Pathophysiology
ConceptsofAlteredHealth
10th Edition,Complete
Guide
, TESTvBANKvFORvPORTH'SvPATHOPHYSIOLOGYv10THvEDITIONvBYvNORRIS
Porth’s Pathophysiology 10th Edition Norris Test Bank
v v v v v v
1. Atvanvinternationalvnursingvconference,vmanyvdiscussionsvandvbreakoutvsessionsvfocusedv
onvthevWorldvHealthvOrganizationv(WHO)vviewsvonvhealth.vOfvthevfollowingvcommentsv
madevbyvnursesvduringvavdiscussionvsession,vwhichvstatementsvwouldvbevconsideredvavgo
odvrepresentationvofvthevWHOvdefinition?vSelectvallvthatvapply.
A) Interestsvinvkeepingvthevelderlyvpopulationvengagedvinvsuchvactivitiesvasvbookvr
eviewsvandvwordvgamesvduringvsocialvtime
B) Increasevinvthevnumbervofvchairvaerobicsvclassesvprovidedvinvthevskilledvcarevf
acilities
C) Interventionsvgearedvtowardvkeepingvthevelderlyvpopulationvdiagnosedvwithvdiabet
esvmellitusvundervtightvbloodvglucosevcontrolvbyvprovidingvin-homevcookingvclasses
D) Providingvtransportationvforvrenalvdialysisvpatientsvtovandvfromvtheirvhemodialysisvs
essions
E) Providingvhandwashingvteachingvsessionsvtovavgroupvofvyoungvchildrenv
Ans:vA,vB,vC,vE
Feedback:
ThevWHOvdefinitionvofvhealthvisvdefinedvasv“avstatevofvcompletevphysical,vmental,vandvso
cialvwell-
beingvandvnotvmerelyvthevabsencevofvdiseasevandvinfirmity.”vEngagingvinvbookvreviewsvfa
cilitatesvmentalvandvsocialvwell-being;vchairvaerobicsvhelpsvfacilitatevphysicalvwell-
being;vandvassistingvwithvtightvcontrolvofvdiabetesvhelpsvwithvfacilitatingvphysicalvwell-
beingvevenvthoughvthevpersonvhasvavchronicvdisease.vHandwashingvisvvitalvinvthevpreventio
nvofvdiseasevandvspreadvofvgerms.
2. Avcommunityvhealthvnursevisvteachingvavgroupvofvrecentvgraduatesvaboutvthevlargevvar
ietyvofvfactorsvthatvinfluencevanvindividual'svhealthvorvlackvthereof.vThevnursevisvreferr
ingvtovthevHealthyvPeoplev2020vreportvfromvthevU.S.vDepartmentvofvHealthvandvHuma
nvServicesvasvavteachingvexample.vOfvthevfollowingvaspectsvdiscussed,vwhichvwouldvb
evconsideredvavdeterminantvofvhealthvthatvisvoutsidevthevfocusvofvthisvreport?
A) ThevclientvhasvavdiversevbackgroundvbyvbeingvofvAsianvandvNativevAmericanvdes
centvandvpracticesvvariousvalternativevtherapiesvtovminimizeveffectsvofvstress.
B) Thevclientvhasvavfamilyvhistoryvofvcardiovascularvdiseasevrelatedvtovhypercho
lesterolemiavandvremainsvnoncompliantvwithvthevtreatmentvregime.
C) Thevclientvhasvavgoodvcareervwithvexceptionalvpreventativevhealthvcarevbenefits.
D) Thevclientvlivesvinvanvaffluent,vclean,vsuburbanvcommunityvwithvaccessvtovmanyv
healthvcarevfacilities.
Ans:vB
Feedback:
InvHealthyvPeoplev2020,vthevfocusvisvtovpromotevgoodvhealthvtovallv(suchvasvusingvalternati
vevtherapiesvtovminimizeveffectsvofvstress);vachievingvhealthvequityvandvpromotingvhealthv
forvallv(whichvincludesvhavingvgoodvhealthvcarevbenefits);vandvpromotingvgoodvhealthv(wh
ichvincludesvlivingvinvavcleanvcommunityvwithvgoodvaccessvtovhealthvcare).vAvclient'svnonc
ompliancevwithvtreatmentsvtovcontrolvhighvcholesterolvlevelsvwithinvthevpresencevofvavfam
ilyvhistoryvofvCVvdiseasevdoesvnotvmeetvthev“attainingvlivesvfreevofvpreventablevdiseasevan
dvprematurevdeath”vdeterminant.
