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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carefacilities
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C) Interventions geared toward keeping the elderly population diagnosed with vv vv vv vv vv vv vv vv
diabetes mellitus under tight blood glucose control by providing in-home
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cookingclassesvv v
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 vv vv vv vv vv vv vv vv
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
vv vv vv vv vv vv vv vv vv vv vv
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?
vv vv vv vv vv vv vv vv vv vv vv
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.vv vv
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 vv vv
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
vv vv vv vv v vv vv vv vv vv vv
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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vvunit of a large, university hospital. The physician is discussing with a colleague
vv vv vv vv vv vv vv vv vv vv vv vv
vvthe differentiation between illnesss that are caused by abnormal molecules and
vv vv vv vv vv vv vv vv vv vv
vvillnesss that cause illness.Which of the following hospital patients most clearly
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vvdemonstrates the consequences of molecules that cause illness? vv vv vv vv vv vv vv
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 vv vv
Reasoning :->>>PCP is an example of the effect of a molecule that directly contributes
vv vv vv vv vv vv vv vv vv vv vv vv vv
vvto illness. Sicklecell anemia, familial hypercholesterolemia, and cystic fibrosis are all
vv vv v vv vv vv vv vv vv vv vv
vvexamples of the effects of abnormal molecules. vv vv vv vv vv vv
4. A member of the primary health care team is researching the etiology and
vv vv vv vv vv vv vv vv vv vv vv vv
vvpathogenesis of a number of hospital patients who are under his care in a
vv vv vv vv vv vv vv vv vv vv vv vv vv
vvhospital context. Which of the following aspects of hospital patients' situations
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vvbest 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 illness, vv vv vv vv vv vv vv vv vv
vvsuch as theincreasing ammonia levels that accompany liver illness. Bacteria, poisons,
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vvand traumatic injuries are examples of etiologic factors.
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5. A new myocardial infarction hospital patient requiring angioplasty and stent
vv vv vv vv vv vv vv vv vv
vvplacement has arrived to his first cardiac rehabilitation appointment. In this first
vv vv vv vv vv vv vv vv vv vv vv
vvsession, a review of the pathogenesis of coronary artery illness is addressed.
vv vv vv vv vv vv vv vv vv vv vv
vvWhich statement by the hospital patientverifies to the Nursing attendant that he
vv vv vv vv vv v vv vv vv vv vv vv
vvhas 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.‖
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
B) ―My artery was clogged by fat, so I will need to stop eating fatty foods
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
likeFrench fries every day.‖
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C) ―Sounds like this began because of inflammation inside my artery that
vv vv vv vv vv vv vv vv vv vv
made iteasy to form fatty streaks, which lead to my clogged artery.‖
vv vv v vv vv vv vv vv vv vv vv vv vv
D) ―If I do not exercise regularly to get my heart rate up, blood pools in the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
veins causing a clot that stops blood flow to the muscle, and I will have a
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
heart attack.‖ vv vv
PRECISE CHOICE:- C vv vv
Reasoning:->>>The true etiology/cause of coronary artery illness (CAD) is unknown; vv vv vv vv vv vv vv vv vv
vvhowever, the vv
Page 3 vv
vv vv vv
ALTERED HEALTH STATES 11TH EDITION TOMMIE
vv vv vv vv vv
L. NORRIS TEST BANK
vv vv vv
Page 1
vv
,vv vv vv
CH 1: Concepts of Health and Disease
vv vv vv vv vv vv vv vv
1. At an international nursing conference, many discussions and breakout sessions
vv vv vv vv vv vv vv vv vv
focusedon the World Health Organization (WHO) views on health. Of the
vv v vv vv vv vv vv vv vv vv vv vv
following commentsmade by Nursing attendants during a discussion session,
vv vv v vv vv vv vv vv vv vv
which statements would be considered a good representation of the WHO
vv vv vv vv vv vv vv vv vv vv vv
definition? Select all that apply.
