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
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.
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.
Page 1
, 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 best characterizes pathogenesis 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
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 attack.”
6. A 77-year-old man is a hospital inpatient admitted for exacerbation of his chronic
obstructive pulmonary disease (COPD), and a respiratory therapist (RT) is
assessing the client for the first time. Which of the following aspects of the
patient's current state of health would be best characterized as a symptom rather
than a sign?
A) The patient's oxygen saturation is 83% by pulse oxymetry.
B) The patient notes that he has increased work of breathing when lying supine.
C) The RT hears diminished breath sounds to the patient's lower lung fields bilaterally.
D) The patient's respiratory rate is 31 breaths/minute.
Page 2
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
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.
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.
Page 1
, 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 best characterizes pathogenesis 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
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 attack.”
6. A 77-year-old man is a hospital inpatient admitted for exacerbation of his chronic
obstructive pulmonary disease (COPD), and a respiratory therapist (RT) is
assessing the client for the first time. Which of the following aspects of the
patient's current state of health would be best characterized as a symptom rather
than a sign?
A) The patient's oxygen saturation is 83% by pulse oxymetry.
B) The patient notes that he has increased work of breathing when lying supine.
C) The RT hears diminished breath sounds to the patient's lower lung fields bilaterally.
D) The patient's respiratory rate is 31 breaths/minute.
Page 2
