Porth’sPathophysiology 11thEditionNorrisTest Bank
1 5
, TESTBANKFORPORTH'SPATHOPHYSIOLOGY11THEDITIONBYNORRIS
Porth’sPathophysiology 11thEditionNorrisTest Bank
1 5
1. At1an1international1nursing1conference,1many1discussions1and1breakout1sessions1focusedo
1n1the1World1Health1Organization1(WHO)1views1on5health.1Of1the1following1comments
m1a1de1by1nurses1during1a1discussion1session,1which1statements1would1be1considered1a1go
od1r1epresentation1of1the1WHO1definition?1Select1all1that1apply.
A) Interests1in1keeping1the1elderly1population1engaged1in1such1activities1as1bookr
1eviews1and1word1games1during5social1time
B) Increase1in1the1number1of1chair1aerobics1classes1provided1in1the1skilled1caref
1acilities
C) Interventions1geared1toward1keeping1the1elderly1population1diagnosed1with1diabete
1s1mellitus1under1tight1blood1glucose1control1by1providing1in-
home1cooking1classes
D) Providingstransportation1for1renal1dialysis1patients1to1and1from1their1hemodialysiss
1essions
E) Providing1handwashing1teaching1sessions1to1a1group1of1young1children
1Ans:1A,1B,1C,1E
Feedback:
The1WHO1definition1of1health1is1defined1as1“a1state1of1complete1physical,1mental,1and1soc
1ial1well-
being1and1not1merely1the1absence1of1disease1and1infirmity.”1Engaging1in1book1reviews1fa1
cilitates1mental1and1social1well-being;1chair1aerobics1helps1facilitate1physical1well-
1being;1and1assisting1with1tight1control1of1diabetes1helps1with1facilitating1physical1well-
1being1even1though1the1person1has1a1chronic1disease.1Handwashing5is1vitalin1the1preventio
1n1of1disease1and1spread1of1germs.
2. A1community1health1nurse1is1teaching1a1group1of1recent1graduates1about1the1large1vari
1ety1of1factors1that1influence1an1individual's1health1or1lack1thereof.1The1nurse1is1refer
r1i1ng1to1the1Healthy1People12020sreport1from1the1U.S.1Department1of1Health1andHum
a1n1Services1as1a1teaching1example.1Of1the1following1aspects1discussed,1which1would
1b1e1c1onsidered1a1determinant1of1health1that1is1outside1the1focus1of1this1report?
A) The1client1has1a1diverse1background1by1being1of1Asian1and1Native1American1des
1cent1and1practices1various1alternative1therapies1to1minimize1effects1of1stress.
B) The1client1has1a1family1history1of1cardiovascular1disease1related1to1hyperchol
1esterolemia1and1remains1noncompliant1with1the1treatment1regime.
C) The1client1has1a1good1career1with1exceptional1preventative1health1care1benefits.
D) The1client1lives1in1an1affluent,1clean,1suburban1communitywith1access1to1manyh
1ealth1care1facilities.
Ans:1B
Feedback:
In1Healthy1People52020,1the1focus1is1to1promote1good1health1to1all1(such1as1using1alternati
1ve1therapies1to1minimize1effects1of1stress);1achieving1health1equity1and1promoting1healt
h1f1or1all1(which1includes1having1good1health1care1benefits);1and1promoting1good1health1(
w1hi1ch1includes1living1in1a1clean1community1with1good1access1tohealth1care).1A1client's1n
on
co1mpliance1with1treatments1to1control1high1cholesterol1levelswithin1the1presence1of1a1fam
1ily1history1of1CV1disease1does1not1meet1the1“attaining1lives1free1of1preventable1disease1a
n1d1pr5emature1death”1determinant.
, TESTBANKFORPORTH'SPATHOPHYSIOLOGY11THEDITIONBYNORRIS
3. A1physician1is1providing1care1for1a1number1of1patients1on1a1medical1unit1of1a1large,1univers
1ity1hospital.1The1physician1is1discussing1with1a1colleague1the1differentiation1between1dis
e1a1ses1that1are1caused1by1abnormal1molecules1and1diseases1that1cause1disease.Which1of1t
he1fo1llowing1patients1most1clearly1demonstrates1the1consequences1of1molecules1that1caus
e1d1ise1ase?
A) A131-year-
old1woman1with1sickle1cell1anemia1who1is1receiving5a1transfusion1ofpacked1red1b1lo
od1cells
B) A191-year-
old1woman1who1has1experienced5an5ischemic1stroke1resulting1fromfamilial1hyp1ercholesterole
mia
C) A119-year-
old1man1with1exacerbation1of1his1cystic1fibrosis1requiring1oxygentherapy1and1ch
est1physiotherapy
D) A130-year-
old1homeless1manswho1has1Pneumocystis1carinii1pneumonia1(PCP)1andis1HIV1posit1
ive.
