,Porth’s Pathophysiology 10th Edition Norris Test Bank
m m m m m m
1. At manminternationalmnursingmconference,mmanymdiscussionsmand mbreakout msessionsmfocus
ed monmthemWorld mHealthmOrganizationm(WHO)mviewsmonmhealth.mOf mthemfollowingmcom
mentsmmadembymnursesmduringmamdiscussionmsession,mwhichmstatementsmwould mbemconsid
ered mamgood mrepresentationmof mthemWHOmdefinition?mSelect mallmthat mapply.
A) Interestsminmkeepingmthemelderlympopulationmengaged minmsuchmactivitiesmasmbo
okmreviewsmand mword mgamesmduringmsocialmtime
B) Increaseminmthemnumbermof mchairmaerobicsmclassesmprovided minmthemskilled mca
remfacilities
C) Interventionsmgeared mtoward mkeepingmthemelderlympopulationmdiagnosed mwithmdiab
etesmmellitusmundermtight mblood mglucosemcontrolmbymprovidingmin-
homemcookingmclasses
D) Providingmtransportationmformrenalmdialysismpatientsmtomand mfrommtheirmhemodialys
ismsessions
E) Providingmhandwashingmteachingmsessionsmtomamgroupmof myoungmchildre
nmAns:mA,mB,mC,mE
Feedback:
ThemWHOmdefinitionmof mhealthmismdefined masm“amstatemof mcompletemphysical,mmental,man
d msocialmwell-
beingmand mnot mmerelymthemabsencemof mdiseasemand minfirmity.”mEngagingminmbookmreview
smfacilitatesmmentalmand msocialmwell-being;mchair maerobicsmhelpsmfacilitatemphysicalmwell-
being;mand massistingmwithmtight mcontrolmof mdiabetesmhelpsmwithmfacilitatingmphysicalmwell
-
beingmevenmthoughmthempersonmhasmamchronicmdisease.mHandwashingmismvitalminmthempreve
ntionmof mdiseasemand mspread mof mgerms.
2. A mcommunitymhealthmnursemismteachingmamgroupmof mrecent mgraduatesmabout mthemlarge
mvarietymof mfactorsmthat minfluencemanmindividual'smhealthmormlackmthereof.mThemnursem
ismreferringmtomthemHealthymPeoplem2020mreport mfrommthemU.S.mDepartment mof mHealth
mand mHumanmServicesmasmamteachingmexample.mOf mthemfollowingmaspectsmdiscussed,m
whichmwould mbemconsidered mamdeterminant mof mhealthmthat mismoutsidemthemfocusmof mthi
smreport?
A) Themclient mhasmamdiversembackground mbymbeingmof mAsianmand mNativemAmerican
mdescent mand mpracticesmvariousmalternativemtherapiesmtomminimizemeffectsmof mstre
ss.
B) Themclient mhasmamfamilymhistorymof mcardiovascularmdiseasemrelated mtomhyper
cholesterolemiamand mremainsmnoncompliant mwithmthemtreatment mregime.
C) Themclient mhasmamgood mcareermwithmexceptionalmpreventativemhealthmcarembenefits.
D) Themclient mlivesminmanmaffluent,mclean,msuburbanmcommunitymwithmaccessmtomma
nymhealthmcaremfacilities.
Ans:mB
Feedback:
InmHealthymPeoplem2020,mthemfocusmismtompromotemgood mhealthmtomallm(suchmasmusingmalte
rnativemtherapiesmtomminimizemeffectsmof mstress);machievingmhealthmequitymand mpromoting
mhealthmformallm(whichmincludesmhavingmgood mhealthmcarembenefits);mand mpromotingmgood
mhealthm(whichmincludesmlivingminmamcleanmcommunitymwithmgood maccessmtomhealthmcare).m
A mclient'smnoncompliancemwithmtreatmentsmtomcontrolmhighmcholesterolmlevelsmwithinmthe
mpresencemof mamfamilymhistorymof mCV mdiseasemdoesmnot mmeet mthem“attainingmlivesmfreemof m
,preventablemdiseasemand mprematuremdeath”mdeterminant.
, 3. A mphysicianmismprovidingmcaremformamnumbermof mpatientsmonmammedicalm unit mof mamlarge, mu
niversitymhospital.mThemphysicianmis mdiscussingmwithmam colleaguemthemdifferentiationmbet
weenmdiseasesmthat maremcaused mbymabnormalmmoleculesmand mdiseasesmthat mcausemdisease.m
Whichmof mthemfollowingmpatientsmmost mclearlymdemonstratesmthemconsequencesmof mmolec
ulesmthat mcausemdisease?
