Test Bank - Porth's Pathophysiology Concepts of Altered Health States Eleventh Edition by Tommie L. Norris , All Chapters Complete Guide A+.pdf

,1. At an international nursingconference, manydiscussions andbreakout sessionsfocuse d on
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theWorld Health Organization(WHO)views on health. Of thefollowingcommentsmade by
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nurses during a discussion session, which statements would be considered a good
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representationoftheWHOdefinition?Selectallthatapply.
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A) Interestsinkeepingtheelderlypopulationengagedinsuchactivitiesasbook f
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reviews and wordgamesduringsocialtime
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B) Increaseinthenumberofchairaerobicsclassesprovidedintheskilled care vf




facilities i




C) Interventions gearedtowardkeepingtheelderlypopulationdiagnosedwithdiab vf




etesmellitusundertightbloodglucosecontrolbyprovidingin-
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homecookingclasses f
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D) Providingtransportationforrenaldialysis patients toandfromtheirhemodialysis vf vf i




sessions i




E) ProvidinghandwashingteachingsessionstoagroupofyoungchildrenAns:A, B vf vf vf vf




,C,E
Feedback:
TheWHOdefinitionofhealthisdefined as―astateofcompletephysical,mental,and
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socialwell-
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beingandnotmerelytheabsenceofdiseaseandinfirmity.‖Engaginginbookreviews
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facilitatesmentalandsocialwell-being;chairaerobicshelpsfacilitatephysicalwell-being;
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and assistingwithtightcontrolofdiabeteshelpswithfacilitatingphysicalwell-beingeven
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thoughthepersonhasachronicdisease.Handwashingisvitalinthepreven tionofdisease
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andspreadofgerms.
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2. Acommunityhealthnurseisteachingagroupofrecentgraduatesaboutthelarge i i




varietyoffactorsthat influenceanindividual's healthorlackthereof.Thenurseis
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referringtotheHealthyPeople2020reportfromtheU.S.DepartmentofHealthand
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HumanServicesas ateachingexample.Ofthefollowingaspectsdiscussed,which
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wouldbeconsideredadeterminantofhealththatisoutsidethefocus ofthisrep ort?
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A) TheclienthasadiversebackgroundbybeingofAsianandNativeAmerican i i i i




descentandpracticesvariousalternativetherapiestominimizeeffectsofstress
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.
B) Theclienthasafamilyhistoryofcardiovasculardiseaserelatedtohyperc
holesterolemia andremainsnoncompliantwiththe treatment regime.
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C) Theclienthasagoodcareerwithexceptionalpreventativehealthcarebenefits. vf vf i vf vf




D) Theclientlivesinanaffluent,clean,suburbancommunitywithaccesstomany vf vf vf vf vf




healthcarefacilities. i




Ans:B i




Feedback:
InHealthyPeople2020,thefocusistopromotegoodhealthtoall(suchasusingalternative
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itherapies tominimizeeffects ofstress);achievinghealthequityandpromoting healthfor vf i i vf




all(whichincludeshaving goodhealthcarebenefits);andpromoting goodhealth(which
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includeslivinginacleancommunitywithgoodaccesstohealthcare).Aclient's
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noncompliancewithtreatmentstocontrolhighcholesterollevelswithinthepresenceofa
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ifamilyhistoryof CVdiseasedoesnotmeetthe―attaininglivesfreeofpreventabledisease vf i




andprematuredeath‖determinant.
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3. Aphysicianisprovidingcareforanumberofpatientsona medicalunitofalarge,un
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iversityhospital.Thephysicianisdiscussingwithacolleaguethedifferentiationbetween
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diseasesthatarecausedbyabnormalmoleculesanddiseasesthatcausedisease.Whichof
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thefollowingpatientsmostclearlydemonstratestheconsequencesofmoleculesthatcause
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disease?
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A) A31-year-
oldwomanwithsicklecellanemiawhoisreceivingatransfusionofpacked red vf vf




bloodcells i




B) A91-year-
oldwomanwhohasexperienced anischemicstrokeresultingfromfamilialh
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ypercholesterolemia
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C) A19-year-
oldmanwithexacerbationofhiscysticfibrosisrequiringoxygentherapya nd i vf




chestphysiotherapy i




D) A30-year-
oldhomelessmanwhohas Pneumocystiscariniipneumonia(PCP)andis HIVp
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ositive. i




Ans:D i




Feedback:
PCPis an example of the effect of amolecule that directlycontributes to disease. Sickl e cell
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anemia, familial hypercholesterolemia, and cystic fibrosis are all examples of th e effects
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ofabnormalmolecules.
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4. Amemberofthehealth careteamisresearchingtheetiologyandpathogenesis ofa i i i




numberofclientswhoareunderhiscareinahospitalcontext.Whichofthefollowing
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aspectsofclients'situationsbNesUtRchSaIraNctGerTizBe.spCaOthMogenesis
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ratherthanetiology? A)AclientwhohasbeenexposedtotheMycobacteriumtuber
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culosisbacterium
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B) Aclientwhohasincreasingserumammonialevelsduetolivercirrhosis vf vf vf vf vf




C) Aclientwhowasadmitted withtheeffectsofmethyl alcohol poisoning
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D) AclientwithmultipleskeletalinjuriessecondarytoamotorvehicleaccidentAns vf vf b




:B i




Feedback:
Pathogenesis refers to the progressive and evolutionary course of disease, such as the in
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creasing ammonia levels that accompanyliver disease. Bacteria, poisons, and traumati c
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injuriesareexamplesofetiologic factors.
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5. Anewmyocardialinfarctionpatientrequiringangioplastyandstentplacementhasarrived
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tohisfirstcardiacrehabilitationappointment.Inthisfirstsession,areviewofthe
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pathogenesisofcoronaryarterydiseaseisaddressed.Whichstatementbythepatientve
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rifiestothenursethathehasunderstoodthenurse'steachingsaboutcoronaryarterydi i




sease? i




A) ―AllI havetodoisstopsmoking,and then Iwon'thaveanymoreheartattacks.‖
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B) ―Myarterywascloggedbyfat,soIwillneedtostopeatingfattyfoodslike vf vf i i




Frenchfrieseveryday.‖ i vf vf




C) ―Soundslikethisbeganbecauseofinflammationinsidemyarterythatmadei

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t easytoformfattystreaks,whichlead tomyclogged artery.‖
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