PORTH'S PATHOPHYSIOLOGY CONCEPTS OF
ALTERED HEALTH 10TH EDITION TEST BANK
Chapter c1- cConcepts cof cHealth cand cDisease
1. At can cinternational cnursing cconference, cmany cdiscussions cand cbreakout csessions
cfocused con cthe cWorld cHealth cOrganization c(WHO) cviews con chealth. cOf cthe
cfollowing ccomments cmade cby cnurses cduring ca cdiscussion csession, cwhich
cstatements cwould cbe cconsidered ca cgood crepresentation cof cthe cWHO cdefinition?
cSelect call cthat capply.
A) Interests cin ckeeping cthe celderly cpopulation cengaged cin csuch cactivities cas
cbook creviews cand cword cgames cduring csocial ctime
B) Increase cin cthe cnumber cof cchair caerobics cclasses cprovided cin cthe
cskilled ccare cfacilities
C) Interventions cgeared ctoward ckeeping cthe celderly cpopulation cdiagnosed cwith
cdiabetes cmellitus cunder ctight cblood cglucose ccontrol cby cproviding cin-home
ccooking cclasses
D) Providing ctransportation cfor crenal cdialysis cpatients cto cand cfrom ctheir
chemodialysis csessions
E) Providing chandwashing cteaching csessions cto ca cgroup cof cyoung
cchildren cAns: c A, cB, cC, cE
Feedback:
The cWHO cdefinition cof chealth cis cdefined cas c“a cstate cof ccomplete cphysical,
cmental, cand csocial cwell-being cand cnot cmerely cthe cabsence cof cdisease cand
cinfirmity.” cEngaging cin cbook creviews cfacilitates cmental cand csocial cwell-being;
cchair caerobics chelps cfacilitate cphysical cwell-being; cand cassisting cwith ctight ccontrol
cof cdiabetes chelps cwith cfacilitating cphysical cwell-being ceven cthough cthe cperson chas
ca cchronic cdisease. cHandwashing cis cvital cin cthe cprevention cof cdisease cand cspread
cof cgerms.
Page c1
,2. A ccommunity chealth cnurse cis cteaching ca cgroup cof crecent cgraduates cabout cthe
clarge cvariety cof cfactors cthat cinfluence can cindividual's chealth cor clack cthereof.
cThe cnurse cis creferring cto cthe cHealthy cPeople c2020 creport cfrom cthe cU.S.
cDepartment cof cHealth cand cHuman cServices cas ca cteaching cexample. cOf cthe
cfollowing caspects cdiscussed, cwhich cwould cbe cconsidered ca cdeterminant cof
chealth cthat cis coutside cthe cfocus cof cthis creport?
A) The cclient chas ca cdiverse cbackground cby cbeing cof cAsian cand cNative
cAmerican cdescent cand cpractices cvarious calternative ctherapies cto cminimize
ceffects cof cstress.
B) The cclient chas ca cfamily chistory cof ccardiovascular cdisease crelated cto
chypercholesterolemia cand cremains cnoncompliant cwith cthe ctreatment
cregime.
C) The cclient chas ca cgood ccareer cwith cexceptional cpreventative chealth ccare cbenefits.
D) The cclient clives cin can caffluent, cclean, csuburban ccommunity cwith caccess cto
cmany chealth ccare cfacilities.
Ans: c B
Feedback:
In cHealthy cPeople c2020, cthe cfocus cis cto cpromote cgood chealth cto call c(such cas
cusing calternative ctherapies cto cminimize ceffects cof cstress); cachieving chealth cequity
cand cpromoting chealth cfor call c(which cincludes chaving cgood chealth ccare cbenefits);
cand cpromoting cgood chealth c(which cincludes cliving cin ca cclean ccommunity cwith
cgood caccess cto chealth ccare). cA cclient's cnoncompliance cwith ctreatments cto ccontrol
chigh ccholesterol clevels cwithin cthe cpresence cof ca cfamily chistory cof cCV cdisease
cdoes cnot cmeet cthe c“attaining clives cfree cof cpreventable cdisease cand cpremature
cdeath” cdeterminant.
Page c2
,3. A cphysician cis cproviding ccare cfor ca cnumber cof cpatients con ca cmedical cunit cof ca
clarge, cuniversity chospital. cThe cphysician cis cdiscussing cwith ca ccolleague cthe
cdifferentiation cbetween cdiseases cthat care ccaused cby cabnormal cmolecules cand
cdiseases cthat ccause cdisease. cWhich cof cthe cfollowing cpatients cmost cclearly
cdemonstrates cthe cconsequences cof cmolecules cthat ccause cdisease?
