TEST BANK
FOR
PORTH’S PATHOPHYSIOLOGY CONCEPTS OF ALTERED HEALTH STATES 11TH EDITION
BY TOMMIE L. NORRIS – VERIFIED CHAPTERS 1–52
Chapter 1- Concepts of Health and Disease
1. At an international nursing conference, many discussions and breakout sessions
focused on the World Health Organization (WHO) views on health. Of the
following comments made by nurses during a discussion session, which
statements would be considered a good representation of the WHO definition?
Select all that apply.
A) Interests in keeping the elderly population engaged in such activities
as book reviews and word games during social time
B) Increase in the number of chair aerobics classes provided in the
skilled care facilities
C) Interventions geared toward keeping the elderly population diagnosed
with diabetes mellitus under tight blood glucose control by providing in-
home cooking classes
D) Providing transportation for renal dialysis patients to and from their
hemodialysis sessions
E) Providing handwashing teaching sessions to a group of young
children Ans: A, B, C, E
Feedback:
The WHO definition of health is defined as “a state of complete physical,
mental, and social well-being and not merely the absence of disease and
infirmity.” Engaging in book reviews facilitates mental and social well-being;
chair aerobics helps facilitate physical well-being; and assisting with tight
control of diabetes helps with facilitating physical well-being even though the
person has a chronic disease. Handwashing is vital in the prevention of disease
and spread of germs.
2. A community health nurse is teaching a group of recent graduates about
the large variety of factors that influence an individual's health or lack
thereof. The nurse is referring to the Healthy People 2020 report from the
U.S. Department of Health and Human Services as a teaching example. Of
the following aspects discussed, which would be considered a determinant
of health that is outside the focus of this report?
A) The client has a diverse background by being of Asian and Native
American descent and practices various alternative therapies to
minimize effects of stress.
B) The client has a family history of cardiovascular disease related to
Page 1
, hypercholesterolemia and remains noncompliant with the treatment
regime.
C) The client has a good career with exceptional preventative health care benefits.
D) The client lives in an affluent, clean, suburban community with access
to many health care facilities.
Ans: B
Feedback:
In Healthy People 2020, the focus is to promote good health to all (such as
using alternative therapies to minimize effects of stress); achieving health
equity and promoting health for all (which includes having good health care
benefits); and promoting good health (which includes living in a clean
community with good access to health care). A client's noncompliance with
treatments to control high cholesterol levels within the presence of a family
history of CV disease does not meet the “attaining lives free of preventable
disease and premature death” determinant.
Page 2
,3. A physician is providing care for a number of patients on a medical unit of a
large, university hospital. The physician is discussing with a colleague the
differentiation between diseases that are caused by abnormal molecules and
diseases that cause disease. Which of the following patients most clearly
demonstrates the consequences of molecules that cause disease?
A) A 31-year-old woman with sickle cell anemia who is receiving a
transfusion of packed red blood cells
B) A 91-year-old woman who has experienced an ischemic stroke
resulting from familial hypercholesterolemia
C) A 19-year-old man with exacerbation of his cystic fibrosis requiring
oxygen therapy and chest physiotherapy
D) A 30-year-old homeless man who has Pneumocystis carinii pneumonia
(PCP) and is HIV positive.
Ans: D
Feedback:
PCP is an example of the effect of a molecule that directly contributes to
disease. Sickle cell anemia, familial hypercholesterolemia, and cystic fibrosis are
all examples of the effects of abnormal molecules.
4. A member of the health care team is researching the etiology and
pathogenesis of a number of clients who are under his care in a hospital
context. Which of the following aspects of clients' situations best characterizes
pathogenesis rather than etiology?
A) A client who has been exposed to the Mycobacterium tuberculosis bacterium
B) A client who has increasing serum ammonia levels due to liver cirrhosis
C) A client who was admitted with the effects of methyl alcohol poisoning
D) A client with multiple skeletal injuries secondary to a motor vehicle
accident Ans: B
Feedback:
Pathogenesis refers to the progressive and evolutionary course of disease, such
as the increasing ammonia levels that accompany liver disease. Bacteria,
poisons, and traumatic injuries are examples of etiologic factors.
