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,VPorth’sVPathophysiologyV10thVEditionVNorrisVTestVBank
MULTIPLEVCHOICE
1. AtVanVinternationalVnursingVconference,VmanyVdiscussionsVandVbreakoutVsessionsVfo
cusedVonVtheVWorldVHealthVOrganizationV(WHO)VviewsVonVhealth.VOfVtheVfollowi
ngVcommentsVmadeVbyVnursesVduringVaVdiscussionVsession,VwhichVstatementsVwoul
dVbeVconsideredVaVgoodVrepresentationVofVtheVWHOVdefinition?VSelectVallVthatVap
ply.
A) InterestsVinVkeepingVtheVelderlyVpopulationVengagedVinVsuchVactivitiesVas
VbookVreviewsVandVwordVgamesVduringVsocialVtime
B) IncreaseVinVtheVnumberVofVchairVaerobicsVclassesVprovidedVinVtheVskille
dVcareVfacilities
C) InterventionsVgearedVtowardVkeepingVtheVelderlyVpopulationVdiagnosedVwithV
diabetesVmellitusVunderVtightVbloodVglucoseVcontrolVbyVprovidingVin-
homeVcookingVclasses
D) ProvidingVtransportationVforVrenalVdialysisVpatientsVtoVandVfromVtheirVhemodi
alysisVsessions
E) ProvidingVhandwashingVteachingVsessionsVtoVaVgroupVofVyoungVchi
ldrenVAns:VA,VB,VC,VE
Feedback:
TheVWHOVdefinitionVofVhealthVisVdefinedVasV“aVstateVofVcompleteVphysical,Vmenta
l,VandVsocialVwell-
beingVandVnotVmerelyVtheVabsenceVofVdiseaseVandVinfirmity.”VEngagingVinVbookVre
viewsVfacilitatesVmentalVandVsocialVwell-
being;VchairVaerobicsVhelpsVfacilitateVphysicalVwell-
being;VandVassistingVwithVtightVcontrolVofVdiabetesVhelpsVwithVfacilitatingVphysicalV
well-
beingVevenVthoughVtheVpersonVhasVaVchronicVdisease.VHandwashingVisVvitalVinVtheV
preventionVofVdiseaseVandVspreadVofVgerms.
2. AVcommunityVhealthVnurseVisVteachingVaVgroupVofVrecentVgraduatesVaboutVtheV
largeVvarietyVofVfactorsVthatVinfluenceVanVindividual'sVhealthVorVlackVthereof.VT
heVnurseVisVreferringVtoVtheVHealthyVPeopleV2020VreportVfromVtheVU.S.VDepart
mentVofVHealthVandVHumanVServicesVasVaVteachingVexample.VOfVtheVfollowing
VaspectsVdiscussed,VwhichVwouldVbeVconsideredVaVdeterminantVofVhealthVthatVis
VoutsideVtheVfocusVofVthisVreport?
A) TheVclientVhasVaVdiverseVbackgroundVbyVbeingVofVAsianVandVNativeVAme
ricanVdescentVandVpracticesVvariousValternativeVtherapiesVtoVminimizeVeffect
sVofVstress.
B) TheVclientVhasVaVfamilyVhistoryVofVcardiovascularVdiseaseVrelatedVtoVh
ypercholesterolemiaVandVremainsVnoncompliantVwithVtheVtreatmentVregi
me.
C) TheVclientVhasVaVgoodVcareerVwithVexceptionalVpreventativeVhealthVcareVbenefits.
D) TheVclientVlivesVinVanVaffluent,Vclean,VsuburbanVcommunityVwithVaccessVto
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, VmanyVhealthVcareVfacilities.
Ans:VB
Feedback:
InVHealthyVPeopleV2020,VtheVfocusVisVtoVpromoteVgoodVhealthVtoVallV(suchVasVusin
gValternativeVtherapiesVtoVminimizeVeffectsVofVstress);VachievingVhealthVequityVandV
promotingVhealthVforVallV(whichVincludesVhavingVgoodVhealthVcareVbenefits);VandVp
romotingVgoodVhealthV(whichVincludesVlivingVinVaVcleanVcommunityVwithVgoodVacc
essVtoVhealthVcare).VAVclient'sVnoncomplianceVwithVtreatmentsVtoVcontrolVhighVchol
esterolVlevels
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, withinVtheVpresenceVofVaVfamilyVhistoryVofVCVVdiseaseVdoesVnotVmeetVtheV“attaini
ngVlivesVfreeVofVpreventableVdiseaseVandVprematureVdeath”Vdeterminant.
