COMPLETE TEST BANK j j
Porth's Pathophysiology: Concepts of Altered Health States Eleventh Edition
j j j j j j j j
by Tommie L. Norris
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TEST BANK!!! j
1j|jPjaj gje
,Porth’s Pathophysiology 11th Edition Norris Test Bank
j j j j j j
1. Atjanjinternationaljnursingjconference,jmanyjdiscussionsjandjbreakoutjsessionsjfocusedjo
njthejWorldjHealthjOrganizationj(WHO)jviewsjonjhealth.jOfjthejfollowingjcommentsjma
dejbyjnursesjduringjajdiscussionjsession,jwhichjstatementsjwouldjbejconsideredjajgoodjre
presentationjofjthejWHOjdefinition?jSelectjalljthatjapply.
A) Interestsjinjkeepingjthejelderlyjpopulationjengagedjinjsuchjactivitiesjasjbookjre
viewsjandjwordjgamesjduringjsocialjtime
B) Increasejinjthejnumberjofjchairjaerobicsjclassesjprovidedjinjthejskilledjcarejfa
cilities
C) Interventionsjgearedjtowardjkeepingjthejelderlyjpopulationjdiagnosedjwithjdiabetes
jmellitusjunderjtightjbloodjglucosejcontroljbyjprovidingjin-homejcookingjclasses
D) Providingjtransportationjforjrenaljdialysisjpatientsjtojandjfromjtheirjhemodialysisjse
ssions
E) ProvidingjhandwashingjteachingjsessionsjtojajgroupjofjyoungchildrenjA
ns:jA,jB,jC,jE
Feedback:
ThejWHOjdefinitionjofjhealthjisjdefinedjasj“ajstatejofjcompletejphysical,jmental,jandjsoci
aljwell-
beingjandjnotjmerelyjthejabsencejofjdiseasejandjinfirmity.”jEngagingjinjbookjreviewsjfaci
litatesjmentaljandjsocialjwell-being;jchairjaerobicsjhelpsjfacilitatejphysicaljwell-
being;jandjassistingjwithjtightjcontroljofjdiabetesjhelpsjwithjfacilitatingjphysicaljwell-
beingjevenjthoughjthejpersonjhasjajchronicjdisease.jHandwashingjisjvitaljinjthejpreventionj
ofjdiseasejandjspreadjofjgerms.
2. Ajcommunityjhealthjnursejisjteachingjajgroupjofjrecentjgraduatesjaboutjthejlargejvarie
tyjofjfactorsjthatjinfluencejanjindividual'sjhealthjorjlackjthereof.jThejnursejisjreferringj
tojthejHealthyjPeoplej2020jreportjfromjthejU.S.jDepartmentjofjHealthjandjHumanjSer
vicesjasjajteachingjexample.jOfjthejfollowingjaspectsjdiscussed,jwhichjwouldjbejcons
ideredjajdeterminantjofjhealthjthatjisjoutsidejthejfocusjofjthisjreport?
A) ThejclientjhasjajdiversejbackgroundjbyjbeingjofjAsianjandjNativejAmericanjdesc
entjandjpracticesjvariousjalternativejtherapiesjtojminimizejeffectsjofjstress.
B) Thejclientjhasjajfamilyjhistoryjofjcardiovascularjdiseasejrelatedjtojhyperchol
esterolemiajandjremainsjnoncompliantjwithjthejtreatmentjregime.
C) Thejclientjhasjajgoodjcareerjwithjexceptionaljpreventativejhealthjcarejbenefits.
D) Thejclientjlivesjinjanjaffluent,jclean,jsuburbanjcommunityjwithjaccessjtojmanyjhe
althjcarejfacilities.
Ans:jB
Feedback:
InjHealthyjPeoplej2020,jthejfocusjisjtojpromotejgoodjhealthjtojallj(suchjasjusingjalternativ
ejtherapiesjtojminimizejeffectsjofjstress);jachievingjhealthjequityjandjpromotingjhealthjfor
jallj(whichjincludesjhavingjgoodjhealthjcarejbenefits);jandjpromotingjgoodjhealthj(whichji
ncludesjlivingjinjajcleanjcommunityjwithjgoodjaccessjtojhealthjcare).jAjclient'sjnoncompli
ancejwithjtreatmentsjtojcontroljhighjcholesteroljlevelsjwithinjthejpresencejofjajfamilyjhisto
ryjofjCVjdiseasejdoesjnotjmeetjthej“attainingjlivesjfreejofjpreventablejdiseasejandjprematu
rejdeath”jdeterminant.