Page N3
, 5. A Nnew Nmyocardial Ninfarction Npatient Nrequiring Nangioplasty Nand Nstent
Nplacement Nhas Narrived Nto Nhis Nfirst Ncardiac Nrehabilitation Nappointment. NIn
Nthis Nfirst Nsession, Na Nreview Nof Nthe Npathogenesis Nof Ncoronary Nartery Ndisease Nis
Naddressed. NWhich Nstatement Nby Nthe Npatient Nverifies Nto Nthe Nnurse Nthat Nhe
Nhas Nunderstood Nthe Nnurse's Nteachings Nabout Ncoronary Nartery Ndisease?
A) “All NI Nhave Nto Ndo Nis Nstop Nsmoking, Nand Nthen NI Nwon't Nhave Nany Nmore Nheart
Nattacks.”
B) “My Nartery Nwas Nclogged Nby Nfat, Nso NI Nwill Nneed Nto Nstop Neating
Nfatty Nfoods Nlike NFrench Nfries Nevery Nday.”
C) “Sounds Nlike Nthis Nbegan Nbecause Nof Ninflammation Ninside Nmy Nartery
Nthat Nmade Nit Neasy Nto Nform Nfatty Nstreaks, Nwhich Nlead Nto Nmy Nclogged
Nartery.”
D) “If NI Ndo Nnot Nexercise Nregularly Nto Nget Nmy Nheart Nrate Nup, Nblood Npools Nin
Nthe Nveins Ncausing Na Nclot Nthat Nstops Nblood Nflow Nto Nthe Nmuscle, Nand NI
Nwill Nhave Na Nheart Nattack.”
Ans: N C
Feedback:
The Ntrue Netiology/cause Nof Ncoronary Nartery Ndisease N(CAD) Nis Nunknown;
Nhowever, Nthe Npathogenesis Nof Nthe Ndisorder Nrelates Nto Nthe Nprogression Nof Nthe
Ninflammatory Nprocess Nfrom Na Nfatty Nstreak Nto Nthe Nocclusive Nvessel Nlesion Nseen
Nin Npeople Nwith Ncoronary Nartery Ndisease. NRisk Nfactors Nfor NCAD Nrevolve
Naround Ncigarette Nsmoking, Ndiet Nhigh Nin Nfat, Nand Nlack Nof Nexercise.
6. A N77-year-old Nman Nis Na Nhospital Ninpatient Nadmitted Nfor Nexacerbation Nof Nhis
Nchronic Nobstructive Npulmonary Ndisease N(COPD), Nand Na Nrespiratory Ntherapist
N(RT) Nis Nassessing Nthe Nclient Nfor Nthe Nfirst Ntime. NWhich Nof Nthe Nfollowing Naspects
Nof Nthe Npatient's Ncurrent Nstate Nof Nhealth Nwould Nbe Nbest Ncharacterized Nas Na
Nsymptom Nrather Nthan Na Nsign?
A) The Npatient's Noxygen Nsaturation Nis N83% Nby Npulse Noxymetry.
B) The Npatient Nnotes Nthat Nhe Nhas Nincreased Nwork Nof Nbreathing Nwhen Nlying Nsupine.
C) The NRT Nhears Ndiminished Nbreath Nsounds Nto Nthe Npatient's Nlower
Nlung Nfields Nbilaterally.
D) The Npatient's Nrespiratory Nrate Nis N31
Nbreaths/minute. NAns: N B
Feedback:
Symptoms Nare Nsubjective Ncomplaints Nby Nthe Nperson Nexperiencing Nthe
Nhealth Nproblem, Nsuch Nas Ncomplaints Nof Nbreathing Ndifficulty. NOxygen
Nlevels, Nlistening Nto Nbreath Nsounds, Nand Nrespiratory Nrate Nare Nall Nobjective,
Nobservable Nsigns Nof Ndisease.
