,Porth’s Pathophysiology 10th Edition Norris Test Bank
1. At an international nursing conference, many discussions and breakout
sessions focused on the World Health Organization (WHO) views on health.
Of the following comments made by nurses during a discussion session,
which statements would be considered a good representation of the WHO
definition? Select all that apply.
A) Interests in keeping the elderly population engaged in such
activities as book reviews and word games during social time
B) Increase in the number of chair aerobics classes provided in the
skilled care facilities
C) Interventions geared toward keeping the elderly population diagnosed
with diabetes mellitus under tight blood glucose control by providing
in-home cooking classes
D) Providing transportation for renal dialysis patients to and from their
hemodialysis sessions
E) Providing handwashing teaching sessions to a group of young
children Ans: A, B, C, E
Feedback:
The WHO definition of health is defined as “a state of complete physical,
mental, and social well-being and not merely the absence of disease and
infirmity.” Engaging in book reviews facilitates mental and social well-
being; chair aerobics helps facilitate physical well-being; and assisting with
tight control of diabetes helps with facilitating physical well-being even
though the person has a chronic disease. Handwashing is vital in the
prevention of disease and spread of germs.
2. A community health nurse is teaching a group of recent graduates about
the large variety of factors that influence an individual's health or lack
thereof. The nurse is referring to the Healthy People 2020 report from
the U.S. Department of Health and Human Services as a teaching
example. Of the following aspects discussed, which would be considered
a determinant of health that is outside the focus of this report?
A) The client has a diverse background by being of Asian and Native
American descent and practices various alternative therapies to
minimize effects of stress.
B) The client has a family history of cardiovascular disease related
to hypercholesterolemia and remains noncompliant with the
treatment regime.
C) The client has a good career with exceptional preventative health care benefits.
D) The client lives in an affluent, clean, suburban community with
access to many health care facilities.
Ans: B
Feedback:
In Healthy People 2020, the focus is to promote good health to all (such
as using alternative therapies to minimize effects of stress); achieving health
equity and promoting health for all (which includes having good health care
benefits); and promoting good health (which includes living in a clean
community with good access to health care). A client's noncompliance with
,treatments to control high cholesterol levels within the presence of a family
history of CV disease does not meet the “attaining lives free of preventable
disease and premature death” determinant.
, 3. A physician is providing care for a number of patients on a medical unit
of a large, university hospital. The physician is discussing with a colleague
the differentiation between diseases that are caused by abnormal molecules
and diseases that cause disease. Which of the following patients most clearly
demonstrates the consequences of molecules that cause disease?
A) A 31-year-old woman with sickle cell anemia who is receiving a
transfusion of packed red blood cells
B) A 91-year-old woman who has experienced an ischemic stroke
resulting from familial hypercholesterolemia
C) A 19-year-old man with exacerbation of his cystic fibrosis
requiring oxygen therapy and chest physiotherapy
D) A 30-year-old homeless man who has Pneumocystis carinii pneumonia
(PCP) and is HIV positive.
Ans: D
Feedback:
PCP is an example of the effect of a molecule that directly contributes to
disease. Sickle cell anemia, familial hypercholesterolemia, and cystic fibrosis
are all examples of the effects of abnormal molecules.
4. A member of the health care team is researching the etiology and
pathogenesis of a number of clients who are under his care in a hospital
context. Which of the following aspects of clients' situations bN
esUt
RchSaIraNctGerTizBe.
s pCaOthMogenesis rather than etiology?
A) A client who has been exposed to the Mycobacterium tuberculosis bacterium
B) A client who has increasing serum ammonia levels due to liver cirrhosis
C) A client who was admitted with the effects of methyl alcohol poisoning
D) A client with multiple skeletal injuries secondary to a motor
vehicle accident Ans: B
Feedback:
Pathogenesis refers to the progressive and evolutionary course of disease,
such as the increasing ammonia levels that accompany liver disease.
Bacteria, poisons, and traumatic injuries are examples of etiologic factors.