A) A c31-year-old cwoman cwith csickle ccell canemia cwho cis creceiving ca
ctransfusion cof cpacked cred cblood ccells
B) A c91-year-old cwoman cwho chas cexperienced can cischemic cstroke cresulting
cfrom cfamilial chypercholesterolemia
C) A c19-year-old cman cwith cexacerbation cof chis ccystic cfibrosis crequiring
coxygen ctherapy cand cchest cphysiotherapy
D) A c30-year-old chomeless cman cwho chas cPneumocystis ccarinii cpneumonia c(PCP)
cand cis cHIV cpositive.
Ans: c D
Feedback:
PCP cis can cexample cof cthe ceffect cof ca cmolecule cthat cdirectly ccontributes cto cdisease.
cSickle ccell canemia, cfamilial chypercholesterolemia, cand ccystic cfibrosis care call
cexamples cof cthe ceffects cof cabnormal cmolecules.
4. A cmember cof cthe chealth ccare cteam cis cresearching cthe cetiology cand cpathogenesis
cof ca cnumber cof cclients cwho care cunder chis ccare cin ca chospital ccontext. cWhich cof
cthe cfollowing caspects cof cclients' csituations cbest ccharacterizes cpathogenesis crather
cthan cetiology?
A) A cclient cwho chas cbeen cexposed cto cthe cMycobacterium ctuberculosis cbacterium
B) A cclient cwho chas cincreasing cserum cammonia clevels cdue cto cliver ccirrhosis
C) A cclient cwho cwas cadmitted cwith cthe ceffects cof cmethyl calcohol cpoisoning
D) A cclient cwith cmultiple cskeletal cinjuries csecondary cto ca cmotor cvehicle
caccident cAns: c B
Feedback:
Pathogenesis crefers cto cthe cprogressive cand cevolutionary ccourse cof cdisease, csuch cas
cthe cincreasing cammonia clevels cthat caccompany cliver cdisease. cBacteria, cpoisons,
cand ctraumatic cinjuries care cexamples cof cetiologic cfactors.
Page c3
, 5. A cnew cmyocardial cinfarction cpatient crequiring cangioplasty cand cstent cplacement chas
carrived cto chis cfirst ccardiac crehabilitation cappointment. cIn cthis cfirst csession, ca
creview cof cthe cpathogenesis cof ccoronary cartery cdisease cis caddressed. cWhich
cstatement cby cthe cpatient cverifies cto cthe cnurse cthat che chas cunderstood cthe cnurse's
cteachings cabout ccoronary cartery cdisease?
A) “All cI chave cto cdo cis cstop csmoking, cand cthen cI cwon't chave cany cmore cheart cattacks.”
B) “My cartery cwas cclogged cby cfat, cso cI cwill cneed cto cstop ceating cfatty
cfoods clike cFrench cfries cevery cday.”
C) “Sounds clike cthis cbegan cbecause cof cinflammation cinside cmy cartery cthat
cmade cit ceasy cto cform cfatty cstreaks, cwhich clead cto cmy cclogged cartery.”
D) “If cI cdo cnot cexercise cregularly cto cget cmy cheart crate cup, cblood cpools cin cthe
cveins ccausing ca cclot cthat cstops cblood cflow cto cthe cmuscle, cand cI cwill chave ca
cheart cattack.”
Ans: c C
Feedback:
The ctrue cetiology/cause cof ccoronary cartery cdisease c(CAD) cis cunknown; chowever,
cthe cpathogenesis cof cthe cdisorder crelates cto cthe cprogression cof cthe cinflammatory
cprocess cfrom ca cfatty cstreak cto cthe cocclusive cvessel clesion cseen cin cpeople cwith
ccoronary cartery cdisease. cRisk cfactors cfor cCAD crevolve caround ccigarette csmoking,
cdiet chigh cin cfat, cand clack cof cexercise.
6. A c77-year-old cman cis ca chospital cinpatient cadmitted cfor cexacerbation cof chis cchronic
cobstructive cpulmonary cdisease c(COPD), cand ca crespiratory ctherapist c(RT) cis
cassessing cthe cclient cfor cthe cfirst ctime. cWhich cof cthe cfollowing caspects cof cthe
cpatient's ccurrent cstate cof chealth cwould cbe cbest ccharacterized cas ca csymptom crather
cthan ca csign?
A) The cpatient's coxygen csaturation cis c83% cby cpulse coxymetry.
B) The cpatient cnotes cthat che chas cincreased cwork cof cbreathing cwhen clying csupine.
C) The cRT chears cdiminished cbreath csounds cto cthe cpatient's clower clung
cfields cbilaterally.
D) The cpatient's crespiratory crate cis c31
cbreaths/minute. cAns: c B
Feedback:
Symptoms care csubjective ccomplaints cby cthe cperson cexperiencing cthe chealth
cproblem, csuch cas ccomplaints cof cbreathing cdifficulty. cOxygen clevels, clistening cto
cbreath csounds, cand crespiratory crate care call cobjective, cobservable csigns cof
cdisease.
