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TEST BANK For Porth's Pathophysiology Concepts of Altered Health States 11th Edition by Tommie L. Norris, Verified Chapters 1 - 52, Complete Newest Version$17.99
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TEST BANK For Porth's Pathophysiology Concepts of Altered Health States 11th Edition by Tommie L. Norris, Verified Chapters 1 - 52, Complete Newest Version
TEST BANK For Porth's Pathophysiology Concepts of Altered Health States 11th Edition by Tommie L. Norris, Verified Chapters 1 - 52, Complete Newest Version
,Porth’s Pathophysiology 10th Edition Norris Test Bank
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1. At an international nursing conference, many discussions and breakout sessions focused o
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n the World Health Organization (WHO) views on health. Of the following comments m
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ade by nurses during a discussion session, which statements would be considered a good
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representation of the WHO definition? Select all that apply. (i (i (i (i (i (i (i (i
A) Interests in keeping the elderly population engaged in such activities as book r (i (i (i (i (i (i (i (i (i (i (i (i
eviews and word games during social time (i (i (i (i (i (i
B) Increase in the number of chair aerobics classes provided in the skilled care fa (i (i (i (i (i (i (i (i (i (i (i (i (i
cilities
C) Interventions geared toward keeping the elderly population diagnosed with diabete (i (i (i (i (i (i (i (i (i
s mellitus under tight blood glucose control by providing in-home cooking classes
(i (i (i (i (i (i (i (i (i (i (i
D) Providing transportation for renal dialysis patients to and from their hemodialysis s (i (i (i (i (i (i (i (i (i (i (i
essions
E) Providing handwashing teaching sessions to a group of youngchildren (i (i (i (i (i (i (i (i (i (i
Ans: A, B, C, E (i (i (i (i
Feedback:
The WHO definition of health is defined as ―a state of complete physical, mental, and soc
(i (i (i (i (i (i (i (i (i (i (i (i (i (i (i
ial well- (i
being and not merely the absence of disease and infirmity.‖ Engaging in book reviews fa
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cilitates mental and social well-being; chair aerobics helps facilitate physical well-
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being; and assisting with tight control of diabetes helps with facilitating physical well-
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being even though the person has a chronic disease. Handwashing is vital in the preventio
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n of disease and spread of germs.
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2. A community health nurse is teaching a group of recent graduates about the large var
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iety of factors that influence an individual's health or lack thereof. The nurse is referri
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ng to the Healthy People 2020 report from the U.S. Department of Health and Human
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Services as a teaching example. Of the following aspects discussed, which would be
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considered a determinant of health that is outside the focus of this report? (i (i (i (i (i (i (i (i (i (i (i (i
A) The client has a diverse background by being of Asian and Native American des
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cent and practices various alternative therapies to minimize effects of stress.
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B) The client has a family history of cardiovascular disease related to hypercho
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lesterolemia and remains noncompliant with the treatment regime. (i (i (i (i (i (i (i
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 access to many h
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ealth care facilities. (i (i
Ans: B (i
Feedback:
In Healthy People 2020, the focus is to promote good health to all (such as using alternati
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ve therapies to minimize effects of stress); achieving health equity and promoting health
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for all (which includes having good health care benefits); and promoting good health (wh
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ich includes living in a clean community with good access to health care). A client's nonc
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ompliance with treatments to control high cholesterol levels within the presence of a fami
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ly history of CV disease does not meet the ―attaining lives free of preventable disease and
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premature death‖ determinant.
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,3. A physician is providing care for a number of patients on a medical unit of a large, univer
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sity hospital. The physician is discussing with a colleague the differentiation between dis
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eases that are caused by abnormal molecules and diseases that cause disease. Which of the
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following patients most clearly demonstrates the consequences of molecules that cause di
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sease?
A) A 31-year- (i
old woman with sickle cell anemia who is receiving a transfusion of packed red b
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lood cells (i
B) A 91-year- (i
old woman who has experienced an ischemic stroke resultingfrom familial hyp
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ercholesterolemia
C) A 19-year- (i
old man with exacerbation of his cystic fibrosis requiring oxygen therapy and
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chest physiotherapy (i
D) A 30-year- (i
old homeless man who has Pneumocystis carinii pneumonia (PCP) and is HIV posit
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ive.
Ans: D (i
Feedback:
PCP is an example of the effect of a molecule that directly contributes to disease. Sickle ce
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ll anemia, familial hypercholesterolemia, and cystic fibrosis are all examples of the effect
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s of abnormal molecules.
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4. A member of the health care team is researching the etiology and pathogenesis of a nu
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mber of clients who are under his care in a hospital context. Which of the following aspe
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cts of clients' situations bN
(i (i esUtR
chSaI
raN
ctGerTizBe.
s pCaOt hMo ge n e s i s rather than etiology?
(i (i i( (i (i (i (i
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
(i (i (i (i (i (i (i (i (i (i (i
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 vehicle accident
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Ans: B (i
Feedback:
Pathogenesis refers to the progressive and evolutionary course of disease, such as the incre
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asing ammonia levels that accompany liver disease. Bacteria, poisons, and traumatic injur
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ies are examples of etiologic factors.
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, 5. A new myocardial infarction patient requiring angioplasty and stent placement has arrive
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d to his first cardiac rehabilitation appointment. In this first session, a review of the patho
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genesis of coronary artery disease is addressed. Which statement by the patient verifies to
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the nurse that he has understood the nurse's teachings about coronary artery disease?
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A) ―All I have to do is stop smoking, and then I won't have any more heartattacks.‖
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B) ―My artery was clogged by fat, so I will need to stop eating fatty foods like Fr
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ench fries every day.‖ (i (i (i
C) ―Sounds like this began because of inflammation inside my artery that made it e (i (i (i (i (i (i (i (i (i (i (i (i (i
asy to form fatty streaks, which lead to my clogged artery.‖
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D) ―If I do not exercise regularly to get my heart rate up, blood pools in the veins cau
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sing a clot that stops blood flow to the muscle, and I will have a heart attack.‖
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Ans: C (i
Feedback:
The true etiology/cause of coronary artery disease (CAD) is unknown; however, the path
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ogenesis of the disorder relates to the progression of the inflammatory process from a fatty
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streak to the occlusive vessel lesion seen in people with coronary artery disease. Risk fac
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tors for CAD revolve around cigarette smoking, diet high in fat, and lack of exercise.
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6. A 77-year-(i
old man is a hospital inpatient admitted for exacerbation of his chronic obstructive pulmo
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nary disease (COPD), and a respiratory therapist (RT) is assessing the client for the first ti
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me. WhichNU ofRthSeIfN
olG
(i loTwBin.gCaO
spMects of the patient's current state of health would be best c (i (i (i (i (i (i (i (i (i (i (i
haracterized as a symptom rather than a sign? (i (i (i (i (i (i (i
A) The patient's oxygen saturation is 83% by pulse oxymetry.
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B) The patient notes that he has increased work of breathing when lying supine.
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C) The RT hears diminished breath sounds to the patient's lower lung fields b
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ilaterally.
D) The patient's respiratory rate is 31 breaths/minute. (i (i (i (i (i (i (i
Ans: B (i
Feedback:
Symptoms are subjective complaints by the person experiencing the health problem, s
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uch as complaints of breathing difficulty. Oxygen levels, listening to breath sounds, an
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d respiratory rate are all objective, observable signs of disease.
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