Test Bank Complete_
Porth's Pathophysiology Concepts of Altered Health
States 11th Edition, (2024)
Tommie L. Norris (Author) All Units| All Chapters 1-52| Verified
11TH EDTION
, TABLE OF CONTENTS
UNIT 1 CONCEPTS OF HEALTH AND DISEASE______________________________________ 5
Chapter 1- Concepts Of Health And Disease __________________________________________ 5
UNIT 2 CELL FUNCTION AND GROWTH _________________________________________ 22
Chapter 2- Cell And Tissue Characteristics __________________________________________ 22
Chapter 3- Cellular Adaptation, Injury, And Death ____________________________________ 36
Chapter 4- Genetic Control Of Cell Function And Inheritance ___________________________ 50
Chapter 5- Genetic And Congenital Disorders________________________________________ 64
Chapter 6- Neoplasia ___________________________________________________________ 79
UNIT 3 DISORDERS OF INTEGRATIVE FUNCTION _________________________________ 93
Chapter 7- Stress And Adaptation _________________________________________________ 93
Chapter 8-A- Disorders Of Fluid And Electrolyte Balance ______________________________ 107
UNIT 4 INFECTION, INFLAMMATION, AND IMMUNITY ___________________________ 134
Chapter 9- Inflammation, Tissue Repair, And Wound Healing __________________________ 134
Chapter 10- Mechanisms of Infectious Disease _____________________________________ 148
Chapter 11- Innate And Adaptive Immunity ________________________________________ 176
Chapter 12- Disorders of the Immune Response, Including HIV/AIDS ____________________ 190
UNIT 5 DISORDERS OF NEURAL FUNCTION _____________________________________ 221
Chapter 13- Organization And Control Of Neural Function ____________________________ 221
Chapter 14- Somatosensory Function, Pain, Headache, and Temperature Regulation ______ 236
Chapter 15- Disorders Of Motor Function __________________________________________ 252
Chapter 16- Disorders Of Brain Function___________________________________________ 266
Chapter 17- Sleep And Sleep Disorders ____________________________________________ 282
Chapter 18- Disorders Of Thought, Emotion, And Memory ____________________________ 297
UNIT 6 DISORDERS OF SPECIAL SENSORY FUNCTION _____________________________ 311
Chapter 19- Disorders Of Visual Function __________________________________________ 311
Chapter 20- Disorders Of Hearing And Vestibular Function ____________________________ 325
UNIT 7 DISORDERS OF THE HEMATOPOIETIC SYSTEM ____________________________ 341
Chapter 21- Blood Cells And The Hematopoietic System ______________________________ 341
Chapter 22- Disorders Of Hemostasis _____________________________________________ 354
Chapter 23- Disorders Of Red Blood Cells __________________________________________ 368
, Chapter 24- Disorders Of White Blood Cells And Lymphoid Tissues _____________________ 383
UNIT 8 DISORDERS OF CARDIOVASCULAR FUNCTION ____________________________ 398
Chapter 25- Structure And Function Of The Cardiovascular System _____________________ 398
Chapter 26- Disorders of Blood Flow and Blood Pressure Regulation ____________________ 413
Chapter 27- Disorders of Cardiac Function, and Heart Failure and Circulatory Shock _______ 442
Chapter 28- Disorders Of Cardiac Conduction And Rhythm ____________________________ 474
UNIT 9 DISORDERS OF RESPIRATORY FUNCTION ________________________________ 491
Chapter 29- Structure And Function Of The Respiratory System ________________________ 491
Chapter 30- Respiratory Tract Infections, Neoplasms, and Childhood Disorders ___________ 504
Chapter 31- Disorders Of Ventilation And Gas Exchange ______________________________ 532
UNIT 10 DISORDERS OF RENAL FUNCTION _____________________________________ 546
Chapter 32- Structure And Function Of The Kidney __________________________________ 546
Chapter 33- Disorders Of Renal Function __________________________________________ 560
Chapter 34- Acute Kidney Injury and Chronic Kidney Disease __________________________ 576
