,Porth’s Pathophysiology 10th Edition Norris Test Bank
j j j j j j j
MULTIPLEjCHOICE
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) ProvidingjhandwashingjteachingjsessionsjtojajgroupjofjyoungjchildrenjA
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,jwhichjwouldjbejconsi
deredjajdeterminantjofjhealthjthatjisjoutsidejthejfocusjofjthisjreport?
A) ThejclientjhasjajdiversejbackgroundjbyjbeingjofjAsianjandjNativejAmericanjdesc
entjandjpracticesjvariousjalternativejtherapiesjtojminimizejeffectsjofjstress.
B) Thejclientjhasjajfamilyjhistoryjofjcardiovascularjdiseasejrelatedjtojhyperchol
esterolemiajandjremainsjnoncompliantjwithjthejtreatmentjregime.
C) Thejclientjhasjajgoodjcareerjwithjexceptionaljpreventativejhealthjcarejbenefits.
D) Thejclientjlivesjinjanjaffluent,jclean,jsuburbanjcommunityjwithjaccessjtojmanyjhe
althjcarejfacilities.
Ans:jB
Feedback:
InjHealthyjPeoplej2020,jthejfocusjisjtojpromotejgoodjhealthjtojallj(suchjasjusingjalternativ
ejtherapiesjtojminimizejeffectsjofjstress);jachievingjhealthjequityjandjpromotingjhealthjforj
allj(whichjincludesjhavingjgoodjhealthjcarejbenefits);jandjpromotingjgoodjhealthj(whichji
ncludesjlivingjinjajcleanjcommunityjwithjgoodjaccessjtojhealthjcare).jAjclient'sjnoncompli
ancejwithjtreatmentsjtojcontroljhighjcholesteroljlevels
MedjC
, withinjthejpresencejofjajfamilyjhistoryjofjCVjdiseasejdoesjnotjmeetjthej“attainingjlivesjfree
jofjpreventablejdiseasejandjprematurejdeath”jdeterminant.
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 g e n e s i s jratherjthanjetiology?
A) AjclientjwhojhasjbeenjexposedjtojthejMycobacteriumjtuberculosisjbacterium
B) Ajclientjwhojhasjincreasingjserumjammoniajlevelsjduejtojliverjcirrhosis
C) Ajclientjwhojwasjadmittedjwithjthejeffectsjofjmethyljalcoholjpoisoning
D) AjclientjwithjmultiplejskeletaljinjuriesjsecondaryjtojajmotorjvehiclejaccidentjA
ns:jB
Feedback:
Pathogenesisjrefersjtojthejprogressivejandjevolutionaryjcoursejofjdisease,jsuchjasjthejincre
asingjammoniajlevelsjthatjaccompanyjliverjdisease.jBacteria,jpoisons,jandjtraumaticjinjuri
esjarejexamplesjofjetiologicjfactors.
5. Aj newjmyocardialjinfarctionjpatientjrequiringjangioplastyjandjstentjplacementjhasjarrive
djtojhisjfirstjcardiacjrehabilitationjappointment.jInjthisjfirstjsession,jajreviewjofjthejpathog
enesisjofjcoronaryjarteryjdiseasejisjaddressed.jWhichjstatementjbyjthejpatientjverifiesjtojth
ejnursejthatjhejhasjunderstoodjthejnurse'sjteachingsjaboutjcoronaryjarteryjdisease?
A) “AlljIjhavejtojdojisjstopjsmoking,jandjthenjIjwon'tjhavejanyjmorejheartjattacks.”
B) “Myjarteryjwasjcloggedjbyjfat,jsojIjwilljneedjtojstopjeatingjfattyjfoodsjlikejFre
nchjfriesjeveryjday.”
C) “Soundsjlikejthisjbeganjbecausejofjinflammationjinsidejmyjarteryjthatjmadejitjea
syjtojformjfattyjstreaks,jwhichjleadjtojmyjcloggedjartery.”
MedjC
, D) “IfjIjdojnotjexercisejregularlyjtojgetjmyjheartjratejup,jbloodjpoolsjinjthejveinsjcausi
ngjajclotjthatjstopsjbloodjflowjtojthejmuscle,jandjIjwilljhavejajheartjattack.”
Ans:jC
MedjC