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ALTERED HEALTH STATES 11TH EDITION TOMMIE
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L. NORRIS TEST BANK
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CH 1: Concepts of Health and Disease
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1. At an international nursing conference, many discussions and breakout sessions focused
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on the World Health Organization (WHO) views on health. Of the following comments
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made by Nursing attendants during a discussion session, which statements would be
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considered 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 book gu gu gu gu gu gu gu gu gu gu gu
reviews and word games during social time
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B) Increase in the number of chair aerobics classes provided in the skilled care gu gu gu gu gu gu gu gu gu gu gu gu
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C) Interventions geared toward keeping the elderly population diagnosed with gu gu gu gu gu gu gu gu
diabetes mellitus under tight blood glucose control by providing in-home cooking
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D) Providing transportation for renal dialysis hospital patients to and from their gu gu gu gu gu gu gu gu gu gu
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E) Providing handwashing teaching sessions to a group of young children gu gu gu gu gu gu gu gu gu
PRECISE CHOICE:- A, B, C, E
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Reasoning:->>>
The WHO definition of health is defined as “a state of complete physical, mental, and
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social well-being and not merely the absence of illness and infirmity.” Engaging in book
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reviews facilitates mental and social well-being; chair aerobics helps facilitate physical
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well-being; and assisting with tight control of diabetes helps with facilitating physical
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well-being even though the person has a chronic illness. Handwashing is vitalin the
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prevention of illness and spread of germs.
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2. A community health Nursing attendant is teaching a group of recent graduates
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about the large variety of factors that influence an individual's health or lack
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thereof. The Nursing attendant is referring to the Healthy People 2020 report from
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the U.S. Department of Health and Human Services as a teaching example. Of the
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following aspects discussed, which would be considered a determinant of health
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that is outside the focus of this report?
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A) The hospital patient has a diverse background by being of Asian and Native
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American descent and practices various alternative therapies to minimize effects
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of stress. gu gu
B) The hospital patient has a family history of cardiovascular illness related to
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hypercholesterolemia and remains noncompliant with the treatment regime.
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C) The hospital patient has a good career with exceptional preventative primary health care
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benefits. gu
D) The hospital patient lives in an affluent, clean, suburban community with
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access tomany primary health care facilities.
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PRECISE CHOICE:- B gu gu
Reasoning:->>>
In Healthy People 2020, the focus is to promote good health to all (such as using
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alternative therapies to minimize effects of stress); achieving health equity and
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promoting health for all (which includes having good primary health care benefits); and
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promoting good health (which includes living in a clean community with good access to
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health care). A hospital patient's noncompliance with treatments to control high
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cholesterol levels within the presence of a family history of CV illness does not meet the
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“attaininglives free of preventable illness and premature death” determinant.
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,3. A physician is providing care for a number of hospital patients on a medical unit of a
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large, university hospital. The physician is discussing with a colleague the
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differentiation between illnesss that are caused by abnormal molecules and illnesss that
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cause illness.Which of the following hospital patients most clearly demonstrates the
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consequences of molecules that cause illness?
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A) A 31-year-old woman with sickle cell anemia who is receiving a transfusion of
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packed red blood cells
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B) A 91-year-old woman who has experienced an ischemic stroke resulting from
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familial hypercholesterolemia
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C) A 19-year-old man with exacerbation of his cystic fibrosis requiring oxygen
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therapy and chest physiotherapy
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D) A 30-year-old homeless man who has Pneumocystis carinii pneumonia (PCP) andis
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HIV positive. gu gu
PRECISE CHOICE:- D gu gu
Reasoning :->>>PCP is an example of the effect of a molecule that directly contributes to
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illness. Sicklecell anemia, familial hypercholesterolemia, and cystic fibrosis are all
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examples of the effects of abnormal molecules.
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4. A member of the primary health care team is researching the etiology and
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pathogenesis of a number of hospital patients who are under his care in a hospital
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context. Which of the following aspects of hospital patients' situations best
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characterizes pathogenesisrather than etiology?