Chapter 35- Disorders Of The Bladder And Lower Urinary Tract ________________________ 592
UNIT 11 DISORDERS OF GASTROINTESTINAL FUNCTION __________________________ 608
Chapter 36- Structure And Function Of The Gastrointestinal System ____________________ 608
Chapter 37- Disorders Of Gastrointestinal Function __________________________________ 623
Chapter 38- Disorders Of Hepatobiliary And Exocrine Pancreas Function ________________ 639
Chapter 39- Alterations In Nutritional Status _______________________________________ 656
UNIT 12 DISORDERS OF ENDOCRINE FUNCTION _________________________________ 671
Chapter 40- Mechanisms Of Endocrine Control _____________________________________ 671
Chapter 41- Disorders Of Endocrine Control Of Growth And Metabolism ________________ 685
UNIT 13 DISORDERS OF GENITOURINARY AND REPRODUCTIVE FUNCTION ___________ 700
Chapter 42 - Structure And Function Of The Male Genitourinary System _________________ 700
Chapter 43- Disorders Of The Male Rproductive System ______________________________ 715
Chapter 44- Structure And Function Of The Female Reproductive System ________________ 730
Chapter 45- Disorders Of The Female Reproductive System ___________________________ 745
Chapter 46- Sexually Transmitted Infections _______________________________________ 759
UNIT 14 DISORDERS OF MUSCULOSKELETAL FUNCTION __________________________ 773
Chapter 47- Structure And Function Of The Musculoskeletal System ____________________ 773
Chapter 48- Disorders of Musculoskeletal Function: Trauma, Infection, Neoplasms ________ 786
Chapter 49 - Disorders of Musculoskeletal Function: Developmental and Metabolic Disorders,
Activity Intolerance, and Fatigue _________________________________________________ 802
, Chapter 50- Disorders of Musculoskeletal Function: Rheumatic Disorders _______________ 817
UNIT 15 DISORDERS OF INTEGUMENTARY FUNCTION ____________________________ 832
Chapter 51- Structure And Function Of The Skin ____________________________________ 832
Chapter 52- Disorders Of Skin Integrity And Function ________________________________ 846
,UNIT 1 CONCEPTS OF HEALTH AND DISEASE
Chapter 1- Concepts Of Health And Disease
Tommie L. Norris: (2024) Porth's Pathophysiology Concepts of Altered Health States 11th Edition, Test Bank
MULTIPLE CHOICE
1. At An International Nursing Conference, Many Discussions And Breakout Sessions
Focused On The World Health Organization (WHO) Views On Health. Of The
Following Comments Made 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 Book
Reviews And Word Games During Social Time
B) Increase In The Number Of Chair Aerobics Classes Provided In The Skilled Care
Facilities
C) Interventions Geared Toward Keeping The Elderly Population Diagnosed With
Diabetes Mellitus Under Tight Blood Glucose Control By Providing In-Home
Cooking Classes
D) Providing Transportation For Renal Dialysis Patients To And From Their
Haemodialysis Sessions
E) Providing Handwashing Teaching Sessions To A Group Of Young Children
CORRECT ANS: 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 Vital In The Prevention Of Disease
And Spread Of Germs.
2. 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 And Human 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
Many Health Care Facilities.
CORRECT ANS: B
Feedback:
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 To Health Care). A Client's Noncompliance With
Treatments To Control High Cholesterol Levels Within The Presence Of A Family
History Of CV Disease Does Not Meet The “Attaining Lives Free Of Preventable
Disease And Premature Death” Determinant.
3. 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
Of Packed Red Blood Cells
B) A 91-Year-Old Woman Who Has Experienced An Ischemic Stroke Resulting
From Familial Hypercholesterolemia
C) A 19-Year-Old Man With Exacerbation Of His Cystic Fibrosis Requiring Oxygen
Therapy And Chest Physiotherapy
D) A 30-Year-Old Homeless Man Who Has Pneumocystis Carinii Pneumonia (PCP)
And Is HIV Positive.
