MedlC
,Porth’s Pathophysiology 10th Edition Norris Test Bank
l l l l l l l
MULTIPLE CHOICE l
1. Atlanlinternationallnursinglconference,lmanyldiscussionslandlbreakoutlsessionslfocusedlonlt
helWorldlHealthlOrganizationl(WHO)lviewslonlhealth.lOflthelfollowinglcommentslmadelb
ylnurseslduringlaldiscussionlsession,lwhichlstatementslwouldlbelconsideredlalgoodlrepresen
tationloflthelWHOldefinition?lSelectlalllthatlapply.
A) Interestslinlkeepinglthelelderlylpopulationlengagedlinlsuchlactivitieslaslbooklrevi
ewslandlwordlgameslduringlsocialltime
B) Increaselinlthelnumberloflchairlaerobicslclasseslprovidedlinlthelskilledlcarelfaci
lities
C) Interventionslgearedltowardlkeepinglthelelderlylpopulationldiagnosedlwithldiabetesl
mellituslunderltightlbloodlglucoselcontrollbylprovidinglin-homelcookinglclasses
D) Providingltransportationlforlrenalldialysislpatientsltolandlfromltheirlhemodialysislses
sions
E) ProvidinglhandwashinglteachinglsessionsltolalgrouploflyounglchildrenlAn
s:lA,lB,lC,lE
Feedback:
ThelWHOldefinitionloflhealthlisldefinedlasl“alstateloflcompletelphysical,lmental,landlsociall
well-
beinglandlnotlmerelylthelabsencelofldiseaselandlinfirmity.”lEngaginglinlbooklreviewslfacilit
ateslmentallandlsociallwell-being;lchairlaerobicslhelpslfacilitatelphysicallwell-
being;landlassistinglwithltightlcontrollofldiabeteslhelpslwithlfacilitatinglphysicallwell-
beinglevenlthoughlthelpersonlhaslalchronicldisease.lHandwashinglislvitallinlthelpreventionlo
fldiseaselandlspreadloflgerms.
2. Alcommunitylhealthlnurselislteachinglalgrouploflrecentlgraduateslaboutlthellargelvariet
yloflfactorslthatlinfluencelanlindividual'slhealthlorllacklthereof.lThelnurselislreferringltolt
helHealthylPeoplel2020lreportlfromlthelU.S.lDepartmentloflHealthlandlHumanlServices
laslalteachinglexample.lOflthelfollowinglaspectsldiscussed,lwhichlwouldlbelconsideredl
aldeterminantloflhealthlthatlisloutsidelthelfocusloflthislreport?
A) ThelclientlhaslaldiverselbackgroundlbylbeingloflAsianlandlNativelAmericanldesce
ntlandlpracticeslvariouslalternativeltherapiesltolminimizeleffectsloflstress.
B) Thelclientlhaslalfamilylhistoryloflcardiovascularldiseaselrelatedltolhypercholes
terolemialandlremainslnoncompliantlwithltheltreatmentlregime.
C) Thelclientlhaslalgoodlcareerlwithlexceptionallpreventativelhealthlcarelbenefits.
D) Thelclientlliveslinlanlaffluent,lclean,lsuburbanlcommunitylwithlaccessltolmanylheal
thlcarelfacilities.
Ans:l B
Feedback:
InlHealthylPeoplel2020,lthelfocuslisltolpromotelgoodlhealthltolalll(suchlaslusinglalternativelt
herapiesltolminimizeleffectsloflstress);lachievinglhealthlequitylandlpromotinglhealthlforlalll(
whichlincludeslhavinglgoodlhealthlcarelbenefits);landlpromotinglgoodlhealthl(whichlinclud
esllivinglinlalcleanlcommunitylwithlgoodlaccessltolhealthlcare).lAlclient'slnoncompliancelwi
thltreatmentsltolcontrollhighlcholesterolllevels
MedlC
, withinlthelpresenceloflalfamilylhistoryloflCVldiseaseldoeslnotlmeetlthel“attaininglliveslfreelo
flpreventableldiseaselandlprematureldeath”ldeterminant.
