Porth’s Pathophysiology 10th Edition Norris Test Bank
k k k k k k
1. Atkankinternationalknursingkconference,kmanykdiscussionskandkbreakoutksessionskfocusedk
onkthekWorldkHealthkOrganizationk(WHO)kviewskonkhealth.kOfkthekfollowingkcommentsk
madekbyknurseskduringkakdiscussionksession,kwhichkstatementskwouldkbekconsideredkakgoo
dkrepresentationkofkthekWHOkdefinition?kSelectkallkthatkapply.
A) Interestskinkkeepingkthekelderlykpopulationkengagedkinksuchkactivitieskaskbookkr
eviewskandkwordkgameskduringksocialktime
B) Increasekinktheknumberkofkchairkaerobicskclasseskprovidedkinkthekskilledkcarekf
acilities
C) Interventionskgearedktowardkkeepingkthekelderlykpopulationkdiagnosedkwithkdiabet
eskmellituskunderktightkbloodkglucosekcontrolkbykprovidingkin-homekcookingkclasses
D) Providingktransportationkforkrenalkdialysiskpatientsktokandkfromktheirkhemodialysisks
essions
E) Providingkhandwashingkteachingksessionsktokakgroupkofkyoungkchildrenk
Ans:kA,kB,kC,kE
Feedback:
ThekWHOkdefinitionkofkhealthkiskdefinedkask“akstatekofkcompletekphysical,kmental,kandkso
cialkwell-
beingkandknotkmerelykthekabsencekofkdiseasekandkinfirmity.”kEngagingkinkbookkreviewskfa
cilitateskmentalkandksocialkwell-being;kchairkaerobicskhelpskfacilitatekphysicalkwell-
being;kandkassistingkwithktightkcontrolkofkdiabeteskhelpskwithkfacilitatingkphysicalkwell-
beingkevenkthoughkthekpersonkhaskakchronickdisease.kHandwashingkiskvitalkinkthekpreventio
nkofkdiseasekandkspreadkofkgerms.
2. Akcommunitykhealthknursekiskteachingkakgroupkofkrecentkgraduateskaboutktheklargekvar
ietykofkfactorskthatkinfluencekankindividual'skhealthkorklackkthereof.kTheknursekiskreferri
ngktokthekHealthykPeoplek2020kreportkfromkthekU.S.kDepartmentkofkHealthkandkHuman
kServiceskaskakteachingkexample.kOfkthekfollowingkaspectskdiscussed,kwhichkwouldkbek
consideredkakdeterminantkofkhealthkthatkiskoutsidekthekfocuskofkthiskreport?
A) ThekclientkhaskakdiversekbackgroundkbykbeingkofkAsiankandkNativekAmericankdes
centkandkpracticeskvariouskalternativektherapiesktokminimizekeffectskofkstress.
B) Thekclientkhaskakfamilykhistorykofkcardiovascularkdiseasekrelatedktokhypercho
lesterolemiakandkremainsknoncompliantkwithkthektreatmentkregime.
C) Thekclientkhaskakgoodkcareerkwithkexceptionalkpreventativekhealthkcarekbenefits.
D) Thekclientkliveskinkankaffluent,kclean,ksuburbankcommunitykwithkaccessktokmanyk
healthkcarekfacilities.
Ans:k B
Feedback:
InkHealthykPeoplek2020,kthekfocuskisktokpromotekgoodkhealthktokallk(suchkaskusingkalternati
vektherapiesktokminimizekeffectskofkstress);kachievingkhealthkequitykandkpromotingkhealthkf
orkallk(whichkincludeskhavingkgoodkhealthkcarekbenefits);kandkpromotingkgoodkhealthk(whi
chkincludesklivingkinkakcleankcommunitykwithkgoodkaccessktokhealthkcare).kAkclient'sknonco
mpliancekwithktreatmentsktokcontrolkhighkcholesterolklevelskwithinkthekpresencekofkakfamil
ykhistorykofkCVkdiseasekdoesknotkmeetkthek“attainingkliveskfreekofkpreventablekdiseasekandk
prematurekdeath”kdeterminant.
, TESTkBANKkFORkPORTH'SkPATHOPHYSIOLOGYk10THkEDITIONkBYkNORRIS
3. Akphysiciankiskprovidingkcarekforkaknumberkofkpatientskonkakmedicalkunitkofkaklarge,kuniver
sitykhospital.kThekphysiciankiskdiscussingkwithkakcolleaguekthekdifferentiationkbetweenkdis
easeskthatkarekcausedkbykabnormalkmoleculeskandkdiseaseskthatkcausekdisease.kWhichkofkthe
kfollowingkpatientskmostkclearlykdemonstrateskthekconsequenceskofkmoleculeskthatkcausekd
isease?
