n TEST BANK FOR ADVANCED PRACTICE
NURSING IN THE CARE OF OLDER
ADULTS 2ND EDITION BY KENNEDY-
MALONE
Question : The major impact of the physiological changes that occur withaging is:
Student Reduced physiological reserve
Answer:
Reduced homeostatic mechanisms
Impaired immunological response
All of the above
Instructor The major impact of all of these physiological changes can be highlighted
Explanation: with three primary points. First, there is a reduced physiological reserve of
most body systems, particularly cardiac, respiratory, and renal. Second,
there are reduced homeostatic mechanisms that fail to adjust regulatory
systems such as temperature control and fluid and electrolyte balance.
Third, there is impaired immunological function: infection risk is greater,
and autoimmune diseases are more prevalent. (Kennedy-Malone 3)
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced
Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014-
01-14. VitalBook file.
Points Received: 2 of 2
Comments:
-582355588 MultipleChoice 1 True
0 -582355588 MultipleChoice 1
Question 2. Question :
Men have faster and more efficient biotransformation of drugs
and this is thought to be due to:
Student
Answer: Instructor Explanation:
, argement
L
e Testosterone
s
s Less estrogen than women
Men have faster and more efficient biotransformation, presumably because
o of serum testosterone. Conditions of increased or decreased liver perfusion
b
e
s
i
t
y
r
a
t
e
s
t
h
a
n
w
o
m
e
n
P
r
o
s
t
a
t
e
e
0
l
, alter0the0overall0level0of0the0drug0that0is0absorbed0and0how0it0is0metab
olized.0(Kennedy-Malone05)
Kennedy-Malone,0Laurie,0Kathleen0Fletcher,0Lori0Martin-
Plank.0Advanced0Practice0Nursing0in0the0Care0of0Older0Adults.0F.A.0Da
vis0Company,02014-001-14.0VitalBook0file.
Points0Received: 20of02
Comments:
-582355587 MultipleChoice 2 True
0 -582355587 MultipleChoice 2
Question03.0 Question0:
The0cytochrome0p0system0involves0enzymes0that0are0generally:
Student0 0 Inhibited0by0drugs
Answer:
0 Induced0by0drugs
0 Inhibited0or0induced0by0drugs
0 Associated0with0decreased0liver0perfusion
Instructor0E Biotransformation0occurs0in0all0body0tissues0but0primarily0in0the0liver,0w
xplanation: here0enzymatic0activity0(cytochrome0P0[CYP]0system)0alters0and0detoxif
ies0the0drug0and0prepares0it0for0excretion.0(Kennedy-Malone05)
Kennedy-Malone,0Laurie,0Kathleen0Fletcher,0Lori0Martin-
Plank.0Advanced0Practice0Nursing0in0the0Care0of0Older0Adults.0F.A.0Dav
is0Company,02014-01-14.0VitalBook0file.
Points0Received: 20of02
Comments:
0 -582355586 MultipleChoice 3
Question04.0 Question0:
Functional0abilities0are0best0assessed0by:
Student 0 Self-report0of0function
, Answer:
0 Observed0assessment.of.function
0 A0comprehensivehead-to-
toe.examination.0 Family.report0of0function
Instructor0E Two0well-
xplanation: established0tools0used0to0evaluate0function0in0older.adults0are0the0Katz0Act
ivities0of0Daily.Living0Scale0(Katz0et.al.,01963)0and.the0Lawton0and0Brody.
scale0for.Instrumental0Activities0of0Daily.Living0(Lawton0&0Brody,019069).0
It.is0important0to0be0cautious0about0self-
report0of0function0(rather0than0direct0observation0of0function)0and0to0ask,0“
Do.0 you0…?”0instead0of0“Can0you0…?”0in0order0to0determine0if0patients0act
uallype0rform.the0activity.0(Kennedy-Malone040)
Kennedy-Malone,0Laurie,0Kathleen0Fletcher,0Lori0Martin-
Plank.0Advanced.Practice0Nursing0in0the0Care0of0Older0Adults.0F.A.0Davis0C0omp
any,02014-001-14.0VitalBook0file.
Points.Received: 2.of.2
Comments:
-582355585 MultipleChoice 4 True
0 -582355585 MultipleChoice 4
Question05.0 Question0
: Iron.Deficiency.Anemia0(IDA)0is0classified0as0a0microcytic,0hyp
o0chromic0anemia.0This0classification0refers0to0which0of.the0follo
win0g.laboratory0data?
