,Porth’s Pathophysiology 10th Edition Norris Test Bank
MULTIPLE CHOICE
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
Ans: 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 vital
in 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 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.
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
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
lives free of preventable disease and premature death” determinant.
#ert #ert #ert #ert #ert #ert #ert #ert #ert
3. A physician is providing care for a number of patients on a medical unit of a
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
large, university hospital. The physician is discussing with a colleague the
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
differentiation between diseases that are caused by abnormal molecules and diseases
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
that cause disease. Which of the following patients most clearly demonstrates the
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
consequences of molecules that cause disease?
#ert #ert #ert #ert #ert #ert
A) A 31-year-old woman with sickle cell anemia who is receiving a
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
transfusion of packed red blood cells
#ert #ert #ert #ert #ert #ert
B) A 91-year-old woman who has experienced an ischemic stroke resulting
#ert #ert #ert #ert #ert #ert #ert #ert #ert
from familial hypercholesterolemia
#ert #ert #ert
C) A 19-year-old man with exacerbation of his cystic fibrosis requiring
#ert #ert #ert #ert #ert #ert #ert #ert #ert
oxygen therapy and chest physiotherapy
#ert #ert #ert #ert #ert
D) A 30-year-old homeless man who has Pneumocystis carinii pneumonia (PCP)
#ert #ert #ert #ert #ert #ert #ert #ert #ert
and is HIV positive. #ert #ert #ert #ert
Ans: D # ert
Feedback:
PCP is an example of the effect of a molecule that directly contributes to disease.
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
Sickle cell anemia, familial hypercholesterolemia, and cystic fibrosis are all
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
examples of the effects of abnormal molecules.
#ert #ert #ert #ert #ert #ert #ert
4. A member of the health care team is researching the etiology and pathogenesis
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
of a number of clients who are under his care in a hospital context. Which of
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
the following aspects of clients' situations bN
#ert #ert
esUtR
chSaI
raN
ctGerTizBe.
s pCaOt hMo ge n e s i s rather
#ert #ert #ert #ert #ert #ert #ert #ert
than etiology?
#ert #ert
A) A client who has been exposed to the Mycobacterium tuberculosis bacterium
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
B) A client who has increasing serum ammonia levels due to liver cirrhosis
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
C) A client who was admitted with the effects of methyl alcohol poisoning
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
D) A client with multiple skeletal injuries secondary to a motor vehicle
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
accident Ans: B
#ert #ert #ert
Feedback:
Pathogenesis refers to the progressive and evolutionary course of disease, such as
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
the increasing ammonia levels that accompany liver disease. Bacteria, poisons,
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
and traumatic injuries are examples of etiologic factors.
#ert #ert #ert #ert #ert #ert #ert #ert
5. A new myocardial infarction patient requiring angioplasty and stent placement
# e r t #ert #ert #ert #ert #ert #ert #ert #ert
has arrived to his first cardiac rehabilitation appointment. In this first session, a
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
review of the pathogenesis of coronary artery disease is addressed. Which
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
statement by the patient verifies to the nurse that he has understood the nurse's
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
teachings about coronary artery disease?
#ert #ert #ert #ert #ert
A) “All I have to do is stop smoking, and then I won't have any more heart attacks.”
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
B) “My artery was clogged by fat, so I will need to stop eating fatty foods
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
like French fries every day.”
#ert #ert #ert #ert #ert
C) “Sounds like this began because of inflammation inside my artery that #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
made it easy to form fatty streaks, which lead to my clogged artery.”
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
D) “If I do not exercise regularly to get my heart rate up, blood pools in the
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
veins causing a clot that stops blood flow to the muscle, and I will have a
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
MULTIPLE CHOICE
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
Ans: 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 vital
in 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 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.
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
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
lives free of preventable disease and premature death” determinant.
#ert #ert #ert #ert #ert #ert #ert #ert #ert
3. A physician is providing care for a number of patients on a medical unit of a
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
large, university hospital. The physician is discussing with a colleague the
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
differentiation between diseases that are caused by abnormal molecules and diseases
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
that cause disease. Which of the following patients most clearly demonstrates the
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
consequences of molecules that cause disease?
#ert #ert #ert #ert #ert #ert
A) A 31-year-old woman with sickle cell anemia who is receiving a
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
transfusion of packed red blood cells
#ert #ert #ert #ert #ert #ert
B) A 91-year-old woman who has experienced an ischemic stroke resulting
#ert #ert #ert #ert #ert #ert #ert #ert #ert
from familial hypercholesterolemia
#ert #ert #ert
C) A 19-year-old man with exacerbation of his cystic fibrosis requiring
#ert #ert #ert #ert #ert #ert #ert #ert #ert
oxygen therapy and chest physiotherapy
#ert #ert #ert #ert #ert
D) A 30-year-old homeless man who has Pneumocystis carinii pneumonia (PCP)
#ert #ert #ert #ert #ert #ert #ert #ert #ert
and is HIV positive. #ert #ert #ert #ert
Ans: D # ert
Feedback:
PCP is an example of the effect of a molecule that directly contributes to disease.
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
Sickle cell anemia, familial hypercholesterolemia, and cystic fibrosis are all
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
examples of the effects of abnormal molecules.
#ert #ert #ert #ert #ert #ert #ert
4. A member of the health care team is researching the etiology and pathogenesis
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
of a number of clients who are under his care in a hospital context. Which of
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
the following aspects of clients' situations bN
#ert #ert
esUtR
chSaI
raN
ctGerTizBe.
s pCaOt hMo ge n e s i s rather
#ert #ert #ert #ert #ert #ert #ert #ert
than etiology?
#ert #ert
A) A client who has been exposed to the Mycobacterium tuberculosis bacterium
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
B) A client who has increasing serum ammonia levels due to liver cirrhosis
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
C) A client who was admitted with the effects of methyl alcohol poisoning
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
D) A client with multiple skeletal injuries secondary to a motor vehicle
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
accident Ans: B
#ert #ert #ert
Feedback:
Pathogenesis refers to the progressive and evolutionary course of disease, such as
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
the increasing ammonia levels that accompany liver disease. Bacteria, poisons,
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
and traumatic injuries are examples of etiologic factors.
#ert #ert #ert #ert #ert #ert #ert #ert
5. A new myocardial infarction patient requiring angioplasty and stent placement
# e r t #ert #ert #ert #ert #ert #ert #ert #ert
has arrived to his first cardiac rehabilitation appointment. In this first session, a
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
review of the pathogenesis of coronary artery disease is addressed. Which
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
statement by the patient verifies to the nurse that he has understood the nurse's
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
teachings about coronary artery disease?
#ert #ert #ert #ert #ert
A) “All I have to do is stop smoking, and then I won't have any more heart attacks.”
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
B) “My artery was clogged by fat, so I will need to stop eating fatty foods
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
like French fries every day.”
#ert #ert #ert #ert #ert
C) “Sounds like this began because of inflammation inside my artery that #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
made it easy to form fatty streaks, which lead to my clogged artery.”
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
D) “If I do not exercise regularly to get my heart rate up, blood pools in the
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
veins causing a clot that stops blood flow to the muscle, and I will have a
#ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert #ert
