Health States 11th Edition by Tommie L. Norris, Verified
Chapters 1 - 52, Complete Newest Version
Page ―1
,Porth's “Pathophysiology “Concepts “of “Altered “Health “10th “Edition “Test “Bank
Chapter ―1- ―Concepts ―of ―Health ―and ―Disease
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
Page ―2
,―does ―not ―meet ―the ――attaining ―lives ―free ―of ―preventable ―disease ―and ―premature
―death‖ ―determinant.
Page ―3
, 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 ―best ―characterizes ―pathogenesis ―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.
Page ―4