Page 1
, Porth's kPathophysiology kConcepts kof kAltered kHealth k11th kEdition kTest
kBank
Chapter k1- kConcepts kof kHealth kand kDisease
1. At kan kinternational knursing kconference, kmany kdiscussions kand kbreakout ksessions
kfocusedkon kthe kWorld kHealth kOrganization k(WHO) kviews kon khealth. kOf kthe
kfollowing kcommentskmade kby knurses kduring ka kdiscussion ksession, kwhich
kstatements kwould kbe kconsidered ka kgood krepresentation kof kthe kWHO kdefinition?
kSelect kall kthat kapply.
A) Interests kin kkeeping kthe kelderly kpopulation kengaged kin ksuch kactivities
kas kbookkreviews kand kword kgames kduring ksocial ktime
B) Increase kin kthe knumber kof kchair kaerobics kclasses kprovided kin kthe
kskilled kcarekfacilities
C) Interventions kgeared ktoward kkeeping kthe kelderly kpopulation kdiagnosed kwith
kdiabetes kmellitus kunder ktight kblood kglucose kcontrol kby kproviding kin-home
kcookingkclasses
D) Providing ktransportation kfor krenal kdialysis kpatients kto kand kfrom ktheir
khemodialysisksessions
E) Providing khandwashing kteaching ksessions kto ka kgroup kof kyoung
kchildrenkAns: k A, kB, kC, kE
Feedback:
The kWHO kdefinition kof khealth kis kdefined kas k―a kstate kof kcomplete kphysical,
kmental, kand ksocial kwell-being kand knot kmerely kthe kabsence kof kdisease kand
kinfirmity.‖ kEngaging kin kbook kreviews kfacilitates kmental kand ksocial kwell-being;
kchair kaerobics khelps kfacilitate kphysical kwell-being; kand kassisting kwith ktight
kcontrol kof kdiabetes khelps kwith kfacilitating kphysical kwell-being keven kthough kthe
kperson khas ka kchronic kdisease. kHandwashing kis kvitalkin kthe kprevention kof kdisease
kand kspread kof kgerms.
2. A kcommunity khealth knurse kis kteaching ka kgroup kof krecent kgraduates kabout kthe
klarge kvariety kof kfactors kthat kinfluence kan kindividual's khealth kor klack kthereof.
kThe knurse kis kreferring kto kthe kHealthy kPeople k2020 kreport kfrom kthe kU.S.
kDepartment kof kHealth kandkHuman kServices kas ka kteaching kexample. kOf kthe
kfollowing kaspects kdiscussed, kwhich kwould kbe kconsidered ka kdeterminant kof
khealth kthat kis koutside kthe kfocus kof kthis kreport?
A) The kclient khas ka kdiverse kbackground kby kbeing kof kAsian kand kNative
kAmerican kdescent kand kpractices kvarious kalternative ktherapies kto kminimize
keffects kof kstress.
B) The kclient khas ka kfamily khistory kof kcardiovascular kdisease krelated kto
khypercholesterolemia kand kremains knoncompliant kwith kthe ktreatment
kregime.
C) The kclient khas ka kgood kcareer kwith kexceptional kpreventative khealth kcare kbenefits.
D) The kclient klives kin kan kaffluent, kclean, ksuburban kcommunity kwith kaccess
kto kmanykhealth kcare kfacilities.
Ans: k B
Feedback:
In kHealthy kPeople k2020, kthe kfocus kis kto kpromote kgood khealth kto kall k(such kas
kusing kalternative ktherapies kto kminimize keffects kof kstress); kachieving khealth kequity
kand kpromoting khealth kfor kall k(which kincludes khaving kgood khealth kcare kbenefits);
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,kand kpromoting kgood khealth k(which kincludes kliving kin ka kclean kcommunity kwith
kgood kaccess ktokhealth kcare). kA kclient's knoncompliance kwith ktreatments kto kcontrol
khigh kcholesterol klevelskwithin kthe kpresence kof ka kfamily khistory kof kCV kdisease
kdoes knot kmeet kthe k―attaining klives kfree kof kpreventable kdisease kand kpremature
kdeath‖ kdeterminant.
Page 3
, 3. A kphysician kis kproviding kcare kfor ka knumber kof kpatients kon ka kmedical kunit kof ka
klarge, kuniversity khospital. kThe kphysician kis kdiscussing kwith ka kcolleague kthe
kdifferentiation kbetween kdiseases kthat kare kcaused kby kabnormal kmolecules kand
kdiseases kthat kcause kdisease.kWhich kof kthe kfollowing kpatients kmost kclearly
kdemonstrates kthe kconsequences kof kmolecules kthat kcause kdisease?