A) Am31-year-
old mwomanmwithmsicklemcellmanemiamwhomismreceivingmamtransfusionmof mpacked m
red mblood mcells
B) Am91-year-
old mwomanmwhomhasmexperienced manmischemicmstrokemresultingmfrommfamilialm
hypercholesterolemia
C) Am19-year-
old mmanmwithmexacerbationmof mhismcysticmfibrosismrequiringmoxygenmtherapym
and mchest mphysiotherapy
D) Am30-year-
old mhomelessmmanmwhomhasmPneumocystismcariniimpneumoniam(PCP)mand mismHIV mp
ositive.
Ans:mD
Feedback:
PCPmismanmexamplemof mthemeffect mof mammoleculemthat mdirectlymcontributesmtomdisease.mSic
klemcellmanemia,mfamilialmhypercholesterolemia,mand mcysticmfibrosism aremallmexamplesmof m
themeffectsmof mabnormalmmolecules.
4. A mmembermof mthemhealthmcaremteammismresearchingmthemetiologymand mpathogenesismof ma
mnumbermof mclientsmwhomaremundermhismcareminmamhospitalmcontext.mWhichmof mthemfollow
ingmaspectsmofmclients'msituationsmbN
esUt mR
chSaI
raN
ctG
erTizBe.
smpCaOt hMo g e n e s is mrathermthanmetiology
?
A) Amclient mwhomhasmbeenmexposed mtomthemMycobacterium mtuberculosismbacterium
B) Amclient mwhomhasmincreasingmserummammoniam levelsmduemtomlivermcirrhosis
C) Amclient mwhomwasmadmitted mwithmthemeffectsmof mmethylmalcoholmpoisoning
D) Amclient mwithmmultiplemskeletalminjuriesmsecondarymtomammotormvehiclemaccide
nt mAns:mB
Feedback:
Pathogenesismrefersmtomthemprogressivemand mevolutionarymcoursemof mdisease,msuchmasmthemi
ncreasingmammoniamlevelsmthat maccompanym liver mdisease.mBacteria, mpoisons, mand mtrauma
ticminjuriesmaremexamplesmof metiologicmfactors.
m m m m m m
1. At manminternationalmnursingmconference,mmanymdiscussionsmand mbreakout msessionsmfocus
ed monmthemWorld mHealthmOrganizationm(WHO)mviewsmonmhealth.mOf mthemfollowingmcom
mentsmmadembymnursesmduringmamdiscussionmsession,mwhichmstatementsmwould mbemconsid
ered mamgood mrepresentationmof mthemWHOmdefinition?mSelect mallmthat mapply.
A) Interestsminmkeepingmthemelderlympopulationmengaged minmsuchmactivitiesmasmbo
okmreviewsmand mword mgamesmduringmsocialmtime
B) Increaseminmthemnumbermof mchairmaerobicsmclassesmprovided minmthemskilled mca
remfacilities
C) Interventionsmgeared mtoward mkeepingmthemelderlympopulationmdiagnosed mwithmdiab
etesmmellitusmundermtight mblood mglucosemcontrolmbymprovidingmin-
homemcookingmclasses
D) Providingmtransportationmformrenalmdialysismpatientsmtomand mfrommtheirmhemodialys
ismsessions
E) Providingmhandwashingmteachingmsessionsmtomamgroupmof myoungmchildre
nmAns:mA,mB,mC,mE
Feedback:
ThemWHOmdefinitionmof mhealthmismdefined masm“amstatemof mcompletemphysical,mmental,man
d msocialmwell-
beingmand mnot mmerelymthemabsencemof mdiseasemand minfirmity.”mEngagingminmbookmreview
smfacilitatesmmentalmand msocialmwell-being;mchair maerobicsmhelpsmfacilitatemphysicalmwell-
being;mand massistingmwithmtight mcontrolmof mdiabetesmhelpsmwithmfacilitatingmphysicalmwell
-
beingmevenmthoughmthempersonmhasmamchronicmdisease.mHandwashingmismvitalminmthempreve
ntionmof mdiseasemand mspread mof mgerms.
