Test Bank - Porth's Pathophysiology: Concepts of Altered Health States Eleventh Edition by Tommie L. Norris , All Chapters | Complete Guide A+

,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 nurses during a discussion session, which statements would be considered a g
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ood 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 xt xt xt xt xt xt xt xt xt xt xt xt


reviews and word games during social time xt xt xt xt xt xt


B) Increase in the number of chair aerobics classes provided in the skilled care xt xt xt xt xt xt xt xt xt xt xt xt x


facilities t


C) Interventions geared toward keeping the elderly population diagnosed with diabe xt xt xt xt xt xt xt xt xt


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


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


sessions
E) Providing handwashing teaching sessions to a group of young children Ans: A, B, xt xt xt xt xt xt xt xt xt xt xt xt xt


C, E xt


Feedback:
The WHO definition of health is defined as ―a state of complete physical, mental, and s
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ocial well- xt


being and not merely the absence of disease and infirmity.‖ Engaging in book reviews f
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acilitates 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 preventi
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on of disease and spread of germs.
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2. A community health nurse is teaching a group of recent graduates about the large v
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ariety of factors that influence an individual's health or lack thereof. The nurse is re
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ferring to the Healthy People 2020 report from the U.S. Department of Health and H
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uman Services as a teaching example. Of the following aspects discussed, which w
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ould be considered 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 d
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escent 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 hyperch
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olesterolemia and remains noncompliant with the treatment regime. xt xt xt xt xt xt xt


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
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health care facilities. xt xt


Ans: B xt


Feedback:
In Healthy People 2020, the focus is to promote good health to all (such as using altern
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ative therapies to minimize effects of stress); achieving health equity and promoting he
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alth for all (which includes having good health care benefits); and promoting good healt
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h (which includes living in a clean community with good access to health care). A client'
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s noncompliance with treatments to control high cholesterol levels within the presence
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of a family history of CV disease does not meet the ―attaining lives free of preventable
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disease and premature death‖ determinant. xt xt xt xt

, TEST BANK FOR PORTH'S PATHOPHYSIOLOGY 10TH EDITION BY NORRIS
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3. A physician is providing care for a number of patients on a medical unit of a large, uni
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versity hospital. The physician is discussing with a colleague the differentiation betwee
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n diseases that are caused by abnormal molecules and diseases that cause disease. Whic
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h of the following patients most clearly demonstrates the consequences of molecules th
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at cause disease?
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A) A 31-year- xt


old woman with sickle cell anemia who is receiving a transfusion of packed re
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d blood cells xt xt


B) A 91-year- xt


old woman who has experienced an ischemic stroke resulting from familial h
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ypercholesterolemia
C) A 19-year- xt


old man with exacerbation of his cystic fibrosis requiring oxygen therapy an
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d chest physiotherapy xt xt


D) A 30-year- xt


old homeless man who has Pneumocystis carinii pneumonia (PCP) and is HIV pos
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itive.
Ans: D xt


Feedback:
PCP is an example of the effect of a molecule that directly contributes to disease. Sickle
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cell anemia, familial hypercholesterolemia, and cystic fibrosis are all examples of the ef
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fects of abnormal molecules.
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4. A member of the health care team is researching the etiology and pathogenesis of a n
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umber of clients who are under his care in a hospital context. Which of the following a
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spects of clients' situations bNesUt RchSaIraNctGerTizBe.s pCaOthMogenesis rath
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er than etiology? A) A client who has been exposed to the Mycobacterium tuberculos
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is 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 Ans:
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B
Feedback:
Pathogenesis refers to the progressive and evolutionary course of disease, such as the inc
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reasing ammonia levels that accompany liver disease. Bacteria, poisons, and traumatic i
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njuries are examples of etiologic factors.
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5. A new myocardial infarction patient requiring angioplasty and stent placement has arriv
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ed to his first cardiac rehabilitation appointment. In this first session, a review of the pa
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thogenesis of coronary artery disease is addressed. Which statement by the patient verifi
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es to the nurse that he has understood the nurse's teachings about coronary artery diseas
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e?
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
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, TEST BANK FOR PORTH'S PATHOPHYSIOLOGY 10TH EDITION BY NORRIS
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easy to form fatty streaks, which lead to my clogged artery.‖
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