A) A k31-year-old kwoman kwith ksickle kcell kanemia kwho kis kreceiving ka
ktransfusion kofkpacked kred kblood kcells
B) A k91-year-old kwoman kwho khas kexperienced kan kischemic kstroke kresulting
kfromkfamilial khypercholesterolemia
C) A k19-year-old kman kwith kexacerbation kof khis kcystic kfibrosis krequiring
koxygenktherapy kand kchest kphysiotherapy
D) A k30-year-old khomeless kman kwho khas kPneumocystis kcarinii kpneumonia
k(PCP) kandkis kHIV kpositive.
Ans: k D
Feedback:
PCP kis kan kexample kof kthe keffect kof ka kmolecule kthat kdirectly kcontributes kto
kdisease. kSicklekcell kanemia, kfamilial khypercholesterolemia, kand kcystic kfibrosis kare
kall kexamples kof kthe keffects kof kabnormal kmolecules.
4. A kmember kof kthe khealth kcare kteam kis kresearching kthe ketiology kand kpathogenesis
kof ka knumber kof kclients kwho kare kunder khis kcare kin ka khospital kcontext. kWhich
kof kthe kfollowingkaspects kof kclients' ksituations kbest kcharacterizes kpathogenesis
krather kthan ketiology?
A) A kclient kwho khas kbeen kexposed kto kthe kMycobacterium ktuberculosis kbacterium
B) A kclient kwho khas kincreasing kserum kammonia klevels kdue kto kliver kcirrhosis
C) A kclient kwho kwas kadmitted kwith kthe keffects kof kmethyl kalcohol kpoisoning
D) A kclient kwith kmultiple kskeletal kinjuries ksecondary kto ka kmotor kvehicle
kaccidentkAns: k B
Feedback:
Pathogenesis krefers kto kthe kprogressive kand kevolutionary kcourse kof kdisease, ksuch
kas kthekincreasing kammonia klevels kthat kaccompany kliver kdisease. kBacteria,
kpoisons, kand ktraumatic kinjuries kare kexamples kof ketiologic kfactors.
Page 4
, Porth's kPathophysiology kConcepts kof kAltered kHealth k11th kEdition kTest
kBank
Chapter k1- kConcepts kof kHealth kand kDisease
1. At kan kinternational knursing kconference, kmany kdiscussions kand kbreakout ksessions
kfocusedkon kthe kWorld kHealth kOrganization k(WHO) kviews kon khealth. kOf kthe
kfollowing kcommentskmade kby knurses kduring ka kdiscussion ksession, kwhich
kstatements kwould kbe kconsidered ka kgood krepresentation kof kthe kWHO kdefinition?
kSelect kall kthat kapply.
A) Interests kin kkeeping kthe kelderly kpopulation kengaged kin ksuch kactivities
kas kbookkreviews kand kword kgames kduring ksocial ktime
B) Increase kin kthe knumber kof kchair kaerobics kclasses kprovided kin kthe
kskilled kcarekfacilities
C) Interventions kgeared ktoward kkeeping kthe kelderly kpopulation kdiagnosed kwith
kdiabetes kmellitus kunder ktight kblood kglucose kcontrol kby kproviding kin-home
kcookingkclasses
D) Providing ktransportation kfor krenal kdialysis kpatients kto kand kfrom ktheir
khemodialysisksessions
E) Providing khandwashing kteaching ksessions kto ka kgroup kof kyoung
kchildrenkAns: k A, kB, kC, kE
Feedback:
The kWHO kdefinition kof khealth kis kdefined kas k―a kstate kof kcomplete kphysical,
kmental, kand ksocial kwell-being kand knot kmerely kthe kabsence kof kdisease kand
kinfirmity.‖ kEngaging kin kbook kreviews kfacilitates kmental kand ksocial kwell-being;
kchair kaerobics khelps kfacilitate kphysical kwell-being; kand kassisting kwith ktight
kcontrol kof kdiabetes khelps kwith kfacilitating kphysical kwell-being keven kthough kthe
kperson khas ka kchronic kdisease. kHandwashing kis kvitalkin kthe kprevention kof kdisease
kand kspread kof kgerms.