2. A mcommunitymhealthmnursemismteachingmamgroupmof mrecent mgraduatesmabout mthemlarge
mvarietymof mfactorsmthat minfluencemanmindividual'smhealthmormlackmthereof.mThemnursem
ismreferringmtomthemHealthymPeoplem2020mreport mfrommthemU.S.mDepartment mof mHealth
mand mHumanmServicesmasmamteachingmexample.mOf mthemfollowingmaspectsmdiscussed,m
whichmwould mbemconsidered mamdeterminant mof mhealthmthat mismoutsidemthemfocusmof mthi
smreport?
A) Themclient mhasmamdiversembackground mbymbeingmof mAsianmand mNativemAmerican
mdescent mand mpracticesmvariousmalternativemtherapiesmtomminimizemeffectsmof mstre
ss.
B) Themclient mhasmamfamilymhistorymof mcardiovascularmdiseasemrelated mtomhyper
cholesterolemiamand mremainsmnoncompliant mwithmthemtreatment mregime.
C) Themclient mhasmamgood mcareermwithmexceptionalmpreventativemhealthmcarembenefits.
D) Themclient mlivesminmanmaffluent,mclean,msuburbanmcommunitymwithmaccessmtomma
nymhealthmcaremfacilities.
Ans:mB
Feedback:
InmHealthymPeoplem2020,mthemfocusmismtompromotemgood mhealthmtomallm(suchmasmusingmalte
rnativemtherapiesmtomminimizemeffectsmof mstress);machievingmhealthmequitymand mpromoting
mhealthmformallm(whichmincludesmhavingmgood mhealthmcarembenefits);mand mpromotingmgood
mhealthm(whichmincludesmlivingminmamcleanmcommunitymwithmgood maccessmtomhealthmcare).m
A mclient'smnoncompliancemwithmtreatmentsmtomcontrolmhighmcholesterolmlevelsmwithinmthe
mpresencemof mamfamilymhistorymof mCV mdiseasemdoesmnot mmeet mthem“attainingmlivesmfreemof m
,preventablemdiseasemand mprematuremdeath”mdeterminant.
, 3. A mphysicianmismprovidingmcaremformamnumbermof mpatientsmonmammedicalm unit mof mamlarge, mu
niversitymhospital.mThemphysicianmis mdiscussingmwithmam colleaguemthemdifferentiationmbet
weenmdiseasesmthat maremcaused mbymabnormalmmoleculesmand mdiseasesmthat mcausemdisease.m
Whichmof mthemfollowingmpatientsmmost mclearlymdemonstratesmthemconsequencesmof mmolec
ulesmthat mcausemdisease?
A) Am31-year-
old mwomanmwithmsicklemcellmanemiamwhomismreceivingmamtransfusionmof mpacked m
red mblood mcells
B) Am91-year-
old mwomanmwhomhasmexperienced manmischemicmstrokemresultingmfrommfamilialm
hypercholesterolemia
C) Am19-year-
old mmanmwithmexacerbationmof mhismcysticmfibrosismrequiringmoxygenmtherapym
and mchest mphysiotherapy
D) Am30-year-
old mhomelessmmanmwhomhasmPneumocystismcariniimpneumoniam(PCP)mand mismHIV mp
ositive.
Ans:mD
Feedback:
PCPmismanmexamplemof mthemeffect mof mammoleculemthat mdirectlymcontributesmtomdisease.mSic
klemcellmanemia,mfamilialmhypercholesterolemia,mand mcysticmfibrosism aremallmexamplesmof m
themeffectsmof mabnormalmmolecules.
4. A mmembermof mthemhealthmcaremteammismresearchingmthemetiologymand mpathogenesismof ma
mnumbermof mclientsmwhomaremundermhismcareminmamhospitalmcontext.mWhichmof mthemfollow
ingmaspectsmofmclients'msituationsmbN
esUt mR
chSaI
raN
ctG
erTizBe.
smpCaOt hMo g e n e s is mrathermthanmetiology
?
A) Amclient mwhomhasmbeenmexposed mtomthemMycobacterium mtuberculosismbacterium
B) Amclient mwhomhasmincreasingmserummammoniam levelsmduemtomlivermcirrhosis
C) Amclient mwhomwasmadmitted mwithmthemeffectsmof mmethylmalcoholmpoisoning
D) Amclient mwithmmultiplemskeletalminjuriesmsecondarymtomammotormvehiclemaccide
nt mAns:mB
Feedback:
Pathogenesismrefersmtomthemprogressivemand mevolutionarymcoursemof mdisease,msuchmasmthemi
ncreasingmammoniamlevelsmthat maccompanym liver mdisease.mBacteria, mpoisons, mand mtrauma
ticminjuriesmaremexamplesmof metiologicmfactors.
