Pathophysiology Concep
p
ts of Altered Health 10th E
p p p p p
dition,CompleteGuide
p
, TESTpBANKpFORpPORTH'SpPATHOPHYSIOLOGYp10THpEDITIONpBYpNORRIS
Porth’s Pathophysiology 10th Edition Norris Test Bank
p p p p p p
1. Atpanpinternationalpnursingpconference,pmanypdiscussionspandpbreakoutpsessionspfocusedp
onpthepWorldpHealthpOrganizationp(WHO)pviewsponphealth.pOfpthepfollowingpcommentsp
madepbypnursespduringpapdiscussionpsession,pwhichpstatementspwouldpbepconsideredpapgo
odprepresentationpofpthepWHOpdefinition?pSelectpallpthatpapply.
A) Interestspinpkeepingpthepelderlyppopulationpengagedpinpsuchpactivitiespaspbookpr
eviewspandpwordpgamespduringpsocialptime
B) Increasepinpthepnumberpofpchairpaerobicspclassespprovidedpinpthepskilledpcarepf
acilities
C) Interventionspgearedptowardpkeepingpthepelderlyppopulationpdiagnosedpwithpdiabet
espmellituspunderptightpbloodpglucosepcontrolpbypprovidingpin-homepcookingpclasses
D) Providingptransportationpforprenalpdialysisppatientsptopandpfromptheirphemodialysisps
essions
E) Providingphandwashingpteachingpsessionsptopapgrouppofpyoungpchildrenp
Ans:pA,pB,pC,pE
Feedback:
ThepWHOpdefinitionpofphealthpispdefinedpasp“apstatepofpcompletepphysical,pmental,pandpso
cialpwell-
beingpandpnotpmerelypthepabsencepofpdiseasepandpinfirmity.”pEngagingpinpbookpreviewspfa
cilitatespmentalpandpsocialpwell-being;pchairpaerobicsphelpspfacilitatepphysicalpwell-
being;pandpassistingpwithptightpcontrolpofpdiabetesphelpspwithpfacilitatingpphysicalpwell-
beingpevenpthoughptheppersonphaspapchronicpdisease.pHandwashingpispvitalpinptheppreventio
npofpdiseasepandpspreadpofpgerms.
2. Apcommunityphealthpnursepispteachingpapgrouppofprecentpgraduatespaboutptheplargepvar
ietypofpfactorspthatpinfluencepanpindividual'sphealthporplackpthereof.pThepnursepispreferr
ingptopthepHealthypPeoplep2020preportpfrompthepU.S.pDepartmentpofpHealthpandpHuma
npServicespaspapteachingpexample.pOfpthepfollowingpaspectspdiscussed,pwhichpwouldpb
epconsideredpapdeterminantpofphealthpthatpispoutsidepthepfocuspofpthispreport?
A) ThepclientphaspapdiversepbackgroundpbypbeingpofpAsianpandpNativepAmericanpdes
centpandppracticespvariouspalternativeptherapiesptopminimizepeffectspofpstress.
B) Thepclientphaspapfamilyphistorypofpcardiovascularpdiseaseprelatedptophypercho
lesterolemiapandpremainspnoncompliantpwithptheptreatmentpregime.
C) Thepclientphaspapgoodpcareerpwithpexceptionalppreventativephealthpcarepbenefits.
D) Thepclientplivespinpanpaffluent,pclean,psuburbanpcommunitypwithpaccessptopmanyp
healthpcarepfacilities.
Ans:pB
Feedback:
InpHealthypPeoplep2020,pthepfocuspisptoppromotepgoodphealthptopallp(suchpaspusingpalternati
veptherapiesptopminimizepeffectspofpstress);pachievingphealthpequitypandppromotingphealthp
forpallp(whichpincludesphavingpgoodphealthpcarepbenefits);pandppromotingpgoodphealthp(wh
ichpincludesplivingpinpapcleanpcommunitypwithpgoodpaccessptophealthpcare).pApclient'spnonc
ompliancepwithptreatmentsptopcontrolphighpcholesterolplevelspwithinptheppresencepofpapfam
ilyphistorypofpCVpdiseasepdoespnotpmeetpthep“attainingplivespfreepofppreventablepdiseasepan
dpprematurepdeath”pdeterminant.