3. AVphysicianVisVprovidingVcareVforVaVnumberVofVpatientsVonVaVmedicalVunitVofVaVla
rge,VuniversityVhospital.VTheVphysicianVisVdiscussingVwithVaVcolleagueVtheVdifferent
iationVbetweenVdiseasesVthatVareVcausedVbyVabnormalVmoleculesVandVdiseasesVthatVc
auseVdisease.VWhichVofVtheVfollowingVpatientsVmostVclearlyVdemonstratesVtheVconse
quencesVofVmoleculesVthatVcauseVdisease?
A) AV31-year-
oldVwomanVwithVsickleVcellVanemiaVwhoVisVreceivingVaVtransfusionVofVpac
kedVredVbloodVcells
B) AV91-year-
oldVwomanVwhoVhasVexperiencedVanVischemicVstrokeVresultingVfromVfami
lialVhypercholesterolemia
C) AV19-year-
oldVmanVwithVexacerbationVofVhisVcysticVfibrosisVrequiringVoxygenVther
apyVandVchestVphysiotherapy
D) AV30-year-
oldVhomelessVmanVwhoVhasVPneumocystisVcariniiVpneumoniaV(PCP)VandVisVH
IVVpositive.
Ans:VD
Feedback:
PCPVisVanVexampleVofVtheVeffectVofVaVmoleculeVthatVdirectlyVcontributesVtoVdisease
.VSickleVcellVanemia,VfamilialVhypercholesterolemia,VandVcysticVfibrosisVareVallVexa
mplesVofVtheVeffectsVofVabnormalVmolecules.
4. AVmemberVofVtheVhealthVcareVteamVisVresearchingVtheVetiologyVandVpathogenesis
VofVaVnumberVofVclientsVwhoVareVunderVhisVcareVinVaVhospitalVcontext.VWhichVof
VtheVfollowingVaspectsVofVclients'VsituationsVbN
esUtVR
chSaI
raN
ctGerTizBe.
sVpCaOt hMo ge n e s i s Vrath
erVthanVetiology?
A) AVclientVwhoVhasVbeenVexposedVtoVtheVMycobacteriumVtuberculosisVbacterium
B) AVclientVwhoVhasVincreasingVserumVammoniaVlevelsVdueVtoVliverVcirrhosis
C) AVclientVwhoVwasVadmittedVwithVtheVeffectsVofVmethylValcoholVpoisoning
D) AVclientVwithVmultipleVskeletalVinjuriesVsecondaryVtoVaVmotorVvehicleVac
cidentVAns:VB
Feedback:
PathogenesisVrefersVtoVtheVprogressiveVandVevolutionaryVcourseVofVdisease,VsuchVas
VtheVincreasingVammoniaVlevelsVthatVaccompanyVliverVdisease.VBacteria,Vpoisons,Va
ndVtraumaticVinjuriesVareVexamplesVofVetiologicVfactors.
5. AV newVmyocardialVinfarctionVpatientVrequiringVangioplastyVandVstentVplacementVha
sVarrivedVtoVhisVfirstVcardiacVrehabilitationVappointment.VInVthisVfirstVsession,VaVrev
iewVofVtheVpathogenesisVofVcoronaryVarteryVdiseaseVisVaddressed.VWhichVstatementV
byVtheVpatientVverifiesVtoVtheVnurseVthatVheVhasVunderstoodVtheVnurse'sVteachingsVa
boutVcoronaryVarteryVdisease?
A) “AllVIVhaveVtoVdoVisVstopVsmoking,VandVthenVIVwon'tVhaveVanyVmoreVheartVattacks.”
B) “MyVarteryVwasVcloggedVbyVfat,VsoVIVwillVneedVtoVstopVeatingVfattyVfo
odsVlikeVFrenchVfriesVeveryVday.”
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