TEST BANK FOR PORTH PATHOPHYSIOLOGY CONCEPTS OF ALTERED HEALTH STATES, 1ST CANADIAN EDITION: HANNON

Name: __________________________ Date: _____________ 1. 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 framework of determinants of health in one client's situation as a teaching example. Which of the following aspects of this client's situation most likely exists outside the framework of determinants of health? A) The client has had difficulty finding a family doctor. B) The client has a family history of cardiovascular disease. C) The client has a graduate degree from a renowned university. D) The client lives in an affluent, clean, suburban community. 2. 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 molecules 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 disease 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 3. A member of the health-care team is researching the etiology and pathogenesis of a number of clients who are under her 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 4. A 77-year-old man is a hospital inpatient admitted for exacerbation of his chronic obstructive pulmonary disease (COPD), and a respiratory therapist (RT) is assessing the client for the first time. Which of the following aspects of the patient's current state of health would be best characterized as a symptom rather than a sign? A) The patient's oxygen saturation is 83% by pulse oximetry. B) The patient notes that he has increased work of breathing when lying supine. C) The RT hears diminished breath sounds to the patient's lower lung fields bilaterally. D) The patient's respiratory rate is 31 breaths per minute.