, TEST BANK FOR PORTH'S PATHOPHYSIOLOGY 10TH EDITION BY NORRIS
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Porth’s Pathophysiology 10th Edition Norris Test Bank
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1. At an international nursing conference, many discussions and breakout sessions focused
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on the World Health Organization (WHO) views on health. Of the following comments
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made by nurses during a discussion session, which statements would be considered a
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good representation of the WHO definition? Select all that apply.
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A) Interests in keeping the elderly population engaged in such activities as book f f f f f f f f f f f
reviews and word games during social time
f f f f f f f
B) Increase in the number of chair aerobics classes provided in the skilled care f f f f f f f f f f f f
facilities f
C) Interventions geared toward keeping the elderly population diagnosed with f f f f f f f f
diabetes mellitus under tight blood glucose control by providing in-home cooking
f f f f f f f f f f f
classes f
D) Providing transportation for renal dialysis patients to and from their hemodialysis f f f f f f f f f f
sessions f
E) Providing handwashing teaching sessions to a group of young children f f f f f f f f f
Ans: A, B, C, E
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Feedback:
The WHO definition of health is defined as ―a state of complete physical, mental, and
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social well-being and not merely the absence of disease and infirmity.‖ Engaging in book
f f f f f f f f f f f f f f
reviews facilitates mental and social well-being; chair aerobics helps facilitate physical
f f f f f f f f f f f
well-being; and assisting with tight control of diabetes helps with facilitating physical
f f f f f f f f f f f f
well-being even though the person has a chronic disease. Handwashing is vital in the
f f f f f f f f f f f f f f
prevention of disease and spread of germs.
f f f f f f f
2. A community health nurse is teaching a group of recent graduates about the large
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variety of factors that influence an individual's health or lack thereof. The nurse is
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referring to the Healthy People 2020 report from the U.S. Department of Health and
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Human Services as a teaching example. Of the following aspects discussed, which
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would be considered a determinant of health 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 Americanf f f f f f f f f f f f
descent and practices various alternative therapies to minimize effects of stress.
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B) The client has a family history of cardiovascular disease related to f f f f f f f f f f
hypercholesterolemia and remains noncompliant with the treatment regime.
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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 many
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health care facilities. f f f
Ans: B f
Feedback:
In Healthy People 2020, the focus is to promote good health to all (such as using
f f f f f f f f f f f f f f f
alternative therapies to minimize effects of stress); achieving health equity and
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promoting health for all (which includes having good health care benefits); and
f f f f f f f f f f f f
promoting good health (which includes living in a clean community with good access to
f f f f f f f f f f f f f f
health care). A client's noncompliance with treatments to control high cholesterol levels
f f f f f f f f f f f f
within the presence of a family history of CV disease does not meet the ―attaining lives
f f f f f f f f f f f f f f f f
free of preventable disease and premature death‖ determinant.
f f f f f f f f
, TEST BANK FOR PORTH'S PATHOPHYSIOLOGY 10TH EDITION BY NORRIS
f f f f f f f f
3. A physician is providing care for a number of patients on a medical unit of a large,
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university hospital. The physician is discussing with a colleague the differentiation
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between diseases that are caused by abnormal molecules and diseases that cause disease.
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Which of the following patients most clearly demonstrates the consequences of
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molecules that cause disease?
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A) A 31-year-old woman with sickle cell anemia who is receiving a transfusion of
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packed red blood cells
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B) A 91-year-old woman who has experienced an ischemic stroke resulting from
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familial hypercholesterolemia
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C) A 19-year-old man with exacerbation of his cystic fibrosis requiring oxygen
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therapy and chest physiotherapy
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D) A 30-year-old homeless man who has Pneumocystis carinii pneumonia (PCP) and is
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HIV positive. f f
Ans: D f
Feedback:
PCP is an example of the effect of a molecule that directly contributes to disease. Sickle
f f f f f f f f f f f f f f f
cell anemia, familial hypercholesterolemia, and cystic fibrosis are all examples of the
f f f f f f f f f f f f
effects of abnormal molecules.
