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ALTERED HEALTH STATES 11TH EDITION TOMMIE
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L. NORRIS TEST BANK
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Page=1
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CH=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=Nursing=attendants=during=a=discussion=session,=which=statements=would=be=co
nsidered=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=diabet
es=mellitus=under=tight=blood=glucose=control=by=providing=in-
home=cooking=classes
D) Providing=transportation=for=renal=dialysis=hospital=patients=to=and=from=their=hem
odialysis=sessions
E) Providing=handwashing=teaching=sessions=to=a=group=of=young=children=
PRECISE=CHOICE:-= A,=B,=C,=E
Reasoning:->>>
The=WHO=definition=of=health=is=defined=as=“a=state=of=complete=physical,=mental,=and=so
cial=well-
being=and=not=merely=the=absence=of=illness=and=infirmity.”=Engaging=in=book=reviews=fa
cilitates=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=illness.=Handwashing=is=vital=in=the=preventio
n=of=illness=and=spread=of=germs.
2. A=community=health=Nursing=attendant=is=teaching=a=group=of=recent=graduates=abo
ut=the=large=variety=of=factors=that=influence=an=individual's=health=or=lack=thereof.=T
he=Nursing=attendant=is=referring=to=the=Healthy=People=2020=report=from=the=U.S.=D
epartment=of=Health=and=Human=Services=as=a=teaching=example.=Of=the=following=
aspects=discussed,=which=would=be=considered=a=determinant=of=health=that=is=outsid
e=the=focus=of=this=report?
A) The=hospital=patient=has=a=diverse=background=by=being=of=Asian=and=Native=A
merican=descent=and=practices=various=alternative=therapies=to=minimize=effects=
of=stress.
B) The=hospital=patient=has=a=family=history=of=cardiovascular= illness=related=to
=hypercholesterolemia=and=remains=noncompliant=with=the=treatment=regime
.
C) The=hospital=patient=has=a=good=career=with=exceptional=preventative=primary=health=care=be
nefits.
D) The=hospital=patient=lives=in=an=affluent,=clean,=suburban=community=with=a
ccess=to=many=primary=health=care= facilities.
PRECISE=CHOICE:-= B
Reasoning:->>>
In=Healthy=People=2020,=the=focus=is=to=promote=good=health=to=all=(such=as=using=alterna
tive=therapies=to=minimize=effects=of=stress);=achieving=health=equity=and=promoting=heal
th=for=all=(which=includes=having=good=primary=health=care=benefits);=and=promoting=goo
d=health=(which=includes=living=in=a=clean=community=with=good=access=to=health=care).=A=
hospital=patient's=noncompliance=with=treatments=to=control=high=cholesterol=levels=withi
n=the=presence=of=a=family=history=of=CV=illness=does=not=meet=the=“attaining=lives=free=of=
preventable= illness=and=premature=death”=determinant.
,
, 3. A=physician=is=providing=care=for=a=number=of=hospital=patients=on=a=medical=unit=of=a=l
arge,=university=hospital.=The=physician=is=discussing=with=a=colleague=the=differentiati
on=between=illnesss=that=are=caused=by=abnormal=molecules=and=illnesss=that=cause=illne
ss.=Which=of=the=following=hospital=patients=most=clearly=demonstrates=the=consequenc
es=of=molecules=that= cause=illness?
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=hy
percholesterolemia
C) A=19-year-
old=man=with=exacerbation=of=his=cystic=fibrosis=requiring=oxygen=therapy=an
d=chest= physiotherapy
D) A=30-year-
old=homeless=man=who=has=Pneumocystis=carinii=pneumonia=(PCP)=and=is=HIV=pos
itive.
PRECISE=CHOICE:-= D
Reasoning=:-
>>>PCP=is=an=example=of=the=effect=of=a=molecule=that=directly=contributes=to=illness.=Sickle=c
ell=anemia,=familial=hypercholesterolemia,=and=cystic=fibrosis=are=all=examples=of=the=effects=
of=abnormal=molecules.
4. A=member=of=the=primary=health=care=team=is=researching=the=etiology=and=pathogene
sis=of=a=number=of=hospital=patients=who=are=under=his=care=in=a=hospital=context.=Whi
ch=of=the=following=aspects=of=hospital=patients'=situations=best=characterizes=pathogen
esis=rather=than=etiology?
A) A=hospital=patient=who=has=been=exposed=to=the=Mycobacterium=tuberculosis=bacterium
B) A=hospital=patient=who=has=increasing=serum=ammonia=levels=due=to=liver=cirrhosis
C) A=hospital=patient=who=was=admitted=with=the=effects=of=methyl=alcohol=poisoning
D) A=hospital=patient=with=multiple=skeletal=injuries=secondary=to=a=moto
r=vehicle=accident= PRECISE=CHOICE:-= B
Reasoning:-
>>>Pathogenesis=refers=to=the=progressive=and=evolutionary=course=of=illness,=such=as=the=inc
reasing=ammonia=levels=that=accompany=liver= illness.=Bacteria,=poisons,=and=traumatic=inju
ries=are=examples=of=etiologic=factors.
5. A=new=myocardial=infarction=hospital=patient=requiring=angioplasty=and=stent=placement
=has=arrived=to=his=first=cardiac=rehabilitation=appointment.=In=this=first=session,=a=review
=of=the=pathogenesis=of=coronary=artery=illness=is=addressed.= Which=statement= by=the=hos
pital=patient=verifies=to=the=Nursing=attendant=that=he=has=understood=the=Nursing=attenda
nt's=teachings=about= coronary=artery=illness?
A) “All=I=have=to=do=is=stop=smoking,=and=then=I=won't=have=any=more=heart=attacks.”
B) “My=artery=was=clogged=by=fat,=so=I=will=need=to=stop=eating=fatty=foods=like=
French=fries=every=day.”
C) “Sounds=like=this=began=because=of=inflammation=inside=my=artery=that=made=it=
easy=to= form=fatty=streaks,=which=lead=to=my=clogged=artery.”
D) “If=I=do=not=exercise=regularly=to=get=my=heart=rate=up,=blood=pools=in=the=veins=ca
using=a=clot=that=stops=blood=flow=to=the=muscle,=and=I=will=have=a=heart=attack.”
PRECISE=CHOICE:-= C
Reasoning:-
>>>The=true=etiology/cause=of=coronary=artery=illness=(CAD)= is=unknown;=however,=the