Med C
, Porth’s Pathophysiology 10th Edition Norris Test Bank
MULTIPLE CHOICE
1. At an international nursing conference, many discussions and breakout sessions
focused on the World Health Organization (WHO) views on health. Of the following
comments made by nurses during a discussion session, which statements would be
considered a good representation of the WHO definition? Select all that apply.
A) Interests in keeping the elderly population engaged in such activities as
book reviews and word games during social time
B) Increase in the number of chair aerobics classes provided in the skilled
care facilities
C) Interventions geared toward keeping the elderly population diagnosed with
diabetes mellitus under tight blood glucose control by providing in-home cooking
classes
D) Providing transportation for renal dialysis patients to and from their
hemodialysis sessions
E) Providing handwashing teaching sessions to a group of young
children Ans: A, B, C, E
Feedback:
The WHO definition of health is defined as “a state of complete physical, mental, and
social well-being and not merely the absence of disease and infirmity.” Engaging in
book reviews facilitates mental and social well-being; chair aerobics helps facilitate
physical well-being; and assisting with tight control of diabetes helps with facilitating
physical well-being even though the person has a chronic disease. Handwashing is vital
in the prevention of disease and spread of germs.
2. A community health nurse is teaching a group of recent graduates about the large
variety of factors that influence an individual's health or lack thereof. The nurse is
referring to the Healthy People 2020 report from the U.S. Department of Health
and Human Services as a teaching example. Of the following aspects discussed,
which would be considered a determinant of health that is outside the focus of this
report?
A) The client has a diverse background by being of Asian and Native American
descent and practices various alternative therapies to minimize effects of
stress.
B) The client has a family history of cardiovascular disease related to
hypercholesterolemia and remains noncompliant with the treatment
regime.
C) The client has a good career with exceptional preventative health care benefits.
D) The client lives in an affluent, clean, suburban community with access to
many health care facilities.
Ans: B
Feedback:
In Healthy People 2020, the focus is to promote good health to all (such as using
alternative therapies to minimize effects of stress); achieving health equity and
Med C
, promoting health for all (which includes having good health care benefits); and
promoting good health (which includes living in a clean community with good access
to health care). A client's noncompliance with treatments to control high cholesterol
levels
Med C
, within the presence of a family history of CV disease does not meet the “attaining lives
free of preventable disease and premature death” determinant.
3. A physician is providing care for a number of patients on a medical unit of a large,
university hospital. The physician is discussing with a colleague the differentiation
between diseases that are caused by abnormal molecules and diseases that cause
disease. Which of the following patients most clearly demonstrates the consequences of
molecules that cause disease?
A) A 31-year-old woman with sickle cell anemia who is receiving a transfusion
of packed red blood cells
B) A 91-year-old woman who has experienced an ischemic stroke resulting
from familial hypercholesterolemia
C) A 19-year-old man with exacerbation of his cystic fibrosis requiring
oxygen therapy and chest physiotherapy
D) A 30-year-old homeless man who has Pneumocystis carinii pneumonia (PCP) and
is HIV positive.
Ans: D
Feedback:
PCP is an example of the effect of a molecule that directly contributes to disease. Sickle
cell anemia, familial hypercholesterolemia, and cystic fibrosis are all examples of the
effects of abnormal molecules.
4. A member of the health care team is researching the etiology and pathogenesis of a
number of clients who are under his care in a hospital context. Which of the
following aspects of clients' situations bNesUt RchSaIraNctGerTizBe.s
pCaOt hMo ge n e s i s rather than etiology?
A) A client who has been exposed to the Mycobacterium tuberculosis bacterium
B) A client who has increasing serum ammonia levels due to liver cirrhosis
C) A client who was admitted with the effects of methyl alcohol poisoning
D) A client with multiple skeletal injuries secondary to a motor vehicle
accident Ans: B
Feedback:
Pathogenesis refers to the progressive and evolutionary course of disease, such as the
increasing ammonia levels that accompany liver disease. Bacteria, poisons, and
traumatic injuries are examples of etiologic factors.
5. A new myocardial infarction patient requiring angioplasty and stent placement has
arrived to his first cardiac rehabilitation appointment. In this first session, a review of
the pathogenesis of coronary artery disease is addressed. Which statement by the
patient verifies to the nurse that he has understood the nurse's teachings about coronary
artery disease?
A) “All I have to do is stop smoking, and then I won't have any more heart attacks.”
B) “My artery was clogged by fat, so I will need to stop eating fatty foods
like French fries every day.”
C) “Sounds like this began because of inflammation inside my artery that made
it easy to form fatty streaks, which lead to my clogged artery.”
