!!!!TEST BANK FOR Porth's Pathophysiology: Concepts of Altered Health States 10th Edition by Tommie L. Norris, Rupa Lalchandani.ISBN:978-1496377555 COMPLETE GUIDE ALL CHAPTERS COVERED 100% VERIFIED A+ GRADE ASSURED!!!!! NEW LATEST UPDATE!!!!!

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, Porth’s Pathophysiology 10th Edition Norris Test Bank
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MULTIPLE CHOICE 6%




1. At an international nursing conference, many discussions and breakout sessions focuse
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d on the World Health Organization (WHO) views on health. Of the following comm
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ents made by nurses during a discussion session, which statements would be conside
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red a good representation of the WHO definition? Select all that apply.
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A) Interests in keeping the elderly population engaged in such activities as boo
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k reviews and word games during social time
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B) Increase in the number of chair aerobics classes provided in the skilled car
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e facilities 6%



C) Interventions geared toward keeping the elderly population diagnosed with dia 6% 6% 6% 6% 6% 6% 6% 6% 6%



betes mellitus under tight blood glucose control by providing in-
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home cooking classes 6% 6%



D) Providing transportation for renal dialysis patients to and from their hemodialysi
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s sessions 6%



E) Providing handwashing teaching sessions to a group of young childre 6% 6% 6% 6% 6% 6% 6% 6% 6%



n Ans: A, B, C, E
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Feedback:
The WHO definition of health is defined as “a state of complete physical, mental, an
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d social well-
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being and not merely the absence of disease and infirmity.” Engaging in book revie
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ws facilitates mental and social well-
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being; chair aerobics helps facilitate physical well-
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being; and assisting with tight control of diabetes helps with facilitating physical wel
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l-
being even though the person has a chronic disease. Handwashing is vital in the preve
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ntion of disease and spread of germs.
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2. A community health nurse is teaching a group of recent graduates about the larg
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e variety of factors that influence an individual's health or lack thereof. The nurs
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e is referring to the Healthy People 2020 report from the U.S. Department of Healt
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h and Human Services as a teaching example. Of the following aspects discusse
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d, which would be considered a determinant of health that is outside the focus of
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%this report? 6%



A) The client has a diverse background by being of Asian and Native America
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n descent and practices various alternative therapies to minimize effects of stre
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ss.
B) The client has a family history of cardiovascular disease related to hyper
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cholesterolemia and remains noncompliant with the treatment regime. 6% 6% 6% 6% 6% 6% 6%



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 man
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y health care facilities. 6% 6% 6%



Ans: B 6%



Feedback:
In Healthy People 2020, the focus is to promote good health to all (such as using alt
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ernative therapies to minimize effects of stress); achieving health equity and promoti
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ng health for all (which includes having good health care benefits); and promoting g
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ood health (which includes living in a clean community with good access to health car
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e). A client's noncompliance with treatments to control high cholesterol levels
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, within the presence of a family history of CV disease does not meet the “attaining lives
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free of preventable disease and premature death” determinant.
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3. A physician is providing care for a number of patients on a medical unit of a large,
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university hospital. The physician is discussing with a colleague the differentiation b
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etween diseases that are caused by abnormal molecules and diseases that cause disease.
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Which of the following patients most clearly demonstrates the consequences of mole
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cules that cause disease?
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A) A 31-year- 6%



old woman with sickle cell anemia who is receiving a transfusion of packed r
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ed blood cells 6% 6%



B) A 91-year- 6%



old woman who has experienced an ischemic stroke resulting from familial
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hypercholesterolemia
C) A 19-year- 6%



old man with exacerbation of his cystic fibrosis requiring oxygen therapy a
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nd chest physiotherapy 6% 6%



D) A 30-year- 6%



old homeless man who has Pneumocystis carinii pneumonia (PCP) and is HIV p
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ositive.
Ans: D 6%