, TESTpBANKpFORpPORTH'SpPATHOPHYSIOLOGYp10THpEDITIONpBYpNORRIS
3. Apphysicianpispprovidingpcarepforpapnumberpofppatientsponpapmedicalpunitpofpaplarge,puniver
sityphospital.pThepphysicianpispdiscussingpwithpapcolleaguepthepdifferentiationpbetweenpdis
easespthatparepcausedpbypabnormalpmoleculespandpdiseasespthatpcausepdisease.pWhichpofpthe
pfollowingppatientspmostpclearlypdemonstratespthepconsequencespofpmoleculespthatpcausepd
isease?
A) Ap31-year-
oldpwomanpwithpsicklepcellpanemiapwhopispreceivingpaptransfusionpofppackedpredp
bloodpcells
B) Ap91-year-
oldpwomanpwhophaspexperiencedpanpischemicpstrokepresultingpfrompfamilialphy
percholesterolemia
C) Ap19-year-
oldpmanpwithpexacerbationpofphispcysticpfibrosisprequiringpoxygenptherapypand
pchestpphysiotherapy
D) Ap30-year-
oldphomelesspmanpwhophaspPneumocystispcariniippneumoniap(PCP)pandpispHIVpposi
tive.
Ans:pD
Feedback:
PCPpispanpexamplepofpthepeffectpofpapmoleculepthatpdirectlypcontributesptopdisease.pSicklepc
ellpanemia,pfamilialphypercholesterolemia,pandpcysticpfibrosisparepallpexamplespofpthepeffe
ctspofpabnormalpmolecules.
4. Apmemberpofpthephealthpcarepteampispresearchingpthepetiologypandppathogenesispofpapnu
mberpofpclientspwhoparepunderphispcarepinpaphospitalpcontext.pWhichpofpthepfollowingpasp
ectspofpclients'psituationspbN
esUtpR
chSaI
raN
ctGerTizBe.
sppCaOt hMo g e n e s i s pratherpthanpetiology?
A) ApclientpwhophaspbeenpexposedptopthepMycobacteriumptuberculosispbacterium
B) Apclientpwhophaspincreasingpserumpammoniaplevelspdueptopliverpcirrhosis
C) Apclientpwhopwaspadmittedpwithpthepeffectspofpmethylpalcoholppoisoning
D) Apclientpwithpmultiplepskeletalpinjuriespsecondaryptopapmotorpvehiclepaccidentp
Ans:pB
Feedback:
Pathogenesisprefersptopthepprogressivepandpevolutionarypcoursepofpdisease,psuchpaspthepincr
easingpammoniaplevelspthatpaccompanypliverpdisease.pBacteria,ppoisons,pandptraumaticpinj
uriesparepexamplespofpetiologicpfactors.
, TESTpBANKpFORpPORTH'SpPATHOPHYSIOLOGYp10THpEDITIONpBYpNORRIS
5. Apnewpmyocardialpinfarctionppatientprequiringpangioplastypandpstentpplacementphasparrive
dptophispfirstpcardiacprehabilitationpappointment.pInpthispfirstpsession,papreviewpofptheppatho
genesispofpcoronaryparterypdiseasepispaddressed.pWhichpstatementpbyptheppatientpverifiespto
pthepnursepthatphephaspunderstoodpthepnurse'spteachingspaboutpcoronaryparterypdisease?
A) “AllpIphaveptopdopispstoppsmoking,pandpthenpIpwon'tphavepanypmorepheartpattacks.”
B) “Myparterypwaspcloggedpbypfat,psopIpwillpneedptopstoppeatingpfattypfoodsplikepF
renchpfriespeverypday.”
C) “Soundsplikepthispbeganpbecausepofpinflammationpinsidepmyparterypthatpmadepitpe
asyptopformpfattypstreaks,pwhichpleadptopmypcloggedpartery.”
