Test Bank for Porth's Pathophysiology Concepts of Altered Health States 10th Edition by Tommie L. Norris | 2018/2019 | 9781496377555 | Chapter 1-52 | Complete Questions and Answers A+

Porth's Pathophysiology Concepts of Altered Health 10th Edition Test
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Page 1
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, Bank
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Chapter 1- Concepts of Health and Disease
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1. At an international nursing conference, many discussions and breakout sessions
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mmfocused on the World Health Organization (WHO) views on health. Of the
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mmfollowing comments made by nurses during a discussion session, which
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mmstatements would be considered a good representation of the WHO definition?
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mmSelect all that apply. mm mm mm



A) Interests in keeping the elderly population engaged in such activities as
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book reviews and word games during social time
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B) Increase in the number of chair aerobics classes provided in the skilled
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care facilities
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C) Interventions geared toward keeping the elderly population diagnosed with
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diabetes mellitus under tight blood glucose control by providing in-home
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cooking classes
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D) Providing transportation for renal dialysis patients to and from their
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hemodialysis sessions
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E) Providing handwashing teaching sessions to a group of young
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mmchildren Ans: A, B, C, E mm m m mm mm mm



Feedback:
The WHO definition of health is defined as ―a state of complete physical, mental,
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mmand social well-being and not merely the absence of disease and infirmity.‖
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mmEngaging in book reviews facilitates mental and social well-being; chair aerobics
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mmhelps facilitate physical well-being; and assisting with tight control of diabetes
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mmhelps with facilitating physical well-being even though the person has a chronic
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mmdisease. Handwashing is vital in the prevention of disease and spread of germs.
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2. A community health nurse is teaching a group of recent graduates about the
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mmlarge variety of factors that influence an individual's health or lack thereof.
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mmThe nurse is referring to the Healthy People 2020 report from the U.S.
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mmDepartment of Health and Human Services as a teaching example. Of the
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mmfollowing aspects discussed, which would be considered a determinant of
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mmhealth that is outside the focus of this report?
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A) The client has a diverse background by being of Asian and Native
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American descent and practices various alternative therapies to minimize
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effects of stress.
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B) The client has a family history of cardiovascular disease related to
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hypercholesterolemia and remains noncompliant with the treatment
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regime. mm



C) The client has a good career with exceptional preventative health care benefits.
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D) The client lives in an affluent, clean, suburban community with access to
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many health care facilities.
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Ans: B m m



Feedback:
In Healthy People 2020, the focus is to promote good health to all (such as using
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mmalternative therapies to minimize effects of stress); achieving health equity and
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mmpromoting health for all (which includes having good health care benefits); and
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mmpromoting good health (which includes living in a clean community with good
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mmaccess to health care). A client's noncompliance with treatments to control high
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mmcholesterol levels within the presence of a family history of CV disease does not
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mmmeet the ―attaining lives free of preventable disease and premature death‖
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, 3. A physician is providing care for a number of patients on a medical unit of a
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large, university hospital. The physician is discussing with a colleague the
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differentiation between diseases that are caused by abnormal molecules and
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diseases that cause disease. Which of the following patients most clearly
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demonstrates the consequences of molecules that cause disease?
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A) A 31-year-old woman with sickle cell anemia who is receiving a
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transfusion of packed red blood cells
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B) A 91-year-old woman who has experienced an ischemic stroke resulting
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from familial hypercholesterolemia
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C) A 19-year-old man with exacerbation of his cystic fibrosis requiring
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oxygen therapy and chest physiotherapy
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D) A 30-year-old homeless man who has Pneumocystis carinii pneumonia (PCP)
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and is HIV positive.
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Ans: D m m



Feedback:
PCP is an example of the effect of a molecule that directly contributes to disease.
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Sickle cell anemia, familial hypercholesterolemia, and cystic fibrosis are all
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examples of the effects of abnormal molecules.
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4. A member of the health care team is researching the etiology and pathogenesis
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of a number of clients who are under his care in a hospital context. Which of
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the following aspects of clients' situations best characterizes pathogenesis rather
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than etiology?
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A) A client who has been exposed to the Mycobacterium tuberculosis bacterium
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B) A client who has increasing serum ammonia levels due to liver cirrhosis
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C) A client who was admitted with the effects of methyl alcohol poisoning
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D) A client with multiple skeletal injuries secondary to a motor vehicle
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accident Ans: B
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Feedback:
Pathogenesis refers to the progressive and evolutionary course of disease, such as
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the increasing ammonia levels that accompany liver disease. Bacteria, poisons,
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and traumatic injuries are examples of etiologic factors.
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