Feedback:
PCP is an example of the effect of a molecule that directly contributes to disease. Sickl
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e cell anemia, familial hypercholesterolemia, and cystic fibrosis are all examples of t
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he effects of abnormal molecules.
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4. A member of the health care team is researching the etiology and pathogenesis of
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a number of clients who are under his care in a hospital context. Which of the follo
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wing
aspects of clients' situations bN
6%esUt R
chSaI
raN
ctGerTizBe.
6% s pCaOthMogen es is rather than etiology?
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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 accide
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nt Ans: B6% 6%



Feedback:
Pathogenesis refers to the progressive and evolutionary course of disease, such as the i
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ncreasing ammonia levels that accompany liver disease. Bacteria, poisons, and traum
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atic injuries are examples of etiologic factors.
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5. A new myocardial infarction patient requiring angioplasty and stent placement has a
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rrived to his first cardiac rehabilitation appointment. In this first session, a review of
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%the pathogenesis of coronary artery disease is addressed. Which statement by the patie
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nt verifies to the nurse that he has understood the nurse's teachings about coronary a
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rtery disease? 6%



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
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French fries every day.” 6% 6% 6%



C) “Sounds like this began because of inflammation inside my artery that made it
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easy 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
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causing a clot that stops blood flow to the muscle, and I will have a heart attack.”
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Ans: C 6%

, Feedback:
The true etiology/cause of coronary artery disease (CAD) is unknown; however, the
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pathogenesis of the disorder relates to the progression of the inflammatory process fro
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m a fatty streak to the occlusive vessel lesion seen in people with coronary artery di
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sease. Risk factors for CAD revolve around cigarette smoking, diet high in fat, and l
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ack 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 p
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ulmonary disease (COPD), and a respiratory therapist (RT) is assessing the client for t
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he first time. WhichNU
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olG
6% loTwBin.gCaO
spMects of the patient's current state of health wo
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uld be best characterized as a symptom rather than a sign?
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A) The patient's oxygen saturation is 83% by pulse oxymetry.
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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 field
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s bilaterally. 6%



D) The patient's respiratory rate is 31 breaths/minute.
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Ans: B
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Feedback:
Symptoms are subjective complaints by the person experiencing the health proble
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m, such as complaints of breathing difficulty. Oxygen levels, listening to breath so
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unds, and respiratory rate are all objective, observable signs of disease.
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7. Which of the following situations would be classified as a complication of a dise
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ase oroutcome from the treatment regimen? Select all that apply.
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A) Massive pulmonary emboli following diagnosis of new-onset atrial fibrillation
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B) Burning, intense incision pain following surgery to remove a portion of colon du
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e to intestinal aganglionosis
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C) Development of pulmonary fibrosis following treatment with bleomycin, a 6% 6% 6% 6% 6% 6% 6% 6%



n antibiotic chemotherapy agent used in treatment of lymphoma
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D) Gradual deterioration in ability to walk unassisted for a patient diagnosed wit
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h Parkinson disease 6% 6%



E) Loss of short- 6% 6%



term memory in a patient diagnosed with Alzheimer disease Ans: A, C
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Feedback:
Development of pulmonary emboli and pulmonary fibrosis following chemotherapy are
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%both examples of a complication (adverse extensions of a disease or outcome from t
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reatment). It is normal to expect incisional pain following surgery. As Parkinson dis
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ease progresses, the inability to walk independently is expected. This is a normal pro
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gression for people diagnosed with Parkinson's. Loss of short-
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term memory in a patient diagnosed with Alzheimer disease is an expected finding.
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8. Laboratory testing is ordered for a male patient during a clinic visit for a routine f
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ollow-
up assessment of hypertension. When interpreting lab values, the nurse knows that
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A) anormalvalue represenNtsUt Rh eS tIe sNt Gr eTsuBl .
6% t s Ct hOaM
6% t fal within thebel curve.
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B) if the lab result is above the 50% distribution, the result is considered elevated.
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C) all lab values are adjusted for gender and weight.
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D) if the result of a very sensitive test is negative, that does not mean the person is
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