D) “If I do not exercise regularly to get my heart rate up, blood pools in the veins
causing a clot that stops blood flow to the muscle, and I will have a heart
Med C
, Porth’s Pathophysiology 10th Edition Norris Test Bank
MULTIPLE CHOICE
1. At an international nursing conference, many discussions and breakout sessions
focused on the World Health Organization (WHO) views on health. Of the following
comments made by nurses during a discussion session, which statements would be
considered a good representation of the WHO definition? Select all that apply.
A) Interests in keeping the elderly population engaged in such activities as
book reviews and word games during social time
B) Increase in the number of chair aerobics classes provided in the skilled
care facilities
C) Interventions geared toward keeping the elderly population diagnosed with
diabetes mellitus under tight blood glucose control by providing in-home cooking
classes
D) Providing transportation for renal dialysis patients to and from their
hemodialysis sessions
E) Providing handwashing teaching sessions to a group of young
children Ans: A, B, C, E
Feedback:
The WHO definition of health is defined as “a state of complete physical, mental, and
social well-being and not merely the absence of disease and infirmity.” Engaging in
book reviews facilitates mental and social well-being; chair aerobics helps facilitate
physical well-being; and assisting with tight control of diabetes helps with facilitating
physical well-being even though the person has a chronic disease. Handwashing is vital
in the prevention of disease and spread of germs.
2. A community health nurse is teaching a group of recent graduates about the large
variety of factors that influence an individual's health or lack thereof. The nurse is
referring to the Healthy People 2020 report from the U.S. Department of Health
and Human Services as a teaching example. Of the following aspects discussed,
which would be considered a determinant of health that is outside the focus of this
report?
A) The client has a diverse background by being of Asian and Native American
descent and practices various alternative therapies to minimize effects of
stress.
B) The client has a family history of cardiovascular disease related to
hypercholesterolemia and remains noncompliant with the treatment
regime.
C) The client has a good career with exceptional preventative health care benefits.
D) The client lives in an affluent, clean, suburban community with access to
many health care facilities.
Ans: B
Feedback:
In Healthy People 2020, the focus is to promote good health to all (such as using
alternative therapies to minimize effects of stress); achieving health equity and
Med C
, promoting health for all (which includes having good health care benefits); and
promoting good health (which includes living in a clean community with good access
to health care). A client's noncompliance with treatments to control high cholesterol
levels
Med C
, within the presence of a family history of CV disease does not meet the “attaining lives
free of preventable disease and premature death” determinant.
3. A physician is providing care for a number of patients on a medical unit of a large,
university hospital. The physician is discussing with a colleague the differentiation
between diseases that are caused by abnormal molecules and diseases that cause
disease. Which of the following patients most clearly demonstrates the consequences of
molecules that cause disease?
A) A 31-year-old woman with sickle cell anemia who is receiving a transfusion
of packed red blood cells
B) A 91-year-old woman who has experienced an ischemic stroke resulting
from familial hypercholesterolemia
C) A 19-year-old man with exacerbation of his cystic fibrosis requiring
oxygen therapy and chest physiotherapy
D) A 30-year-old homeless man who has Pneumocystis carinii pneumonia (PCP) and
is HIV positive.
Ans: D
Feedback:
PCP is an example of the effect of a molecule that directly contributes to disease. Sickle
cell anemia, familial hypercholesterolemia, and cystic fibrosis are all examples of the
effects of abnormal molecules.
4. A member of the health care team is researching the etiology and pathogenesis of a
number of clients who are under his care in a hospital context. Which of the
following aspects of clients' situations bNesUt RchSaIraNctGerTizBe.s
pCaOt hMo ge n e s i s rather than etiology?
A) A client who has been exposed to the Mycobacterium tuberculosis bacterium
B) A client who has increasing serum ammonia levels due to liver cirrhosis
C) A client who was admitted with the effects of methyl alcohol poisoning
D) A client with multiple skeletal injuries secondary to a motor vehicle
accident Ans: B
Feedback:
Pathogenesis refers to the progressive and evolutionary course of disease, such as the
increasing ammonia levels that accompany liver disease. Bacteria, poisons, and
traumatic injuries are examples of etiologic factors.
5. A new myocardial infarction patient requiring angioplasty and stent placement has
arrived to his first cardiac rehabilitation appointment. In this first session, a review of
the pathogenesis of coronary artery disease is addressed. Which statement by the
patient verifies to the nurse that he has understood the nurse's teachings about coronary
artery disease?
A) “All I have to do is stop smoking, and then I won't have any more heart attacks.”
B) “My artery was clogged by fat, so I will need to stop eating fatty foods
like French fries every day.”
C) “Sounds like this began because of inflammation inside my artery that made
it easy to form fatty streaks, which lead to my clogged artery.”
D) “If I do not exercise regularly to get my heart rate up, blood pools in the veins
causing a clot that stops blood flow to the muscle, and I will have a heart
Med C
