10TH EDITION
TEST BANK FOR PORTH’S PATHOPHYSIOLOGY
10TH EDITION BY NORRIS .
- At an international nursing conference, many discussions and breakout
sessions focusedon the World Health Organization (WHO) views on health. Of
the following commentsmade by nurses during a discussion session, which
statements would be considered a good representation of the WHO definition?
Select all that apply.
A) Interests in keeping the elderly population engaged in such activities
as bookreviews and word games during social time
B) Increase in the number of chair aerobics classes provided in the
skilled carefacilities
C) Interventions geared toward keeping the elderly population diagnosed
with diabetes mellitus under tight blood glucose control by providing inhome cookingclasses
D) Providing transportation for renal dialysis patients to and from their
hemodialysissessions
E) Providing handwashing teaching sessions to a group of young
childrenAns: A, B, C, E
Feedback:
The WHO definition of health is defined as “a state of complete physical,
mental, and social well-being and not merely the absence of disease and
infirmity.” Engaging in book reviews facilitates mental and social well-being;
chair aerobics helps facilitate physical well-being; and assisting with tight
control of diabetes helps with facilitating physical well-being even though the
person has a chronic disease. Handwashing is vitalin the prevention of disease
and spread of germs. - A community health nurse is teaching a group of recent graduates about
the large variety of factors that influence an individual’s health or lack
thereof. The nurse is referring to the Healthy People 2020 report from the U.S.
Department of Health andHuman Services as a teaching example. Of the
following aspects discussed, which would be considered a determinant of
health that is outside the focus of this report?
A) The client has a diverse background by being of Asian and Native
American descent and practices various alternative therapies to
minimize effects of stress.
B) The client has a family history of cardiovascular disease related to
hypercholesterolemia and remains noncompliant with the treatment
regime.
C) The client has a good career with exceptional preventative health care benefits.
D) The client lives in an affluent, clean, suburban community with access
to manyhealth care facilities.
Ans: B
Feedback:
10TH EDITION
In Healthy People 2020, the focus is to promote good health to all (such as using
alternative therapies to minimize effects of stress); achieving health equity and
promoting health for all (which includes having good health care benefits); and
promoting good health (which includes living in a clean community with good
access tohealth care). A client’s noncompliance with treatments to control high
cholesterol levelswithin the presence of a family history of CV disease does not
meet the “attaining lives free of preventable disease and premature death”
determinant.
10TH EDITION
- A physician is providing care for a number of patients on a medical unit of a
large, university hospital. The physician is discussing with a colleague the
differentiation between diseases that are caused by abnormal molecules and
diseases that cause disease.Which of the following patients most clearly
demonstrates the consequences of molecules that cause disease?
A) A 31-year-old woman with sickle cell anemia who is receiving a
transfusion ofpacked red blood cells
B) A 91-year-old woman who has experienced an ischemic stroke
resulting fromfamilial hypercholesterolemia
C) A 19-year-old man with exacerbation of his cystic fibrosis requiring
oxygentherapy and chest physiotherapy
D) A 30-year-old homeless man who has Pneumocystis carinii pneumonia
(PCP) andis HIV positive.
Ans: D
Feedback:
PCP is an example of the effect of a molecule that directly contributes to
disease. Sicklecell anemia, familial hypercholesterolemia, and cystic fibrosis are
all examples of the effects of abnormal molecules. - A member of the health care team is researching the etiology and
pathogenesis of a number of clients who are under his care in a hospital
context. Which of the followingaspects of clients’ situations bNesUt
RchSaIraNctGerTizBe.s pCaOthMogenesis rather than etiology?
A) A client who has been exposed to the Mycobacterium tuberculosis bacterium
B) A client who has increasing serum ammonia levels due to liver cirrhosis
C) A client who was admitted with the effects of methyl alcohol poisoning
D) A client with multiple skeletal injuries secondary to a motor vehicle
accidentAns: B
Feedback:
Pathogenesis refers to the progressive and evolutionary course of disease,
such as theincreasing ammonia levels that accompany liver disease. Bacteria,
poisons, and traumatic injuries are examples of etiologic factors.