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TEST BANK. PORTH'S PATHOPHYSIOLOGY: CONCEPTS OF ALTERED HEALTH STATES 10TH EDITION BY TOMMIE L. NORRIS ISBN : 978-1496377555 COMPLETE GUIDE 100 % VERIFIED A+ GRADE ASSURED!!!NEW LATEST UPDATE!!!!!

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TEST BANK. PORTH'S PATHOPHYSIOLOGY: CONCEPTS OF ALTERED HEALTH STATES 10TH EDITION BY TOMMIE L. NORRIS ISBN : 978-1496377555 COMPLETE GUIDE 100 % VERIFIED A+ GRADE ASSURED!!!NEW LATEST UPDATE!!!!!

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PORTH’S PATHOPHYSIOLOGY CONCEPTS OF ALTERED HEALT

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TEST BANK FOR PORTH’S PATHOPHYSIOLOGY
CONCEPTS OF ALTERED HEALTH STATES 10TH
EDITION BY TOMMIE L. NORRIS

, TEST BANK FOR PORTH'S PATHOPHYSIOLOGY 10TH EDITION BY NORRIS




Porth’s Pathophysiology 10th Edition Norris Test Bank Q Q Q Q Q Q




1. At an international nursing conference, many discussions and breakout sessions focused on
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the World Health Organization (WHO) views on health. Of the following comments made b
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y nurses during a discussion session, which statements would be considered a good represe
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ntation of the WHO definition? Select all that apply. Q Q Q Q Q Q Q Q




A) Interests in keeping the elderly population engaged in such activities as book rev Q Q Q Q Q Q Q Q Q Q Q Q




iews and word games during social time Q Q Q Q Q Q




B) Increase in the number of chair aerobics classes provided in the skilled care faci Q Q Q Q Q Q Q Q Q Q Q Q Q




lities
C) Interventions geared toward keeping the elderly population diagnosed with diabetes Q Q Q Q Q Q Q Q Q Q




mellitus under tight blood glucose control by providing in-home cooking classes Q Q Q Q Q Q Q Q Q Q




D) Providing transportation for renal dialysis patients to and from their hemodialysis ses Q Q Q Q Q Q Q Q Q Q Q




sions
E) Providing handwashing teaching sessions to a group of young children An Q Q Q Q Q Q Q Q Q Q




s: A, B, C, E
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Feedback:
The WHO definition of health is defined as “a state of complete physical, mental, and social
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well-
being and not merely the absence of disease and infirmity.” Engaging in book reviews facili
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tates mental and social well-being; chair aerobics helps facilitate physical well-
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being; and assisting with tight control of diabetes helps with facilitating physical well-
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being even though the person has a chronic disease. Handwashing is vital in the prevention o
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f disease and spread of germs.
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2. A community health nurse is teaching a group of recent graduates about the large variet
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y of factors that influence an individual's health or lack thereof. The nurse is referring to
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the Healthy People 2020 report from the U.S. Department of Health and Human Service
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s as a teaching example. Of the following aspects discussed, which would be considered
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a determinant of health that is outside the focus of this report?
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A) The client has a diverse background by being of Asian and Native American desce
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nt and practices various alternative therapies to minimize effects of stress.
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B) The client has a family history of cardiovascular disease related to hypercholes
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terolemia and remains noncompliant with the treatment regime. Q Q Q Q Q Q Q




C) The client has a good career with exceptional preventative health care benefits.
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D) The client lives in an affluent, clean, suburban community with access to many hea
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lth care facilities. Q Q




Ans: B Q




Feedback:
In Healthy People 2020, the focus is to promote good health to all (such as using alternative t
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herapies to minimize effects of stress); achieving health equity and promoting health for all (
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which includes having good health care benefits); and promoting good health (which includ
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es living in a clean community with good access to health care). A client's noncompliance wi
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th treatments to control high cholesterol levels within the presence of a family history of CV
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disease does not meet the “attaining lives free of preventable disease and premature death” d
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eterminant.

