C) Interventions geared toward keeping the elderly population diagnosed with diab Vl Vl Vl Vl Vl Vl Vl Vl Vl


etes mellitus under tight blood glucose control by providing in-
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home cooking classes Vl Vl


D) Providing transportation for renal dialysis patients to and from their hemodialys
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is sessions Vl


E) Providing handwashing teaching sessions to a group of young childre Vl Vl Vl Vl Vl Vl Vl Vl Vl


n Ans: A, B, C, E
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Feedback:
The WHO definition of health is defined as ―a state of complete physical, mental, an
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d social well-
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being and not merely the absence of disease and infirmity.‖ Engaging in book review
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s facilitates mental and social well-
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being; chair aerobics helps facilitate physical well-
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being; and assisting with tight control of diabetes helps with facilitating physical well
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-
being even though the person has a chronic disease. Handwashing is vital in the preve
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ntion of disease and spread of germs.
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2. A community health nurse is teaching a group of recent graduates about the large
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variety of factors that influence an individual's health or lack thereof. The nurse
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is referring to the Healthy People 2020 report from the U.S. Department of Health
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and Human Services as a teaching example. Of the following aspects discussed,
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which would be considered a determinant of health that is outside the focus of th
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is report?
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A) The client has a diverse background by being of Asian and Native American
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descent and practices various alternative therapies to minimize effects of stre
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ss.
B) The client has a family history of cardiovascular disease related to hyper
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cholesterolemia and remains noncompliant with the treatment regime. Vl Vl Vl Vl Vl Vl Vl


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 ma
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ny health care facilities. Vl Vl Vl


Ans: B Vl


Feedback:
In Healthy People 2020, the focus is to promote good health to all (such as using alte
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rnative therapies to minimize effects of stress); achieving health equity and promotin
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g health for all (which includes having good health care benefits); and promoting goo
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d health (which includes living in a clean community with good access to health care)
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. A client's noncompliance with treatments to control high cholesterol levels within th
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,e presence of a family history of CV disease does not meet the ―attaining lives free o
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f 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, u
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niversity hospital. The physician is discussing with a colleague the differentiation bet
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ween diseases that are caused by abnormal molecules and diseases that cause disease.
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Which of the following patients most clearly demonstrates the consequences of molec
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ules that cause disease?
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A) A 31-year- Vl


old woman with sickle cell anemia who is receiving a transfusion of packed
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red blood cells Vl Vl


B) A 91-year- Vl


old woman who has experienced an ischemic stroke resulting from familial
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hypercholesterolemia
C) A 19-year- Vl


old man with exacerbation of his cystic fibrosis requiring oxygen therapy
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and chest physiotherapy Vl Vl


D) A 30-year- Vl


old homeless man who has Pneumocystis carinii pneumonia (PCP) and is HIV p
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ositive.
Ans: D Vl


Feedback:
PCP is an example of the effect of a molecule that directly contributes to disease. Sic
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kle cell anemia, familial hypercholesterolemia, and cystic fibrosis are all examples of
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the effects of abnormal molecules.
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4. A member of the health care team is researching the etiology and pathogenesis of a
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number of clients who are under his care in a hospital context. Which of the follow
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ing aspects of clients' situations bN
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chSaI
raN
ctGerTizBe.
Vl s pCaOt hMo ge n e s i s rather than 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 accide
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nt Ans: B
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Feedback:
Pathogenesis refers to the progressive and evolutionary course of disease, such as the i
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ncreasing ammonia levels that accompany liver disease. Bacteria, poisons, and trauma
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tic injuries are examples of etiologic factors.
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