2j|jPjajgje
,3. Ajphysicianjisjprovidingjcarejforjajnumberjofjpatientsjonjajmedicaljunitjofjajlarge,juniversit
yjhospital.jThejphysicianjisjdiscussingjwithjajcolleaguejthejdifferentiationjbetweenjdisease
sjthatjarejcausedjbyjabnormaljmoleculesjandjdiseasesjthatjcausejdisease.jWhichjofjthejfollo
wingjpatientsjmostjclearlyjdemonstratesjthejconsequencesjofjmoleculesjthatjcausejdisease
?
A) Aj31-year-
oldjwomanjwithjsicklejcelljanemiajwhojisjreceivingjajtransfusionjofjpackedjredjbl
oodjcells
B) Aj91-year-
oldjwomanjwhojhasjexperiencedjanjischemicjstrokejresultingjfromjfamilialjhyp
ercholesterolemia
C) Aj19-year-
oldjmanjwithjexacerbationjofjhisjcysticjfibrosisjrequiringjoxygenjtherapyjandj
chestjphysiotherapy
D) Aj30-year-
oldjhomelessjmanjwhojhasjPneumocystisjcariniijpneumoniaj(PCP)jandjisjHIVjpositi
ve.
Ans:jD
Feedback:
PCPjisjanjexamplejofjthejeffectjofjajmoleculejthatjdirectlyjcontributesjtojdisease.jSicklejcellj
anemia,jfamilialjhypercholesterolemia,jandjcysticjfibrosisjarejalljexamplesjofjthejeffectsjof
jabnormaljmolecules.
4. Ajmemberjofjthejhealthjcarejteamjisjresearchingjthejetiologyjandjpathogenesisjofjajnum
berjofjclientsjwhojarejunderjhisjcarejinjajhospitaljcontext.jWhichjofjthejfollowingjaspectsj
ofjclients'jsituationsjbN
esUtjR
chSaI
raN
ctGerTizBe.
sjpCaOt hMo ge n e s i s jratherjthanjetiology?
A) AjclientjwhojhasjbeenjexposedjtojthejMycobacteriumjtuberculosisjbacterium
B) Ajclientjwhojhasjincreasingjserumjammoniajlevelsjduejtojliverjcirrhosis
C) Ajclientjwhojwasjadmittedjwithjthejeffectsjofjmethyljalcoholjpoisoning
D) AjclientjwithjmultiplejskeletaljinjuriesjsecondaryjtojajmotorjvehiclejaccidentjA
ns:jB
Feedback:
Pathogenesisjrefersjtojthejprogressivejandjevolutionaryjcoursejofjdisease,jsuchjasjthejincre
asingjammoniajlevelsjthatjaccompanyjliverjdisease.jBacteria,jpoisons,jandjtraumaticjinjuri
esjarejexamplesjofjetiologicjfactors.
3j|jPjajgje
, 5. Ajnewjmyocardialjinfarctionjpatientjrequiringjangioplastyjandjstentjplacementjhasjarrived
jtojhisjfirstjcardiacjrehabilitationjappointment.jInjthisjfirstjsession,jajreviewjofjthejpathoge
nesisjofjcoronaryjarteryjdiseasejisjaddressed.jWhichjstatementjbyjthejpatientjverifiesjtojthej
nursejthatjhejhasjunderstoodjthejnurse'sjteachingsjaboutjcoronaryjarteryjdisease?
A) “AlljIjhavejtojdojisjstopjsmoking,jandjthenjIjwon'tjhavejanyjmorejheartattacks.”
B) “Myjarteryjwasjcloggedjbyjfat,jsojIjwilljneedjtojstopjeatingjfattyjfoodsjlikejFre
nchjfriesjeveryjday.”
C) “Soundsjlikejthisjbeganjbecausejofjinflammationjinsidejmyjarteryjthatjmadejitjea
syjtojformjfattyjstreaks,jwhichjleadjtojmyjcloggedjartery.”
