TEST BANK For Porth's Pathophysiology Concepts of
Altered Health States 11th Edition by Tommie L.
Verified Chapters 1 - 52, Complete Newest Version;
Grade A+
Chapterh1-hConceptshofhHealthhandhDisease
1. Athanhinternationalhnursinghconference,hmanyhdiscussionshandhbreakouthsessionshfocusedhonhth
ehWorldhHealthhOrganizationh(WHO)hviewshonhhealth.hOfhthehfollowinghcommentshmadehbyh
nurseshduringhahdiscussionhsession,hwhichhstatementshwouldhbehconsideredhahgoodhrepresent
ationhofhthehWHOhdefinition?hSelecthallhthathapply.
A) Interestshinhkeepinghthehelderlyhpopulationhengagedhinhsuchhactivitieshashbookhre
viewshandhwordhgameshduringhsocialhtime
B) Increasehinhthehnumberhofhchairhaerobicshclasseshprovidedhinhthehskilledhcarehfac
ilities
C) Interventionshgearedhtowardhkeepinghthehelderlyhpopulationhdiagnosedhwithhdiabet
eshmellitushunderhtighthbloodhglucosehcontrolhbyhprovidinghin-homehcookinghclasses
D) Providinghtransportationhforhrenalhdialysishpatientshtohandhfromhtheirhhemodialysishses
sions
E) ProvidinghhandwashinghteachinghsessionshtohahgrouphofhyounghchildrenhAn
s:h A,hB,hC,hE
Feedback:
ThehWHOhdefinitionhofhhealthhishdefinedhash“ahstatehofhcompletehphysical,hmental,handhsocial
hwell-
beinghandhnothmerelyhthehabsencehofhdiseasehandhinfirmity.”hEngaginghinhbookhreviewshfacili
tateshmentalhandhsocialhwell-being;hchairhaerobicshhelpshfacilitatehphysicalhwell-
being;handhassistinghwithhtighthcontrolhofhdiabeteshhelpshwithhfacilitatinghphysicalhwell-
beinghevenhthoughhthehpersonhhashahchronichdisease.hHandwashinghishvitalhinhthehpreventionho
fhdiseasehandhspreadhofhgerms.
2. Ahcommunityhhealthhnursehishteachinghahgrouphofhrecenthgraduateshabouththehlargehvarie
tyhofhfactorshthathinfluencehanhindividual'shhealthhorhlackhthereof.hThehnursehishreferringhto
hthehHealthyhPeopleh2020hreporthfromhthehU.S.hDepartment hofhHealthhandhHumanhService
shashahteachinghexample.hOfhthehfollowinghaspectshdiscussed,hwhichhwouldhbehconsidere
dhahdeterminanthofhhealthhthathishoutsidehthehfocushofhthishreport?
A) ThehclienthhashahdiversehbackgroundhbyhbeinghofhAsianhandhNativehAmericanhdesce
nthandhpracticeshvarioushalternativehtherapieshtohminimizeheffectshofhstress.
B) Thehclienthhashahfamilyhhistoryhofhcardiovascularhdiseasehrelatedhtohhyperchole
sterolemiahandhremainshnoncomplianthwithhthehtreatmenthregime.
C) Thehclienthhashahgoodhcareerhwithhexceptionalhpreventativehhealthhcarehbenefits.
D) Thehclienthliveshinhanhaffluent,hclean,hsuburbanhcommunityhwithhaccesshtohmanyhhealt
hhcarehfacilities.
Ans:h B
Page 1
,Feedback:
InhHealthyhPeopleh2020,hthehfocushishtohpromotehgoodhhealthhtohallh(suchhashusinghalternativeht
herapieshtohminimizeheffectshofhstress);hachievinghhealthhequityhandhpromotinghhealthhforhallh
(whichhincludeshhavinghgoodhhealthhcarehbenefits);handhpromotinghgoodhhealthh(whichhinclud
eshlivinghinhahcleanhcommunityhwithhgoodhaccesshtohhealthhcare).hAhclient'shnoncompliancehwithh
treatmentshtohcontrolhhighhcholesterolhlevelshwithinhthehpresencehofhahfamilyhhistoryhofhCVhdis
easehdoeshnothmeeththeh“attaininghliveshfreehofhpreventablehdiseasehandhprematurehdeath”h
determinant.
