Test Bank for Porth's Pathophysiology Concepts of Altered Health States 11th Edition by Tommie L. Norris, Chapters 1 - 52 Test Bank for Porth's Pathophysiology Concepts of Altered Health States 11th Edition by Tommie L. Norris, Chapters 1 - 52 Test Bank for Porth's Pathophysiology Concepts of Alter...
2. A ilcommunity ilhealth ilnurse ilis ilteaching ila ilgroup ilof ilrecent ilgraduates ilabout
ilthe illarge ilvariety ilof ilfactors ilthat ilinfluence ilan ilindividual's ilhealth ilor illack
ilthereof. ilThe ilnurse ilis ilreferring ilto ilthe ilHealthy ilPeople il2020 ilreport ilfrom ilthe
ilU.S. ilDepartment ilof ilHealth ilandliHuman ilServices ilas ila ilteaching ilexample. ilOf
ilthe ilfollowing ilaspects ildiscussed, ilwhich ilwould ilbe ilconsidered ila ildeterminant
ilof ilhealth ilthat ilis iloutside ilthe ilfocus ilof ilthis ilreport?
A) The ilclient ilhas ila ildiverse ilbackground ilby ilbeing ilof ilAsian iland ilNative
ilAmerican ildescent iland ilpractices ilvarious ilalternative iltherapies ilto
ilminimize ileffects ilof ilstress.
B) The ilclient ilhas ila ilfamily ilhistory ilof ilcardiovascular ildisease ilrelated ilto
ilhypercholesterolemia iland ilremains ilnoncompliant ilwith ilthe iltreatment
ilregime.
C) The ilclient ilhas ila ilgood ilcareer ilwith ilexceptional ilpreventative ilhealth ilcare ilbenefits.
D) The ilclient illives ilin ilan ilaffluent, ilclean, ilsuburban ilcommunity ilwith ilaccess
ilto ilmanylihealth ilcare ilfacilities.
Ans: il B
Feedback:
In ilHealthy ilPeople il2020, ilthe ilfocus ilis ilto ilpromote ilgood ilhealth ilto ilall il(such ilas
ilusing ilalternative iltherapies ilto ilminimize ileffects ilof ilstress); ilachieving ilhealth
ilequity iland ilpromoting ilhealth ilfor ilall il(which ilincludes ilhaving ilgood ilhealth ilcare
Page il2
,ilbenefits); iland ilpromoting ilgood ilhealth il(which ilincludes illiving ilin ila ilclean
ilcommunity ilwith ilgood ilaccess iltolh
i ealth ilcare). ilA ilclient's ilnoncompliance ilwith
iltreatments ilto ilcontrol ilhigh ilcholesterol illevelslw
i ithin ilthe ilpresence ilof ila ilfamily
ilhistory ilof ilCV ildisease ildoes ilnot ilmeet ilthe il―attaining illives ilfree ilof ilpreventable
ildisease iland ilpremature ildeath‖ ildeterminant.
Page il3
, 3. A ilphysician ilis ilproviding ilcare ilfor ila ilnumber ilof ilpatients ilon ila ilmedical ilunit ilof ila
illarge, iluniversity ilhospital. ilThe ilphysician ilis ildiscussing ilwith ila ilcolleague ilthe
ildifferentiation ilbetween ildiseases ilthat ilare ilcaused ilby ilabnormal ilmolecules iland
ildiseases ilthat ilcause ildisease.liWhich ilof ilthe ilfollowing ilpatients ilmost ilclearly
ildemonstrates ilthe ilconsequences ilof ilmolecules ilthat ilcause ildisease?
A) A il31-year-old ilwoman ilwith ilsickle ilcell ilanemia ilwho ilis ilreceiving ila
iltransfusion iloflipacked ilred ilblood ilcells
B) A il91-year-old ilwoman ilwho ilhas ilexperienced ilan ilischemic ilstroke
ilresulting ilfromlifamilial ilhypercholesterolemia
C) A il19-year-old ilman ilwith ilexacerbation ilof ilhis ilcystic ilfibrosis ilrequiring
iloxygenlitherapy iland ilchest ilphysiotherapy
D) A il30-year-old ilhomeless ilman ilwho ilhas ilPneumocystis ilcarinii ilpneumonia
il(PCP) ilandliis ilHIV ilpositive.
Ans: il D
Feedback:
PCP ilis ilan ilexample ilof ilthe ileffect ilof ila ilmolecule ilthat ildirectly ilcontributes ilto
ildisease. ilSicklelicell ilanemia, ilfamilial ilhypercholesterolemia, iland ilcystic ilfibrosis ilare
ilall ilexamples ilof ilthe ileffects ilof ilabnormal ilmolecules.
4. A ilmember ilof ilthe ilhealth ilcare ilteam ilis ilresearching ilthe iletiology iland
ilpathogenesis ilof ila ilnumber ilof ilclients ilwho ilare ilunder ilhis ilcare ilin ila ilhospital
ilcontext. ilWhich ilof ilthe ilfollowingliaspects ilof ilclients' ilsituations ilbest ilcharacterizes
ilpathogenesis ilrather ilthan iletiology?
A) A ilclient ilwho ilhas ilbeen ilexposed ilto ilthe ilMycobacterium iltuberculosis ilbacterium
B) A ilclient ilwho ilhas ilincreasing ilserum ilammonia illevels ildue ilto illiver ilcirrhosis
C) A ilclient ilwho ilwas iladmitted ilwith ilthe ileffects ilof ilmethyl ilalcohol ilpoisoning
D) A ilclient ilwith ilmultiple ilskeletal ilinjuries ilsecondary ilto ila ilmotor ilvehicle
ilaccidentliAns: il B
Feedback:
Pathogenesis ilrefers ilto ilthe ilprogressive iland ilevolutionary ilcourse ilof ildisease,
ilsuch ilas iltheliincreasing ilammonia illevels ilthat ilaccompany illiver ildisease. ilBacteria,
ilpoisons, iland iltraumatic ilinjuries ilare ilexamples ilof iletiologic ilfactors.
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