TEST BANK For Porth's Pathophysiology Concepts of Altered Health States 10th Edition by Tommie L. Norris, (UPDATED 2025)

, TESTBANK FOR PORTH'S PATHOPHYSIOLOGY 10TH EDITION BY NORRIS
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Porth’sPathophysiology10thEditionNorrisTestBank
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1. At an international nursing conference, many discussions and breakout sessions focused
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on the World Health Organization (WHO) views on health. Of the following comments
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made by nurses during a discussion session, which statements would be considered a
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good representation of the WHO definition? Select all that apply.
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A) Interests in keeping the elderlypopulation engaged in such activities as i i i i i i i i i i



book reviews and word games during social time
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B) Increase in the number of chair aerobics classes provided in the skilled i i i i i i i i i i i



care facilities i i



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



diabetes mellitus under tight blood glucose control by providing in-home
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cooking classes i i



D) Providingtransportation for renal dialysis patients to and from their i i i i i i i i i



hemodialysis sessions i i



E) Providing handwashing teachingsessions to a group of young children i i i i i i i i i



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
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social well-being and not merely the absence of disease and infirmity.‖ Engaging in book
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reviews facilitates mental and social well-being; chair aerobics helps facilitate physical
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well-being; and assisting with tight control of diabetes helps with facilitating physical
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well-being even though the person has a chronic disease. Handwashing is vital in the
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prevention of disease and spread of germs.
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2. A community health nurse is teaching a group of recent graduates about the large
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ivariety of factors that influence an individual's health or lack thereof. The nurse is
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ireferring to the Healthy People 2020 report from the U.S. Department of Health and
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iHuman Services as a teaching example. Of the following aspects discussed, which
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iwould be considered a 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 i i i i i i i i i i i i



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 i i i i i i i i i i



hypercholesterolemia and remains noncompliant with the treatment
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regime. i



C) The client has a good career with exceptional preventative health care benefits.
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D) The client lives in an affluent, clean, suburban communitywith access to i i i i i i i i i i i



many health care facilities. i i i i



Ans: B i



Feedback:
In Healthy People 2020, the focus is to promote good health to all (such as using alternative
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itherapies to minimize effects of stress); achieving health equity and promoting health for
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iall (which includes having good health care benefits); and promoting good health (which
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iincludes living in a clean communitywith good access to health care). A client's
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inoncompliance with treatments to control high cholesterol levels within the presence of a i i i i i i i i i i i i



ifamily history of CV disease does not meet the i i i i i i i i



―attaining lives free of preventable disease and premature death‖ determinant. i i i i i i i i i

, TESTBANK FOR PORTH'S PATHOPHYSIOLOGY 10TH EDITION BY NORRIS
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3. A physician is providing care for a number of patients on a medical unit of a large,
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university hospital. The physician is discussing with a colleague the differentiation
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between diseases that are caused by abnormal molecules and diseases that cause disease.
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Which of the following patients most clearly demonstrates the consequences of
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molecules that cause 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
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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
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oxygen therapy and chest physiotherapy
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D) A 30-year-old homeless man who has Pneumocystis carinii pneumonia (PCP) and is
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HIV positive.i i



Ans: D i



Feedback:
PCP is an example of the effect of a molecule that directly contributes to disease. Sickle
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cell anemia, familial hypercholesterolemia, and cystic fibrosis are all examples of the
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effects of abnormal molecules.
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4. A member of the health care team is researching the etiology and pathogenesis of a
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number of clients who are under his care in a hospital context. Which of the following
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aspects ofclients'situationsbN
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chSaI
raN
ctGerTizBe.
i s pCaOthMogenesis ratherthan etiology? i i i i i i i i i



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
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accident Ans: B
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Feedback:
Pathogenesis refers to the progressive and evolutionarycourse of disease, such as the
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increasing ammonia levels that accompany liver disease. Bacteria, poisons, and
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traumatic injuries are examples of etiologic factors.
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, TESTBANK FOR PORTH'S PATHOPHYSIOLOGY 10TH EDITION BY NORRIS
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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
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verifies to the nurse that he has understood the nurse's teachings about coronary artery
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disease?
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A) ―All Ihave to do is stop smoking, and then Iwon't have anymore heart attacks.‖ i i i i i i i i i i i i i i i i



B) ―Myarterywasclogged byfat, so Iwill need to stop eating fattyfoods like i i i i i i i i i i i i i i i



French fries every day.‖ i i i i



C) ―Soundslikethisbeganbecauseofinflammation insidemyarterythat made it i i i i i i i i i i i i



easy 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
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causing a clot that stops blood flow to the muscle, and I will have a heart attack.‖
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Ans: C i



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. WhichNU
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i olG
loTwBin.gCaO
spMects of the patient's current state of
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health would be best characterized as a symptom rather than a sign?
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A) The patient's oxygen saturation is 83% bypulse oxymetry. i i i i i i i i



B) The patient notes that he has increased work of breathing when lying supine.
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C) The RT hears diminished breath sounds to the patient's lower lung
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fields bilaterally. i i



D) The patient's respiratoryrate is 31 breaths/minute. i i i i i i



Ans: B
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Feedback:
Symptoms are subjective complaints by the person experiencing the health problem,
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such as complaints of breathing difficulty. Oxygen levels, listening to breath sounds,
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and respiratory rate are all objective, observable signs of disease.
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