A) Ak31-year-
oldkwomankwithksicklekcellkanemiakwhokiskreceivingkaktransfusionkofkpackedkredk
bloodkcells
B) Ak91-year-
oldkwomankwhokhaskexperiencedkankischemickstrokekresultingkfromkfamilialkhy
percholesterolemia
C) Ak19-year-
oldkmankwithkexacerbationkofkhiskcystickfibrosiskrequiringkoxygenktherapykand
kchestkphysiotherapy
D) Ak30-year-
oldkhomelesskmankwhokhaskPneumocystiskcariniikpneumoniak(PCP)kandkiskHIVkposi
tive.
Ans:k D
Feedback:
PCPkiskankexamplekofkthekeffectkofkakmoleculekthatkdirectlykcontributesktokdisease.kSicklekc
ellkanemia,kfamilialkhypercholesterolemia,kandkcystickfibrosiskarekallkexampleskofkthekeffe
ctskofkabnormalkmolecules.
4. Akmemberkofkthekhealthkcarekteamkiskresearchingktheketiologykandkpathogenesiskofkaknu
mberkofkclientskwhokarekunderkhiskcarekinkakhospitalkcontext.kWhichkofkthekfollowingkasp
ectskofkclients'ksituationskbN
esUtkR
chSaI
raN
ctGerTizBe.
skpCaOt hMo ge n e s i s kratherkthanketiology?
A) AkclientkwhokhaskbeenkexposedktokthekMycobacteriumktuberculosiskbacterium
B) Akclientkwhokhaskincreasingkserumkammoniaklevelskduektokliverkcirrhosis
C) Akclientkwhokwaskadmittedkwithkthekeffectskofkmethylkalcoholkpoisoning
D) Akclientkwithkmultiplekskeletalkinjuriesksecondaryktokakmotorkvehiclekaccidentk
Ans:kB
Feedback:
Pathogenesiskrefersktokthekprogressivekandkevolutionarykcoursekofkdisease,ksuchkaskthekincr
easingkammoniaklevelskthatkaccompanykliverkdisease.kBacteria,kpoisons,kandktraumatickinj
urieskarekexampleskofketiologickfactors.
, TESTkBANKkFORkPORTH'SkPATHOPHYSIOLOGYk10THkEDITIONkBYkNORRIS
5. Aknewkmyocardialkinfarctionkpatientkrequiringkangioplastykandkstentkplacementkhaskarrive
dktokhiskfirstkcardiackrehabilitationkappointment.kInkthiskfirstksession,kakreviewkofkthekpatho
genesiskofkcoronarykarterykdiseasekiskaddressed.kWhichkstatementkbykthekpatientkverifieskto
ktheknursekthatkhekhaskunderstoodktheknurse'skteachingskaboutkcoronarykarterykdisease?
A) “AllkIkhavektokdokiskstopksmoking,kandkthenkIkwon'tkhavekanykmorekheartkattacks.”
B) “Mykarterykwaskcloggedkbykfat,ksokIkwillkneedktokstopkeatingkfattykfoodsklikekF
renchkfrieskeverykday.”
C) “Soundsklikekthiskbegankbecausekofkinflammationkinsidekmykarterykthatkmadekitke
asyktokformkfattykstreaks,kwhichkleadktokmykcloggedkartery.”
D) “IfkIkdoknotkexercisekregularlyktokgetkmykheartkratekup,kbloodkpoolskinkthekveinskcau
singkakclotkthatkstopskbloodkflowktokthekmuscle,kandkIkwillkhavekakheartkattack.”
Ans:k C
Feedback:
Thektrueketiology/causekofkcoronarykarterykdiseasek(CAD)kiskunknown;khowever,kthekpath
ogenesiskofkthekdisorderkrelatesktokthekprogressionkofkthekinflammatorykprocesskfromkakfatt
ykstreakktokthekocclusivekvesselklesionkseenkinkpeoplekwithkcoronarykarterykdisease.kRiskkf
actorskforkCADkrevolvekaroundkcigaretteksmoking,kdietkhighkinkfat,kandklackkofkexercise.
6. Ak77-year-
oldkmankiskakhospitalkinpatientkadmittedkforkexacerbationkofkhiskchronickobstructivekpulm
onarykdiseasek(COPD),kandkakrespiratoryktherapistk(RT)kiskassessingkthekclientkforkthekfirstk
time.kWhichNU ofRthSeIfN
olG
loTwBin.gCaO
spMectskofkthekpatient'skcurrentkstatekofkhealthkwouldkbekbest
kcharacterizedkaskaksymptomkratherkthankaksign?
A) Thekpatient'skoxygenksaturationkisk83%kbykpulsekoxymetry.
B) Thekpatientknoteskthatkhekhaskincreasedkworkkofkbreathingkwhenklyingksupine.
C) ThekRTkhearskdiminishedkbreathksoundsktokthekpatient'sklowerklungkfieldsk
bilaterally.
D) Thekpatient'skrespiratorykratekisk31kbreaths/minute.k
Ans:kB
Feedback:
Symptomskareksubjectivekcomplaintskbykthekpersonkexperiencingkthekhealthkproblem,ks
uchkaskcomplaintskofkbreathingkdifficulty.kOxygenklevels,klisteningktokbreathksounds,ka
ndkrespiratorykratekarekallkobjective,kobservableksignskofkdisease.