Porth-s Pathophysiology Concepts of Altered Health States 11th Edition by Tommie L. Norris TEST BANK

Porth'sPathophysiology Concepts of Altered Health 10thEdition Test Bank x3 x3 x3 x3 x3 x3 x3 x3 x3




Chapter 1- Concepts of Health and Disease x3 x3 x3 x3 x3 x3




1. At an international nursing conference, many discussions and breakout sessions focused on
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the World Health Organization (WHO) views on health. Of the following comments made
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by nurses during a discussion session, which statements would be considered a good
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representation of the WHO definition? Select all that apply.
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A) Interests in keeping the elderly population engaged in such activities as book x3 x3 x3 x3 x3 x3 x3 x3 x3 x3 x3




reviews and word games during social time x3 x3 x3 x3 x3 x3 x3




B) Increase in the number of chair aerobics classes provided in the skilled care x3 x3 x3 x3 x3 x3 x3 x3 x3 x3 x3 x3




facilities x3




C) Interventions geared toward keeping the elderly population diagnosed with diabetes x3 x3 x3 x3 x3 x3 x3 x3 x3




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 x3 x3 x3 x3 x3 x3 x3 x3 x3 x3




sessions x3




E) Providing handwashing teaching sessions toa group of young children x3 x3 x3 x3 x3 x3 x3 x3 x3




Ans: A, B, C, E
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Feedback:
The WHO definition of health is defined as “a state of complete physical, mental, and social
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well-being and not merely the absence of disease and infirmity.” Engaging in book reviews
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facilitates mental and social well-being; chair aerobics helps facilitate physical well-being;
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and assisting with tight control of diabetes helps with facilitating physical well-being even
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though the person has a chronic disease. Handwashing is vital in the prevention of disease and
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spread of germs.
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2. A community health nurse is teaching a group of recent graduates about the large variety
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of factors that influence an individual's health or lack thereof. The nurse is referring to
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the Healthy People 2020 report from the U.S. Department of Health and Human Services
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as a teaching example. Of the following aspects discussed, which would be considered a
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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 x3 x3 x3 x3 x3 x3 x3 x3 x3 x3 x3 x3




descent 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 x3 x3 x3 x3 x3 x3 x3 x3 x3 x3




hypercholesterolemia and remainsnoncompliantwiththe treatmentregime.
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C) The client has a good career with exceptional preventative health care benefits. x3 x3 x3 x3 x3 x3 x3 x3 x3 x3 x3




D) The client lives in an affluent, clean, suburban community with access to many x3 x3 x3 x3 x3 x3 x3 x3 x3 x3 x3 x3




health care facilities. x3 x3 x3




Ans: B x 3




Feedback:
In Healthy People 2020, the focus is to promote good health to all (such as using alternative
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therapies to minimize effects of stress); achieving health equity and promoting health for all
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(which includes having good health care benefits); and promoting good health (which
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includes living in a clean community with good access to health care). A client's
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noncompliance with treatments to control high cholesterol levels within the presence of a
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family history of CV disease does not meet the “attaining lives free of preventable disease
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and premature death” determinant.
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,3. A physician is providing care for a number of patients on a medical unit of a large, university
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hospital. The physician is discussing with a colleague the differentiation between diseases
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that are caused by abnormal molecules and diseases that cause disease. Which of the
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following patients most clearly demonstrates the consequences of molecules that cause
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disease?
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A) A 31-year-old woman with sickle cell anemia who is receiving a transfusion of
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packed red blood cells x3 x3 x3 x3




B) A 91-year-old woman who has experienced an ischemic stroke resulting from
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familial hypercholesterolemia
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C) A 19-year-old man with exacerbation of his cystic fibrosis requiring oxygen
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therapy and chest physiotherapy
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D) A 30-year-old homeless man who hasPneumocystis carinii pneumonia (PCP) and is
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HIV positive. x3 x3




Ans: D x 3




Feedback:
PCP is an example of the effect of a molecule that directly contributes to disease. Sickle cell
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anemia, familial hypercholesterolemia, and cystic fibrosis are all examples of the effects of
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abnormal molecules.
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4. A member of the health care team is researching the etiology and pathogenesis of a number
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of clients who are under his care in a hospital context. Which of the following aspects of
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clients' situations best characterizes pathogenesis 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 Ans:
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xB 3




Feedback:
Pathogenesis refers to the progressive and evolutionary course of disease, such as the x3 x3 x3 x3 x3 x3 x3 x3 x3 x3 x3 x3




increasing ammonia levels that accompany liver disease. Bacteria, poisons, and traumatic
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injuries are examples of etiologic factors.
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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
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pathogenesis of coronary artery disease is addressed. Which statement by the patient verifies
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to the 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.” x3 x3 x3 x3 x3 x3 x3 x3 x3 x3 x3 x3 x3 x3 x3 x3