vv vv vv vv vv
A) Interests in keeping the elderly population engaged in such activities as
vv vv vv vv vv vv vv vv vv vv
bookreviews and word games during social time
vv v vv vv vv vv vv vv
B) Increase in the number of chair aerobics classes provided in the skilled
vv vv vv vv vv vv vv vv vv vv vv
carefacilities
vv v
C) Interventions geared toward keeping the elderly population diagnosed with vv vv vv vv vv vv vv vv
diabetes mellitus under tight blood glucose control by providing in-home
vv vv vv vv vv vv vv vv vv vv
cookingclassesvv v
D) Providing transportation for renal dialysis hospital patients to and from their
vv vv vv vv vv vv vv vv vv vv
hemodialysissessions
vv v
E) Providing handwashing teaching sessions to a group of young vv vv vv vv vv vv vv vv
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,
vv vv vv vv vv vv vv vv vv vv vv vv vv
andsocial well-being and not merely the absence of illness and infirmity.‖
vv v vv vv vv vv vv vv vv vv vv vv
Engaging in book reviews facilitates mental and social well-being; chair aerobics
vv vv vv vv vv vv vv vv vv vv vv
helps facilitate physical well-being; and assisting with tight control of diabetes
vv vv vv vv vv vv vv vv vv vv vv
helps with facilitating physical well-being even though the person has a chronic
vv vv vv vv vv vv vv vv vv vv vv vv
illness. Handwashing is vitalin the prevention of illness and spread of germs.
vv vv vv vv v vv vv vv vv vv vv vv vv
2. A community health Nursing attendant is teaching a group of recent graduates
vv vv vv vv vv vv vv vv vv vv vv
about the large variety of factors that influence an individual's health or lack
vv vv vv vv vv vv vv vv vv vv vv vv vv
thereof. The Nursing attendant is referring to the Healthy People 2020 report
vv vv vv vv vv vv vv vv vv vv vv vv
fromthe U.S. Department of Health and Human Services as a teaching
vv v vv vv vv vv vv vv vv vv vv vv
example. Of the following aspects discussed, which would be considered a
vv vv vv vv vv vv vv vv vv vv vv
determinant of health that is outside the focus of this report?
vv vv vv vv vv vv vv vv vv vv vv
A) The hospital patient has a diverse background by being of Asian and
vv vv vv vv vv vv vv vv vv vv vv
Native American descent and practices various alternative therapies to
vv vv vv vv vv vv vv vv vv
minimize effects of stress.
vv vv vv vv
B) The hospital patient has a family history of cardiovascular illness
vv vv vv vv vv vv vv vv vv
related to hypercholesterolemia and remains noncompliant with the
vv vv vv vv vv vv vv vv
treatment regime.
vv vv
C) The hospital patient has a good career with exceptional preventative primary health
vv vv vv vv vv vv vv vv vv vv vv
care benefits.vv vv
D) The hospital patient lives in an affluent, clean, suburban community
vv vv vv vv vv vv vv vv vv
with access tomany primary health care facilities.
vv vv vv v vv vv vv vv
PRECISE CHOICE:- B vv vv
Reasoning:->>>
In Healthy People 2020, the focus is to promote good health to all (such as using
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
alternative therapies to minimize effects of stress); achieving health equity and
vv vv vv vv vv vv vv vv vv vv vv
promoting health for all (which includes having good primary health care
vv vv vv vv vv vv vv vv vv vv vv
benefits); andpromoting good health (which includes living in a clean community
vv vv v vv vv vv vv vv vv vv vv vv
with good access tohealth care). A hospital patient's noncompliance with
vv vv vv vv v vv vv vv vv vv vv
treatments to control high cholesterol levels within the presence of a family
vv vv vv vv vv vv vv vv vv vv vv vv
history of CV illness does not meet the ―attaininglives free of preventable illness
vv vv vv vv vv vv vv vv vv v vv vv vv vv
and premature death‖ determinant.
