Porth's Pathophysiology Concepts of Altered Health 10th Edition Test Bank
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Page 1
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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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focused on the World Health Organization (WHO) views on health. Of the
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following comments made by nurses during a discussion session, which
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statements would be considered a good representation of the WHO definition?
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Select all that apply.
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A) Interests in keeping the elderly population engaged in suchgg gg gg gg gg gg gg gg
activities as book reviews and word games during social time
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B) Increase in the number of chair aerobics classes provided in the
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skilled care facilities
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C) Interventions geared toward keeping the elderly population diagnosed gg gg gg gg gg gg gg
with diabetes mellitus under tight blood glucose control by providing
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in-home cooking classes
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D) Providing transportation for renal dialysis patients to and fromgg gg gg gg gg gg gg gg
their hemodialysis sessions
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E) Providing handwashing teaching sessions to a group of young gg gg gg gg gg gg gg gg
children Ans: A, B, C, E
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Feedback:
The WHO definition of health is defined as ―a state of complete physical,
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mental, and social well-being and not merely the absence of disease and
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infirmity.‖ Engaging in book reviews facilitates mental and social well-being;
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chair aerobics helps facilitate physical well-being; and assisting with tight control
gg gg gg gg gg gg gg gg gg gg gg
of diabetes helps with facilitating physical well-being even though the person has
gg gg gg gg gg gg gg gg gg gg gg gg
a chronic disease. Handwashing is vital in the prevention of disease and
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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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large variety of factors that influence an individual's health or lack
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ggthereof. The nurse is referring to the Healthy People 2020 report from the
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ggU.S. Department of Health and Human Services as a teaching example. Of
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the following aspects discussed, which would be considered a determinant
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ggof 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
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American descent and practices various alternative therapies to minimize
gg gg gg gg gg gg gg gg gg
effects of stress.
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B) The client has a family history of cardiovascular disease related
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to hypercholesterolemia and remains noncompliant with the
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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
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access to many health care facilities.
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Ans: B
Feedback:
In Healthy People 2020, the focus is to promote good health to all (such as
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using alternative therapies to minimize effects of stress); achieving health equity
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and promoting health for all (which includes having good health care benefits);
gg gg gg gg gg gg gg gg gg gg gg gg
and promoting good health (which includes living in a clean community with
gg gg gg gg gg gg gg gg gg gg gg gg
good access to health care). A client's noncompliance with treatments to control
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high cholesterol levels within the presence of a family history of CV
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ggdisease does not meet the gg gg gg gg
Page 2 gg
,―attaining lives free of preventable disease and premature death‖ determinant.
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Page 3gg
, 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?
gg gg gg gg gg gg gg gg
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
gg gg gg gg gg gg gg gg
resulting from familial hypercholesterolemia
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C) A 19-year-old man with exacerbation of his cystic fibrosis
gg gg gg gg gg gg gg gg
requiring oxygen therapy and chest physiotherapy
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D) A 30-year-old homeless man who has Pneumocystis carinii pneumonia
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(PCP) and is HIV positive.
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Ans: D
Feedback:
PCP is an example of the effect of a molecule that directly contributes to
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disease. Sickle cell anemia, familial hypercholesterolemia, and cystic fibrosis
gg g g gg gg gg gg gg gg gg
are all examples of the effects of abnormal molecules.
gg gg gg gg gg gg gg gg gg
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
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
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
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vehicle 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,
gg gg gg gg gg gg gg gg gg gg
and traumatic injuries are examples of etiologic factors.
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Page 4 gg
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Page 1
gg
, Chapter 1- Concepts of Health and Disease
gg gg gg gg gg gg
1. At an international nursing conference, many discussions and breakout sessions
gg gg gg gg gg gg gg gg gg
focused on the World Health Organization (WHO) views on health. Of the
gg gg gg gg gg gg gg gg gg gg gg gg
following comments made by nurses during a discussion session, which
gg gg gg gg gg gg gg gg gg gg
statements would be considered a good representation of the WHO definition?
gg gg gg gg gg gg gg gg gg gg gg
Select all that apply.
gg gg gg gg
A) Interests in keeping the elderly population engaged in suchgg gg gg gg gg gg gg gg
activities as book reviews and word games during social time
gg gg gg gg gg gg gg gg gg gg
B) Increase in the number of chair aerobics classes provided in the
gg gg gg gg gg gg gg gg gg gg
skilled care facilities
gg gg gg
C) Interventions geared toward keeping the elderly population diagnosed gg gg gg gg gg gg gg
with diabetes mellitus under tight blood glucose control by providing
gg gg gg gg gg gg gg gg gg gg
in-home cooking classes
gg gg gg
D) Providing transportation for renal dialysis patients to and fromgg gg gg gg gg gg gg gg
their hemodialysis sessions
gg gg gg
E) Providing handwashing teaching sessions to a group of young gg gg gg gg gg gg gg gg
children Ans: A, B, C, E
gg gg g g gg gg gg
Feedback:
The WHO definition of health is defined as ―a state of complete physical,
gg gg gg gg gg gg gg gg gg gg gg gg
mental, and social well-being and not merely the absence of disease and
gg gg gg gg gg gg gg gg gg gg gg gg
infirmity.‖ Engaging in book reviews facilitates mental and social well-being;
gg gg gg gg gg gg gg gg gg gg
chair aerobics helps facilitate physical well-being; and assisting with tight control
gg gg gg gg gg gg gg gg gg gg gg
of diabetes helps with facilitating physical well-being even though the person has
gg gg gg gg gg gg gg gg gg gg gg gg
a chronic disease. Handwashing is vital in the prevention of disease and
gg gg gg gg gg g g gg gg gg gg gg gg
spread of germs.
