PORTH'S ESSENTIALS OF
PATHOPHYSIOLOGY
5TH EDITION
• AUTHOR(S)TOMMIE L. NORRIS
TEST BANK
1) WHO concept of health
Reference: Ch. 1 — Concepts of Health and Disease —
Definition of Health
Question: A client says, “I’m healthy because I do not have any
diagnosed disease and my vital signs are normal.” Which
response by the nurse best reflects the most widely accepted
definition of health?
A. Health is the absence of any measurable abnormality
B. Health is complete physical, mental, and social well-being
C. Health is the ability to work without fatigue
,D. Health is normal laboratory values in the absence of
symptoms
Correct Answer: B
Rationales:
Correct answer: Health is broader than the absence of disease;
it includes physical, mental, and social well-being. A person may
have no diagnosed illness and still not meet the full concept of
health if emotional or social functioning is impaired.
A: This is too narrow because many health problems are not
detected by a single exam or vital sign set.
C: Ability to work is one dimension of functioning, but it does
not define health by itself.
D: Normal labs do not capture mental or social well-being, so
this is incomplete.
Teaching Point: Health includes more than disease absence; it is
multidimensional.
Citation: Norris, T. L. (2019). Porth’s Essentials of
Pathophysiology (5th ed.). Ch. 1.
2) Health as a dynamic process
Reference: Ch. 1 — Concepts of Health and Disease — Health
and Illness Continuum
Question: A client with stable rheumatoid arthritis says, “I
cannot be healthy because I still have a chronic disease.” Which
,nurse response best reflects modern health concepts?
A. “Health only applies to people without chronic illness.”
B. “Health can exist even when chronic disease is present if
function and adaptation are maintained.”
C. “Health means all symptoms must disappear.”
D. “Health is determined only by lab results.”
Correct Answer: B
Rationales:
Correct answer: Health is a dynamic state that can coexist with
chronic illness when the person adapts, maintains function, and
manages symptoms effectively. This reflects the idea that
wellness is not identical to being disease-free.
A: Chronic illness does not automatically mean the person is
completely unhealthy.
C: Symptom elimination is not always possible in chronic
disease and is not required to define health.
D: Laboratory values are useful, but health is broader than tests
alone.
Teaching Point: Chronic disease can coexist with health when
adaptation and function are preserved.
Citation: Norris, T. L. (2019). Porth’s Essentials of
Pathophysiology (5th ed.). Ch. 1.
3) Primary prevention
, Reference: Ch. 1 — Health and Disease in Populations —
Prevention
Question: A community health nurse organizes influenza
immunization clinics for older adults before flu season begins.
Which level of prevention is being used?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
Correct Answer: A
Rationales:
Correct answer: Primary prevention acts before disease occurs
and includes immunization and other measures that reduce the
chance of illness. Vaccination is a classic primary prevention
strategy.
B: Secondary prevention focuses on early detection, not
preventing initial onset.
C: Tertiary prevention helps minimize disability after disease is
established.
D: Quaternary prevention is not one of the standard three
levels emphasized here.
Teaching Point: Primary prevention prevents disease before it
starts.
Citation: Norris, T. L. (2019). Porth’s Essentials of
Pathophysiology (5th ed.). Ch. 1.
PATHOPHYSIOLOGY
5TH EDITION
• AUTHOR(S)TOMMIE L. NORRIS
TEST BANK
1) WHO concept of health
Reference: Ch. 1 — Concepts of Health and Disease —
Definition of Health
Question: A client says, “I’m healthy because I do not have any
diagnosed disease and my vital signs are normal.” Which
response by the nurse best reflects the most widely accepted
definition of health?
A. Health is the absence of any measurable abnormality
B. Health is complete physical, mental, and social well-being
C. Health is the ability to work without fatigue
,D. Health is normal laboratory values in the absence of
symptoms
Correct Answer: B
Rationales:
Correct answer: Health is broader than the absence of disease;
it includes physical, mental, and social well-being. A person may
have no diagnosed illness and still not meet the full concept of
health if emotional or social functioning is impaired.
A: This is too narrow because many health problems are not
detected by a single exam or vital sign set.
C: Ability to work is one dimension of functioning, but it does
not define health by itself.
D: Normal labs do not capture mental or social well-being, so
this is incomplete.
Teaching Point: Health includes more than disease absence; it is
multidimensional.
Citation: Norris, T. L. (2019). Porth’s Essentials of
Pathophysiology (5th ed.). Ch. 1.
2) Health as a dynamic process
Reference: Ch. 1 — Concepts of Health and Disease — Health
and Illness Continuum
Question: A client with stable rheumatoid arthritis says, “I
cannot be healthy because I still have a chronic disease.” Which
,nurse response best reflects modern health concepts?
A. “Health only applies to people without chronic illness.”
B. “Health can exist even when chronic disease is present if
function and adaptation are maintained.”
C. “Health means all symptoms must disappear.”
D. “Health is determined only by lab results.”
Correct Answer: B
Rationales:
Correct answer: Health is a dynamic state that can coexist with
chronic illness when the person adapts, maintains function, and
manages symptoms effectively. This reflects the idea that
wellness is not identical to being disease-free.
A: Chronic illness does not automatically mean the person is
completely unhealthy.
C: Symptom elimination is not always possible in chronic
disease and is not required to define health.
D: Laboratory values are useful, but health is broader than tests
alone.
Teaching Point: Chronic disease can coexist with health when
adaptation and function are preserved.
Citation: Norris, T. L. (2019). Porth’s Essentials of
Pathophysiology (5th ed.). Ch. 1.
3) Primary prevention
, Reference: Ch. 1 — Health and Disease in Populations —
Prevention
Question: A community health nurse organizes influenza
immunization clinics for older adults before flu season begins.
Which level of prevention is being used?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
Correct Answer: A
Rationales:
Correct answer: Primary prevention acts before disease occurs
and includes immunization and other measures that reduce the
chance of illness. Vaccination is a classic primary prevention
strategy.
B: Secondary prevention focuses on early detection, not
preventing initial onset.
C: Tertiary prevention helps minimize disability after disease is
established.
D: Quaternary prevention is not one of the standard three
levels emphasized here.
Teaching Point: Primary prevention prevents disease before it
starts.
Citation: Norris, T. L. (2019). Porth’s Essentials of
Pathophysiology (5th ed.). Ch. 1.