Page 2
,3. Ahphysicianhishprovidinghcarehforhahnumberhofhpatientshonhahmedicalhunithofhahlarge,huniversit
yhhospital.hThehphysicianhishdiscussinghwithhahcolleaguehthehdifferentiationhbetweenhdiseasesht
hatharehcausedhbyhabnormalhmoleculeshandhdiseaseshthathcausehdisease.hWhichhofhthehfollowi
nghpatientshmosthclearlyhdemonstrateshthehconsequenceshofhmoleculeshthathcausehdisease?
A) Ah31-year-
oldhwomanhwithhsicklehcellhanemiahwhohishreceivinghahtransfusionhofhpackedhredhblo
odhcells
B) Ah91-year-
oldhwomanhwhohhashexperiencedhanhischemichstrokehresultinghfromhfamilialhhyper
cholesterolemia
C) Ah19-year-
oldhmanhwithhexacerbationhofhhishcystichfibrosishrequiringhoxygenhtherapyhandhc
hesthphysiotherapy
D) Ah30-year-
oldhhomelesshmanhwhohhashPneumocystishcariniihpneumoniah(PCP)handhishHIVhpositive.
Ans:h D
Feedback:
PCPhishanhexamplehofhtheheffecthofhahmoleculehthathdirectlyhcontributeshtohdisease.hSicklehcellh
anemia,hfamilialhhypercholesterolemia,handhcystichfibrosisharehallhexampleshofhtheheffectshof
habnormalhmolecules.
4. Ahmemberhofhthehhealthhcarehteamhishresearchinghthehetiologyhandhpathogenesishofhahnum
berhofhclientshwhoharehunderhhishcarehinhahhospitalhcontext.hWhichhofhthehfollowinghaspectsho
fhclients'hsituationshbesthcharacterizeshpathogenesishratherhthanhetiology?
A) AhclienthwhohhashbeenhexposedhtohthehMycobacteriumhtuberculosishbacterium
B) Ahclienthwhohhashincreasinghserumhammoniahlevelshduehtohliverhcirrhosis
C) Ahclienthwhohwashadmittedhwithhtheheffectshofhmethylhalcoholhpoisoning
D) AhclienthwithhmultiplehskeletalhinjurieshsecondaryhtohahmotorhvehiclehaccidenthAns:h
B
Feedback:
Pathogenesishrefershtohthehprogressivehandhevolutionaryhcoursehofhdisease,hsuchhashthehincre
asinghammoniahlevelshthathaccompanyhliverhdisease.hBacteria,hpoisons,handhtraumatichinjurie
sharehexampleshofhetiologichfactors.
Page 3
, 5. Ahnewhmyocardialhinfarctionhpatienthrequiringhangioplastyhandhstenthplacementhhasharrived
htohhishfirsthcardiachrehabilitationhappointment.hInhthishfirst hsession,hahreviewhofhthehpathogene
sishofhcoronaryharteryhdiseasehishaddressed.hWhichhstatementhbyhthehpatienthverifieshtohthehn
ursehthathhehhashunderstoodhthehnurse'shteachingshabouthcoronaryharteryhdisease?
A) “AllhIhhavehtohdohishstophsmoking,handhthenhIhwon'thhavehanyhmorehhearthattacks.”
B) “Myharteryhwashcloggedhbyhfat,hsohIhwillhneedhtohstopheatinghfattyhfoodshlikehFr
enchhfriesheveryhday.”
C) “Soundshlikehthishbeganhbecausehofhinflammationhinsidehmyharteryhthathmadehithea
syhtohformhfattyhstreaks,hwhichhleadhtohmyhcloggedhartery.”
