Altered Health States 11th Edition by Tommie L.
Norris, Verified Chapters 1 - 52, Complete Newest
Version
A client develops an infection with a resistant organism
while hospitalized for surgery. After treatment, there are no
obvious signs of infection, but a culture shows that the
organism is present. Which term describes the client's
status?
a) Preclinical stage
b) Carrier status
c) Chronic disease
d) Clinical disease - Correct Answer--b) Carrier status
In carrier status, the client shows no symptoms, tests
positive for the disease, and may still transmit the disease
but is not infected. Chronic disease is a long-term,
continuous process. In the preclinical stage of a disease, a
client may show no symptoms but will progress to clinical
disease. In clinical disease, the condition is overtly present.
,There are three fundamental types of prevention used in
health care: primary, secondary, and tertiary. Which
statement accurately describes secondary prevention?
a) Secondary prevention is often accomplished outside the
health care system at the community level.
b) Secondary prevention goes beyond treating the problem
with which the person presents.
c) Secondary prevention takes place within health care
systems and involves the services of a number of different
types of health care professionals.
d) Secondary prevention detects disease early, and most is
done in clinical settings. - Correct Answer--d) Secondary
prevention detects disease early, and most is done in
clinical settings.
Secondary prevention detects disease early in its course
when it is still asymptomatic and treatment measures can
effect a cure or stop the disease from progressing. Most
,secondary prevention is undertaken in clinical settings.
Tertiary prevention goes beyond treating the presenting
problem. Tertiary prevention programs are located within
health care systems and involve the services of a number of
different types of health care professionals. Primary
prevention is often accomplished outside the health care
system at the community level.
Why are some diseases termed syndromes?
a) They have complications.
b) They leave sequelae (e.g., lesions) and residual effects.
c) They are a compilation of signs and symptoms
characteristic of a specific disease state.
d) They are a group of disease states that has the same
etiology. - Correct Answer--c) They are a compilation of
signs and symptoms characteristic of a specific disease
state.
A syndrome is a compilation of signs and symptoms (e.g.,
chronic fatigue syndrome) that are characteristic of a
specific disease state. Complications are possible adverse
extensions of a disease or outcomes from treatment.
, Sequelae are lesions or impairments that follow or are
caused by a disease. There is no name for a group of
disease states that all have the same cause.
A multidisciplinary healthcare team operates a program
aimed at the prevention, identification, and treatment of
diabetes on a large Indian reservation. Which aspect of the
program would most likely be classified as secondary
prevention?
a) Administering oral antihyperglycemic medications to
clients who have a diagnosis of diabetes.
b) Teaching school children how a nutritious, traditional diet
can lessen their chances of developing adult-onset diabetes.
c) Staffing a booth where community residents who are
attending a baseball tournament can have their blood
glucose levels checked.
d) Regularly scheduled wound dressing changes for clients
who have foot ulcers secondary to peripheral neuropathy
and impaired wound healing. - Correct Answer--c) Staffing a
booth where community residents who are attending a