Full Test Bank – Porth’s Pathophysiology: Concepts of Altered Health States, 11th Edition by Tommie L. Norris

PORTH'S PATHOPHYSIOLOGY CONCEPTS OF
vb vb vb




ALTERED HEALTH STATES 11TH EDITION TOMMIE
vb vb vb vb vb




L. NORRIS TEST BANK
vb vb vb




Page 1
vb

,vb vb vb




CH 1: Concepts of Health and Disease
vb vb vb vb vb vb vb vb




1. At an international nursing conference, many discussions and breakout sessions
vb vb vb vb vb vb vb vb vb


vbfocusedon the World Health Organization (WHO) views on health. Of the
vb vb vb vb vb vb vb vb vb vb vb


vbfollowing commentsmade by Nursing attendants during a discussion session,
vb vb vb vb vb vb vb vb vb


vbwhich statements would be considered a good representation of the WHO
vb vb vb vb vb vb vb vb vb vb


vbdefinition? Select all that apply. vb vb vb vb


A) Interests in keeping the elderly population engaged in such activities as
vb vb vb vb vb vb vb vb vb vb


bookreviews and word games during social time
vb vb vb vb vb vb vb vb


B) Increase in the number of chair aerobics classes provided in the skilled
vb vb vb vb vb vb vb vb vb vb vb


carefacilities
vb vb


C) Interventions geared toward keeping the elderly population diagnosed with vb vb vb vb vb vb vb vb


diabetes mellitus under tight blood glucose control by providing in-home
vb vb vb vb vb vb vb vb vb vb


cookingclasses
vb vb


D) Providing transportation for renal dialysis hospital patients to and from their
vb vb vb vb vb vb vb vb vb vb


hemodialysissessions
vb vb


E) Providing handwashing teaching sessions to a group of young vb vb vb vb vb vb vb vb


childrenPRECISE CHOICE:- A, B, C, E
vb vb vb v b vb vb vb


Reasoning:->>>
The WHO definition of health is defined as “a state of complete physical, mental,
vb vb vb vb vb vb vb vb vb vb vb vb vb


vbandsocial well-being and not merely the absence of illness and infirmity.”
vb vb vb vb vb vb vb vb vb vb vb


vbEngaging in book reviews facilitates mental and social well-being; chair aerobics
vb vb vb vb vb vb vb vb vb vb


vbhelps facilitate physical well-being; and assisting with tight control of diabetes
vb vb vb vb vb vb vb vb vb vb


vbhelps with facilitating physical well-being even though the person has a chronic
vb vb vb vb vb vb vb vb vb vb vb


vbillness. Handwashing is vitalin the prevention of illness and spread of germs.
vb vb vb vb vb vb vb vb vb vb vb vb




2. A community health Nursing attendant is teaching a group of recent graduates
vb vb vb vb vb vb vb vb vb vb vb


vbabout the large variety of factors that influence an individual's health or lack
vb vb vb vb vb vb vb vb vb vb vb vb


vbthereof. The Nursing attendant is referring to the Healthy People 2020 report
vb vb vb vb vb vb vb vb vb vb vb


vbfromthe U.S. Department of Health and Human Services as a teaching
vb vb vb vb vb vb vb vb vb vb vb


vbexample. Of the following aspects discussed, which would be considered a
vb vb vb vb vb vb vb vb vb vb


vbdeterminant of health that is outside the focus of this report?
vb vb vb vb vb vb vb vb vb vb


A) The hospital patient has a diverse background by being of Asian and
vb vb vb vb vb vb vb vb vb vb vb


Native American descent and practices various alternative therapies to
vb vb vb vb vb vb vb vb vb


minimize effects of stress.
vb vb vb vb


B) The hospital patient has a family history of cardiovascular illness
vb vb vb vb vb vb vb vb vb


related to hypercholesterolemia and remains noncompliant with the
vb vb vb vb vb vb vb vb


treatment regime.
vb vb


C) The hospital patient has a good career with exceptional preventative primary health
vb vb vb vb vb vb vb vb vb vb vb


care benefits.vb vb


D) The hospital patient lives in an affluent, clean, suburban community
vb vb vb vb vb vb vb vb vb


with access tomany primary health care facilities.
vb vb vb vb vb vb vb vb


PRECISE CHOICE:- B vb vb


Reasoning:->>>
In Healthy People 2020, the focus is to promote good health to all (such as using
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb


vbalternative therapies to minimize effects of stress); achieving health equity and
vb vb vb vb vb vb vb vb vb vb


vbpromoting health for all (which includes having good primary health care
vb vb vb vb vb vb vb vb vb vb


vbbenefits); andpromoting good health (which includes living in a clean community
vb vb vb vb vb vb vb vb vb vb vb


vbwith good access tohealth care). A hospital patient's noncompliance with
vb vb vb vb vb vb vb vb vb vb


vbtreatments to control high cholesterol levels within the presence of a family
vb vb vb vb vb vb vb vb vb vb vb


