Page 1
EXELLINGNURSE
, TEST BANK FOR PORTH'S PATHOPHYSIOLOGY 10TH EDITION BY NORRIS
Page 2
Test Bank For Porth’s Pathophysiology 10th
Edition By Norris.
1. At an international nursing conference, many discussions and breakout sessions focusedon 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 bookreviews 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 cookingclasses
D) Providing transportation for renal dialysis patients to and from their hemodialysis sessions
E) Providing handwashing teaching sessions to a group of young childrenAns: 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
vitalin the prevention 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 andHuman 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 manyhealth care facilities.
Ans: B
Feedback:
In Healthy People 2020, the focus is to promote good health to all (such as using alternative therapies to
minimize effects of stress); achieving health equity and promoting health for all (which includes having
good health care benefits); and promoting good health (which includes living in a clean community with
good access to health care). A client's noncompliance with treatments to control high cholesterol levels within
the presence of a family history of CV disease does not meet the “attaining lives free of preventable disease
and premature death” determinant.
, TEST BANK FOR PORTH'S PATHOPHYSIOLOGY 10TH EDITION BY NORRIS
Page 3
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 ofpacked red blood
cells
B) A 91-year-old woman who has experienced an ischemic stroke resulting fromfamilial
hypercholesterolemia
C) A 19-year-old man with exacerbation of his cystic fibrosis requiring oxygentherapy and chest
physiotherapy
D) A 30-year-old homeless man who has Pneumocystis carinii pneumonia (PCP) and is HIV positive.
Ans: D
Feedback:
PCP is an example of the effect of a molecule that directly contributes to disease. Sicklecell anemia, familial
hypercholesterolemia, and cystic fibrosis are all examples of the 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 followingaspects of clients' situations bN
esUt
RchSaIraNctGerTizBe.s C
p aOthMogenesis 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 Ans: B
Feedback:
Pathogenesis refers to the progressive and evolutionary course of disease, such as the increasing ammonia
levels that accompany liver disease. Bacteria, poisons, and traumatic injuries are examples of etiologic
factors.
, TEST BANK FOR PORTH'S PATHOPHYSIOLOGY 10TH EDITION BY NORRIS
Page 4
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.”
Ans: C
Feedback:
The true etiology/cause of coronary artery disease (CAD) is unknown; however, the pathogenesis of the
disorder relates to the progression of the inflammatory process froma fatty streak to the occlusive vessel
lesion seen in people with coronary artery disease. Risk factors for CAD revolve around cigarette smoking,
diet high in fat, and lack of exercise.
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 theclient for the first time.
WhichNU ofRthSeIfN
olGloTwBin.gCaOspMects 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 fieldsbilaterally.
D) The patient's respiratory rate is 31 breaths/minute. Ans: B
Feedback:
Symptoms are subjective complaints by the person experiencing the health problem, such as complaints
of breathing difficulty. Oxygen levels, listening to breath sounds, and respiratory rate are all objective,
observable signs of disease.
EXELLINGNURSE
, TEST BANK FOR PORTH'S PATHOPHYSIOLOGY 10TH EDITION BY NORRIS
Page 2
Test Bank For Porth’s Pathophysiology 10th
Edition By Norris.
1. At an international nursing conference, many discussions and breakout sessions focusedon 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 bookreviews 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 cookingclasses
D) Providing transportation for renal dialysis patients to and from their hemodialysis sessions
E) Providing handwashing teaching sessions to a group of young childrenAns: 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
vitalin the prevention 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 andHuman 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 manyhealth care facilities.
Ans: B
Feedback:
In Healthy People 2020, the focus is to promote good health to all (such as using alternative therapies to
minimize effects of stress); achieving health equity and promoting health for all (which includes having
good health care benefits); and promoting good health (which includes living in a clean community with
good access to health care). A client's noncompliance with treatments to control high cholesterol levels within
the presence of a family history of CV disease does not meet the “attaining lives free of preventable disease
and premature death” determinant.
, TEST BANK FOR PORTH'S PATHOPHYSIOLOGY 10TH EDITION BY NORRIS
Page 3
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 ofpacked red blood
cells
B) A 91-year-old woman who has experienced an ischemic stroke resulting fromfamilial
hypercholesterolemia
C) A 19-year-old man with exacerbation of his cystic fibrosis requiring oxygentherapy and chest
physiotherapy
D) A 30-year-old homeless man who has Pneumocystis carinii pneumonia (PCP) and is HIV positive.
Ans: D
Feedback:
PCP is an example of the effect of a molecule that directly contributes to disease. Sicklecell anemia, familial
hypercholesterolemia, and cystic fibrosis are all examples of the 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 followingaspects of clients' situations bN
esUt
RchSaIraNctGerTizBe.s C
p aOthMogenesis 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 Ans: B
Feedback:
Pathogenesis refers to the progressive and evolutionary course of disease, such as the increasing ammonia
levels that accompany liver disease. Bacteria, poisons, and traumatic injuries are examples of etiologic
factors.
, TEST BANK FOR PORTH'S PATHOPHYSIOLOGY 10TH EDITION BY NORRIS
Page 4
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.”
Ans: C
Feedback:
The true etiology/cause of coronary artery disease (CAD) is unknown; however, the pathogenesis of the
disorder relates to the progression of the inflammatory process froma fatty streak to the occlusive vessel
lesion seen in people with coronary artery disease. Risk factors for CAD revolve around cigarette smoking,
diet high in fat, and lack of exercise.
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 theclient for the first time.
WhichNU ofRthSeIfN
olGloTwBin.gCaOspMects 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 fieldsbilaterally.
D) The patient's respiratory rate is 31 breaths/minute. Ans: B
Feedback:
Symptoms are subjective complaints by the person experiencing the health problem, such as complaints
of breathing difficulty. Oxygen levels, listening to breath sounds, and respiratory rate are all objective,
observable signs of disease.