, TESTvBANKvFORvPORTH'SvPATHOPHYSIOLOGYv10THvEDITIONvBYvNORRIS
3. Avphysicianvisvprovidingvcarevforvavnumbervofvpatientsvonvavmedicalvunitvofvavlarge,vuniver
sityvhospital.vThevphysicianvisvdiscussingvwithvavcolleaguevthevdifferentiationvbetweenvdis
easesvthatvarevcausedvbyvabnormalvmoleculesvandvdiseasesvthatvcausevdisease.vWhichvofvthe
vfollowingvpatientsvmostvclearlyvdemonstratesvthevconsequencesvofvmoleculesvthatvcausevd
isease?
A) Av31-year-
oldvwomanvwithvsicklevcellvanemiavwhovisvreceivingvavtransfusionvofvpackedvredv
bloodvcells
B) Av91-year-
oldvwomanvwhovhasvexperiencedvanvischemicvstrokevresultingvfromvfamilialvhy
percholesterolemia
C) Av19-year-
oldvmanvwithvexacerbationvofvhisvcysticvfibrosisvrequiringvoxygenvtherapyvand
vchestvphysiotherapy
D) Av30-year-
oldvhomelessvmanvwhovhasvPneumocystisvcariniivpneumoniav(PCP)vandvisvHIVvposi
tive.
Ans:vD
Feedback:
PCPvisvanvexamplevofvtheveffectvofvavmoleculevthatvdirectlyvcontributesvtovdisease.vSicklevc
ellvanemia,vfamilialvhypercholesterolemia,vandvcysticvfibrosisvarevallvexamplesvofvtheveffe
ctsvofvabnormalvmolecules.
4. Avmembervofvthevhealthvcarevteamvisvresearchingvthevetiologyvandvpathogenesisvofvavnu
mbervofvclientsvwhovarevundervhisvcarevinvavhospitalvcontext.vWhichvofvthevfollowingvasp
ectsvofvclients'vsituationsvbN
esUtvR
chSaI
raN
ctGerTizBe.
svpCaOt hMo g e n e s i s vrathervthanvetiology?
A) AvclientvwhovhasvbeenvexposedvtovthevMycobacteriumvtuberculosisvbacterium
B) Avclientvwhovhasvincreasingvserumvammoniavlevelsvduevtovlivervcirrhosis
C) Avclientvwhovwasvadmittedvwithvtheveffectsvofvmethylvalcoholvpoisoning
D) Avclientvwithvmultiplevskeletalvinjuriesvsecondaryvtovavmotorvvehiclevaccidentv
Ans:vB
Feedback:
Pathogenesisvrefersvtovthevprogressivevandvevolutionaryvcoursevofvdisease,vsuchvasvthevincr
easingvammoniavlevelsvthatvaccompanyvlivervdisease.vBacteria,vpoisons,vandvtraumaticvinj
uriesvarevexamplesvofvetiologicvfactors.
, TESTvBANKvFORvPORTH'SvPATHOPHYSIOLOGYv10THvEDITIONvBYvNORRIS
5. Avnewvmyocardialvinfarctionvpatientvrequiringvangioplastyvandvstentvplacementvhasvarrive
dvtovhisvfirstvcardiacvrehabilitationvappointment.vInvthisvfirstvsession,vavreviewvofvthevpatho
genesisvofvcoronaryvarteryvdiseasevisvaddressed.vWhichvstatementvbyvthevpatientvverifiesvto
vthevnursevthatvhevhasvunderstoodvthevnurse'svteachingsvaboutvcoronaryvarteryvdisease?
A) “AllvIvhavevtovdovisvstopvsmoking,vandvthenvIvwon'tvhavevanyvmorevheartvattacks.”
B) “Myvarteryvwasvcloggedvbyvfat,vsovIvwillvneedvtovstopveatingvfattyvfoodsvlikevF
renchvfriesveveryvday.”
C) “Soundsvlikevthisvbeganvbecausevofvinflammationvinsidevmyvarteryvthatvmadevitve
asyvtovformvfattyvstreaks,vwhichvleadvtovmyvcloggedvartery.”