3. Alphysicianlislprovidinglcarelforlalnumberloflpatientslonlalmedicallunitloflallarge,luniversityl
hospital.lThelphysicianlisldiscussinglwithlalcolleagueltheldifferentiationlbetweenldiseaseslth
atlarelcausedlbylabnormallmoleculeslandldiseaseslthatlcauseldisease.lWhichloflthelfollowingl
patientslmostlclearlyldemonstrateslthelconsequencesloflmoleculeslthatlcauseldisease?
A) Al31-year-
oldlwomanlwithlsicklelcelllanemialwholislreceivinglaltransfusionloflpackedlredlblo
odlcells
B) Al91-year-
oldlwomanlwholhaslexperiencedlanlischemiclstrokelresultinglfromlfamiliallhyper
cholesterolemia
C) Al19-year-
oldlmanlwithlexacerbationloflhislcysticlfibrosislrequiringloxygenltherapylandlc
hestlphysiotherapy
D) Al30-year-
oldlhomelesslmanlwholhaslPneumocystislcariniilpneumonial(PCP)landlislHIVlpositiv
e.
Ans:l D
Feedback:
PCPlislanlexamplelofltheleffectloflalmoleculelthatldirectlylcontributesltoldisease.lSicklelcellla
nemia,lfamiliallhypercholesterolemia,landlcysticlfibrosislarelalllexampleslofltheleffectslofla
bnormallmolecules.
4. Almemberloflthelhealthlcarelteamlislresearchingltheletiologylandlpathogenesisloflalnumbe
rloflclientslwholarelunderlhislcarelinlalhospitallcontext.lWhichloflthelfollowinglaspectsloflcli
ents'lsituationslbN
esUtlR
chSaI
raN
ctGerTizBe.
slpCaOt hMo ge n e s i s lratherlthanletiology?
A) AlclientlwholhaslbeenlexposedltolthelMycobacteriumltuberculosislbacterium
B) Alclientlwholhaslincreasinglserumlammoniallevelsldueltolliverlcirrhosis
C) Alclientlwholwasladmittedlwithltheleffectsloflmethyllalcohollpoisoning
D) AlclientlwithlmultiplelskeletallinjurieslsecondaryltolalmotorlvehiclelaccidentlAn
s:lB
Feedback:
Pathogenesislrefersltolthelprogressivelandlevolutionarylcourselofldisease,lsuchlaslthelincreas
inglammoniallevelslthatlaccompanylliverldisease.lBacteria,lpoisons,landltraumaticlinjuriesl
arelexampleslofletiologiclfactors.
5. Al newlmyocardiallinfarctionlpatientlrequiringlangioplastylandlstentlplacementlhaslarrivedlt
olhislfirstlcardiaclrehabilitationlappointment.lInlthislfirstlsession,lalreviewloflthelpathogenes
isloflcoronarylarteryldiseaselisladdressed.lWhichlstatementlbylthelpatientlverifiesltolthelnurse
lthatlhelhaslunderstoodlthelnurse'slteachingslaboutlcoronarylarteryl disease?
A) “AlllIlhaveltoldolislstoplsmoking,landlthenlIlwon'tlhavelanylmorelheartlattacks.”
B) “Mylarterylwaslcloggedlbylfat,lsolIlwilllneedltolstopleatinglfattylfoodsllikelFren
chlfriesleverylday.”
C) “Soundsllikelthislbeganlbecauseloflinflammationlinsidelmylarterylthatlmadelitleas
yltolformlfattylstreaks,lwhichlleadltolmylcloggedlartery.”
D) “IflIldolnotlexerciselregularlyltolgetlmylheartlratelup,lbloodlpoolslinlthelveinslcausingl
MedlC
, alclotlthatlstopslbloodlflowltolthelmuscle,landlIlwilllhavelalheartlattack.”
