TEST BANK
FOR
PORTH’S PATHOPHYSIOLOGY CONCEPTS OF ALTERED HEALTH STATES 11TH EDITION
BY TOMMIE L. NORRIS – VERIFIED CHAPTERS 1–52
Chapter 1- Concepts of Health and Disease
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
https://www.stuvia.com/user/lucidwise Page V1
, 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 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 within the presence of a family
history of CV disease does not meet the “attaining lives free of preventable
disease and premature death” determinant.
https://www.stuvia.com/user/lucidwise Page V2
,3. A Vphysician Vis Vproviding Vcare Vfor Va Vnumber Vof Vpatients Von Va Vmedical Vunit Vof
Va Vlarge, Vuniversity Vhospital. VThe Vphysician Vis Vdiscussing Vwith Va Vcolleague Vthe
Vdifferentiation Vbetween Vdiseases Vthat Vare Vcaused Vby Vabnormal Vmolecules Vand
Vdiseases Vthat Vcause Vdisease. VWhich Vof Vthe Vfollowing Vpatients Vmost Vclearly
Vdemonstrates Vthe Vconsequences Vof Vmolecules Vthat Vcause Vdisease?
A) A V31-year-old Vwoman Vwith Vsickle Vcell Vanemia Vwho Vis Vreceiving Va
Vtransfusion Vof Vpacked Vred Vblood Vcells
B) A V91-year-old Vwoman Vwho Vhas Vexperienced Van Vischemic Vstroke
Vresulting Vfrom Vfamilial Vhypercholesterolemia
C) A V19-year-old Vman Vwith Vexacerbation Vof Vhis Vcystic Vfibrosis Vrequiring
Voxygen Vtherapy Vand Vchest Vphysiotherapy
D) A V30-year-old Vhomeless Vman Vwho Vhas VPneumocystis Vcarinii Vpneumonia
V(PCP) Vand Vis VHIV Vpositive.
Ans: V D
Feedback:
PCP Vis Van Vexample Vof Vthe Veffect Vof Va Vmolecule Vthat Vdirectly Vcontributes Vto
Vdisease. VSickle Vcell Vanemia, Vfamilial Vhypercholesterolemia, Vand Vcystic Vfibrosis
Vare Vall Vexamples Vof Vthe Veffects Vof Vabnormal Vmolecules.
4. A Vmember Vof Vthe Vhealth Vcare Vteam Vis Vresearching Vthe Vetiology Vand
Vpathogenesis Vof Va Vnumber Vof Vclients Vwho Vare Vunder Vhis Vcare Vin Va Vhospital
Vcontext. VWhich Vof Vthe Vfollowing Vaspects Vof Vclients' Vsituations Vbest
Vcharacterizes Vpathogenesis Vrather Vthan Vetiology?
A) A Vclient Vwho Vhas Vbeen Vexposed Vto Vthe VMycobacterium Vtuberculosis Vbacterium
B) A Vclient Vwho Vhas Vincreasing Vserum Vammonia Vlevels Vdue Vto Vliver Vcirrhosis
C) A Vclient Vwho Vwas Vadmitted Vwith Vthe Veffects Vof Vmethyl Valcohol Vpoisoning
D) A Vclient Vwith Vmultiple Vskeletal Vinjuries Vsecondary Vto Va Vmotor Vvehicle
Vaccident VAns: V B
Feedback:
Pathogenesis Vrefers Vto Vthe Vprogressive Vand Vevolutionary Vcourse Vof Vdisease,
Vsuch Vas Vthe Vincreasing Vammonia Vlevels Vthat V accompany Vliver Vdisease.
VBacteria, Vpoisons, Vand Vtraumatic Vinjuries Vare Vexamples Vof Vetiologic Vfactors.
Page VN3
, 5. A VNnew VNmyocardial VNinfarction VNpatient VNrequiring VNangioplasty VNand VNstent
VNplacement VNhas VNarrived VNto VNhis VNfirst VNcardiac VNrehabilitation VNappointment.