D) “IfhIhdohnothexercisehregularlyhtohgethmyhhearthratehup,hbloodhpoolshinhthehveinshcausin
ghahcloththathstopshbloodhflowhtohthehmuscle,handhIhwillhhavehahhearthattack.”
Ans:h C
Feedback:
Thehtruehetiology/causehofhcoronaryharteryhdiseaseh(CAD)hishunknown;hhowever,hthehpathog
enesishofhthehdisorderhrelateshtohthehprogressionhofhthehinflammatoryhprocesshfromhahfattyhstr
eakhtohthehocclusivehvesselhlesionhseenhinhpeoplehwithhcoronaryharteryhdisease.hRiskhfactorshfo
rhCADhrevolveharoundhcigarettehsmoking,hdiethhighhinhfat,handhlackhofhexercise.
6. Ah77-year-
oldhmanhishahhospitalhinpatienthadmittedhforhexacerbationhofhhishchronichobstructivehpulmona
ryhdiseaseh(COPD),handhahrespiratoryhtherapisth(RT)hishassessinghthehclienthforhthehfirsthtime.h
Whichhofhthehfollowinghaspectshofhthehpatient'shcurrenthstatehofhhealthhwouldhbehbesthcharact
erizedhashahsymptomhratherhthanhahsign?
A) Thehpatient'shoxygenhsaturationhish83%hbyhpulsehoxymetry.
B) Thehpatienthnoteshthathhehhashincreasedhworkhofhbreathinghwhenhlyinghsupine.
C) ThehRThhearshdiminishedhbreathhsoundshtohthehpatient'shlowerhlunghfieldshbilat
erally.
D) Thehpatient'shrespiratoryhratehish31hbreaths/minute.h
Ans:h B
Feedback:
Symptomsharehsubjectivehcomplaintshbyhthehpersonhexperiencinghthehhealthhproblem,hsuc
hhashcomplaintshofhbreathinghdifficulty.hOxygenhlevels,hlisteninghtohbreathhsounds,handhres
piratoryhrateharehallhobjective,hobservablehsignshofhdisease.
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Altered Health States 11th Edition by Tommie L.
Verified Chapters 1 - 52, Complete Newest Version;
Grade A+
Chapterh1-hConceptshofhHealthhandhDisease
1. Athanhinternationalhnursinghconference,hmanyhdiscussionshandhbreakouthsessionshfocusedhonhth
ehWorldhHealthhOrganizationh(WHO)hviewshonhhealth.hOfhthehfollowinghcommentshmadehbyh
nurseshduringhahdiscussionhsession,hwhichhstatementshwouldhbehconsideredhahgoodhrepresent
ationhofhthehWHOhdefinition?hSelecthallhthathapply.
A) Interestshinhkeepinghthehelderlyhpopulationhengagedhinhsuchhactivitieshashbookhre
viewshandhwordhgameshduringhsocialhtime
B) Increasehinhthehnumberhofhchairhaerobicshclasseshprovidedhinhthehskilledhcarehfac
ilities
C) Interventionshgearedhtowardhkeepinghthehelderlyhpopulationhdiagnosedhwithhdiabet
eshmellitushunderhtighthbloodhglucosehcontrolhbyhprovidinghin-homehcookinghclasses
D) Providinghtransportationhforhrenalhdialysishpatientshtohandhfromhtheirhhemodialysishses
sions
E) ProvidinghhandwashinghteachinghsessionshtohahgrouphofhyounghchildrenhAn
s:h A,hB,hC,hE
Feedback:
ThehWHOhdefinitionhofhhealthhishdefinedhash“ahstatehofhcompletehphysical,hmental,handhsocial
hwell-
beinghandhnothmerelyhthehabsencehofhdiseasehandhinfirmity.”hEngaginghinhbookhreviewshfacili
tateshmentalhandhsocialhwell-being;hchairhaerobicshhelpshfacilitatehphysicalhwell-
being;handhassistinghwithhtighthcontrolhofhdiabeteshhelpshwithhfacilitatinghphysicalhwell-
beinghevenhthoughhthehpersonhhashahchronichdisease.hHandwashinghishvitalhinhthehpreventionho
fhdiseasehandhspreadhofhgerms.