D) “IfpIpdopnotpexercisepregularlyptopgetpmypheartpratepup,pbloodppoolspinpthepveinspcau
singpapclotpthatpstopspbloodpflowptopthepmuscle,pandpIpwillphavepapheartpattack.”
Ans:pC
Feedback:
Theptruepetiology/causepofpcoronaryparterypdiseasep(CAD)pispunknown;phowever,ptheppath
ogenesispofpthepdisorderprelatesptopthepprogressionpofpthepinflammatorypprocesspfrompapfatt
ypstreakptopthepocclusivepvesselplesionpseenpinppeoplepwithpcoronaryparterypdisease.pRiskpf
actorspforpCADprevolveparoundpcigarettepsmoking,pdietphighpinpfat,pandplackpofpexercise.
6. Ap77-year-
oldpmanpispaphospitalpinpatientpadmittedpforpexacerbationpofphispchronicpobstructiveppulm
onarypdiseasep(COPD),pandpaprespiratoryptherapistp(RT)pispassessingpthepclientpforpthepfirstp
time.pWhichNU ofRthSeIfN
olG
loTwBin.gCaO
spMectspofptheppatient'spcurrentpstatepofphealthpwouldpbepbest
pcharacterizedpaspapsymptompratherpthanpapsign?
A) Theppatient'spoxygenpsaturationpisp83%pbyppulsepoxymetry.
B) Theppatientpnotespthatphephaspincreasedpworkpofpbreathingpwhenplyingpsupine.
C) ThepRTphearspdiminishedpbreathpsoundsptoptheppatient'splowerplungpfieldsp
bilaterally.
D) Theppatient'sprespiratorypratepisp31pbreaths/minute.p
Ans:pB
Feedback:
Symptomsparepsubjectivepcomplaintspbyptheppersonpexperiencingpthephealthpproblem,p
suchpaspcomplaintspofpbreathingpdifficulty.pOxygenplevels,plisteningptopbreathpsounds,pa
ndprespiratoryprateparepallpobjective,pobservablepsignspofpdisease.
p
ts of Altered Health 10th E
p p p p p
dition,CompleteGuide
p
, TESTpBANKpFORpPORTH'SpPATHOPHYSIOLOGYp10THpEDITIONpBYpNORRIS
Porth’s Pathophysiology 10th Edition Norris Test Bank
p p p p p p
1. Atpanpinternationalpnursingpconference,pmanypdiscussionspandpbreakoutpsessionspfocusedp
onpthepWorldpHealthpOrganizationp(WHO)pviewsponphealth.pOfpthepfollowingpcommentsp
madepbypnursespduringpapdiscussionpsession,pwhichpstatementspwouldpbepconsideredpapgo
odprepresentationpofpthepWHOpdefinition?pSelectpallpthatpapply.
A) Interestspinpkeepingpthepelderlyppopulationpengagedpinpsuchpactivitiespaspbookpr
eviewspandpwordpgamespduringpsocialptime
B) Increasepinpthepnumberpofpchairpaerobicspclassespprovidedpinpthepskilledpcarepf
acilities
C) Interventionspgearedptowardpkeepingpthepelderlyppopulationpdiagnosedpwithpdiabet
espmellituspunderptightpbloodpglucosepcontrolpbypprovidingpin-homepcookingpclasses
D) Providingptransportationpforprenalpdialysisppatientsptopandpfromptheirphemodialysisps
essions
E) Providingphandwashingpteachingpsessionsptopapgrouppofpyoungpchildrenp
Ans:pA,pB,pC,pE
Feedback:
ThepWHOpdefinitionpofphealthpispdefinedpasp“apstatepofpcompletepphysical,pmental,pandpso
cialpwell-
beingpandpnotpmerelypthepabsencepofpdiseasepandpinfirmity.”pEngagingpinpbookpreviewspfa
cilitatespmentalpandpsocialpwell-being;pchairpaerobicsphelpspfacilitatepphysicalpwell-
being;pandpassistingpwithptightpcontrolpofpdiabetesphelpspwithpfacilitatingpphysicalpwell-
beingpevenpthoughptheppersonphaspapchronicpdisease.pHandwashingpispvitalpinptheppreventio
npofpdiseasepandpspreadpofpgerms.