f f f f
4. A member of the health care team is researching the etiology and pathogenesis of a
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number of clients who are under his care in a hospital context. Which of the following
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aspects of clients' situations bN
f esUtR
f chSaI
raN
ctGerTizBe.
f s pCaOt hMo ge n e s i s rather 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 accident
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Ans: B
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Feedback:
Pathogenesis refers to the progressive and evolutionary course of disease, such as the
f f f f f f f f f f f f
increasing ammonia levels that accompany liver disease. Bacteria, poisons, and traumatic
f f f f f f f f f f f
injuries are examples of etiologic factors.
f f f f f f
, TEST BANK FOR PORTH'S PATHOPHYSIOLOGY 10TH EDITION BY NORRIS
f f f f f f f f
5. A new myocardial infarction patient requiring angioplasty and stent placement has
f f f f f f f f f f
arrived to his first cardiac rehabilitation appointment. In this first session, a review of the
f f f f f f f f f f f f f f f
pathogenesis of coronary artery disease is addressed. Which statement by the patient
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verifies to the nurse that he has understood the nurse's teachings about coronary artery
f f f f f f f f f f f f f f
disease?
f
A) ―All I have to do is stop smoking, and then I won't have any more heart attacks.‖
f f f f f f f f f f f f f f f f
B) ―My artery was clogged by fat, so I will need to stop eating fatty foods like
f f f f f f f f f f f f f f f
French fries every day.‖
f f f f
C) ―Sounds like this began because of inflammation inside my artery that made it f f f f f f f f f f f f
easy to form fatty streaks, which lead to my clogged artery.‖
f f f f f f f f f f f
D) ―If I do not exercise regularly to get my heart rate up, blood pools in the veins
f f f f f f f f f f f f f f f f
causing a clot that stops blood flow to the muscle, and I will have a heart attack.‖
f f f f f f f f f f f f f f f f f
Ans: C f
Feedback:
The true etiology/cause of coronary artery disease (CAD) is unknown; however, the
f f f f f f f f f f f
pathogenesis of the disorder relates to the progression of the inflammatory process from a
f f f f f f f f f f f f f f
fatty streak to the occlusive vessel lesion seen in people with coronary artery disease.
f f f f f f f f f f f f f f
Risk factors for CAD revolve around cigarette smoking, diet high in fat, and lack of
f f f f f f f f f f f f f f f
exercise.
f
6. A 77-year-old man is a hospital inpatient admitted for exacerbation of his chronic
f f f f f f f f f f f f
obstructive pulmonary disease (COPD), and a respiratory therapist (RT) is assessing the
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client for the first time. WhichNU
f f ofRthSeIfN
olG
loTwBin.gCaO
f spMects of the patient's current state of
f f f f f f f f f
health would be best characterized as a symptom rather than a sign?
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A) The patient's oxygen saturation is 83% by pulse oxymetry.
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B) The patient notes that he has increased work of breathing when lying supine.
f f f f f f f f f f f f
C) The RT hears diminished breath sounds to the patient's lower lung fields
f f f f f f f f f f f
bilaterally. f
D) The patient's respiratory rate is 31 breaths/minute.
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Ans: B
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Feedback:
Symptoms are subjective complaints by the person experiencing the health problem,
f f f f f f f f f f
such as complaints of breathing difficulty. Oxygen levels, listening to breath sounds,
f f f f f f f f f f f f
and respiratory rate are all objective, observable signs of disease.
f f f f f f f f f f
f f f f f f f f
Porth’s Pathophysiology 10th Edition Norris Test Bank
f f f f f f
1. At an international nursing conference, many discussions and breakout sessions focused
f f f f f f f f f f
on the World Health Organization (WHO) views on health. Of the following comments
f f f f f f f f f f f f f
made by nurses during a discussion session, which statements would be considered a
f f f f f f f f f f f f f
good representation of the WHO definition? Select all that apply.