D) “IfvIvdovnotvexercisevregularlyvtovgetvmyvheartvratevup,vbloodvpoolsvinvthevveinsvcau
singvavclotvthatvstopsvbloodvflowvtovthevmuscle,vandvIvwillvhavevavheartvattack.”
Ans:vC
Feedback:
Thevtruevetiology/causevofvcoronaryvarteryvdiseasev(CAD)visvunknown;vhowever,vthevpath
ogenesisvofvthevdisordervrelatesvtovthevprogressionvofvthevinflammatoryvprocessvfromvavfatt
yvstreakvtovthevocclusivevvesselvlesionvseenvinvpeoplevwithvcoronaryvarteryvdisease.vRiskvf
actorsvforvCADvrevolvevaroundvcigarettevsmoking,vdietvhighvinvfat,vandvlackvofvexercise.
6. Av77-year-
oldvmanvisvavhospitalvinpatientvadmittedvforvexacerbationvofvhisvchronicvobstructivevpulm
onaryvdiseasev(COPD),vandvavrespiratoryvtherapistv(RT)visvassessingvthevclientvforvthevfirstv
time.vWhichNU ofRthSeIfN
olG
loTwBin.gCaO
spMectsvofvthevpatient'svcurrentvstatevofvhealthvwouldvbevbest
vcharacterizedvasvavsymptomvrathervthanvavsign?
A) Thevpatient'svoxygenvsaturationvisv83%vbyvpulsevoxymetry.
B) Thevpatientvnotesvthatvhevhasvincreasedvworkvofvbreathingvwhenvlyingvsupine.
C) ThevRTvhearsvdiminishedvbreathvsoundsvtovthevpatient'svlowervlungvfieldsv
bilaterally.
D) Thevpatient'svrespiratoryvratevisv31vbreaths/minute.v
Ans:vB
Feedback:
Symptomsvarevsubjectivevcomplaintsvbyvthevpersonvexperiencingvthevhealthvproblem,v
suchvasvcomplaintsvofvbreathingvdifficulty.vOxygenvlevels,vlisteningvtovbreathvsounds,va
ndvrespiratoryvratevarevallvobjective,vobservablevsignsvofvdisease.
ConceptsofAlteredHealth
10th Edition,Complete
Guide
, TESTvBANKvFORvPORTH'SvPATHOPHYSIOLOGYv10THvEDITIONvBYvNORRIS
Porth’s Pathophysiology 10th Edition Norris Test Bank
v v v v v v
1. Atvanvinternationalvnursingvconference,vmanyvdiscussionsvandvbreakoutvsessionsvfocusedv
onvthevWorldvHealthvOrganizationv(WHO)vviewsvonvhealth.vOfvthevfollowingvcommentsv
madevbyvnursesvduringvavdiscussionvsession,vwhichvstatementsvwouldvbevconsideredvavgo
odvrepresentationvofvthevWHOvdefinition?vSelectvallvthatvapply.
A) Interestsvinvkeepingvthevelderlyvpopulationvengagedvinvsuchvactivitiesvasvbookvr
eviewsvandvwordvgamesvduringvsocialvtime
B) Increasevinvthevnumbervofvchairvaerobicsvclassesvprovidedvinvthevskilledvcarevf
acilities
C) Interventionsvgearedvtowardvkeepingvthevelderlyvpopulationvdiagnosedvwithvdiabet
esvmellitusvundervtightvbloodvglucosevcontrolvbyvprovidingvin-homevcookingvclasses
D) Providingvtransportationvforvrenalvdialysisvpatientsvtovandvfromvtheirvhemodialysisvs
essions
E) Providingvhandwashingvteachingvsessionsvtovavgroupvofvyoungvchildrenv
Ans:vA,vB,vC,vE
Feedback:
ThevWHOvdefinitionvofvhealthvisvdefinedvasv“avstatevofvcompletevphysical,vmental,vandvso
cialvwell-
beingvandvnotvmerelyvthevabsencevofvdiseasevandvinfirmity.”vEngagingvinvbookvreviewsvfa
cilitatesvmentalvandvsocialvwell-being;vchairvaerobicsvhelpsvfacilitatevphysicalvwell-
being;vandvassistingvwithvtightvcontrolvofvdiabetesvhelpsvwithvfacilitatingvphysicalvwell-
beingvevenvthoughvthevpersonvhasvavchronicvdisease.vHandwashingvisvvitalvinvthevpreventio
nvofvdiseasevandvspreadvofvgerms.