Page c4
ALTERED HEALTH 10TH EDITION TEST BANK
Chapter c1- cConcepts cof cHealth cand cDisease
1. At can cinternational cnursing cconference, cmany cdiscussions cand cbreakout csessions
cfocused con cthe cWorld cHealth cOrganization c(WHO) cviews con chealth. cOf cthe
cfollowing ccomments cmade cby cnurses cduring ca cdiscussion csession, cwhich
cstatements cwould cbe cconsidered ca cgood crepresentation cof cthe cWHO cdefinition?
cSelect call cthat capply.
A) Interests cin ckeeping cthe celderly cpopulation cengaged cin csuch cactivities cas
cbook creviews cand cword cgames cduring csocial ctime
B) Increase cin cthe cnumber cof cchair caerobics cclasses cprovided cin cthe
cskilled ccare cfacilities
C) Interventions cgeared ctoward ckeeping cthe celderly cpopulation cdiagnosed cwith
cdiabetes cmellitus cunder ctight cblood cglucose ccontrol cby cproviding cin-home
ccooking cclasses
D) Providing ctransportation cfor crenal cdialysis cpatients cto cand cfrom ctheir
chemodialysis csessions
E) Providing chandwashing cteaching csessions cto ca cgroup cof cyoung
cchildren cAns: c A, cB, cC, cE
Feedback:
The cWHO cdefinition cof chealth cis cdefined cas c“a cstate cof ccomplete cphysical,
cmental, cand csocial cwell-being cand cnot cmerely cthe cabsence cof cdisease cand
cinfirmity.” cEngaging cin cbook creviews cfacilitates cmental cand csocial cwell-being;
cchair caerobics chelps cfacilitate cphysical cwell-being; cand cassisting cwith ctight ccontrol
cof cdiabetes chelps cwith cfacilitating cphysical cwell-being ceven cthough cthe cperson chas
ca cchronic cdisease. cHandwashing cis cvital cin cthe cprevention cof cdisease cand cspread
cof cgerms.
Page c1
,2. A ccommunity chealth cnurse cis cteaching ca cgroup cof crecent cgraduates cabout cthe
clarge cvariety cof cfactors cthat cinfluence can cindividual's chealth cor clack cthereof.
cThe cnurse cis creferring cto cthe cHealthy cPeople c2020 creport cfrom cthe cU.S.
cDepartment cof cHealth cand cHuman cServices cas ca cteaching cexample. cOf cthe
cfollowing caspects cdiscussed, cwhich cwould cbe cconsidered ca cdeterminant cof
chealth cthat cis coutside cthe cfocus cof cthis creport?
A) The cclient chas ca cdiverse cbackground cby cbeing cof cAsian cand cNative
cAmerican cdescent cand cpractices cvarious calternative ctherapies cto cminimize
ceffects cof cstress.
B) The cclient chas ca cfamily chistory cof ccardiovascular cdisease crelated cto
chypercholesterolemia cand cremains cnoncompliant cwith cthe ctreatment
cregime.
C) The cclient chas ca cgood ccareer cwith cexceptional cpreventative chealth ccare cbenefits.
D) The cclient clives cin can caffluent, cclean, csuburban ccommunity cwith caccess cto
cmany chealth ccare cfacilities.
Ans: c B
Feedback:
In cHealthy cPeople c2020, cthe cfocus cis cto cpromote cgood chealth cto call c(such cas
cusing calternative ctherapies cto cminimize ceffects cof cstress); cachieving chealth cequity
cand cpromoting chealth cfor call c(which cincludes chaving cgood chealth ccare cbenefits);
cand cpromoting cgood chealth c(which cincludes cliving cin ca cclean ccommunity cwith
cgood caccess cto chealth ccare). cA cclient's cnoncompliance cwith ctreatments cto ccontrol
chigh ccholesterol clevels cwithin cthe cpresence cof ca cfamily chistory cof cCV cdisease
cdoes cnot cmeet cthe c“attaining clives cfree cof cpreventable cdisease cand cpremature
cdeath” cdeterminant.
Page c2
,3. A cphysician cis cproviding ccare cfor ca cnumber cof cpatients con ca cmedical cunit cof ca
clarge, cuniversity chospital. cThe cphysician cis cdiscussing cwith ca ccolleague cthe
cdifferentiation cbetween cdiseases cthat care ccaused cby cabnormal cmolecules cand
cdiseases cthat ccause cdisease. cWhich cof cthe cfollowing cpatients cmost cclearly
cdemonstrates cthe cconsequences cof cmolecules cthat ccause cdisease?