2. Apcommunityphealthpnursepispteachingpapgrouppofprecentpgraduatespaboutptheplargepvar
ietypofpfactorspthatpinfluencepanpindividual'sphealthporplackpthereof.pThepnursepispreferr
ingptopthepHealthypPeoplep2020preportpfrompthepU.S.pDepartmentpofpHealthpandpHuma
npServicespaspapteachingpexample.pOfpthepfollowingpaspectspdiscussed,pwhichpwouldpb
epconsideredpapdeterminantpofphealthpthatpispoutsidepthepfocuspofpthispreport?
A) ThepclientphaspapdiversepbackgroundpbypbeingpofpAsianpandpNativepAmericanpdes
centpandppracticespvariouspalternativeptherapiesptopminimizepeffectspofpstress.
B) Thepclientphaspapfamilyphistorypofpcardiovascularpdiseaseprelatedptophypercho
lesterolemiapandpremainspnoncompliantpwithptheptreatmentpregime.
C) Thepclientphaspapgoodpcareerpwithpexceptionalppreventativephealthpcarepbenefits.
D) Thepclientplivespinpanpaffluent,pclean,psuburbanpcommunitypwithpaccessptopmanyp
healthpcarepfacilities.
Ans:pB
Feedback:
InpHealthypPeoplep2020,pthepfocuspisptoppromotepgoodphealthptopallp(suchpaspusingpalternati
veptherapiesptopminimizepeffectspofpstress);pachievingphealthpequitypandppromotingphealthp
forpallp(whichpincludesphavingpgoodphealthpcarepbenefits);pandppromotingpgoodphealthp(wh
ichpincludesplivingpinpapcleanpcommunitypwithpgoodpaccessptophealthpcare).pApclient'spnonc
ompliancepwithptreatmentsptopcontrolphighpcholesterolplevelspwithinptheppresencepofpapfam
ilyphistorypofpCVpdiseasepdoespnotpmeetpthep“attainingplivespfreepofppreventablepdiseasepan
dpprematurepdeath”pdeterminant.
, TESTpBANKpFORpPORTH'SpPATHOPHYSIOLOGYp10THpEDITIONpBYpNORRIS
3. Apphysicianpispprovidingpcarepforpapnumberpofppatientsponpapmedicalpunitpofpaplarge,puniver
sityphospital.pThepphysicianpispdiscussingpwithpapcolleaguepthepdifferentiationpbetweenpdis
easespthatparepcausedpbypabnormalpmoleculespandpdiseasespthatpcausepdisease.pWhichpofpthe
pfollowingppatientspmostpclearlypdemonstratespthepconsequencespofpmoleculespthatpcausepd
isease?
A) Ap31-year-
oldpwomanpwithpsicklepcellpanemiapwhopispreceivingpaptransfusionpofppackedpredp
bloodpcells
B) Ap91-year-
oldpwomanpwhophaspexperiencedpanpischemicpstrokepresultingpfrompfamilialphy
percholesterolemia
C) Ap19-year-
oldpmanpwithpexacerbationpofphispcysticpfibrosisprequiringpoxygenptherapypand
pchestpphysiotherapy
D) Ap30-year-
oldphomelesspmanpwhophaspPneumocystispcariniippneumoniap(PCP)pandpispHIVpposi
tive.
Ans:pD
Feedback:
PCPpispanpexamplepofpthepeffectpofpapmoleculepthatpdirectlypcontributesptopdisease.pSicklepc
ellpanemia,pfamilialphypercholesterolemia,pandpcysticpfibrosisparepallpexamplespofpthepeffe
ctspofpabnormalpmolecules.
4. Apmemberpofpthephealthpcarepteampispresearchingpthepetiologypandppathogenesispofpapnu
mberpofpclientspwhoparepunderphispcarepinpaphospitalpcontext.pWhichpofpthepfollowingpasp
ectspofpclients'psituationspbN
esUtpR
chSaI
raN
ctGerTizBe.
sppCaOt hMo g e n e s i s pratherpthanpetiology?