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A) A hospital patient who has been exposed to the Mycobacterium tuberculosis bacterium
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B) A hospital patient who has increasing serum ammonia levels due to liver cirrhosis
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C) A hospital patient who was admitted with the effects of methyl alcohol poisoning
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D) A hospital patient with multiple skeletal injuries secondary to a motor
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vehicleaccident PRECISE CHOICE:- B
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Reasoning:->>>Pathogenesis refers to the progressive and evolutionary course of illness, gu gu gu gu gu gu gu gu gu
such as theincreasing ammonia levels that accompany liver illness. Bacteria, poisons, and
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traumatic injuries are examples of etiologic factors.
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5. A new myocardial infarction hospital patient requiring angioplasty and stent placement
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has arrived to his first cardiac rehabilitation appointment. In this first session, a review
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of the pathogenesis of coronary artery illness is addressed. Which statement by the
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hospital patientverifies to the Nursing attendant that he has understood the Nursing
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attendant's teachings about coronary artery illness?
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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
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French fries every day.”
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C) “Sounds like this began because of inflammation inside my artery that made it gu gu gu gu gu gu gu gu gu gu gu gu
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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PRECISE CHOICE:- C gu gu
Reasoning:->>>The true etiology/cause of coronary artery illness (CAD) is unknown; gu gu gu gu gu gu gu gu gu
however, the
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, pathogenesis of the disorder relates to the progression of the inflammatory process gu gu gu gu gu gu gu gu gu gu gu
froma fatty streak to the occlusive vessel lesion seen in people with coronary artery
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illness. Risk factors for CAD revolve around cigarette smoking, diet high in fat,
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and lack of exercise.
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6. A 77-year-old man is a hospital inhospital patient admitted for exacerbation of his
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chronic obstructive pulmonary illness (COPD), and a respiratory therapist (RT) is
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assessing the hospital patient for the first time. Which of the following aspects of the
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hospital patient's current state ofhealth would be best characterized as a symptom rather
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than a sign?
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A) The hospital patient's oxygen saturation is 83% by pulse oxymetry.
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B) The hospital 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 hospital patient's lower lung
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fieldsbilaterally.
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D) The hospital patient's respiratory rate is 31 gu gu gu gu gu gu
breaths/minute.PRECISE CHOICE:- B
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Reasoning:->>>Symptoms are subjective complaints by the person experiencing the health gu gu gu gu gu gu gu gu gu
problem,such as complaints of breathing difficulty. Oxygen levels, listening to breath
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sounds,and respiratory rate are all objective, observable signs of illness.
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7. Which of the following situations would be classified as a complication of a illness or
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outcome from the treatment regimen? Select all that apply.
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A) Massive pulmonary emboli following diagnosis of new-onset atrial fibrillation gu gu gu gu gu gu gu gu
B) Burning, intense incision pain following surgery to remove a portion of colon dueto gu gu gu gu gu gu gu gu gu gu gu gu gu
intestinal aganglionosis
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C) Development of pulmonary fibrosis following treatment with bleomycin, an gu gu gu gu gu gu gu gu
antibiotic chemotherapy agent used in treatment of lymphoma
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D) Gradual deterioration in ability to walk unassisted for a hospital patient gu gu gu gu gu gu gu gu gu gu
diagnosed withParkinson illness
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E) Loss of short-term memory in a hospital patient diagnosed with Alzheimer
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illnessPRECISE CHOICE:- A, C
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Reasoning:->>>Development of pulmonary emboli and pulmonary fibrosis following gu gu gu gu gu gu gu
chemotherapy areboth examples of a complication (adverse extensions of a illness or
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outcome from treatment). It is normal to expect incisional pain following surgery. As
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Parkinson illness progresses, the inability to walk independently is expected. This is a
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normal progression for people diagnosed with Parkinson's. Loss of short-term memory in
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a hospital patient diagnosed with Alzheimer illness is an expected finding.
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8. Laboratory testing is ordered for a client hospital patient during a clinic visit for a
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routine follow-up assessment of hypertension. When interpreting lab values, the
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Nursing attendant knows that
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A) a normal value represents the test results that fall within the bell 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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illness free.u
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