CORRECT ANS: D
Feedback:
,PCP Is An Example Of The Effect Of A Molecule That Directly Contributes To
Disease. Sickle Cell Anemia, Familial Hypercholesterolemia, And Cystic Fibrosis Are
All Examples Of The Effects Of Abnormal Molecules.
4. 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 Following Aspects Of Clients' Situations Best Characterizes
Pathogenesis 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 Accident
CORRECT ANS: B
Feedback:
Pathogenesis Refers To The Progressive And Evolutionary Course Of Disease, Such
As The Increasing Ammonia Levels That Accompany Liver Disease. Bacteria,
Poisons, And Traumatic Injuries Are Examples Of Etiologic Factors.
5. A New Myocardial Infarction Patient Requiring Angioplasty And Stent Placement
Has Arrived To His First Cardiac Rehabilitation Appointment. In This First Session,
A Review Of The Pathogenesis Of Coronary Artery Disease Is Addressed. Which
Statement By The Patient Verifies To The Nurse That He Has Understood The
Nurse's Teachings About Coronary Artery Disease?
,A) “All I Have To Do Is Stop Smoking, And Then I Won't Have Any More Heart
Attacks.”
B) “My Artery Was Clogged By Fat, So I Will Need To Stop Eating Fatty Foods Like
French Fries Every Day.”
C) “Sounds Like This Began Because Of Inflammation Inside My Artery That Made
It Easy To Form Fatty Streaks, Which Lead To My Clogged Artery.”
D) “If I Do Not Exercise Regularly To Get My Heart Rate Up, Blood Pools In The
Veins Causing A Clot That Stops Blood Flow To The Muscle, And I Will Have A
Heart Attack.”
CORRECT ANS: C
Feedback:
The True Etiology/Cause Of Coronary Artery Disease (CAD) Is Unknown; However,
The Pathogenesis Of The Disorder Relates To The Progression Of The Inflammatory
Process From A Fatty Streak To The Occlusive Vessel Lesion Seen In People With
Coronary Artery Disease. Risk Factors For CAD Revolve Around Cigarette Smoking,
Diet High In Fat, And Lack Of Exercise.
6. A 77-Year-Old Man Is A Hospital Inpatient Admitted For Exacerbation Of His
Chronic Obstructive Pulmonary Disease (COPD), And A Respiratory Therapist (RT)
Is Assessing The Client For The First Time. Which Of The Following Aspects Of The
Patient's Current State Of Health Would Be Best Characterized As A Symptom
Rather Than A Sign?
A) The Patient's Oxygen Saturation Is 83% By Pulse Oxymetry.
B) The Patient Notes That He Has Increased Work Of Breathing When Lying Supine.
, C) The RT Hears Diminished Breath Sounds To The Patient's Lower Lung Fields
Bilaterally.
D) The Patient's Respiratory Rate Is 31 Breaths/Minute.
CORRECT ANS: B
Feedback:
Symptoms Are Subjective Complaints By The Person Experiencing The Health
Problem, Such As Complaints Of Breathing Difficulty. Oxygen Levels, Listening To
Breath Sounds, And Respiratory Rate Are All Objective, Observable Signs Of
Disease.
7. Which Of The Following Situations Would Be Classified As A Complication Of A
Disease Or Outcome From The Treatment Regimen? Select All That Apply.
A) Massive Pulmonary Emboli Following Diagnosis Of New-Onset Atrial Fibrillation
B) Burning, Intense Incision Pain Following Surgery To Remove A Portion Of Colon
Due To Intestinal Aganglionosis
C) Development Of Pulmonary Fibrosis Following Treatment With Bleomycin, An
Antibiotic Chemotherapy Agent Used In Treatment Of Lymphoma
D) Gradual Deterioration In Ability To Walk Unassisted For A Patient Diagnosed
With Parkinson Disease
E) Loss Of Short-Term Memory In A Patient Diagnosed With Alzheimer Disease
CORRECT ANS: A, C
Feedback:
Development Of Pulmonary Emboli And Pulmonary Fibrosis Following
Chemotherapy Are Both Examples Of A Complication (Adverse Extensions Of A
Disease Or Outcome From Treatment). It Is Normal To Expect Incisional Pain