vbhistory of CV illness does not meet the “attaininglives free of preventable illness
vb vb vb vb vb vb vb vb vb vb vb vb vb


vband premature death” determinant.
vb vb vb

,
, 3. A physician is providing care for a number of hospital patients on a medical
vb vb vb vb vb vb vb vb vb vb vb vb vb


vbunit of a large, university hospital. The physician is discussing with a colleague
vb vb vb vb vb vb vb vb vb vb vb vb


vbthe differentiation between illnesss that are caused by abnormal molecules and
vb vb vb vb vb vb vb vb vb vb


vbillnesss that cause illness.Which of the following hospital patients most clearly
vb vb vb vb vb vb vb vb vb vb vb


vbdemonstrates the consequences of molecules that cause illness? vb vb vb vb vb vb vb


A) A 31-year-old woman with sickle cell anemia who is receiving a
vb vb vb vb vb vb vb vb vb vb


transfusion ofpacked red blood cells
vb vb vb vb vb vb


B) A 91-year-old woman who has experienced an ischemic stroke resulting
vb vb vb vb vb vb vb vb vb


fromfamilial hypercholesterolemia
vb vb vb


C) A 19-year-old man with exacerbation of his cystic fibrosis requiring
vb vb vb vb vb vb vb vb vb


oxygentherapy and chest physiotherapy
vb vb vb vb vb


D) A 30-year-old homeless man who has Pneumocystis carinii pneumonia (PCP)
vb vb vb vb vb vb vb vb vb


andis HIV positive.
vb vb vb vb


PRECISE CHOICE:- D vb vb


Reasoning :->>>PCP is an example of the effect of a molecule that directly contributes
vb vb vb vb vb vb vb vb vb vb vb vb vb


to illness. Sicklecell anemia, familial hypercholesterolemia, and cystic fibrosis are all
vb vb vb vb vb vb vb vb vb vb vb vb


vbexamples of the effects of abnormal molecules. vb vb vb vb vb vb




4. A member of the primary health care team is researching the etiology and
vb vb vb vb vb vb vb vb vb vb vb vb


vbpathogenesis of a number of hospital patients who are under his care in a
vb vb vb vb vb vb vb vb vb vb vb vb vb


vbhospital context. Which of the following aspects of hospital patients' situations
vb vb vb vb vb vb vb vb vb vb


vbbest characterizes pathogenesisrather than etiology?
vb vb vb vb vb


A) A hospital patient who has been exposed to the Mycobacterium tuberculosis bacterium
vb vb vb vb vb vb vb vb vb vb vb


B) A hospital patient who has increasing serum ammonia levels due to liver cirrhosis
vb vb vb vb vb vb vb vb vb vb vb vb


C) A hospital patient who was admitted with the effects of methyl alcohol poisoning
vb vb vb vb vb vb vb vb vb vb vb vb


D) A hospital patient with multiple skeletal injuries secondary to a
vb vb vb vb vb vb vb vb vb


motor vehicleaccident PRECISE CHOICE:- B
vb vb vb vb vb v b


Reasoning:->>>Pathogenesis refers to the progressive and evolutionary course of vb vb vb vb vb vb vb vb


illness, such as theincreasing ammonia levels that accompany liver illness. Bacteria,
vb vb vb vb vb vb vb vb vb vb vb vb


vbpoisons, and traumatic injuries are examples of etiologic factors.
vb vb vb vb vb vb vb vb




5. A new myocardial infarction hospital patient requiring angioplasty and stent
vb vb vb vb vb vb vb vb vb


vbplacement has arrived to his first cardiac rehabilitation appointment. In this first
vb vb vb vb vb vb vb vb vb vb vb


vbsession, a review of the pathogenesis of coronary artery illness is addressed.
vb vb vb vb vb vb vb vb vb vb vb


vbWhich statement by the hospital patientverifies to the Nursing attendant that he
vb vb vb vb vb vb vb vb vb vb vb vb


vbhas understood the Nursing attendant's teachings about coronary artery illness?
vb vb vb vb vb vb vb vb vb


A) “All I have to do is stop smoking, and then I won't have any more heart attacks.”
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb


B) “My artery was clogged by fat, so I will need to stop eating fatty foods
vb vb vb vb vb vb vb vb vb vb vb vb vb vb


likeFrench fries every day.”
vb vb vb vb vb


C) “Sounds like this began because of inflammation inside my artery that
vb vb vb vb vb vb vb vb vb vb


made iteasy to form fatty streaks, which lead to my clogged artery.”
vb vb vb vb vb vb vb vb vb vb vb vb vb


D) “If I do not exercise regularly to get my heart rate up, blood pools in the
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb


veins causing a clot that stops blood flow to the muscle, and I will have a
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb


heart attack.” vb vb


PRECISE CHOICE:- C vb vb


Reasoning:->>>The true etiology/cause of coronary artery illness (CAD) is unknown; vb vb vb vb vb vb vb vb vb


vbhowever, the vb



Page 3 vb