2. Ahcommunityhhealthhnursehishteachinghahgrouphofhrecenthgraduateshabouththehlargehvarie
tyhofhfactorshthathinfluencehanhindividual'shhealthhorhlackhthereof.hThehnursehishreferringhto
hthehHealthyhPeopleh2020hreporthfromhthehU.S.hDepartment hofhHealthhandhHumanhService
shashahteachinghexample.hOfhthehfollowinghaspectshdiscussed,hwhichhwouldhbehconsidere
dhahdeterminanthofhhealthhthathishoutsidehthehfocushofhthishreport?
A) ThehclienthhashahdiversehbackgroundhbyhbeinghofhAsianhandhNativehAmericanhdesce
nthandhpracticeshvarioushalternativehtherapieshtohminimizeheffectshofhstress.
B) Thehclienthhashahfamilyhhistoryhofhcardiovascularhdiseasehrelatedhtohhyperchole
sterolemiahandhremainshnoncomplianthwithhthehtreatmenthregime.
C) Thehclienthhashahgoodhcareerhwithhexceptionalhpreventativehhealthhcarehbenefits.
D) Thehclienthliveshinhanhaffluent,hclean,hsuburbanhcommunityhwithhaccesshtohmanyhhealt
hhcarehfacilities.
Ans:h B
Page 1
,Feedback:
InhHealthyhPeopleh2020,hthehfocushishtohpromotehgoodhhealthhtohallh(suchhashusinghalternativeht
herapieshtohminimizeheffectshofhstress);hachievinghhealthhequityhandhpromotinghhealthhforhallh
(whichhincludeshhavinghgoodhhealthhcarehbenefits);handhpromotinghgoodhhealthh(whichhinclud
eshlivinghinhahcleanhcommunityhwithhgoodhaccesshtohhealthhcare).hAhclient'shnoncompliancehwithh
treatmentshtohcontrolhhighhcholesterolhlevelshwithinhthehpresencehofhahfamilyhhistoryhofhCVhdis
easehdoeshnothmeeththeh“attaininghliveshfreehofhpreventablehdiseasehandhprematurehdeath”h
determinant.
Page 2
,3. Ahphysicianhishprovidinghcarehforhahnumberhofhpatientshonhahmedicalhunithofhahlarge,huniversit
yhhospital.hThehphysicianhishdiscussinghwithhahcolleaguehthehdifferentiationhbetweenhdiseasesht
hatharehcausedhbyhabnormalhmoleculeshandhdiseaseshthathcausehdisease.hWhichhofhthehfollowi
nghpatientshmosthclearlyhdemonstrateshthehconsequenceshofhmoleculeshthathcausehdisease?
A) Ah31-year-
oldhwomanhwithhsicklehcellhanemiahwhohishreceivinghahtransfusionhofhpackedhredhblo
odhcells
B) Ah91-year-
oldhwomanhwhohhashexperiencedhanhischemichstrokehresultinghfromhfamilialhhyper
cholesterolemia
C) Ah19-year-
oldhmanhwithhexacerbationhofhhishcystichfibrosishrequiringhoxygenhtherapyhandhc
hesthphysiotherapy
D) Ah30-year-
oldhhomelesshmanhwhohhashPneumocystishcariniihpneumoniah(PCP)handhishHIVhpositive.
Ans:h D
Feedback:
PCPhishanhexamplehofhtheheffecthofhahmoleculehthathdirectlyhcontributeshtohdisease.hSicklehcellh
anemia,hfamilialhhypercholesterolemia,handhcystichfibrosisharehallhexampleshofhtheheffectshof
habnormalhmolecules.
4. Ahmemberhofhthehhealthhcarehteamhishresearchinghthehetiologyhandhpathogenesishofhahnum
berhofhclientshwhoharehunderhhishcarehinhahhospitalhcontext.hWhichhofhthehfollowinghaspectsho
fhclients'hsituationshbesthcharacterizeshpathogenesishratherhthanhetiology?