VNIn VNthis VNfirst VNsession, VNa VNreview VNof VNthe VNpathogenesis VNof VNcoronary VNartery
VNdisease VNis VNaddressed. VNWhich VNstatement VNby VNthe VNpatient VNverifies VNto VNthe
VNnurse VNthat VNhe VNhas VNunderstood VNthe VNnurse's VNteachings VNabout VNcoronary
VNartery VNdisease?
A) “All VNI VNhave VNto VNdo VNis VNstop VNsmoking, VNand VNthen VNI VNwon't VNhave VNany VNmore
VNheart VNattacks.”
B) “My VNartery VNwas VNclogged VNby VNfat, VNso VNI VNwill VNneed VNto VNstop
VNeating VNfatty VNfoods VNlike VNFrench VNfries VNevery VNday.”
C) “Sounds VNlike VNthis VNbegan VNbecause VNof VNinflammation VNinside VNmy
VNartery VNthat VNmade VNit VNeasy VNto VNform VNfatty VNstreaks, VNwhich VNlead
VNto VNmy VNclogged VNartery.”
D) “If VNI VNdo VNnot VNexercise VNregularly VNto VNget VNmy VNheart VNrate VNup, VNblood
VNpools VNin VNthe VNveins VNcausing VNa VNclot VNthat VNstops VNblood VNflow VNto VNthe
VNmuscle, VNand VNI VNwill VNhave VNa VNheart VNattack.”
Ans: V N C
Feedback:
The VNtrue VNetiology/cause VNof VNcoronary VNartery VNdisease VN(CAD) VNis VNunknown;
VNhowever, VNthe VNpathogenesis VNof VNthe VNdisorder VNrelates VNto VNthe VNprogression
VNof VNthe VNinflammatory VNprocess VNfrom VNa VNfatty VNstreak VNto VNthe VNocclusive
VNvessel VNlesion VNseen VNin VNpeople VNwith VNcoronary VNartery VNdisease. VNRisk VNfactors
VNfor VNCAD VNrevolve VNaround VNcigarette VNsmoking, VNdiet VNhigh VNin VNfat, VNand
VNlack VNof VNexercise.
6. A VN77-year-old VNman VNis VNa VNhospital VNinpatient VNadmitted VNfor VNexacerbation
VNof VNhis VNchronic VNobstructive VNpulmonary VNdisease VN(COPD), VNand VNa
VNrespiratory VNtherapist VN(RT) VNis VNassessing VNthe VNclient VNfor VNthe VNfirst VNtime.
VNWhich VNof VNthe VNfollowing VNaspects VNof VNthe VNpatient's VNcurrent VNstate VNof
VNhealth VNwould VNbe VNbest VNcharacterized VNas VNa VNsymptom VNrather VNthan VNa
VNsign?
A) The VNpatient's VNoxygen VNsaturation VNis VN83% VNby VNpulse VNoxymetry.
B) The VNpatient VNnotes VNthat VNhe VNhas VNincreased VNwork VNof VNbreathing VNwhen VNlying
VNsupine.
C) The VNRT VNhears VNdiminished VNbreath VNsounds VNto VNthe VNpatient's
VNlower VNlung VNfields VNbilaterally.
D) The VNpatient's VNrespiratory VNrate VNis VN31
VNbreaths/minute. VNAns: V N B
Feedback:
Symptoms VNare VNsubjective VNcomplaints VNby VNthe VNperson VNexperiencing VNthe
VNhealth VNproblem, VNsuch VNas VNcomplaints VNof VNbreathing VNdifficulty. VNOxygen
VNlevels, VNlistening VNto VNbreath VNsounds, VNand VNrespiratory VNrate VNare VNall
VNobjective, VNobservable VNsigns VNof VNdisease.