gg gg gg
2. A community health nurse is teaching a group of recent graduates about the
gg gg gg gg gg gg gg gg gg gg gg gg
large variety of factors that influence an individual's health or lack
gg gg gg gg gg gg gg gg gg gg gg
ggthereof. The nurse is referring to the Healthy People 2020 report from the
gg gg gg gg gg gg gg gg gg gg gg gg
ggU.S. Department of Health and Human Services as a teaching example. Of
gg gg gg gg gg gg gg gg gg gg gg
the following aspects discussed, which would be considered a determinant
gg gg gg gg gg gg gg gg gg gg
ggof health that is outside the focus of this report?
gg gg gg gg gg gg gg gg gg
A) The client has a diverse background by being of Asian and Native
gg gg gg gg gg gg gg gg gg gg gg
American descent and practices various alternative therapies to minimize
gg gg gg gg gg gg gg gg gg
effects of stress.
gg gg gg
B) The client has a family history of cardiovascular disease related
gg gg gg gg gg gg gg gg gg
to hypercholesterolemia and remains noncompliant with the
gg gg gg gg gg gg gg
treatment regime.
gg gg
C) The client has a good career with exceptional preventative health care benefits.
gg gg gg gg gg gg gg gg gg gg gg
D) The client lives in an affluent, clean, suburban community with
gg gg gg gg gg gg gg gg gg
access to many health care facilities.
gg gg gg gg gg gg
Ans: B
Feedback:
In Healthy People 2020, the focus is to promote good health to all (such as
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
using alternative therapies to minimize effects of stress); achieving health equity
gg gg gg gg gg gg gg gg gg gg gg
and promoting health for all (which includes having good health care benefits);
gg gg gg gg gg gg gg gg gg gg gg gg
and promoting good health (which includes living in a clean community with
gg gg gg gg gg gg gg gg gg gg gg gg
good access to health care). A client's noncompliance with treatments to control
gg gg gg gg gg gg gg gg gg gg gg gg
high cholesterol levels within the presence of a family history of CV
gg gg gg gg gg gg gg gg gg gg gg gg
ggdisease does not meet the gg gg gg gg
Page 2 gg
,―attaining lives free of preventable disease and premature death‖ determinant.
gg gg gg gg gg gg gg gg gg
Page 3gg
, 3. A physician is providing care for a number of patients on a medical unit of a
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
large, university hospital. The physician is discussing with a colleague the
gg g g gg gg gg gg gg gg gg gg gg
differentiation between diseases that are caused by abnormal molecules and
gg gg gg gg gg gg gg gg gg gg
diseases that cause disease. Which of the following patients most clearly
gg gg gg gg gg gg gg gg gg gg gg
demonstrates the consequences of molecules that cause disease?
gg gg gg gg gg gg gg gg
A) A 31-year-old woman with sickle cell anemia who is receiving a
gg gg gg gg gg gg gg gg gg gg
transfusion of packed red blood cells
gg gg gg gg gg gg
B) A 91-year-old woman who has experienced an ischemic stroke
gg gg gg gg gg gg gg gg
resulting from familial hypercholesterolemia
gg gg gg gg
C) A 19-year-old man with exacerbation of his cystic fibrosis
gg gg gg gg gg gg gg gg
requiring oxygen therapy and chest physiotherapy
gg gg gg gg gg gg
D) A 30-year-old homeless man who has Pneumocystis carinii pneumonia
gg gg gg gg gg gg gg gg
(PCP) and is HIV positive.
gg gg gg gg gg
Ans: D
Feedback:
PCP is an example of the effect of a molecule that directly contributes to
gg gg gg gg gg gg gg gg gg gg gg gg gg
disease. Sickle cell anemia, familial hypercholesterolemia, and cystic fibrosis
gg g g gg gg gg gg gg gg gg
are all examples of the effects of abnormal molecules.
gg gg gg gg gg gg gg gg gg
4. A member of the health care team is researching the etiology and pathogenesis
gg gg gg gg gg gg gg gg gg gg gg gg
of a number of clients who are under his care in a hospital context. Which of
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
the following aspects of clients' situations best characterizes pathogenesis rather
gg gg gg gg gg gg gg gg gg gg
than etiology?
gg gg
A) A client who has been exposed to the Mycobacterium tuberculosis bacterium
gg gg gg gg gg gg gg gg gg gg
B) A client who has increasing serum ammonia levels due to liver cirrhosis
gg gg gg gg gg gg gg gg gg gg gg
C) A client who was admitted with the effects of methyl alcohol poisoning
gg gg gg gg gg gg gg gg gg gg gg
D) A client with multiple skeletal injuries secondary to a motor
gg gg gg gg gg gg gg gg gg
vehicle accident Ans: B
gg gg gg g g
Feedback:
Pathogenesis refers to the progressive and evolutionary course of disease, such as
gg gg gg gg gg gg gg gg gg gg gg
the increasing ammonia levels that accompany liver disease. Bacteria, poisons,
gg gg gg gg gg gg gg gg gg gg
and traumatic injuries are examples of etiologic factors.
gg gg gg gg gg gg gg gg
Page 4 gg