A) AhclienthwhohhashbeenhexposedhtohthehMycobacteriumhtuberculosishbacterium
B) Ahclienthwhohhashincreasinghserumhammoniahlevelshduehtohliverhcirrhosis
C) Ahclienthwhohwashadmittedhwithhtheheffectshofhmethylhalcoholhpoisoning
D) AhclienthwithhmultiplehskeletalhinjurieshsecondaryhtohahmotorhvehiclehaccidenthAns:h
B
Feedback:
Pathogenesishrefershtohthehprogressivehandhevolutionaryhcoursehofhdisease,hsuchhashthehincre
asinghammoniahlevelshthathaccompanyhliverhdisease.hBacteria,hpoisons,handhtraumatichinjurie
sharehexampleshofhetiologichfactors.
Page 3
, 5. Ahnewhmyocardialhinfarctionhpatienthrequiringhangioplastyhandhstenthplacementhhasharrived
htohhishfirsthcardiachrehabilitationhappointment.hInhthishfirst hsession,hahreviewhofhthehpathogene
sishofhcoronaryharteryhdiseasehishaddressed.hWhichhstatementhbyhthehpatienthverifieshtohthehn
ursehthathhehhashunderstoodhthehnurse'shteachingshabouthcoronaryharteryhdisease?
A) “AllhIhhavehtohdohishstophsmoking,handhthenhIhwon'thhavehanyhmorehhearthattacks.”
B) “Myharteryhwashcloggedhbyhfat,hsohIhwillhneedhtohstopheatinghfattyhfoodshlikehFr
enchhfriesheveryhday.”
C) “Soundshlikehthishbeganhbecausehofhinflammationhinsidehmyharteryhthathmadehithea
syhtohformhfattyhstreaks,hwhichhleadhtohmyhcloggedhartery.”
D) “IfhIhdohnothexercisehregularlyhtohgethmyhhearthratehup,hbloodhpoolshinhthehveinshcausin
ghahcloththathstopshbloodhflowhtohthehmuscle,handhIhwillhhavehahhearthattack.”
Ans:h C
Feedback:
Thehtruehetiology/causehofhcoronaryharteryhdiseaseh(CAD)hishunknown;hhowever,hthehpathog
enesishofhthehdisorderhrelateshtohthehprogressionhofhthehinflammatoryhprocesshfromhahfattyhstr
eakhtohthehocclusivehvesselhlesionhseenhinhpeoplehwithhcoronaryharteryhdisease.hRiskhfactorshfo
rhCADhrevolveharoundhcigarettehsmoking,hdiethhighhinhfat,handhlackhofhexercise.
6. Ah77-year-
oldhmanhishahhospitalhinpatienthadmittedhforhexacerbationhofhhishchronichobstructivehpulmona
ryhdiseaseh(COPD),handhahrespiratoryhtherapisth(RT)hishassessinghthehclienthforhthehfirsthtime.h
Whichhofhthehfollowinghaspectshofhthehpatient'shcurrenthstatehofhhealthhwouldhbehbesthcharact
erizedhashahsymptomhratherhthanhahsign?
A) Thehpatient'shoxygenhsaturationhish83%hbyhpulsehoxymetry.
B) Thehpatienthnoteshthathhehhashincreasedhworkhofhbreathinghwhenhlyinghsupine.
C) ThehRThhearshdiminishedhbreathhsoundshtohthehpatient'shlowerhlunghfieldshbilat
erally.
D) Thehpatient'shrespiratoryhratehish31hbreaths/minute.h
Ans:h B
Feedback:
Symptomsharehsubjectivehcomplaintshbyhthehpersonhexperiencinghthehhealthhproblem,hsuc
hhashcomplaintshofhbreathinghdifficulty.hOxygenhlevels,hlisteninghtohbreathhsounds,handhres
piratoryhrateharehallhobjective,hobservablehsignshofhdisease.
Page 4