Page VN4
FOR
PORTH’S PATHOPHYSIOLOGY CONCEPTS OF ALTERED HEALTH STATES 11TH EDITION
BY TOMMIE L. NORRIS – VERIFIED CHAPTERS 1–52
Chapter 1- Concepts of Health and Disease
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
https://www.stuvia.com/user/lucidwise Page V1
, 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 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 within the presence of a family
history of CV disease does not meet the “attaining lives free of preventable
disease and premature death” determinant.
https://www.stuvia.com/user/lucidwise Page V2
,3. A Vphysician Vis Vproviding Vcare Vfor Va Vnumber Vof Vpatients Von Va Vmedical Vunit Vof
Va Vlarge, Vuniversity Vhospital. VThe Vphysician Vis Vdiscussing Vwith Va Vcolleague Vthe
Vdifferentiation Vbetween Vdiseases Vthat Vare Vcaused Vby Vabnormal Vmolecules Vand
Vdiseases Vthat Vcause Vdisease. VWhich Vof Vthe Vfollowing Vpatients Vmost Vclearly
Vdemonstrates Vthe Vconsequences Vof Vmolecules Vthat Vcause Vdisease?
A) A V31-year-old Vwoman Vwith Vsickle Vcell Vanemia Vwho Vis Vreceiving Va
Vtransfusion Vof Vpacked Vred Vblood Vcells
B) A V91-year-old Vwoman Vwho Vhas Vexperienced Van Vischemic Vstroke
Vresulting Vfrom Vfamilial Vhypercholesterolemia
C) A V19-year-old Vman Vwith Vexacerbation Vof Vhis Vcystic Vfibrosis Vrequiring
Voxygen Vtherapy Vand Vchest Vphysiotherapy
D) A V30-year-old Vhomeless Vman Vwho Vhas VPneumocystis Vcarinii Vpneumonia
V(PCP) Vand Vis VHIV Vpositive.
Ans: V D
Feedback:
PCP Vis Van Vexample Vof Vthe Veffect Vof Va Vmolecule Vthat Vdirectly Vcontributes Vto
Vdisease. VSickle Vcell Vanemia, Vfamilial Vhypercholesterolemia, Vand Vcystic Vfibrosis
Vare Vall Vexamples Vof Vthe Veffects Vof Vabnormal Vmolecules.
4. A Vmember Vof Vthe Vhealth Vcare Vteam Vis Vresearching Vthe Vetiology Vand
Vpathogenesis Vof Va Vnumber Vof Vclients Vwho Vare Vunder Vhis Vcare Vin Va Vhospital
Vcontext. VWhich Vof Vthe Vfollowing Vaspects Vof Vclients' Vsituations Vbest
Vcharacterizes Vpathogenesis Vrather Vthan Vetiology?
A) A Vclient Vwho Vhas Vbeen Vexposed Vto Vthe VMycobacterium Vtuberculosis Vbacterium
B) A Vclient Vwho Vhas Vincreasing Vserum Vammonia Vlevels Vdue Vto Vliver Vcirrhosis
C) A Vclient Vwho Vwas Vadmitted Vwith Vthe Veffects Vof Vmethyl Valcohol Vpoisoning
D) A Vclient Vwith Vmultiple Vskeletal Vinjuries Vsecondary Vto Va Vmotor Vvehicle
Vaccident VAns: V B
Feedback:
Pathogenesis Vrefers Vto Vthe Vprogressive Vand Vevolutionary Vcourse Vof Vdisease,
Vsuch Vas Vthe Vincreasing Vammonia Vlevels Vthat V accompany Vliver Vdisease.
VBacteria, Vpoisons, Vand Vtraumatic Vinjuries Vare Vexamples Vof Vetiologic Vfactors.
Page VN3
, 5. A VNnew VNmyocardial VNinfarction VNpatient VNrequiring VNangioplasty VNand VNstent
VNplacement VNhas VNarrived VNto VNhis VNfirst VNcardiac VNrehabilitation VNappointment.