Ans:l C
MedlC
,Porth’s Pathophysiology 10th Edition Norris Test Bank
l l l l l l l
MULTIPLE CHOICE l
1. Atlanlinternationallnursinglconference,lmanyldiscussionslandlbreakoutlsessionslfocusedlonlt
helWorldlHealthlOrganizationl(WHO)lviewslonlhealth.lOflthelfollowinglcommentslmadelb
ylnurseslduringlaldiscussionlsession,lwhichlstatementslwouldlbelconsideredlalgoodlrepresen
tationloflthelWHOldefinition?lSelectlalllthatlapply.
A) Interestslinlkeepinglthelelderlylpopulationlengagedlinlsuchlactivitieslaslbooklrevi
ewslandlwordlgameslduringlsocialltime
B) Increaselinlthelnumberloflchairlaerobicslclasseslprovidedlinlthelskilledlcarelfaci
lities
C) Interventionslgearedltowardlkeepinglthelelderlylpopulationldiagnosedlwithldiabetesl
mellituslunderltightlbloodlglucoselcontrollbylprovidinglin-homelcookinglclasses
D) Providingltransportationlforlrenalldialysislpatientsltolandlfromltheirlhemodialysislses
sions
E) ProvidinglhandwashinglteachinglsessionsltolalgrouploflyounglchildrenlAn
s:lA,lB,lC,lE
Feedback:
ThelWHOldefinitionloflhealthlisldefinedlasl“alstateloflcompletelphysical,lmental,landlsociall
well-
beinglandlnotlmerelylthelabsencelofldiseaselandlinfirmity.”lEngaginglinlbooklreviewslfacilit
ateslmentallandlsociallwell-being;lchairlaerobicslhelpslfacilitatelphysicallwell-
being;landlassistinglwithltightlcontrollofldiabeteslhelpslwithlfacilitatinglphysicallwell-
beinglevenlthoughlthelpersonlhaslalchronicldisease.lHandwashinglislvitallinlthelpreventionlo
fldiseaselandlspreadloflgerms.
2. Alcommunitylhealthlnurselislteachinglalgrouploflrecentlgraduateslaboutlthellargelvariet
yloflfactorslthatlinfluencelanlindividual'slhealthlorllacklthereof.lThelnurselislreferringltolt
helHealthylPeoplel2020lreportlfromlthelU.S.lDepartmentloflHealthlandlHumanlServices
laslalteachinglexample.lOflthelfollowinglaspectsldiscussed,lwhichlwouldlbelconsideredl
aldeterminantloflhealthlthatlisloutsidelthelfocusloflthislreport?
A) ThelclientlhaslaldiverselbackgroundlbylbeingloflAsianlandlNativelAmericanldesce
ntlandlpracticeslvariouslalternativeltherapiesltolminimizeleffectsloflstress.
B) Thelclientlhaslalfamilylhistoryloflcardiovascularldiseaselrelatedltolhypercholes
terolemialandlremainslnoncompliantlwithltheltreatmentlregime.
C) Thelclientlhaslalgoodlcareerlwithlexceptionallpreventativelhealthlcarelbenefits.
D) Thelclientlliveslinlanlaffluent,lclean,lsuburbanlcommunitylwithlaccessltolmanylheal
thlcarelfacilities.
Ans:l B
Feedback:
InlHealthylPeoplel2020,lthelfocuslisltolpromotelgoodlhealthltolalll(suchlaslusinglalternativelt
herapiesltolminimizeleffectsloflstress);lachievinglhealthlequitylandlpromotinglhealthlforlalll(
whichlincludeslhavinglgoodlhealthlcarelbenefits);landlpromotinglgoodlhealthl(whichlinclud
esllivinglinlalcleanlcommunitylwithlgoodlaccessltolhealthlcare).lAlclient'slnoncompliancelwi
thltreatmentsltolcontrollhighlcholesterolllevels
MedlC
, withinlthelpresenceloflalfamilylhistoryloflCVldiseaseldoeslnotlmeetlthel“attaininglliveslfreelo
flpreventableldiseaselandlprematureldeath”ldeterminant.