A) ApclientpwhophaspbeenpexposedptopthepMycobacteriumptuberculosispbacterium
B) Apclientpwhophaspincreasingpserumpammoniaplevelspdueptopliverpcirrhosis
C) Apclientpwhopwaspadmittedpwithpthepeffectspofpmethylpalcoholppoisoning
D) Apclientpwithpmultiplepskeletalpinjuriespsecondaryptopapmotorpvehiclepaccidentp
Ans:pB
Feedback:
Pathogenesisprefersptopthepprogressivepandpevolutionarypcoursepofpdisease,psuchpaspthepincr
easingpammoniaplevelspthatpaccompanypliverpdisease.pBacteria,ppoisons,pandptraumaticpinj
uriesparepexamplespofpetiologicpfactors.
, TESTpBANKpFORpPORTH'SpPATHOPHYSIOLOGYp10THpEDITIONpBYpNORRIS
5. Apnewpmyocardialpinfarctionppatientprequiringpangioplastypandpstentpplacementphasparrive
dptophispfirstpcardiacprehabilitationpappointment.pInpthispfirstpsession,papreviewpofptheppatho
genesispofpcoronaryparterypdiseasepispaddressed.pWhichpstatementpbyptheppatientpverifiespto
pthepnursepthatphephaspunderstoodpthepnurse'spteachingspaboutpcoronaryparterypdisease?
A) “AllpIphaveptopdopispstoppsmoking,pandpthenpIpwon'tphavepanypmorepheartpattacks.”
B) “Myparterypwaspcloggedpbypfat,psopIpwillpneedptopstoppeatingpfattypfoodsplikepF
renchpfriespeverypday.”
C) “Soundsplikepthispbeganpbecausepofpinflammationpinsidepmyparterypthatpmadepitpe
asyptopformpfattypstreaks,pwhichpleadptopmypcloggedpartery.”
D) “IfpIpdopnotpexercisepregularlyptopgetpmypheartpratepup,pbloodppoolspinpthepveinspcau
singpapclotpthatpstopspbloodpflowptopthepmuscle,pandpIpwillphavepapheartpattack.”
Ans:pC
Feedback:
Theptruepetiology/causepofpcoronaryparterypdiseasep(CAD)pispunknown;phowever,ptheppath
ogenesispofpthepdisorderprelatesptopthepprogressionpofpthepinflammatorypprocesspfrompapfatt
ypstreakptopthepocclusivepvesselplesionpseenpinppeoplepwithpcoronaryparterypdisease.pRiskpf
actorspforpCADprevolveparoundpcigarettepsmoking,pdietphighpinpfat,pandplackpofpexercise.
6. Ap77-year-
oldpmanpispaphospitalpinpatientpadmittedpforpexacerbationpofphispchronicpobstructiveppulm
onarypdiseasep(COPD),pandpaprespiratoryptherapistp(RT)pispassessingpthepclientpforpthepfirstp
time.pWhichNU ofRthSeIfN
olG
loTwBin.gCaO
spMectspofptheppatient'spcurrentpstatepofphealthpwouldpbepbest
pcharacterizedpaspapsymptompratherpthanpapsign?
A) Theppatient'spoxygenpsaturationpisp83%pbyppulsepoxymetry.
B) Theppatientpnotespthatphephaspincreasedpworkpofpbreathingpwhenplyingpsupine.
C) ThepRTphearspdiminishedpbreathpsoundsptoptheppatient'splowerplungpfieldsp
bilaterally.
D) Theppatient'sprespiratorypratepisp31pbreaths/minute.p
Ans:pB
Feedback:
Symptomsparepsubjectivepcomplaintspbyptheppersonpexperiencingpthephealthpproblem,p
suchpaspcomplaintspofpbreathingpdifficulty.pOxygenplevels,plisteningptopbreathpsounds,pa
ndprespiratoryprateparepallpobjective,pobservablepsignspofpdisease.