2. Avcommunityvhealthvnursevisvteachingvavgroupvofvrecentvgraduatesvaboutvthevlargevvar
ietyvofvfactorsvthatvinfluencevanvindividual'svhealthvorvlackvthereof.vThevnursevisvreferr
ingvtovthevHealthyvPeoplev2020vreportvfromvthevU.S.vDepartmentvofvHealthvandvHuma
nvServicesvasvavteachingvexample.vOfvthevfollowingvaspectsvdiscussed,vwhichvwouldvb
evconsideredvavdeterminantvofvhealthvthatvisvoutsidevthevfocusvofvthisvreport?
A) ThevclientvhasvavdiversevbackgroundvbyvbeingvofvAsianvandvNativevAmericanvdes
centvandvpracticesvvariousvalternativevtherapiesvtovminimizeveffectsvofvstress.
B) Thevclientvhasvavfamilyvhistoryvofvcardiovascularvdiseasevrelatedvtovhypercho
lesterolemiavandvremainsvnoncompliantvwithvthevtreatmentvregime.
C) Thevclientvhasvavgoodvcareervwithvexceptionalvpreventativevhealthvcarevbenefits.
D) Thevclientvlivesvinvanvaffluent,vclean,vsuburbanvcommunityvwithvaccessvtovmanyv
healthvcarevfacilities.
Ans:vB
Feedback:
InvHealthyvPeoplev2020,vthevfocusvisvtovpromotevgoodvhealthvtovallv(suchvasvusingvalternati
vevtherapiesvtovminimizeveffectsvofvstress);vachievingvhealthvequityvandvpromotingvhealthv
forvallv(whichvincludesvhavingvgoodvhealthvcarevbenefits);vandvpromotingvgoodvhealthv(wh
ichvincludesvlivingvinvavcleanvcommunityvwithvgoodvaccessvtovhealthvcare).vAvclient'svnonc
ompliancevwithvtreatmentsvtovcontrolvhighvcholesterolvlevelsvwithinvthevpresencevofvavfam
ilyvhistoryvofvCVvdiseasevdoesvnotvmeetvthev“attainingvlivesvfreevofvpreventablevdiseasevan
dvprematurevdeath”vdeterminant.
, TESTvBANKvFORvPORTH'SvPATHOPHYSIOLOGYv10THvEDITIONvBYvNORRIS
3. Avphysicianvisvprovidingvcarevforvavnumbervofvpatientsvonvavmedicalvunitvofvavlarge,vuniver
sityvhospital.vThevphysicianvisvdiscussingvwithvavcolleaguevthevdifferentiationvbetweenvdis
easesvthatvarevcausedvbyvabnormalvmoleculesvandvdiseasesvthatvcausevdisease.vWhichvofvthe
vfollowingvpatientsvmostvclearlyvdemonstratesvthevconsequencesvofvmoleculesvthatvcausevd
isease?
A) Av31-year-
oldvwomanvwithvsicklevcellvanemiavwhovisvreceivingvavtransfusionvofvpackedvredv
bloodvcells
B) Av91-year-
oldvwomanvwhovhasvexperiencedvanvischemicvstrokevresultingvfromvfamilialvhy
percholesterolemia
C) Av19-year-
oldvmanvwithvexacerbationvofvhisvcysticvfibrosisvrequiringvoxygenvtherapyvand
vchestvphysiotherapy
D) Av30-year-
oldvhomelessvmanvwhovhasvPneumocystisvcariniivpneumoniav(PCP)vandvisvHIVvposi
tive.
Ans:vD
Feedback:
PCPvisvanvexamplevofvtheveffectvofvavmoleculevthatvdirectlyvcontributesvtovdisease.vSicklevc
ellvanemia,vfamilialvhypercholesterolemia,vandvcysticvfibrosisvarevallvexamplesvofvtheveffe
ctsvofvabnormalvmolecules.
4. Avmembervofvthevhealthvcarevteamvisvresearchingvthevetiologyvandvpathogenesisvofvavnu
mbervofvclientsvwhovarevundervhisvcarevinvavhospitalvcontext.vWhichvofvthevfollowingvasp
ectsvofvclients'vsituationsvbN
esUtvR
chSaI
raN
ctGerTizBe.
svpCaOt hMo g e n e s i s vrathervthanvetiology?
