Test Bank for Porth's Pathophysiology, 10th Edition by Norris - All Chapters covered isbn:9781496377555

, TEST BANK FOR PORTH'S PATHOPHYSIOLOGY 10TH EDITION BY NORRIS




Porth’s Pathophysiology 10th Edition Norris Test Bank
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1. At an international nursing conference, many discussions and breakout sessions focused
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on the World Health Organization (WHO) views on health. Of the following comments
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made by nurses during a discussion session, which statements would be considered a g
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ood 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 book mt mt mt mt mt mt mt mt mt mt mt m



reviews and word games during social time
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B) Increase in the number of chair aerobics classes provided in the skilled care mt mt mt mt mt mt mt mt mt mt mt mt



facilities mt



C) Interventions geared toward keeping the elderly population diagnosed with diabe mt mt mt mt mt mt mt mt mt



tes mellitus under tight blood glucose control by providing in-
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home cooking classes mt mt



D) Providing transportation for renal dialysis patients to and from their hemodialysis mt mt mt mt mt mt mt mt mt mt m



sessions t



E) Providing handwashing teaching sessions to a group of young children mt mt mt mt mt mt mt mt mt mt



Ans: A, B, C, E mt mt mt mt



Feedback:
The WHO definition of health is defined as “a state of complete physical, mental, and s
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ocial well- mt



being and not merely the absence of disease and infirmity.” Engaging in book reviews
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facilitates mental and social well-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 prevent
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ion 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 v
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ariety of factors that influence an individual's health or lack thereof. The nurse is re
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ferring to the Healthy People 2020 report from the U.S. Department of Health and H
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uman Services as a teaching example. Of the following aspects discussed, which w
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ould be considered a 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 American d
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escent and practices various alternative therapies to minimize effects of stress.
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B) The client has a family history of cardiovascular disease related to hyperch
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olesterolemia and remains noncompliant with the treatment regime. mt mt mt mt mt mt mt



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 many
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health care facilities. t mt mt



Ans: B mt



Feedback:
In Healthy People 2020, the focus is to promote good health to all (such as using altern
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ative therapies to minimize effects of stress); achieving health equity and promoting he
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alth for all (which includes having good health care benefits); and promoting good healt
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h (which includes living in a clean community with good access to health care). A client'
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s noncompliance with treatments to control high cholesterol levels within the presence
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of a family history of CV disease does not meet the “attaining lives free of preventable
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disease and premature death” determinant. mt mt mt mt

, TEST BANK FOR PORTH'S PATHOPHYSIOLOGY 10TH EDITION BY NORRIS




3. A physician is providing care for a number of patients on a medical unit of a large, univ
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ersity hospital. The physician is discussing with a colleague the differentiation between
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diseases that are caused by abnormal molecules and diseases that cause disease. Which o
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f the following patients most clearly demonstrates the consequences of molecules that c
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ause disease? mt



A) A 31-year- mt



old woman with sickle cell anemia who is receiving a transfusion of packed re
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d blood cells mt mt



B) A 91-year- mt



old woman who has experienced an ischemic stroke resulting from familial h
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ypercholesterolemia
C) A 19-year- mt



old man with exacerbation of his cystic fibrosis requiring oxygen therapy an
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d chest physiotherapy mt mt



D) A 30-year- mt



old homeless man who has Pneumocystis carinii pneumonia (PCP) and is HIV po
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sitive.
Ans: D mt



Feedback:
PCP is an example of the effect of a molecule that directly contributes to disease. Sickle
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cell anemia, familial hypercholesterolemia, and cystic fibrosis are all examples of the e
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ffects of abnormal molecules.
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4. A member of the health care team is researching the etiology and pathogenesis of a n
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umber of clients who are under his care in a hospital context. Which of the following a
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spects of clients' situations bN
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chSaI
raN
ctGerTizBe.
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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 accident
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Ans: B
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Feedback:
Pathogenesis refers to the progressive and evolutionary course of disease, such as the inc
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reasing ammonia levels that accompany liver disease. Bacteria, poisons, and traumatic i
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njuries are examples of etiologic factors.
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, TEST BANK FOR PORTH'S PATHOPHYSIOLOGY 10TH EDITION BY NORRIS




5. A new myocardial infarction patient requiring angioplasty and stent placement has arri
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ved to his first cardiac rehabilitation appointment. In this first session, a review of the p
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athogenesis of coronary artery disease is addressed. Which statement by the patient veri
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fies to the nurse that he has understood the nurse's teachings about coronary artery dise
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ase?
A) “All I have to do is stop smoking, and then I won't have any more heart attacks.”
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B) “My artery was clogged by fat, so I will need to stop eating fatty foods like
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French fries every day.” t mt mt mt



C) “Sounds like this began because of inflammation inside my artery that made it mt mt mt mt mt mt mt mt mt mt mt mt m



easy to form fatty streaks, which lead to my clogged artery.”
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D) “If I do not exercise regularly to get my heart rate up, blood pools in the veins c
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ausing a clot that stops blood flow to the muscle, and I will have a heart attack.”
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Ans: C mt



Feedback:
The true etiology/cause of coronary artery disease (CAD) is unknown; however, the pa
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thogenesis of the disorder relates to the progression of the inflammatory process from a
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fatty streak to the occlusive vessel lesion seen in people with coronary artery disease.
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Risk factors for CAD revolve around cigarette smoking, diet high in fat, and lack of ex
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ercise.


6. A 77-year-mt



old man is a hospital inpatient admitted for exacerbation of his chronic obstructive pul
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monary disease (COPD), and a respiratory therapist (RT) is assessing the client for the f
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irst time. WhichNU
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olG
loTwBin.gCaO
spMects of the patient's current state of health would b
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e best characterized as a symptom rather than a sign?
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A) The patient's oxygen saturation is 83% by pulse oxymetry.
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B) The patient notes that he has increased work of breathing when lying supine.
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C) The RT hears diminished breath sounds to the patient's lower lung fields
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bilaterally. t



D) The patient's respiratory rate is 31 breaths/minute.mt mt mt mt mt mt mt



Ans: B mt



Feedback:
Symptoms are subjective complaints by the person experiencing the health problem,
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such as complaints of breathing difficulty. Oxygen levels, listening to breath sounds
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, and respiratory rate are all objective, observable signs of disease.
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