2. A kcommunity khealth knurse kis kteaching ka kgroup kof krecent kgraduates kabout kthe
klarge kvariety kof kfactors kthat kinfluence kan kindividual's khealth kor klack kthereof.
kThe knurse kis kreferring kto kthe kHealthy kPeople k2020 kreport kfrom kthe kU.S.
kDepartment kof kHealth kandkHuman kServices kas ka kteaching kexample. kOf kthe
kfollowing kaspects kdiscussed, kwhich kwould kbe kconsidered ka kdeterminant kof
khealth kthat kis koutside kthe kfocus kof kthis kreport?
A) The kclient khas ka kdiverse kbackground kby kbeing kof kAsian kand kNative
kAmerican kdescent kand kpractices kvarious kalternative ktherapies kto kminimize
keffects kof kstress.
B) The kclient khas ka kfamily khistory kof kcardiovascular kdisease krelated kto
khypercholesterolemia kand kremains knoncompliant kwith kthe ktreatment
kregime.
C) The kclient khas ka kgood kcareer kwith kexceptional kpreventative khealth kcare kbenefits.
D) The kclient klives kin kan kaffluent, kclean, ksuburban kcommunity kwith kaccess
kto kmanykhealth kcare kfacilities.
Ans: k B
Feedback:
In kHealthy kPeople k2020, kthe kfocus kis kto kpromote kgood khealth kto kall k(such kas
kusing kalternative ktherapies kto kminimize keffects kof kstress); kachieving khealth kequity
kand kpromoting khealth kfor kall k(which kincludes khaving kgood khealth kcare kbenefits);
Page 2
,kand kpromoting kgood khealth k(which kincludes kliving kin ka kclean kcommunity kwith
kgood kaccess ktokhealth kcare). kA kclient's knoncompliance kwith ktreatments kto kcontrol
khigh kcholesterol klevelskwithin kthe kpresence kof ka kfamily khistory kof kCV kdisease
kdoes knot kmeet kthe k―attaining klives kfree kof kpreventable kdisease kand kpremature
kdeath‖ kdeterminant.
Page 3
, 3. A kphysician kis kproviding kcare kfor ka knumber kof kpatients kon ka kmedical kunit kof ka
klarge, kuniversity khospital. kThe kphysician kis kdiscussing kwith ka kcolleague kthe
kdifferentiation kbetween kdiseases kthat kare kcaused kby kabnormal kmolecules kand
kdiseases kthat kcause kdisease.kWhich kof kthe kfollowing kpatients kmost kclearly
kdemonstrates kthe kconsequences kof kmolecules kthat kcause kdisease?
A) A k31-year-old kwoman kwith ksickle kcell kanemia kwho kis kreceiving ka
ktransfusion kofkpacked kred kblood kcells
B) A k91-year-old kwoman kwho khas kexperienced kan kischemic kstroke kresulting
kfromkfamilial khypercholesterolemia
C) A k19-year-old kman kwith kexacerbation kof khis kcystic kfibrosis krequiring
koxygenktherapy kand kchest kphysiotherapy
D) A k30-year-old khomeless kman kwho khas kPneumocystis kcarinii kpneumonia
k(PCP) kandkis kHIV kpositive.
Ans: k D
Feedback:
PCP kis kan kexample kof kthe keffect kof ka kmolecule kthat kdirectly kcontributes kto
kdisease. kSicklekcell kanemia, kfamilial khypercholesterolemia, kand kcystic kfibrosis kare
kall kexamples kof kthe keffects kof kabnormal kmolecules.
4. A kmember kof kthe khealth kcare kteam kis kresearching kthe ketiology kand kpathogenesis
kof ka knumber kof kclients kwho kare kunder khis kcare kin ka khospital kcontext. kWhich
kof kthe kfollowingkaspects kof kclients' ksituations kbest kcharacterizes kpathogenesis
krather kthan ketiology?
A) A kclient kwho khas kbeen kexposed kto kthe kMycobacterium ktuberculosis kbacterium
B) A kclient kwho khas kincreasing kserum kammonia klevels kdue kto kliver kcirrhosis
C) A kclient kwho kwas kadmitted kwith kthe keffects kof kmethyl kalcohol kpoisoning
D) A kclient kwith kmultiple kskeletal kinjuries ksecondary kto ka kmotor kvehicle
kaccidentkAns: k B
Feedback:
Pathogenesis krefers kto kthe kprogressive kand kevolutionary kcourse kof kdisease, ksuch
kas kthekincreasing kammonia klevels kthat kaccompany kliver kdisease. kBacteria,
kpoisons, kand ktraumatic kinjuries kare kexamples kof ketiologic kfactors.
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