Page N4
FOR
PORTH’S PATHOPHYSIOLOGY CONCEPTS OF ALTERED HEALTH STATES 11TH EDITION
BY TOMMIE L. NORRIS – VERIFIED CHAPTERS 1–52
Chapter 1- Concepts of Health and Disease
1. At an international nursing conference, many discussions and breakout sessions
focused on the World Health Organization (WHO) views on health. Of the
following comments made by nurses during a discussion session, which
statements would be considered a good representation of the WHO definition?
Select all that apply.
A) Interests in keeping the elderly population engaged in such activities
as book reviews and word games during social time
B) Increase in the number of chair aerobics classes provided in the
skilled care facilities
C) Interventions geared toward keeping the elderly population diagnosed
with diabetes mellitus under tight blood glucose control by providing in-
home cooking classes
D) Providing transportation for renal dialysis patients to and from their
hemodialysis sessions
E) Providing handwashing teaching sessions to a group of young
children Ans: A, B, C, E
Feedback:
The WHO definition of health is defined as “a state of complete physical,
mental, and social well-being and not merely the absence of disease and
infirmity.” Engaging in book reviews facilitates mental and social well-being;
chair aerobics helps facilitate physical well-being; and assisting with tight
control of diabetes helps with facilitating physical well-being even though the
person has a chronic disease. Handwashing is vital in the prevention of disease
and spread of germs.
2. A community health nurse is teaching a group of recent graduates about
the large variety of factors that influence an individual's health or lack
thereof. The nurse is referring to the Healthy People 2020 report from the
U.S. Department of Health and Human Services as a teaching example. Of
the following aspects discussed, which would be considered a determinant
of health that is outside the focus of this report?
A) The client has a diverse background by being of Asian and Native
American descent and practices various alternative therapies to
minimize effects of stress.
B) The client has a family history of cardiovascular disease related to
Page 1
, hypercholesterolemia and remains noncompliant with the treatment
regime.
C) The client has a good career with exceptional preventative health care benefits.
D) The client lives in an affluent, clean, suburban community with access
to many health care facilities.
Ans: B
Feedback:
In Healthy People 2020, the focus is to promote good health to all (such as
using alternative therapies to minimize effects of stress); achieving health
equity and promoting health for all (which includes having good health care
benefits); and promoting good health (which includes living in a clean
community with good access to health care). A client's noncompliance with
treatments to control high cholesterol levels within the presence of a family
history of CV disease does not meet the “attaining lives free of preventable
disease and premature death” determinant.
Page 2
,3. A physician is providing care for a number of patients on a medical unit of a
large, university hospital. The physician is discussing with a colleague the
differentiation between diseases that are caused by abnormal molecules and
diseases that cause disease. Which of the following patients most clearly
demonstrates the consequences of molecules that cause disease?
A) A 31-year-old woman with sickle cell anemia who is receiving a
transfusion of packed red blood cells
B) A 91-year-old woman who has experienced an ischemic stroke
resulting from familial hypercholesterolemia
C) A 19-year-old man with exacerbation of his cystic fibrosis requiring
oxygen therapy and chest physiotherapy
D) A 30-year-old homeless man who has Pneumocystis carinii pneumonia
(PCP) and is HIV positive.
Ans: D
Feedback:
PCP is an example of the effect of a molecule that directly contributes to
disease. Sickle cell anemia, familial hypercholesterolemia, and cystic fibrosis are
all examples of the effects of abnormal molecules.
4. A member of the health care team is researching the etiology and
pathogenesis of a number of clients who are under his care in a hospital
context. Which of the following aspects of clients' situations best characterizes
pathogenesis rather than etiology?
A) A client who has been exposed to the Mycobacterium tuberculosis bacterium
B) A client who has increasing serum ammonia levels due to liver cirrhosis
C) A client who was admitted with the effects of methyl alcohol poisoning
D) A client with multiple skeletal injuries secondary to a motor vehicle
accident Ans: B
Feedback:
Pathogenesis refers to the progressive and evolutionary course of disease, such
as the increasing ammonia levels that accompany liver disease. Bacteria,
poisons, and traumatic injuries are examples of etiologic factors.