VNIn VNthis VNfirst VNsession, VNa VNreview VNof VNthe VNpathogenesis VNof VNcoronary VNartery
VNdisease VNis VNaddressed. VNWhich VNstatement VNby VNthe VNpatient VNverifies VNto VNthe
VNnurse VNthat VNhe VNhas VNunderstood VNthe VNnurse's VNteachings VNabout VNcoronary
VNartery VNdisease?
A) “All VNI VNhave VNto VNdo VNis VNstop VNsmoking, VNand VNthen VNI VNwon't VNhave VNany VNmore
VNheart VNattacks.”
B) “My VNartery VNwas VNclogged VNby VNfat, VNso VNI VNwill VNneed VNto VNstop
VNeating VNfatty VNfoods VNlike VNFrench VNfries VNevery VNday.”
C) “Sounds VNlike VNthis VNbegan VNbecause VNof VNinflammation VNinside VNmy
VNartery VNthat VNmade VNit VNeasy VNto VNform VNfatty VNstreaks, VNwhich VNlead
VNto VNmy VNclogged VNartery.”
D) “If VNI VNdo VNnot VNexercise VNregularly VNto VNget VNmy VNheart VNrate VNup, VNblood
VNpools VNin VNthe VNveins VNcausing VNa VNclot VNthat VNstops VNblood VNflow VNto VNthe
VNmuscle, VNand VNI VNwill VNhave VNa VNheart VNattack.”
Ans: V N C
Feedback:
The VNtrue VNetiology/cause VNof VNcoronary VNartery VNdisease VN(CAD) VNis VNunknown;
VNhowever, VNthe VNpathogenesis VNof VNthe VNdisorder VNrelates VNto VNthe VNprogression
VNof VNthe VNinflammatory VNprocess VNfrom VNa VNfatty VNstreak VNto VNthe VNocclusive
VNvessel VNlesion VNseen VNin VNpeople VNwith VNcoronary VNartery VNdisease. VNRisk VNfactors
VNfor VNCAD VNrevolve VNaround VNcigarette VNsmoking, VNdiet VNhigh VNin VNfat, VNand
VNlack VNof VNexercise.
6. A VN77-year-old VNman VNis VNa VNhospital VNinpatient VNadmitted VNfor VNexacerbation
VNof VNhis VNchronic VNobstructive VNpulmonary VNdisease VN(COPD), VNand VNa
VNrespiratory VNtherapist VN(RT) VNis VNassessing VNthe VNclient VNfor VNthe VNfirst VNtime.
VNWhich VNof VNthe VNfollowing VNaspects VNof VNthe VNpatient's VNcurrent VNstate VNof
VNhealth VNwould VNbe VNbest VNcharacterized VNas VNa VNsymptom VNrather VNthan VNa
VNsign?
A) The VNpatient's VNoxygen VNsaturation VNis VN83% VNby VNpulse VNoxymetry.
B) The VNpatient VNnotes VNthat VNhe VNhas VNincreased VNwork VNof VNbreathing VNwhen VNlying
VNsupine.
C) The VNRT VNhears VNdiminished VNbreath VNsounds VNto VNthe VNpatient's
VNlower VNlung VNfields VNbilaterally.
D) The VNpatient's VNrespiratory VNrate VNis VN31
VNbreaths/minute. VNAns: V N B
Feedback:
Symptoms VNare VNsubjective VNcomplaints VNby VNthe VNperson VNexperiencing VNthe
VNhealth VNproblem, VNsuch VNas VNcomplaints VNof VNbreathing VNdifficulty. VNOxygen
VNlevels, VNlistening VNto VNbreath VNsounds, VNand VNrespiratory VNrate VNare VNall
VNobjective, VNobservable VNsigns VNof VNdisease.
Page VN4