vv vv vv vv
,
, 3. A physician is providing care for a number of hospital patients on a medical
vv vv vv vv vv vv vv vv vv vv vv vv vv
vvunit of a large, university hospital. The physician is discussing with a colleague
vv vv vv vv vv vv vv vv vv vv vv vv
vvthe differentiation between illnesss that are caused by abnormal molecules and
vv vv vv vv vv vv vv vv vv vv
vvillnesss that cause illness.Which of the following hospital patients most clearly
vv vv vv v vv vv vv vv vv vv vv
vvdemonstrates the consequences of molecules that cause illness? vv vv vv vv vv vv vv
A) A 31-year-old woman with sickle cell anemia who is receiving a
vv vv vv vv vv vv vv vv vv vv
transfusion ofpacked red blood cells
vv vv v vv vv vv
B) A 91-year-old woman who has experienced an ischemic stroke resulting
vv vv vv vv vv vv vv vv vv
fromfamilial hypercholesterolemia
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C) A 19-year-old man with exacerbation of his cystic fibrosis requiring
vv vv vv vv vv vv vv vv vv
oxygentherapy and chest physiotherapy
vv v vv vv vv
D) A 30-year-old homeless man who has Pneumocystis carinii pneumonia (PCP)
vv vv vv vv vv vv vv vv vv
andis HIV positive.
vv v vv vv
PRECISE CHOICE:- D vv vv
Reasoning :->>>PCP is an example of the effect of a molecule that directly contributes
vv vv vv vv vv vv vv vv vv vv vv vv vv
vvto illness. Sicklecell anemia, familial hypercholesterolemia, and cystic fibrosis are all
vv vv v vv vv vv vv vv vv vv vv
vvexamples of the effects of abnormal molecules. vv vv vv vv vv vv
4. A member of the primary health care team is researching the etiology and
vv vv vv vv vv vv vv vv vv vv vv vv
vvpathogenesis of a number of hospital patients who are under his care in a
vv vv vv vv vv vv vv vv vv vv vv vv vv
vvhospital context. Which of the following aspects of hospital patients' situations
vv vv vv vv vv vv vv vv vv vv
vvbest characterizes pathogenesisrather than etiology?
vv vv v vv vv
A) A hospital patient who has been exposed to the Mycobacterium tuberculosis bacterium
vv vv vv vv vv vv vv vv vv vv vv
B) A hospital patient who has increasing serum ammonia levels due to liver cirrhosis
vv vv vv vv vv vv vv vv vv vv vv vv
C) A hospital patient who was admitted with the effects of methyl alcohol poisoning
vv vv vv vv vv vv vv vv vv vv vv vv
D) A hospital patient with multiple skeletal injuries secondary to a
vv vv vv vv vv vv vv vv vv
motor vehicleaccident PRECISE CHOICE:- B
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Reasoning:->>>Pathogenesis refers to the progressive and evolutionary course of illness, vv vv vv vv vv vv vv vv vv
vvsuch as theincreasing ammonia levels that accompany liver illness. Bacteria, poisons,
vv vv v vv vv vv vv vv vv vv vv
vvand traumatic injuries are examples of etiologic factors.
vv vv vv vv vv vv vv
5. A new myocardial infarction hospital patient requiring angioplasty and stent
vv vv vv vv vv vv vv vv vv
vvplacement has arrived to his first cardiac rehabilitation appointment. In this first
vv vv vv vv vv vv vv vv vv vv vv
vvsession, a review of the pathogenesis of coronary artery illness is addressed.
vv vv vv vv vv vv vv vv vv vv vv
vvWhich statement by the hospital patientverifies to the Nursing attendant that he
vv vv vv vv vv v vv vv vv vv vv vv
vvhas understood the Nursing attendant's teachings about coronary artery illness?
vv vv vv vv vv vv vv vv vv
A) ―All I have to do is stop smoking, and then I won't have any more heart attacks.‖
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
B) ―My artery was clogged by fat, so I will need to stop eating fatty foods
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
likeFrench fries every day.‖
vv v vv vv vv
C) ―Sounds like this began because of inflammation inside my artery that
vv vv vv vv vv vv vv vv vv vv
made iteasy to form fatty streaks, which lead to my clogged artery.‖
vv vv v vv vv vv vv vv vv vv vv vv vv
D) ―If I do not exercise regularly to get my heart rate up, blood pools in the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
veins causing a clot that stops blood flow to the muscle, and I will have a
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
heart attack.‖ vv vv
PRECISE CHOICE:- C vv vv
Reasoning:->>>The true etiology/cause of coronary artery illness (CAD) is unknown; vv vv vv vv vv vv vv vv vv
vvhowever, the vv
Page 3 vv