Page N3
, 5. A Nnew Nmyocardial Ninfarction Npatient Nrequiring Nangioplasty Nand Nstent
Nplacement Nhas Narrived Nto Nhis Nfirst Ncardiac Nrehabilitation Nappointment. NIn
Nthis Nfirst Nsession, Na Nreview Nof Nthe Npathogenesis Nof Ncoronary Nartery Ndisease Nis
Naddressed. NWhich Nstatement Nby Nthe Npatient Nverifies Nto Nthe Nnurse Nthat Nhe
Nhas Nunderstood Nthe Nnurse's Nteachings Nabout Ncoronary Nartery Ndisease?
A) “All NI Nhave Nto Ndo Nis Nstop Nsmoking, Nand Nthen NI Nwon't Nhave Nany Nmore Nheart
Nattacks.”
B) “My Nartery Nwas Nclogged Nby Nfat, Nso NI Nwill Nneed Nto Nstop Neating
Nfatty Nfoods Nlike NFrench Nfries Nevery Nday.”
C) “Sounds Nlike Nthis Nbegan Nbecause Nof Ninflammation Ninside Nmy Nartery
Nthat Nmade Nit Neasy Nto Nform Nfatty Nstreaks, Nwhich Nlead Nto Nmy Nclogged
Nartery.”
D) “If NI Ndo Nnot Nexercise Nregularly Nto Nget Nmy Nheart Nrate Nup, Nblood Npools Nin
Nthe Nveins Ncausing Na Nclot Nthat Nstops Nblood Nflow Nto Nthe Nmuscle, Nand NI
Nwill Nhave Na Nheart Nattack.”
Ans: N C
Feedback:
The Ntrue Netiology/cause Nof Ncoronary Nartery Ndisease N(CAD) Nis Nunknown;
Nhowever, Nthe Npathogenesis Nof Nthe Ndisorder Nrelates Nto Nthe Nprogression Nof Nthe
Ninflammatory Nprocess Nfrom Na Nfatty Nstreak Nto Nthe Nocclusive Nvessel Nlesion Nseen
Nin Npeople Nwith Ncoronary Nartery Ndisease. NRisk Nfactors Nfor NCAD Nrevolve
Naround Ncigarette Nsmoking, Ndiet Nhigh Nin Nfat, Nand Nlack Nof Nexercise.
6. A N77-year-old Nman Nis Na Nhospital Ninpatient Nadmitted Nfor Nexacerbation Nof Nhis
Nchronic Nobstructive Npulmonary Ndisease N(COPD), Nand Na Nrespiratory Ntherapist
N(RT) Nis Nassessing Nthe Nclient Nfor Nthe Nfirst Ntime. NWhich Nof Nthe Nfollowing Naspects
Nof Nthe Npatient's Ncurrent Nstate Nof Nhealth Nwould Nbe Nbest Ncharacterized Nas Na
Nsymptom Nrather Nthan Na Nsign?
A) The Npatient's Noxygen Nsaturation Nis N83% Nby Npulse Noxymetry.
B) The Npatient Nnotes Nthat Nhe Nhas Nincreased Nwork Nof Nbreathing Nwhen Nlying Nsupine.
C) The NRT Nhears Ndiminished Nbreath Nsounds Nto Nthe Npatient's Nlower
Nlung Nfields Nbilaterally.
D) The Npatient's Nrespiratory Nrate Nis N31
Nbreaths/minute. NAns: N B
Feedback:
Symptoms Nare Nsubjective Ncomplaints Nby Nthe Nperson Nexperiencing Nthe
Nhealth Nproblem, Nsuch Nas Ncomplaints Nof Nbreathing Ndifficulty. NOxygen
Nlevels, Nlistening Nto Nbreath Nsounds, Nand Nrespiratory Nrate Nare Nall Nobjective,
Nobservable Nsigns Nof Ndisease.
Page N4