f f f f f f f f f f
A) Interests in keeping the elderly population engaged in such activities as book f f f f f f f f f f f
reviews and word games during social time
f f f f f f f
B) Increase in the number of chair aerobics classes provided in the skilled care f f f f f f f f f f f f
facilities f
C) Interventions geared toward keeping the elderly population diagnosed with f f f f f f f f
diabetes mellitus under tight blood glucose control by providing in-home cooking
f f f f f f f f f f f
classes f
D) Providing transportation for renal dialysis patients to and from their hemodialysis f f f f f f f f f f
sessions f
E) Providing handwashing teaching sessions to a group of young children f f f f f f f f f
Ans: A, B, C, E
f f f f f
Feedback:
The WHO definition of health is defined as ―a state of complete physical, mental, and
f f f f f f f f f f f f f f
social well-being and not merely the absence of disease and infirmity.‖ Engaging in book
f f f f f f f f f f f f f f
reviews facilitates mental and social well-being; chair aerobics helps facilitate physical
f f f f f f f f f f f
well-being; and assisting with tight control of diabetes helps with facilitating physical
f f f f f f f f f f f f
well-being even though the person has a chronic disease. Handwashing is vital in the
f f f f f f f f f f f f f f
prevention of disease and spread of germs.
f f f f f f f
2. A community health nurse is teaching a group of recent graduates about the large
f f f f f f f f f f f f f
variety of factors that influence an individual's health or lack thereof. The nurse is
f f f f f f f f f f f f f f
referring to the Healthy People 2020 report from the U.S. Department of Health and
f f f f f f f f f f f f f f
Human Services as a teaching example. Of the following aspects discussed, which
f f f f f f f f f f f f
would be considered a determinant of health that is outside the focus of this report?
f f f f f f f f f f f f f f f
A) The client has a diverse background by being of Asian and Native Americanf f f f f f f f f f f f
descent and practices various alternative therapies to minimize effects of stress.
f f f f f f f f f f f
B) The client has a family history of cardiovascular disease related to f f f f f f f f f f
hypercholesterolemia and remains noncompliant with the treatment regime.
f f f f f f f f
C) The client has a good career with exceptional preventative health care benefits.
f f f f f f f f f f f
D) The client lives in an affluent, clean, suburban community with access to many
f f f f f f f f f f f f
health care facilities. f f f
Ans: B f
Feedback:
In Healthy People 2020, the focus is to promote good health to all (such as using
f f f f f f f f f f f f f f f
alternative therapies to minimize effects of stress); achieving health equity and
f f f f f f f f f f f
promoting health for all (which includes having good health care benefits); and
f f f f f f f f f f f f
promoting good health (which includes living in a clean community with good access to
f f f f f f f f f f f f f f
health care). A client's noncompliance with treatments to control high cholesterol levels
f f f f f f f f f f f f
within the presence of a family history of CV disease does not meet the ―attaining lives
f f f f f f f f f f f f f f f f
free of preventable disease and premature death‖ determinant.
f f f f f f f f
, TEST BANK FOR PORTH'S PATHOPHYSIOLOGY 10TH EDITION BY NORRIS
f f f f f f f f
3. A physician is providing care for a number of patients on a medical unit of a large,
f f f f f f f f f f f f f f f f
university hospital. The physician is discussing with a colleague the differentiation
f f f f f f f f f f f
between diseases that are caused by abnormal molecules and diseases that cause disease.
f f f f f f f f f f f f f
Which of the following patients most clearly demonstrates the consequences of
f f f f f f f f f f f
molecules that cause disease?
f f f f
A) A 31-year-old woman with sickle cell anemia who is receiving a transfusion of
f f f f f f f f f f f f
packed red blood cells
f f f f
B) A 91-year-old woman who has experienced an ischemic stroke resulting from
f f f f f f f f f f
familial hypercholesterolemia
f f
C) A 19-year-old man with exacerbation of his cystic fibrosis requiring oxygen
f f f f f f f f f f
therapy and chest physiotherapy
f f f f
D) A 30-year-old homeless man who has Pneumocystis carinii pneumonia (PCP) and is
f f f f f f f f f f f
HIV positive. f f
Ans: D f
Feedback:
PCP is an example of the effect of a molecule that directly contributes to disease. Sickle
f f f f f f f f f f f f f f f
cell anemia, familial hypercholesterolemia, and cystic fibrosis are all examples of the
f f f f f f f f f f f f
effects of abnormal molecules.