1. At an international nursing conference, many discussions and breakout
sessions focused on the World Health Organization (WHO) views on health.
Of the following comments made by nurses during a discussion session,
which statements would be considered a good representation of the WHO
definition? Select all that apply.
A) Interests in keeping the elderly population engaged in such
activities as book reviews and word games during social time
B) Increase in the number of chair aerobics classes provided in the
skilled care facilities
C) Interventions geared toward keeping the elderly population diagnosed
with diabetes mellitus under tight blood glucose control by providing
in-home cooking classes
D) Providing transportation for renal dialysis patients to and from their
hemodialysis sessions
E) Providing handwashing teaching sessions to a group of young
children Ans: A, B, C, E
Feedback:
The WHO definition of health is defined as “a state of complete physical,
mental, and social well-being and not merely the absence of disease and
infirmity.” Engaging in book reviews facilitates mental and social well-
being; chair aerobics helps facilitate physical well-being; and assisting with
tight control of diabetes helps with facilitating physical well-being even
though the person has a chronic disease. Handwashing is vital in the
prevention of disease and spread of germs.
2. A community health nurse is teaching a group of recent graduates about
the large variety of factors that influence an individual's health or lack
thereof. The nurse is referring to the Healthy People 2020 report from
the U.S. Department of Health and Human Services as a teaching
example. Of the following aspects discussed, which would be considered
a determinant of health that is outside the focus of this report?
A) The client has a diverse background by being of Asian and Native
American descent and practices various alternative therapies to
minimize effects of stress.
B) The client has a family history of cardiovascular disease related
to hypercholesterolemia and remains noncompliant with the
treatment regime.
C) The client has a good career with exceptional preventative health care benefits.
D) The client lives in an affluent, clean, suburban community with
access to many health care facilities.
Ans: B
Feedback:
In Healthy People 2020, the focus is to promote good health to all (such
as using alternative therapies to minimize effects of stress); achieving health
equity and promoting health for all (which includes having good health care
benefits); and promoting good health (which includes living in a clean
community with good access to health care). A client's noncompliance with
,treatments to control high cholesterol levels within the presence of a family
history of CV disease does not meet the “attaining lives free of preventable
disease and premature death” determinant.
, 3. A physician is providing care for a number of patients on a medical unit
of a large, university hospital. The physician is discussing with a colleague
the differentiation between diseases that are caused by abnormal molecules
and diseases that cause disease. Which of the following patients most clearly
demonstrates the consequences of molecules that cause disease?
A) A 31-year-old woman with sickle cell anemia who is receiving a
transfusion of packed red blood cells
B) A 91-year-old woman who has experienced an ischemic stroke
resulting from familial hypercholesterolemia
C) A 19-year-old man with exacerbation of his cystic fibrosis
requiring oxygen therapy and chest physiotherapy
D) A 30-year-old homeless man who has Pneumocystis carinii pneumonia
(PCP) and is HIV positive.
Ans: D
Feedback:
PCP is an example of the effect of a molecule that directly contributes to
disease. Sickle cell anemia, familial hypercholesterolemia, and cystic fibrosis
are all examples of the effects of abnormal molecules.
4. A member of the health care team is researching the etiology and
pathogenesis of a number of clients who are under his care in a hospital
context. Which of the following aspects of clients' situations bN
esUt
RchSaIraNctGerTizBe.
s pCaOthMogenesis rather than etiology?
A) A client who has been exposed to the Mycobacterium tuberculosis bacterium
B) A client who has increasing serum ammonia levels due to liver cirrhosis
C) A client who was admitted with the effects of methyl alcohol poisoning
D) A client with multiple skeletal injuries secondary to a motor
vehicle accident Ans: B
Feedback:
Pathogenesis refers to the progressive and evolutionary course of disease,
such as the increasing ammonia levels that accompany liver disease.
Bacteria, poisons, and traumatic injuries are examples of etiologic factors.
