Test Bank - Porth’s Pathophysiology-Concepts of Altered Health States, 11th Edition (Norris, 2024), Chapter 1-52 | All Chapters

PORTH'S PATHOPHYSIOLOGY CONCEPTS OF
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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
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1. At an international nursing conference, many discussions and breakout sessions
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focusedon the World Health Organization (WHO) views on health. Of the
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following commentsmade by Nursing attendants during a discussion session,
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which statements would be considered a good representation of the WHO
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definition? Select all that apply.
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A) Interests in keeping the elderly population engaged in such activities as
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bookreviews and word games during social time
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B) Increase in the number of chair aerobics classes provided in the skilled
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carefacilitiesn7 n7


C) Interventions geared toward keeping the elderly population diagnosed with n7 n7 n7 n7 n7 n7 n7 n7


diabetes mellitus under tight blood glucose control by providing in-home
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cookingclasses n7 n7


D) Providing transportation for renal dialysis hospital patients to and from their
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hemodialysissessions
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E) Providing handwashing teaching sessions to a group of young n7 n7 n7 n7 n7 n7 n7 n7


childrenPRECISE CHOICE:- A, B, C, E
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Reasoning:->>>
The WHO definition of health is defined as ―a state of complete physical, mental,
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andsocial well-being and not merely the absence of illness and infirmity.‖
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Engaging in book reviews facilitates mental and social well-being; chair aerobics
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helps facilitate physical well-being; and assisting with tight control of diabetes
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helps with facilitating physical well-being even though the person has a chronic
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illness. Handwashing is vitalin the prevention of illness and spread of germs.
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2. A community health Nursing attendant is teaching a group of recent graduates
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about the large variety of factors that influence an individual's health or lack
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thereof. The Nursing attendant is referring to the Healthy People 2020 report
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fromthe U.S. Department of Health and Human Services as a teaching
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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 hospital patient has a diverse background by being of Asian and
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Native American descent and practices various alternative therapies to
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minimize effects of stress.
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B) The hospital patient has a family history of cardiovascular illness
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related to hypercholesterolemia and remains noncompliant with the
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treatment regime.
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C) The hospital patient has a good career with exceptional preventative primary health
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care benefits. n7 n7


D) The hospital patient lives in an affluent, clean, suburban community
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with access tomany primary health care facilities.
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PRECISE CHOICE:- B n7 n7


Reasoning:->>>
In Healthy People 2020, the focus is to promote good health to all (such as using
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alternative therapies to minimize effects of stress); achieving health equity and
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promoting health for all (which includes having good primary health care
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benefits); andpromoting good health (which includes living in a clean community
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with good access tohealth care). A hospital patient's noncompliance with
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treatments to control high cholesterol levels within the presence of a family
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history of CV illness does not meet the ―attaininglives free of preventable illness
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and premature death‖ determinant.
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,
, 3. A physician is providing care for a number of hospital patients on a medical
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n7unit of a large, university hospital. The physician is discussing with a colleague
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n7the differentiation between illnesss that are caused by abnormal molecules and
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n7illnesss that cause illness.Which of the following hospital patients most clearly
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n7demonstrates the consequences of molecules that cause illness? n7 n7 n7 n7 n7 n7 n7


A) A 31-year-old woman with sickle cell anemia who is receiving a
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transfusion ofpacked red blood cells
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B) A 91-year-old woman who has experienced an ischemic stroke resulting
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fromfamilial hypercholesterolemia
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C) A 19-year-old man with exacerbation of his cystic fibrosis requiring
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oxygentherapy and chest physiotherapy
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D) A 30-year-old homeless man who has Pneumocystis carinii pneumonia (PCP)
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andis HIV positive.
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PRECISE CHOICE:- D n7 n7


Reasoning :->>>PCP is an example of the effect of a molecule that directly contributes
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n7to illness. Sicklecell anemia, familial hypercholesterolemia, and cystic fibrosis are all
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n7examples of the effects of abnormal molecules. n7 n7 n7 n7 n7 n7




4. A member of the primary health care team is researching the etiology and
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n7pathogenesis of a number of hospital patients who are under his care in a
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n7hospital context. Which of the following aspects of hospital patients' situations
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n7best characterizes pathogenesisrather than etiology?
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A) A hospital patient who has been exposed to the Mycobacterium tuberculosis bacterium
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B) A hospital patient who has increasing serum ammonia levels due to liver cirrhosis
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C) A hospital patient who was admitted with the effects of methyl alcohol poisoning
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D) A hospital patient with multiple skeletal injuries secondary to a
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motor vehicleaccident PRECISE CHOICE:- B
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Reasoning:->>>Pathogenesis refers to the progressive and evolutionary course of n7 n7 n7 n7 n7 n7 n7 n7


illness, such as theincreasing ammonia levels that accompany liver illness. Bacteria,
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n7poisons, and traumatic injuries are examples of etiologic factors.
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5. A new myocardial infarction hospital patient requiring angioplasty and stent
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n7placement has arrived to his first cardiac rehabilitation appointment. In this first
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n7session, a review of the pathogenesis of coronary artery illness is addressed.
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n7Which statement by the hospital patientverifies to the Nursing attendant that he
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n7has understood the Nursing attendant's teachings about coronary artery illness?
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A) ―All I have to do is stop smoking, and then I won't have any more heart attacks.‖
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B) ―My artery was clogged by fat, so I will need to stop eating fatty foods
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likeFrench fries every day.‖
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C) ―Sounds like this began because of inflammation inside my artery that
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made iteasy 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
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veins causing a clot that stops blood flow to the muscle, and I will have a
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heart attack.‖ n7 n7


PRECISE CHOICE:- C n7 n7


Reasoning:->>>The true etiology/cause of coronary artery illness (CAD) is unknown; n7 n7 n7 n7 n7 n7 n7 n7 n7


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