, Porth's Essentials of Pathophysiology 5th Edition Test Bank
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Chapter 1 Concepts of Health and Disease
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1. At an international nursing conference, many discussions and breakout sessions focused
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on the World Health Organization (WHO) views on health. Of the following comments
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made by nurses during a discussion session, which statements would be considered a
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k good representation of the WHO definition? Select all that apply.
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A) Interests in keeping the elderly population engaged in such activities as book
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reviews and word games during social time
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B) Increase in the number of chair aerobics classes provided in the skilled care k k k k k k k k k k k k
facilities k
C) Interventions geared toward keeping the elderly population diagnosed with k k k k k k k k
diabetes mellitus under tight blood glucose control by providing in-home
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cookingclasses k k
D) Providing transportation for renal dialysis patients to and from their hemodialysis k k k k k k k k k k
sessions k
E) Providing handwashing teaching sessions to a group of young children k k k k k k k k k
Ans: A, B, C, E
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Feedback:
The WHO definition of health is defined as “a state of complete physical, mental, and
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social well-being and not merely the absence of disease and infirmity.” Engaging in
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book reviews facilitates mental and social well-being; chair aerobics helps facilitate
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physical well-being; and assisting with tight control of diabetes helps with facilitating
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physical well-being even though the person has a chronic disease. Handwashing is
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vitalin the prevention 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
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variety of factors that influence an individual's health or lack thereof. The nurse is
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referring to the Healthy People 2020 report from the U.S. Department of Health and
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Human Services as a teaching example. Of the following aspects discussed, which
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would be considered a determinant of health that is outside the focus of this report?
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A) The client has a diverse background by being of Asian and Native American
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descent 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
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hypercholesterolemia and remains noncompliant with the treatment regime.
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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
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health care facilities. k k k
Ans: B k
Feedback:
In Healthy People 2020, the focus is to promote good health to all (such as using
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alternative therapies to minimize effects of stress); achieving health equity and
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promoting health for all (which includes having good health care benefits); and
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promoting good health (which includes living in a clean community with good access to
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health care). A client's noncompliance with treatments to control high cholesterol levels
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within the presence of a family history of CV disease does not meet the “attaining lives
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free of preventable disease and premature death” determinant.
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Med C
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