A) A c31-year-old cwoman cwith csickle ccell canemia cwho cis creceiving ca
ctransfusion cof cpacked cred cblood ccells
B) A c91-year-old cwoman cwho chas cexperienced can cischemic cstroke cresulting
cfrom cfamilial chypercholesterolemia
C) A c19-year-old cman cwith cexacerbation cof chis ccystic cfibrosis crequiring
coxygen ctherapy cand cchest cphysiotherapy
D) A c30-year-old chomeless cman cwho chas cPneumocystis ccarinii cpneumonia c(PCP)
cand cis cHIV cpositive.
Ans: c D
Feedback:
PCP cis can cexample cof cthe ceffect cof ca cmolecule cthat cdirectly ccontributes cto cdisease.
cSickle ccell canemia, cfamilial chypercholesterolemia, cand ccystic cfibrosis care call
cexamples cof cthe ceffects cof cabnormal cmolecules.
4. A cmember cof cthe chealth ccare cteam cis cresearching cthe cetiology cand cpathogenesis
cof ca cnumber cof cclients cwho care cunder chis ccare cin ca chospital ccontext. cWhich cof
cthe cfollowing caspects cof cclients' csituations cbest ccharacterizes cpathogenesis crather
cthan cetiology?
A) A cclient cwho chas cbeen cexposed cto cthe cMycobacterium ctuberculosis cbacterium
B) A cclient cwho chas cincreasing cserum cammonia clevels cdue cto cliver ccirrhosis
C) A cclient cwho cwas cadmitted cwith cthe ceffects cof cmethyl calcohol cpoisoning
D) A cclient cwith cmultiple cskeletal cinjuries csecondary cto ca cmotor cvehicle
caccident cAns: c B
Feedback:
Pathogenesis crefers cto cthe cprogressive cand cevolutionary ccourse cof cdisease, csuch cas
cthe cincreasing cammonia clevels cthat caccompany cliver cdisease. cBacteria, cpoisons,
cand ctraumatic cinjuries care cexamples cof cetiologic cfactors.
Page c3
, 5. A cnew cmyocardial cinfarction cpatient crequiring cangioplasty cand cstent cplacement chas
carrived cto chis cfirst ccardiac crehabilitation cappointment. cIn cthis cfirst csession, ca
creview cof cthe cpathogenesis cof ccoronary cartery cdisease cis caddressed. cWhich
cstatement cby cthe cpatient cverifies cto cthe cnurse cthat che chas cunderstood cthe cnurse's
cteachings cabout ccoronary cartery cdisease?
A) “All cI chave cto cdo cis cstop csmoking, cand cthen cI cwon't chave cany cmore cheart cattacks.”
B) “My cartery cwas cclogged cby cfat, cso cI cwill cneed cto cstop ceating cfatty
cfoods clike cFrench cfries cevery cday.”
C) “Sounds clike cthis cbegan cbecause cof cinflammation cinside cmy cartery cthat
cmade cit ceasy cto cform cfatty cstreaks, cwhich clead cto cmy cclogged cartery.”
D) “If cI cdo cnot cexercise cregularly cto cget cmy cheart crate cup, cblood cpools cin cthe
cveins ccausing ca cclot cthat cstops cblood cflow cto cthe cmuscle, cand cI cwill chave ca
cheart cattack.”
Ans: c C
Feedback:
The ctrue cetiology/cause cof ccoronary cartery cdisease c(CAD) cis cunknown; chowever,
cthe cpathogenesis cof cthe cdisorder crelates cto cthe cprogression cof cthe cinflammatory
cprocess cfrom ca cfatty cstreak cto cthe cocclusive cvessel clesion cseen cin cpeople cwith
ccoronary cartery cdisease. cRisk cfactors cfor cCAD crevolve caround ccigarette csmoking,
cdiet chigh cin cfat, cand clack cof cexercise.
6. A c77-year-old cman cis ca chospital cinpatient cadmitted cfor cexacerbation cof chis cchronic
cobstructive cpulmonary cdisease c(COPD), cand ca crespiratory ctherapist c(RT) cis
cassessing cthe cclient cfor cthe cfirst ctime. cWhich cof cthe cfollowing caspects cof cthe
cpatient's ccurrent cstate cof chealth cwould cbe cbest ccharacterized cas ca csymptom crather
cthan ca csign?
A) The cpatient's coxygen csaturation cis c83% cby cpulse coxymetry.
B) The cpatient cnotes cthat che chas cincreased cwork cof cbreathing cwhen clying csupine.
C) The cRT chears cdiminished cbreath csounds cto cthe cpatient's clower clung
cfields cbilaterally.
D) The cpatient's crespiratory crate cis c31
cbreaths/minute. cAns: c B
Feedback:
Symptoms care csubjective ccomplaints cby cthe cperson cexperiencing cthe chealth
cproblem, csuch cas ccomplaints cof cbreathing cdifficulty. cOxygen clevels, clistening cto
cbreath csounds, cand crespiratory crate care call cobjective, cobservable csigns cof
cdisease.
Page c4