D) “IfjIjdojnotjexercisejregularlyjtojgetjmyjheartjratejup,jbloodjpoolsjinjthejveinsjcausi
ngjajclotjthatjstopsjbloodjflowjtojthejmuscle,jandjIjwilljhavejajheartjattack.”
Ans:jC
Feedback:
Thejtruejetiology/causejofjcoronaryjarteryjdiseasej(CAD)jisjunknown;jhowever,jthejpatho
genesisjofjthejdisorderjrelatesjtojthejprogressionjofjthejinflammatoryjprocessjfromjajfattyjst
reakjtojthejocclusivejvesseljlesionjseenjinjpeoplejwithjcoronaryjarteryjdisease.jRiskjfactors
jforjCADjrevolvejaroundjcigarettejsmoking,jdietjhighjinjfat,jandjlackjofjexercise.
6. Aj77-year-
oldjmanjisjajhospitaljinpatientjadmittedjforjexacerbationjofjhisjchronicjobstructivejpulmon
aryjdiseasej(COPD),jandjajrespiratoryjtherapistj(RT)jisjassessingjthejclientjforjthejfirstjtim
e.jWhichNU ofRthSeIfN
olG
loTwBin.gCaO
spMectsjofjthejpatient'sjcurrentjstatejofjhealthjwouldjbejbestjchar
acterizedjasjajsymptomjratherjthanjajsign?
A) Thejpatient'sjoxygenjsaturationjisj83%jbyjpulsejoxymetry.
B) Thejpatientjnotesjthatjhejhasjincreasedjworkjofjbreathingjwhenjlyingjsupine.
C) ThejRTjhearsjdiminishedjbreathjsoundsjtojthejpatient'sjlowerjlungjfieldsjbi
laterally.
D) Thejpatient'sjrespiratoryjratejisj31jbreaths/minute.j
Ans:jB
Feedback:
Symptomsjarejsubjectivejcomplaintsjbyjthejpersonjexperiencingjthejhealthjproblem,jsu
chjasjcomplaintsjofjbreathingjdifficulty.jOxygenjlevels,jlisteningjtojbreathjsounds,jandj
respiratoryjratejarejalljobjective,jobservablejsignsjofjdisease.
4j|jPjajgje
Porth's Pathophysiology: Concepts of Altered Health States Eleventh Edition
j j j j j j j j
by Tommie L. Norris
j j j
TEST BANK!!! j
1j|jPjaj gje
,Porth’s Pathophysiology 11th Edition Norris Test Bank
j j j j j j
1. Atjanjinternationaljnursingjconference,jmanyjdiscussionsjandjbreakoutjsessionsjfocusedjo
njthejWorldjHealthjOrganizationj(WHO)jviewsjonjhealth.jOfjthejfollowingjcommentsjma
dejbyjnursesjduringjajdiscussionjsession,jwhichjstatementsjwouldjbejconsideredjajgoodjre
presentationjofjthejWHOjdefinition?jSelectjalljthatjapply.
A) Interestsjinjkeepingjthejelderlyjpopulationjengagedjinjsuchjactivitiesjasjbookjre
viewsjandjwordjgamesjduringjsocialjtime
B) Increasejinjthejnumberjofjchairjaerobicsjclassesjprovidedjinjthejskilledjcarejfa
cilities
C) Interventionsjgearedjtowardjkeepingjthejelderlyjpopulationjdiagnosedjwithjdiabetes
jmellitusjunderjtightjbloodjglucosejcontroljbyjprovidingjin-homejcookingjclasses
D) Providingjtransportationjforjrenaljdialysisjpatientsjtojandjfromjtheirjhemodialysisjse
ssions
E) ProvidingjhandwashingjteachingjsessionsjtojajgroupjofjyoungchildrenjA
ns:jA,jB,jC,jE
Feedback:
ThejWHOjdefinitionjofjhealthjisjdefinedjasj“ajstatejofjcompletejphysical,jmental,jandjsoci
aljwell-
beingjandjnotjmerelyjthejabsencejofjdiseasejandjinfirmity.”jEngagingjinjbookjreviewsjfaci
litatesjmentaljandjsocialjwell-being;jchairjaerobicsjhelpsjfacilitatejphysicaljwell-
being;jandjassistingjwithjtightjcontroljofjdiabetesjhelpsjwithjfacilitatingjphysicaljwell-
beingjevenjthoughjthejpersonjhasjajchronicjdisease.jHandwashingjisjvitaljinjthejpreventionj
ofjdiseasejandjspreadjofjgerms.