3. Alphysicianlislprovidinglcarelforlalnumberloflpatientslonlalmedicallunitloflallarge,luniversityl
hospital.lThelphysicianlisldiscussinglwithlalcolleagueltheldifferentiationlbetweenldiseaseslth
atlarelcausedlbylabnormallmoleculeslandldiseaseslthatlcauseldisease.lWhichloflthelfollowingl
patientslmostlclearlyldemonstrateslthelconsequencesloflmoleculeslthatlcauseldisease?
A) Al31-year-
oldlwomanlwithlsicklelcelllanemialwholislreceivinglaltransfusionloflpackedlredlblo
odlcells
B) Al91-year-
oldlwomanlwholhaslexperiencedlanlischemiclstrokelresultinglfromlfamiliallhyper
cholesterolemia
C) Al19-year-
oldlmanlwithlexacerbationloflhislcysticlfibrosislrequiringloxygenltherapylandlc
hestlphysiotherapy
D) Al30-year-
oldlhomelesslmanlwholhaslPneumocystislcariniilpneumonial(PCP)landlislHIVlpositiv
e.
Ans:l D
Feedback:
PCPlislanlexamplelofltheleffectloflalmoleculelthatldirectlylcontributesltoldisease.lSicklelcellla
nemia,lfamiliallhypercholesterolemia,landlcysticlfibrosislarelalllexampleslofltheleffectslofla
bnormallmolecules.
4. Almemberloflthelhealthlcarelteamlislresearchingltheletiologylandlpathogenesisloflalnumbe
rloflclientslwholarelunderlhislcarelinlalhospitallcontext.lWhichloflthelfollowinglaspectsloflcli
ents'lsituationslbN
esUtlR
chSaI
raN
ctGerTizBe.
slpCaOt hMo ge n e s i s lratherlthanletiology?
A) AlclientlwholhaslbeenlexposedltolthelMycobacteriumltuberculosislbacterium
B) Alclientlwholhaslincreasinglserumlammoniallevelsldueltolliverlcirrhosis
C) Alclientlwholwasladmittedlwithltheleffectsloflmethyllalcohollpoisoning
D) AlclientlwithlmultiplelskeletallinjurieslsecondaryltolalmotorlvehiclelaccidentlAn
s:lB
Feedback:
Pathogenesislrefersltolthelprogressivelandlevolutionarylcourselofldisease,lsuchlaslthelincreas
inglammoniallevelslthatlaccompanylliverldisease.lBacteria,lpoisons,landltraumaticlinjuriesl
arelexampleslofletiologiclfactors.
5. Al newlmyocardiallinfarctionlpatientlrequiringlangioplastylandlstentlplacementlhaslarrivedlt
olhislfirstlcardiaclrehabilitationlappointment.lInlthislfirstlsession,lalreviewloflthelpathogenes
isloflcoronarylarteryldiseaselisladdressed.lWhichlstatementlbylthelpatientlverifiesltolthelnurse
lthatlhelhaslunderstoodlthelnurse'slteachingslaboutlcoronarylarteryl disease?
A) “AlllIlhaveltoldolislstoplsmoking,landlthenlIlwon'tlhavelanylmorelheartlattacks.”
B) “Mylarterylwaslcloggedlbylfat,lsolIlwilllneedltolstopleatinglfattylfoodsllikelFren
chlfriesleverylday.”
C) “Soundsllikelthislbeganlbecauseloflinflammationlinsidelmylarterylthatlmadelitleas
yltolformlfattylstreaks,lwhichlleadltolmylcloggedlartery.”
D) “IflIldolnotlexerciselregularlyltolgetlmylheartlratelup,lbloodlpoolslinlthelveinslcausingl
MedlC
, alclotlthatlstopslbloodlflowltolthelmuscle,landlIlwilllhavelalheartlattack.”
Ans:l C
MedlC