f f f f
4. A member of the health care team is researching the etiology and pathogenesis of a
f f f f f f f f f f f f f f
number of clients who are under his care in a hospital context. Which of the following
f f f f f f f f f f f f f f f f
aspects of clients' situations bN
f esUtR
f chSaI
raN
ctGerTizBe.
f s pCaOt hMo ge n e s i s rather than etiology?
f f f f f f f
A) A client who has been exposed to the Mycobacterium tuberculosis bacterium
f f f f f f f f f f
B) A client who has increasing serum ammonia levels due to liver cirrhosis
f f f f f f f f f f f
C) A client who was admitted with the effects of methyl alcohol poisoning
f f f f f f f f f f f
D) A client with multiple skeletal injuries secondary to a motor vehicle accident
f f f f f f f f f f f
Ans: B
f f
Feedback:
Pathogenesis refers to the progressive and evolutionary course of disease, such as the
f f f f f f f f f f f f
increasing ammonia levels that accompany liver disease. Bacteria, poisons, and traumatic
f f f f f f f f f f f
injuries are examples of etiologic factors.
f f f f f f
, TEST BANK FOR PORTH'S PATHOPHYSIOLOGY 10TH EDITION BY NORRIS
f f f f f f f f
5. A new myocardial infarction patient requiring angioplasty and stent placement has
f f f f f f f f f f
arrived to his first cardiac rehabilitation appointment. In this first session, a review of the
f f f f f f f f f f f f f f f
pathogenesis of coronary artery disease is addressed. Which statement by the patient
f f f f f f f f f f f f
verifies to the nurse that he has understood the nurse's teachings about coronary artery
f f f f f f f f f f f f f f
disease?
f
A) ―All I have to do is stop smoking, and then I won't have any more heart attacks.‖
f f f f f f f f f f f f f f f f
B) ―My artery was clogged by fat, so I will need to stop eating fatty foods like
f f f f f f f f f f f f f f f
French fries every day.‖
f f f f
C) ―Sounds like this began because of inflammation inside my artery that made it f f f f f f f f f f f f
easy to form fatty streaks, which lead to my clogged artery.‖
f f f f f f f f f f f
D) ―If I do not exercise regularly to get my heart rate up, blood pools in the veins
f f f f f f f f f f f f f f f f
causing a clot that stops blood flow to the muscle, and I will have a heart attack.‖
f f f f f f f f f f f f f f f f f
Ans: C f
Feedback:
The true etiology/cause of coronary artery disease (CAD) is unknown; however, the
f f f f f f f f f f f
pathogenesis of the disorder relates to the progression of the inflammatory process from a
f f f f f f f f f f f f f f
fatty streak to the occlusive vessel lesion seen in people with coronary artery disease.
f f f f f f f f f f f f f f
Risk factors for CAD revolve around cigarette smoking, diet high in fat, and lack of
f f f f f f f f f f f f f f f
exercise.
f
6. A 77-year-old man is a hospital inpatient admitted for exacerbation of his chronic
f f f f f f f f f f f f
obstructive pulmonary disease (COPD), and a respiratory therapist (RT) is assessing the
f f f f f f f f f f f f
client for the first time. WhichNU
f f ofRthSeIfN
olG
loTwBin.gCaO
f spMects of the patient's current state of
f f f f f f f f f
health would be best characterized as a symptom rather than a sign?
f f f f f f f f f f f f
A) The patient's oxygen saturation is 83% by pulse oxymetry.
f f f f f f f f
B) The patient notes that he has increased work of breathing when lying supine.
f f f f f f f f f f f f
C) The RT hears diminished breath sounds to the patient's lower lung fields
f f f f f f f f f f f
bilaterally. f
D) The patient's respiratory rate is 31 breaths/minute.
f f f f f f
Ans: B
f f
Feedback:
Symptoms are subjective complaints by the person experiencing the health problem,
f f f f f f f f f f
such as complaints of breathing difficulty. Oxygen levels, listening to breath sounds,
f f f f f f f f f f f f
and respiratory rate are all objective, observable signs of disease.
f f f f f f f f f f