2. Ajcommunityjhealthjnursejisjteachingjajgroupjofjrecentjgraduatesjaboutjthejlargejvarie
tyjofjfactorsjthatjinfluencejanjindividual'sjhealthjorjlackjthereof.jThejnursejisjreferringj
tojthejHealthyjPeoplej2020jreportjfromjthejU.S.jDepartmentjofjHealthjandjHumanjSer
vicesjasjajteachingjexample.jOfjthejfollowingjaspectsjdiscussed,jwhichjwouldjbejcons
ideredjajdeterminantjofjhealthjthatjisjoutsidejthejfocusjofjthisjreport?
A) ThejclientjhasjajdiversejbackgroundjbyjbeingjofjAsianjandjNativejAmericanjdesc
entjandjpracticesjvariousjalternativejtherapiesjtojminimizejeffectsjofjstress.
B) Thejclientjhasjajfamilyjhistoryjofjcardiovascularjdiseasejrelatedjtojhyperchol
esterolemiajandjremainsjnoncompliantjwithjthejtreatmentjregime.
C) Thejclientjhasjajgoodjcareerjwithjexceptionaljpreventativejhealthjcarejbenefits.
D) Thejclientjlivesjinjanjaffluent,jclean,jsuburbanjcommunityjwithjaccessjtojmanyjhe
althjcarejfacilities.
Ans:jB
Feedback:
InjHealthyjPeoplej2020,jthejfocusjisjtojpromotejgoodjhealthjtojallj(suchjasjusingjalternativ
ejtherapiesjtojminimizejeffectsjofjstress);jachievingjhealthjequityjandjpromotingjhealthjfor
jallj(whichjincludesjhavingjgoodjhealthjcarejbenefits);jandjpromotingjgoodjhealthj(whichji
ncludesjlivingjinjajcleanjcommunityjwithjgoodjaccessjtojhealthjcare).jAjclient'sjnoncompli
ancejwithjtreatmentsjtojcontroljhighjcholesteroljlevelsjwithinjthejpresencejofjajfamilyjhisto
ryjofjCVjdiseasejdoesjnotjmeetjthej“attainingjlivesjfreejofjpreventablejdiseasejandjprematu
rejdeath”jdeterminant.
2j|jPjajgje
,3. Ajphysicianjisjprovidingjcarejforjajnumberjofjpatientsjonjajmedicaljunitjofjajlarge,juniversit
yjhospital.jThejphysicianjisjdiscussingjwithjajcolleaguejthejdifferentiationjbetweenjdisease
sjthatjarejcausedjbyjabnormaljmoleculesjandjdiseasesjthatjcausejdisease.jWhichjofjthejfollo
wingjpatientsjmostjclearlyjdemonstratesjthejconsequencesjofjmoleculesjthatjcausejdisease
?
A) Aj31-year-
oldjwomanjwithjsicklejcelljanemiajwhojisjreceivingjajtransfusionjofjpackedjredjbl
oodjcells
B) Aj91-year-
oldjwomanjwhojhasjexperiencedjanjischemicjstrokejresultingjfromjfamilialjhyp
ercholesterolemia
C) Aj19-year-
oldjmanjwithjexacerbationjofjhisjcysticjfibrosisjrequiringjoxygenjtherapyjandj
chestjphysiotherapy
D) Aj30-year-
oldjhomelessjmanjwhojhasjPneumocystisjcariniijpneumoniaj(PCP)jandjisjHIVjpositi
ve.
Ans:jD
Feedback:
PCPjisjanjexamplejofjthejeffectjofjajmoleculejthatjdirectlyjcontributesjtojdisease.jSicklejcellj
anemia,jfamilialjhypercholesterolemia,jandjcysticjfibrosisjarejalljexamplesjofjthejeffectsjof
jabnormaljmolecules.
4. Ajmemberjofjthejhealthjcarejteamjisjresearchingjthejetiologyjandjpathogenesisjofjajnum
berjofjclientsjwhojarejunderjhisjcarejinjajhospitaljcontext.jWhichjofjthejfollowingjaspectsj
ofjclients'jsituationsjbN
esUtjR
chSaI
raN
ctGerTizBe.
sjpCaOt hMo ge n e s i s jratherjthanjetiology?