B) “My artery was clogged by fat, so I will need to stop eating fatty foods like x3 x3 x3 x3 x3 x3 x3 x3 x3 x3 x3 x3 x3 x3 x3




French fries every day.” x3 x3 x3 x3




C) “Sounds like this began because of inflammation inside my artery that made it easy x3 x3 x3 x3 x3 x3 x3 x3 x3 x3 x3 x3 x3




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 causing
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a clot that stops blood flow to the muscle, and I will have a heart attack.”
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Ans: C x 3




Feedback:
The true etiology/cause of coronary artery disease (CAD) is unknown; however, the
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pathogenesis of the disorder relates to the progression of the inflammatory process from a
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fatty streak to the occlusive vessel lesion seen in people with coronary artery disease. Risk
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factors for CAD revolve around cigarette smoking, diet high in fat, and lack of exercise.
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6. A 77-year-old man is a hospital inpatient admitted for exacerbation of his chronic
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obstructive pulmonary disease (COPD), and a respiratory therapist (RT) is assessing the
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client for the first time. Which of the following aspects of the patient's current state of health
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would be best characterized as a symptom rather than a sign?
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A) The patient's oxygen saturation is 83% by pulse oxymetry. x3 x3 x3 x3 x3 x3 x3 x3




B) The patient notes that he has increased work of breathing when lying supine. x3 x3 x3 x3 x3 x3 x3 x3 x3 x3 x3 x3




C) The RT hears diminished breath sounds to the patient's lower lung fields x3 x3 x3 x3 x3 x3 x3 x3 x3 x3 x3




bilaterally. x3




D) Thepatient's respiratoryrateis31 breaths/minute. x3 x3 x3 x3 x3 x3




Ans: B
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Feedback:
Symptoms are subjective complaints by the person experiencing the health problem, x3 x3 x3 x3 x3 x3 x3 x3 x3 x3




such as complaints of breathing difficulty. Oxygen levels, listening to breath sounds, and
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respiratory rate are all objective, observable signs of disease.
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, 7. Which of the following situations would be classified as a complication of a disease or
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outcome from the treatment regimen? Select all that apply.
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A) Massive pulmonary emboli following diagnosis of new-onset atrial fibrillation x3 x3 x3 x3 x3 x3 x3 x3




B) Burning, intense incision pain following surgery to remove a portion of colon due to x3 x3 x3 x3 x3 x3 x3 x3 x3 x3 x3 x3 x3




intestinal aganglionosis x3 x3




C) Development of pulmonary fibrosis following treatment with bleomycin, an x3 x3 x3 x3 x3 x3 x3 x3




antibiotic chemotherapy agent used in treatment of lymphoma
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D) Gradual deterioration in ability to walk unassisted for a patient diagnosed with x3 x3 x3 x3 x3 x3 x3 x3 x3 x3 x3




Parkinson disease x3 x3




E) Loss of short-term memory in a patient diagnosed with Alzheimer disease x3 x3 x3 x3 x3 x3 x3 x3 x3 x3




Ans: A, C
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Feedback:
Development of pulmonary emboli and pulmonary fibrosis following chemotherapy are x3 x3 x3 x3 x3 x3 x3 x3 x3




both examples of a complication (adverse extensions of a disease or outcome from
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treatment). It is normal to expect incisional pain following surgery. As Parkinson disease
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progresses, the inability to walk independently is expected. This is a normal progression for
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people diagnosed with Parkinson's. Loss of short-term memory in a patient diagnosed with
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Alzheimer disease is an expected finding.
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8. Laboratory testing is ordered for a male patient during a clinic visit for a routine follow-up
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assessment of hypertension. When interpreting lab values, the nurse knows that
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A) a normal value represents the test results that fall within the bell curve.
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B) if the lab result is above the 50% distribution, the result is considered elevated.
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C) all lab values are adjusted for gender and weight. x3 x3 x3 x3 x3 x3 x3 x3




D) if the result of a very sensitive test is negative, that does not mean the person is
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disease free. x3 x3




Ans: A x 3




Feedback:
What is termed a normal value for a laboratory test is established statistically from results
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obtained from a selected sample of people. A normal value represents the test results that fall
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within the bell curve or the 95% distribution. Some lab values (like hemoglobin) are adjusted
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for gender, other comorbidities, or age. If the result of a very sensitive test is negative, it tells
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us the person does not have the disease, and the disease has been ruled out or excluded.
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