,1. At an international nursing conference, many discussions and breakout sessions focus
ed on the World Health Organization (WHO) views on health. Of the following com
ments made by nurses during a discussion session, which statements would be consi
dered a good representation of the WHO definition? Select all that apply.
A) Interests in keeping the elderly population engaged in such activities as bo
ok reviews and word games during social time
B) Increase in the number of chair aerobics classes provided in the skilled c
are facilities
C) Interventions geared toward keeping the elderly population diagnosed with dia
betes mellitus under tight blood glucose control by providing in-
home cooking classes
D) Providing transportation for renal dialysis patients to and from their hemodialys
is 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, an
d social well-
being and not merely the absence of disease and infirmity.‖ Engaging in book revie
ws facilitates mental and social well-
being; chair aerobics helps facilitate physical well-
being; and assisting with tight control of diabetes helps with facilitating physical wel
l-
being even though the person has a chronic disease. Handwashing is vital in the prev
ention of disease and spread of germs.
2. A community health nurse is teaching a group of recent graduates about the larg
e variety of factors that influence an individual's health or lack thereof. The nurs
e is referring to the Healthy People 2020 report from the U.S. Department of Hea
lth and Human Services as a teaching example. Of the following aspects discuss
ed, 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 stre
ss.
B) The client has a family history of cardiovascular disease related to hyper
cholesterolemia 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 ma
ny health care facilities.
Ans: B
Feedback:
In Healthy People 2020, the focus is to promote good health to all (such as using alt
ernative therapies to minimize effects of stress); achieving health equity and promoti
ng health for all (which includes having good health care benefits); and promoting g
ood health (which includes living in a clean community with good access to health c
are). A client's noncompliance with treatments to control high cholesterol levels withi
n the presence of a family history of CV disease does not meet the ―attaining lives f
,ree of preventable disease and premature death‖ determinant.
, TEST BANK FOR PORTH'S PATHOPHYSIOLOGY 10TH EDITION BY NORRIS
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 b
etween diseases that are caused by abnormal molecules and diseases that cause disea
se. Which of the following patients most clearly demonstrates the consequences of m
olecules 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.
Ans: D
Feedback:
PCP is an example of the effect of a molecule that directly contributes to disease. Sic
kle cell 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 follo
wing aspects of clients' situations bNesUt RchSaIraNctGerTizBe.s pCaOthMogen
esis 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 A
ns: 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 trau
matic injuries are examples of etiologic factors.
5. A new myocardial infarction patient requiring angioplasty and stent placement has ar
rived 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 pati
ent 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 l
ike French fries every day.‖
C) ―Sounds like this began because of inflammation inside my artery that made
ed on the World Health Organization (WHO) views on health. Of the following com
ments made by nurses during a discussion session, which statements would be consi
dered a good representation of the WHO definition? Select all that apply.
A) Interests in keeping the elderly population engaged in such activities as bo
ok reviews and word games during social time
B) Increase in the number of chair aerobics classes provided in the skilled c
are facilities
C) Interventions geared toward keeping the elderly population diagnosed with dia
betes mellitus under tight blood glucose control by providing in-
home cooking classes
D) Providing transportation for renal dialysis patients to and from their hemodialys
is 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, an
d social well-
being and not merely the absence of disease and infirmity.‖ Engaging in book revie
ws facilitates mental and social well-
being; chair aerobics helps facilitate physical well-
being; and assisting with tight control of diabetes helps with facilitating physical wel
l-
being even though the person has a chronic disease. Handwashing is vital in the prev
ention of disease and spread of germs.
2. A community health nurse is teaching a group of recent graduates about the larg
e variety of factors that influence an individual's health or lack thereof. The nurs
e is referring to the Healthy People 2020 report from the U.S. Department of Hea
lth and Human Services as a teaching example. Of the following aspects discuss
ed, 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 stre
ss.
B) The client has a family history of cardiovascular disease related to hyper
cholesterolemia 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 ma
ny health care facilities.
Ans: B
Feedback:
In Healthy People 2020, the focus is to promote good health to all (such as using alt
ernative therapies to minimize effects of stress); achieving health equity and promoti
ng health for all (which includes having good health care benefits); and promoting g
ood health (which includes living in a clean community with good access to health c
are). A client's noncompliance with treatments to control high cholesterol levels withi
n the presence of a family history of CV disease does not meet the ―attaining lives f
,ree of preventable disease and premature death‖ determinant.
, TEST BANK FOR PORTH'S PATHOPHYSIOLOGY 10TH EDITION BY NORRIS
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 b
etween diseases that are caused by abnormal molecules and diseases that cause disea
se. Which of the following patients most clearly demonstrates the consequences of m
olecules 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.
Ans: D
Feedback:
PCP is an example of the effect of a molecule that directly contributes to disease. Sic
kle cell 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 follo
wing aspects of clients' situations bNesUt RchSaIraNctGerTizBe.s pCaOthMogen
esis 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 A
ns: 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 trau
matic injuries are examples of etiologic factors.
5. A new myocardial infarction patient requiring angioplasty and stent placement has ar
rived 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 pati
ent 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 l
ike French fries every day.‖
C) ―Sounds like this began because of inflammation inside my artery that made
