,1. At an international nursing conference, many discussions and breakout sessions focuse
d on the World Health Organization (WHO) views on health. Of the following comme
nts 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 boo
k reviews and word games during social time
B) Increase in the number of chair aerobics classes provided in the skilled car
e facilities
C) Interventions geared toward keeping the elderly population diagnosed with diab
etes mellitus under tight blood glucose control by providing in-
home cooking classes
D) Providing transportation for renal dialysis patients to and from their hemodialysi
s 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 preven
tion 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 an
d Human Services as a teaching example. Of the following aspects discussed, whi
ch would be considered a determinant of health that is outside the focus of this rep
ort?
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 hyperc
holesterolemia 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 man
y health care facilities.
Ans: B
Feedback:
In Healthy People 2020, the focus is to promote good health to all (such as using alter
native therapies to minimize effects of stress); achieving health equity and promoting
health for all (which includes having good health care benefits); and promoting good h
ealth (which includes living in a clean community with good access to health care). A c
lient's noncompliance with treatments to control high cholesterol levels within the pres
ence of a family history of CV disease does not meet the ―attaining lives free of preve
ntable disease and premature death‖ determinant.
,1
TEST BANK FOR PORTH'S PATHOPHYSIOLOGY 11TH EDITION BY NORRIS
3. A physician is providing care for a number of patients on a medical unit of a large, un
iversity hospital. The physician is discussing with a colleague the differentiation betw
een diseases that are caused by abnormal molecules and diseases that cause disease.
Which of the following patients most clearly demonstrates the consequences of molec
ules that cause disease?
A) A 31-year-
old woman with sickle cell anemia who is receiving a transfusion of packed r
ed blood cells
B) A 91-year-
old woman who has experienced an ischemic stroke resulting from familial h
ypercholesterolemia
C) A 19-year-
old man with exacerbation of his cystic fibrosis requiring oxygen therapy a
Ti
nd chest physiotherapy
D) A 30-year-
old homeless man who has Pneumocystis carinii pneumonia (PCP) and is HIV p
ositive.
Ans: D
Feedback:
PCP is an example of the effect of a molecule that directly contributes to disease. Sickl
e cell anemia, familial hypercholesterolemia, and cystic fibrosis are all examples of th
e 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 followin
g aspects of clients' situations bNesUt RchSaIraNctGerTizBe.s pCaOthMogenesis
rather than etiology? A) A client who has been exposed to the Mycobacterium tuber
culosis 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 in
creasing ammonia levels that accompany liver disease. Bacteria, poisons, and traumati
c injuries are examples of etiologic factors.
5. A new myocardial infarction patient requiring angioplasty and stent placement has arri
ved 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 ve
rifies to the nurse that he has understood the nurse's teachings about coronary artery di
sease?
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 lik
e French fries every day.‖
C) ―Sounds like this began because of inflammation inside my artery that made i
, 1
TEST BANK FOR PORTH'S PATHOPHYSIOLOGY 11TH EDITION BY NORRIS
t easy to form fatty streaks, which lead to my clogged artery.‖
d on the World Health Organization (WHO) views on health. Of the following comme
nts 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 boo
k reviews and word games during social time
B) Increase in the number of chair aerobics classes provided in the skilled car
e facilities
C) Interventions geared toward keeping the elderly population diagnosed with diab
etes mellitus under tight blood glucose control by providing in-
home cooking classes
D) Providing transportation for renal dialysis patients to and from their hemodialysi
s 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 preven
tion 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 an
d Human Services as a teaching example. Of the following aspects discussed, whi
ch would be considered a determinant of health that is outside the focus of this rep
ort?
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 hyperc
holesterolemia 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 man
y health care facilities.
Ans: B
Feedback:
In Healthy People 2020, the focus is to promote good health to all (such as using alter
native therapies to minimize effects of stress); achieving health equity and promoting
health for all (which includes having good health care benefits); and promoting good h
ealth (which includes living in a clean community with good access to health care). A c
lient's noncompliance with treatments to control high cholesterol levels within the pres
ence of a family history of CV disease does not meet the ―attaining lives free of preve
ntable disease and premature death‖ determinant.
,1
TEST BANK FOR PORTH'S PATHOPHYSIOLOGY 11TH EDITION BY NORRIS
3. A physician is providing care for a number of patients on a medical unit of a large, un
iversity hospital. The physician is discussing with a colleague the differentiation betw
een diseases that are caused by abnormal molecules and diseases that cause disease.
Which of the following patients most clearly demonstrates the consequences of molec
ules that cause disease?
A) A 31-year-
old woman with sickle cell anemia who is receiving a transfusion of packed r
ed blood cells
B) A 91-year-
old woman who has experienced an ischemic stroke resulting from familial h
ypercholesterolemia
C) A 19-year-
old man with exacerbation of his cystic fibrosis requiring oxygen therapy a
Ti
nd chest physiotherapy
D) A 30-year-
old homeless man who has Pneumocystis carinii pneumonia (PCP) and is HIV p
ositive.
Ans: D
Feedback:
PCP is an example of the effect of a molecule that directly contributes to disease. Sickl
e cell anemia, familial hypercholesterolemia, and cystic fibrosis are all examples of th
e 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 followin
g aspects of clients' situations bNesUt RchSaIraNctGerTizBe.s pCaOthMogenesis
rather than etiology? A) A client who has been exposed to the Mycobacterium tuber
culosis 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 in
creasing ammonia levels that accompany liver disease. Bacteria, poisons, and traumati
c injuries are examples of etiologic factors.
5. A new myocardial infarction patient requiring angioplasty and stent placement has arri
ved 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 ve
rifies to the nurse that he has understood the nurse's teachings about coronary artery di
sease?
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 lik
e French fries every day.‖
C) ―Sounds like this began because of inflammation inside my artery that made i
, 1
TEST BANK FOR PORTH'S PATHOPHYSIOLOGY 11TH EDITION BY NORRIS
t easy to form fatty streaks, which lead to my clogged artery.‖