Ans:1D
Feedback:
PCP1is1an1example1of1the1effect1of1a1molecule1that1directly1contributes1to1disease.1Sicklece
1ll1anemia,1familial1hypercholesterolemia,1and1cystic1fibrosis1are1all1examples1of1the1effe
c1t1s1of1abnormal1molecules.
4. A1membersof1the1health1care1team1is1researching1the1etiology1and1pathogenesis1of1a1num
1ber5of1clients1who1are1under1his1care1in1a1hospital1context.1Which1of1the1followingaspe
c1t1s1of1clients'1situations1bN
esUt R
chSaI
raN
ctGerTizBe.
ssC
paOthMogenesis1rather1than1etiology?
A) A1client1who1has1been1exposed1to1the1Mycobacterium1tuberculosis1bacterium
B) A1client1who1has1increasing5serum1ammonia1levels1due1to1liver1cirrhosis
C) A1client1who1was1admitted1with1the1effects1of1methyl1alcohol1poisoning
D) A1client1with1multiple1skeletal1injuries1secondary1to1a1motor1vehicle1accident
1Ans:1B
Feedback:
Pathogenesis1refers1to1the1progressive1and1evolutionary1course1of1disease,1such1as1thei1
ncreasing1ammonia1levels1that1accompany1liver5disease.1Bacteria,1poisons,1and1trauma1t
1ic1injuries1are1examples1of1etiologic1factors.
, TESTBANKFORPORTH'SPATHOPHYSIOLOGY11THEDITIONBYNORRIS
5. A1new1myocardial1infarction1patient1requiring1angioplasty1and1stent1placement1has1arrive
1d1to1his1first1cardiac1rehabilitation1appointment.1In1this1first1session,1a1review1of1the1pat
h1o1genesis1of1coronary1artery1disease1is1addressed.1Which1statement1by1the1patientverifi
es1to1the1nurse1that1he1has1understood1the1nurse's1teachings1about1coronary1artery1diseas
e?
A) “All1I1have1to1do1is1stop1smoking,1and1then1I5won't1have1any1more1heart1attacks.”
B) “My1artery1was1clogged1by1fat,1so1I1will1need1to1stop1eating1fatty1foods1likeFr
1ench1fries1every1day.”
C) “Sounds1like1this1began1because1of1inflammation1inside1my1artery1that1made5ite
1asy1to1form1fatty1streaks,1which1lead1to1my1clogged1artery.”
D) “If1I1do1not1exercise1regularly1to1get1my1heart1rate1up,1blood1pools1in1the1veins1caus
1ingsa1clot1that1stops1blood1flow1to1the1muscle,1and1I1will1have1a1heart1attack.”
Ans:1C
Feedback:
The1true1etiology/cause1of1coronary1artery1disease1(CAD)1is1unknown;1however,1the1path
1ogenesis1of1the1disorder1relates1to1the1progression1of1the1inflammatory1process1froma1fa
t1t1y1streak1to1the1occlusive1vessel1lesion1seen1in1people1with1coronary1artery1disease.1Risk
1f1a1ctors1for5CAD1revolve1around1cigarette1smoking,1diet1high1in1fat,1and5lack1of1exercis
e.
6. A177-year-
old1man1is1a1hospital1inpatient1admitted1for1exacerbation1of1his1chronic1obstructive1pulmo
1nary1disease1(COPD),1and1a1respiratory1therapist1(RT)1is1assessing1theclient1for1the1first1
t1i1me.1WhichNU ofRthSeIfN
olG
loTwBin.gCaO
spMects1 of1the1patient's1current1state1of1health1would1be1be
st1c1haracterized1as1a1symptom1rather1than1a1sign?
A) The1patient's1oxygen1saturation1is183%1bypulse1oxymetry.
B) The1patient1notes1that1he1has1increased1work1of1breathing1when1lying1supine.
C) The1RT1hears1diminished1breath1sounds1to1the1patient's1lower1lung1fieldsb
1ilaterally.
D) The1patient's1respiratory1rate1is1311breaths/minute.
1Ans:1B
Feedback:
Symptoms1are1subjective1complaints1by1the1person1experiencing1the1health1problem,s
1uch1as1complaints1of1breathing5difficulty.1Oxygen1levels,1listening1to1breath 1sounds,
a1n1d1respiratory1rate1are1all1objective,1observable1signs1of1disease.