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

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

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, TEST BANK FOR PORTH'S PATHOPHYSIOLOGY 10TH EDITION BY NORRIS
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Porth’s Pathophysiology 10th Edition Norris Test Bank IU IU IU IU IU IU




1. At an international nursing conference, many discussions and breakout sessions focused o
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n the World Health Organization (WHO) views on health. Of the following comments ma
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de by nurses during a discussion session, which statements would be considered a good re
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presentation of the WHO definition? Select all that apply. IU IU IU IU IU IU IU IU




A) Interests in keeping the elderly population engaged in such activities as book re IU IU IU IU IU IU IU IU IU IU IU IU




views and word games during social time IU IU IU IU IU IU




B) Increase in the number of chair aerobics classes provided in the skilled care fa IU IU IU IU IU IU IU IU IU IU IU IU IU




cilities
C) Interventions geared toward keeping the elderly population diagnosed with diabete IU IU IU IU IU IU IU IU IU




s mellitus under tight blood glucose control by providing in-home cooking classes
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D) Providing transportation for renal dialysis patients to and from their hemodialysis se IU IU IU IU IU IU IU IU IU IU IU




ssions
E) Providing handwashing teaching sessions to a group of young children A IU IU IU IU IU IU IU IU IU IU




ns: A, B, C, E IU IU IU IU




Feedback:
The WHO definition of health is defined as “a state of complete physical, mental, and soci
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al well- IU




being and not merely the absence of disease and infirmity.” Engaging in book reviews faci
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litates 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
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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 vari
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ety of factors that influence an individual's health or lack thereof. The nurse is referrin
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g to the Healthy People 2020 report from the U.S. Department of Health and Human Se
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rvices as a teaching example. Of the following aspects discussed, which would be con
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sidered 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 desc
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ent 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 hyperchol
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esterolemia and remains noncompliant with the treatment regime. IU IU IU IU IU IU IU




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 he
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alth care facilities. IU IU




Ans: B IU




Feedback:
In Healthy People 2020, the focus is to promote good health to all (such as using alternativ
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e therapies to minimize effects of stress); achieving health equity and promoting health for
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all (which includes having good health care benefits); and promoting good health (which i
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ncludes living in a clean community with good access to health care). A client's noncompli
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ance with treatments to control high cholesterol levels within the presence of a family hist
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ory of CV disease does not meet the “attaining lives free of preventable disease and premat
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ure death” determinant.
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, 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, universi
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ty hospital. The physician is discussing with a colleague the differentiation between diseas
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es that are caused by abnormal molecules and diseases that cause disease. Which of the foll
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owing patients most clearly demonstrates the consequences of molecules that cause diseas
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e?
A) A 31-year- IU




old woman with sickle cell anemia who is receiving a transfusion of packed red bl
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ood cells IU




B) A 91-year- IU




old woman who has experienced an ischemic stroke resulting from familial hyp
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ercholesterolemia
C) A 19-year- IU




old man with exacerbation of his cystic fibrosis requiring oxygen therapy and
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chest physiotherapy IU




D) A 30-year- IU




old homeless man who has Pneumocystis carinii pneumonia (PCP) and is HIV positi
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ve.
Ans: D IU




Feedback:
PCP is an example of the effect of a molecule that directly contributes to disease. Sickle cel
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l anemia, familial hypercholesterolemia, and cystic fibrosis are all examples of the effects
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of abnormal molecules.
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4. A member of the health care team is researching the etiology and pathogenesis of a num
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ber of clients who are under his care in a hospital context. Which of the following aspects
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of clients' situations bN
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chSaI
raN
ctGerTizBe.
s pCaOt hMo g e n e s i s 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 accident A
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ns: B IU




Feedback:
Pathogenesis refers to the progressive and evolutionary course of disease, such as the increa
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sing ammonia levels that accompany liver disease. Bacteria, poisons, and traumatic injurie
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s are examples of etiologic factors.
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, TEST BANK FOR PORTH'S PATHOPHYSIOLOGY 10TH EDITION BY NORRIS
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5. A new myocardial infarction patient requiring angioplasty and stent placement has arrived
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to his first cardiac rehabilitation appointment. In this first session, a review of the pathoge
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nesis of coronary artery disease is addressed. Which statement by the patient verifies to the
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nurse 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 Fre
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nch fries every day.” IU IU IU




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




sy 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 causi
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ng a clot that stops blood flow to the muscle, and I will have a heart attack.”
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Ans: C IU




Feedback:
The true etiology/cause of coronary artery disease (CAD) is unknown; however, the patho
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genesis of the disorder relates to the progression of the inflammatory process from a fatty st
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reak to the occlusive vessel lesion seen in people with coronary artery disease. Risk factor
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s for CAD revolve around cigarette smoking, diet high in fat, and lack of exercise.
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6. A 77-year- IU




old man is a hospital inpatient admitted for exacerbation of his chronic obstructive pulmo
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nary disease (COPD), and a respiratory therapist (RT) is assessing the client for the first ti
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me. WhichNU ofRthSeIfN
olGloTwBin.gCaO
IU spMects of the patient's current state of health would be best c IU IU IU IU IU IU IU IU IU IU IU




haracterized as a symptom rather than a sign? IU IU IU IU IU IU IU




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




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 bil
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aterally.
D) The patient's respiratory rate is 31 breaths/minute. IU IU IU IU IU IU IU




Ans: B IU




Feedback:
Symptoms are subjective complaints by the person experiencing the health problem, s
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uch as complaints of breathing difficulty. Oxygen levels, listening to breath sounds, an
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d respiratory rate are all objective, observable signs of disease.
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