, 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
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hospital. The physician is discussing with a colleague the differentiation between diseases th
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at are caused by abnormal molecules and diseases that cause disease. Which of the following
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patients most clearly demonstrates the consequences of molecules that cause disease?
Q Q Q Q Q Q Q Q Q Q




A) A 31-year- Q




old woman with sickle cell anemia who is receiving a transfusion of packed red blo
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od cells Q




B) A 91-year- Q




old woman who has experienced an ischemic stroke resulting from familial hyper
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cholesterolemia
C) A 19-year- Q




old man with exacerbation of his cystic fibrosis requiring oxygen therapy and c
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hest physiotherapy Q




D) A 30-year- Q




old homeless man who has Pneumocystis carinii pneumonia (PCP) and is HIV positiv
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e.
Ans: D Q




Feedback:
PCP is an example of the effect of a molecule that directly contributes to disease. Sickle cell a
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nemia, familial hypercholesterolemia, and cystic fibrosis are all examples of the effects of a
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bnormal molecules. Q




4. A member of the health care team is researching the etiology and pathogenesis of a numbe
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r of clients who are under his care in a hospital context. Which of the following aspects of cli
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ents' situations bN
QesUtR
chSaI
raN
ctGerTizBe.
s pCaOt hMo ge n e s i s rather than etiology?
Q Q Q Q Q Q




A) A client who has been exposed to the Mycobacterium tuberculosis bacterium
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B) A client who has increasing serum ammonia levels due to liver cirrhosis
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C) A client who was admitted with the effects of methyl alcohol poisoning
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D) A client with multiple skeletal injuries secondary to a motor vehicle accident An
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s: B Q




Feedback:
Pathogenesis refers to the progressive and evolutionary course of disease, such as the increas
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ing ammonia levels that accompany liver disease. Bacteria, poisons, and traumatic injuries a
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re examples of etiologic factors.
Q Q Q Q

, TEST BANK FOR PORTH'S PATHOPHYSIOLOGY 10TH EDITION BY NORRIS




5. A new myocardial infarction patient requiring angioplasty and stent placement has arrived t
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o his first cardiac rehabilitation appointment. In this first session, a review of the pathogenes
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is of coronary artery disease is addressed. Which statement by the patient verifies to the nurs
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e that he has understood the nurse's teachings about coronary artery disease?
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A) “All I have to do is stop smoking, and then I won't have any more heart attacks.”
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B) “My artery was clogged by fat, so I will need to stop eating fatty foods like Fren
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ch fries every day.” Q Q Q




C) “Sounds like this began because of inflammation inside my artery that made it eas Q Q Q Q Q Q Q Q Q Q Q Q Q




y to form fatty streaks, which lead to my clogged artery.”
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D) “If I do not exercise regularly to get my heart rate up, blood pools in the veins causing
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a clot that stops blood flow to the muscle, and I will have a heart attack.”
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Ans: C Q




Feedback:
The true etiology/cause of coronary artery disease (CAD) is unknown; however, the pathog
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enesis of the disorder relates to the progression of the inflammatory process from a fatty stre
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ak to the occlusive vessel lesion seen in people with coronary artery disease. Risk factors for
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CAD revolve around cigarette smoking, diet high in fat, and lack of exercise.
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6. A 77-year-
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old man is a hospital inpatient admitted for exacerbation of his chronic obstructive pulmona
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ry disease (COPD), and a respiratory therapist (RT) is assessing the client for the first time.
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q




WhichNU ofRthSeIfN
olGloTwBin.gCaO
spMects of the patient's current state of health would be best charact Q Q Q Q Q Q Q Q Q Q Q




erized as a symptom rather than a sign? Q Q Q Q Q Q Q




A) The patient's oxygen saturation is 83% by pulse oxymetry. Q Q Q Q Q Q Q Q




B) The patient notes that he has increased work of breathing when lying supine.
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C) The RT hears diminished breath sounds to the patient's lower lung fields bila
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terally.
D) The patient's respiratory rate is 31 breaths/minute. A Q Q Q Q Q Q Q




ns: B Q




Feedback:
Symptoms are subjective complaints by the person experiencing the health problem, suc
Q Q Q Q Q Q Q Q Q Q Q




h as complaints of breathing difficulty. Oxygen levels, listening to breath sounds, and res
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piratory rate are all objective, observable signs of disease.
Q Q Q Q Q Q Q Q

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