A) AjclientjwhojhasjbeenjexposedjtojthejMycobacteriumjtuberculosisjbacterium
B) Ajclientjwhojhasjincreasingjserumjammoniajlevelsjduejtojliverjcirrhosis
C) Ajclientjwhojwasjadmittedjwithjthejeffectsjofjmethyljalcoholjpoisoning
D) AjclientjwithjmultiplejskeletaljinjuriesjsecondaryjtojajmotorjvehiclejaccidentjA
ns:jB
Feedback:
Pathogenesisjrefersjtojthejprogressivejandjevolutionaryjcoursejofjdisease,jsuchjasjthejincre
asingjammoniajlevelsjthatjaccompanyjliverjdisease.jBacteria,jpoisons,jandjtraumaticjinjuri
esjarejexamplesjofjetiologicjfactors.
3j|jPjajgje
, 5. Ajnewjmyocardialjinfarctionjpatientjrequiringjangioplastyjandjstentjplacementjhasjarrived
jtojhisjfirstjcardiacjrehabilitationjappointment.jInjthisjfirstjsession,jajreviewjofjthejpathoge
nesisjofjcoronaryjarteryjdiseasejisjaddressed.jWhichjstatementjbyjthejpatientjverifiesjtojthej
nursejthatjhejhasjunderstoodjthejnurse'sjteachingsjaboutjcoronaryjarteryjdisease?
A) “AlljIjhavejtojdojisjstopjsmoking,jandjthenjIjwon'tjhavejanyjmorejheartattacks.”
B) “Myjarteryjwasjcloggedjbyjfat,jsojIjwilljneedjtojstopjeatingjfattyjfoodsjlikejFre
nchjfriesjeveryjday.”
C) “Soundsjlikejthisjbeganjbecausejofjinflammationjinsidejmyjarteryjthatjmadejitjea
syjtojformjfattyjstreaks,jwhichjleadjtojmyjcloggedjartery.”
D) “IfjIjdojnotjexercisejregularlyjtojgetjmyjheartjratejup,jbloodjpoolsjinjthejveinsjcausi
ngjajclotjthatjstopsjbloodjflowjtojthejmuscle,jandjIjwilljhavejajheartjattack.”
Ans:jC
Feedback:
Thejtruejetiology/causejofjcoronaryjarteryjdiseasej(CAD)jisjunknown;jhowever,jthejpatho
genesisjofjthejdisorderjrelatesjtojthejprogressionjofjthejinflammatoryjprocessjfromjajfattyjst
reakjtojthejocclusivejvesseljlesionjseenjinjpeoplejwithjcoronaryjarteryjdisease.jRiskjfactors
jforjCADjrevolvejaroundjcigarettejsmoking,jdietjhighjinjfat,jandjlackjofjexercise.
6. Aj77-year-
oldjmanjisjajhospitaljinpatientjadmittedjforjexacerbationjofjhisjchronicjobstructivejpulmon
aryjdiseasej(COPD),jandjajrespiratoryjtherapistj(RT)jisjassessingjthejclientjforjthejfirstjtim
e.jWhichNU ofRthSeIfN
olG
loTwBin.gCaO
spMectsjofjthejpatient'sjcurrentjstatejofjhealthjwouldjbejbestjchar
acterizedjasjajsymptomjratherjthanjajsign?
A) Thejpatient'sjoxygenjsaturationjisj83%jbyjpulsejoxymetry.
B) Thejpatientjnotesjthatjhejhasjincreasedjworkjofjbreathingjwhenjlyingjsupine.
C) ThejRTjhearsjdiminishedjbreathjsoundsjtojthejpatient'sjlowerjlungjfieldsjbi
laterally.
D) Thejpatient'sjrespiratoryjratejisj31jbreaths/minute.j
Ans:jB
Feedback:
Symptomsjarejsubjectivejcomplaintsjbyjthejpersonjexperiencingjthejhealthjproblem,jsu
chjasjcomplaintsjofjbreathingjdifficulty.jOxygenjlevels,jlisteningjtojbreathjsounds,jandj
respiratoryjratejarejalljobjective,jobservablejsignsjofjdisease.
4j|jPjajgje