A) AvclientvwhovhasvbeenvexposedvtovthevMycobacteriumvtuberculosisvbacterium
B) Avclientvwhovhasvincreasingvserumvammoniavlevelsvduevtovlivervcirrhosis
C) Avclientvwhovwasvadmittedvwithvtheveffectsvofvmethylvalcoholvpoisoning
D) Avclientvwithvmultiplevskeletalvinjuriesvsecondaryvtovavmotorvvehiclevaccidentv
Ans:vB
Feedback:
Pathogenesisvrefersvtovthevprogressivevandvevolutionaryvcoursevofvdisease,vsuchvasvthevincr
easingvammoniavlevelsvthatvaccompanyvlivervdisease.vBacteria,vpoisons,vandvtraumaticvinj
uriesvarevexamplesvofvetiologicvfactors.
, TESTvBANKvFORvPORTH'SvPATHOPHYSIOLOGYv10THvEDITIONvBYvNORRIS
5. Avnewvmyocardialvinfarctionvpatientvrequiringvangioplastyvandvstentvplacementvhasvarrive
dvtovhisvfirstvcardiacvrehabilitationvappointment.vInvthisvfirstvsession,vavreviewvofvthevpatho
genesisvofvcoronaryvarteryvdiseasevisvaddressed.vWhichvstatementvbyvthevpatientvverifiesvto
vthevnursevthatvhevhasvunderstoodvthevnurse'svteachingsvaboutvcoronaryvarteryvdisease?
A) “AllvIvhavevtovdovisvstopvsmoking,vandvthenvIvwon'tvhavevanyvmorevheartvattacks.”
B) “Myvarteryvwasvcloggedvbyvfat,vsovIvwillvneedvtovstopveatingvfattyvfoodsvlikevF
renchvfriesveveryvday.”
C) “Soundsvlikevthisvbeganvbecausevofvinflammationvinsidevmyvarteryvthatvmadevitve
asyvtovformvfattyvstreaks,vwhichvleadvtovmyvcloggedvartery.”
D) “IfvIvdovnotvexercisevregularlyvtovgetvmyvheartvratevup,vbloodvpoolsvinvthevveinsvcau
singvavclotvthatvstopsvbloodvflowvtovthevmuscle,vandvIvwillvhavevavheartvattack.”
Ans:vC
Feedback:
Thevtruevetiology/causevofvcoronaryvarteryvdiseasev(CAD)visvunknown;vhowever,vthevpath
ogenesisvofvthevdisordervrelatesvtovthevprogressionvofvthevinflammatoryvprocessvfromvavfatt
yvstreakvtovthevocclusivevvesselvlesionvseenvinvpeoplevwithvcoronaryvarteryvdisease.vRiskvf
actorsvforvCADvrevolvevaroundvcigarettevsmoking,vdietvhighvinvfat,vandvlackvofvexercise.
6. Av77-year-
oldvmanvisvavhospitalvinpatientvadmittedvforvexacerbationvofvhisvchronicvobstructivevpulm
onaryvdiseasev(COPD),vandvavrespiratoryvtherapistv(RT)visvassessingvthevclientvforvthevfirstv
time.vWhichNU ofRthSeIfN
olG
loTwBin.gCaO
spMectsvofvthevpatient'svcurrentvstatevofvhealthvwouldvbevbest
vcharacterizedvasvavsymptomvrathervthanvavsign?
A) Thevpatient'svoxygenvsaturationvisv83%vbyvpulsevoxymetry.
B) Thevpatientvnotesvthatvhevhasvincreasedvworkvofvbreathingvwhenvlyingvsupine.
C) ThevRTvhearsvdiminishedvbreathvsoundsvtovthevpatient'svlowervlungvfieldsv
bilaterally.
D) Thevpatient'svrespiratoryvratevisv31vbreaths/minute.v
Ans:vB
Feedback:
Symptomsvarevsubjectivevcomplaintsvbyvthevpersonvexperiencingvthevhealthvproblem,v
suchvasvcomplaintsvofvbreathingvdifficulty.vOxygenvlevels,vlisteningvtovbreathvsounds,va
ndvrespiratoryvratevarevallvobjective,vobservablevsignsvofvdisease.
