TEST BANK For Porth's Pathophysiology Concepts of Altered Health States 10th Edition by Tommie L. Norris, Verified Chapters 1 - 52, Complete Newest Version; Grade A+

Porth's Pathophysiology Concepts of Altered Health 10th Edition Test
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Page 1
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, Bank
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Chapter 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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mmfocused on the World Health Organization (WHO) views on health. Of the
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mmfollowing comments made by nurses during a discussion session, which
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mmstatements would be considered a good representation of the WHO
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mmdefinition? Select all that apply. mm mm mm mm


A) Interests in keeping the elderly population engaged in such activities
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as book reviews and word games during social time
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B) Increase in the number of chair aerobics classes provided in the
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skilled care facilities
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C) Interventions geared toward keeping the elderly population diagnosed
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with diabetes mellitus under tight blood glucose control by providing in-
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home cooking classes mm mm


D) Providing transportation for renal dialysis patients to and from their
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hemodialysis sessions
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E) Providing handwashing teaching sessions to a group of young
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mmchildren Ans: A, B, C, E mm m m mm mm mm


Feedback:
The WHO definition of health is defined as ―a state of complete physical,
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mmmental, and social well-being and not merely the absence of disease and
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mminfirmity.‖ Engaging in book reviews facilitates mental and social well-being;
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mmchair aerobics helps facilitate physical well-being; and assisting with tight
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mmcontrol of diabetes helps with facilitating physical well-being even though the
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mmperson has a chronic disease. Handwashing is vital in the prevention of
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mmdisease and spread of germs.
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2. A community health nurse is teaching a group of recent graduates about
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mmthe large variety of factors that influence an individual's health or lack
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mmthereof. The nurse is referring to the Healthy People 2020 report from
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mmthe U.S. Department of Health and Human Services as a teaching
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mmexample. Of the following aspects discussed, which would be considered
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mma determinant of health that is outside 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
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minimize effects of stress.
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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. mm


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
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to many health care facilities.
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Ans: B m m


Feedback:
In Healthy People 2020, the focus is to promote good health to all (such as
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mmusing alternative therapies to minimize effects of stress); achieving health
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mmequity and promoting health for all (which includes having good health care
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mmbenefits); and promoting good health (which includes living in a clean
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mmcommunity with good access to health care). A client's noncompliance with
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mmtreatments to control high cholesterol levels within the presence of a family
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, history of CV disease does not meet the ―attaining lives free of preventable
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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
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mma large, university hospital. The physician is discussing with a colleague the
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mmdifferentiation between diseases that are caused by abnormal molecules and
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mmdiseases that cause disease. Which of the following patients most clearly
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mmdemonstrates the consequences of molecules that cause disease?
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A) A 31-year-old woman with sickle cell anemia who is receiving a
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transfusion of packed red blood cells
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B) A 91-year-old woman who has experienced an ischemic stroke
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resulting from familial hypercholesterolemia
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C) A 19-year-old man with exacerbation of his cystic fibrosis requiring
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oxygen therapy and chest physiotherapy
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D) A 30-year-old homeless man who has Pneumocystis carinii pneumonia
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(PCP) and is HIV positive.
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Ans: D m m


Feedback:
PCP is an example of the effect of a molecule that directly contributes to
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mmdisease. Sickle cell anemia, familial hypercholesterolemia, and cystic fibrosis
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mmare all examples of the effects of abnormal molecules.
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4. A member of the health care team is researching the etiology and
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mmpathogenesis of a number of clients who are under his care in a hospital
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mmcontext. Which of the following aspects of clients' situations best
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mmcharacterizes pathogenesis 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
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mmaccident Ans: B mm m m


Feedback:
Pathogenesis refers to the progressive and evolutionary course of disease, such
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mmas the increasing ammonia levels that accompany liver disease. Bacteria,
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mmpoisons, and traumatic injuries are examples of etiologic factors.
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