Student0Answer: 0 Hemoglobin0and0Hematocrit
Mean0Corpuscular0Volume(MCV)0and0Mean.Corpuscular.Hemoglobi
n.0 (MCH)
0 Serum.ferritin0and0serum.iron
0 Total0iron0binding.capacity.and0transferrin0saturation
Instructor0Ex RBC0indices0reveal0an0MCV(mean0corpuscular0volume/RBC0size)0that0w
0planation: 0ill0be.decreased0to0<800fL0in.adults;0MCH0(mean0corpuscular0hemoglob
i0n/RBC0color)0will0show0hypochromia0or0pale0cells;0RBC0distribution0
wi0dth0(RDW)/volume0variation0will0be0increased.0(Kennedy-
Malone0page0519)
NURSING IN THE CARE OF OLDER
ADULTS 2ND EDITION BY KENNEDY-
MALONE
Question : The major impact of the physiological changes that occur withaging is:
Student Reduced physiological reserve
Answer:
Reduced homeostatic mechanisms
Impaired immunological response
All of the above
Instructor The major impact of all of these physiological changes can be highlighted
Explanation: with three primary points. First, there is a reduced physiological reserve of
most body systems, particularly cardiac, respiratory, and renal. Second,
there are reduced homeostatic mechanisms that fail to adjust regulatory
systems such as temperature control and fluid and electrolyte balance.
Third, there is impaired immunological function: infection risk is greater,
and autoimmune diseases are more prevalent. (Kennedy-Malone 3)
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced
Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014-
01-14. VitalBook file.
Points Received: 2 of 2
Comments:
-582355588 MultipleChoice 1 True
0 -582355588 MultipleChoice 1
Question 2. Question :
Men have faster and more efficient biotransformation of drugs
and this is thought to be due to:
Student
Answer: Instructor Explanation:
, argement
L
e Testosterone
s
s Less estrogen than women
Men have faster and more efficient biotransformation, presumably because
o of serum testosterone. Conditions of increased or decreased liver perfusion
b
e
s
i
t
y
r
a
t
e
s
t
h
a
n
w
o
m
e
n
P
r
o
s
t
a
t
e
e
0
l
, alter0the0overall0level0of0the0drug0that0is0absorbed0and0how0it0is0metab
olized.0(Kennedy-Malone05)
Kennedy-Malone,0Laurie,0Kathleen0Fletcher,0Lori0Martin-
Plank.0Advanced0Practice0Nursing0in0the0Care0of0Older0Adults.0F.A.0Da
vis0Company,02014-001-14.0VitalBook0file.
Points0Received: 20of02
Comments:
-582355587 MultipleChoice 2 True
0 -582355587 MultipleChoice 2
Question03.0 Question0:
The0cytochrome0p0system0involves0enzymes0that0are0generally:
Student0 0 Inhibited0by0drugs
Answer:
0 Induced0by0drugs
0 Inhibited0or0induced0by0drugs
0 Associated0with0decreased0liver0perfusion
Instructor0E Biotransformation0occurs0in0all0body0tissues0but0primarily0in0the0liver,0w
xplanation: here0enzymatic0activity0(cytochrome0P0[CYP]0system)0alters0and0detoxif
ies0the0drug0and0prepares0it0for0excretion.0(Kennedy-Malone05)
Kennedy-Malone,0Laurie,0Kathleen0Fletcher,0Lori0Martin-
Plank.0Advanced0Practice0Nursing0in0the0Care0of0Older0Adults.0F.A.0Dav
is0Company,02014-01-14.0VitalBook0file.
Points0Received: 20of02
Comments:
0 -582355586 MultipleChoice 3
Question04.0 Question0:
Functional0abilities0are0best0assessed0by:
Student 0 Self-report0of0function
, Answer:
0 Observed0assessment.of.function
0 A0comprehensivehead-to-
toe.examination.0 Family.report0of0function
Instructor0E Two0well-
xplanation: established0tools0used0to0evaluate0function0in0older.adults0are0the0Katz0Act
ivities0of0Daily.Living0Scale0(Katz0et.al.,01963)0and.the0Lawton0and0Brody.
scale0for.Instrumental0Activities0of0Daily.Living0(Lawton0&0Brody,019069).0
It.is0important0to0be0cautious0about0self-
report0of0function0(rather0than0direct0observation0of0function)0and0to0ask,0“
Do.0 you0…?”0instead0of0“Can0you0…?”0in0order0to0determine0if0patients0act
uallype0rform.the0activity.0(Kennedy-Malone040)
Kennedy-Malone,0Laurie,0Kathleen0Fletcher,0Lori0Martin-
Plank.0Advanced.Practice0Nursing0in0the0Care0of0Older0Adults.0F.A.0Davis0C0omp
any,02014-001-14.0VitalBook0file.
Points.Received: 2.of.2
Comments:
-582355585 MultipleChoice 4 True
0 -582355585 MultipleChoice 4
Question05.0 Question0
: Iron.Deficiency.Anemia0(IDA)0is0classified0as0a0microcytic,0hyp
o0chromic0anemia.0This0classification0refers0to0which0of.the0follo
win0g.laboratory0data?
Student0Answer: 0 Hemoglobin0and0Hematocrit
Mean0Corpuscular0Volume(MCV)0and0Mean.Corpuscular.Hemoglobi
n.0 (MCH)
0 Serum.ferritin0and0serum.iron
0 Total0iron0binding.capacity.and0transferrin0saturation
Instructor0Ex RBC0indices0reveal0an0MCV(mean0corpuscular0volume/RBC0size)0that0w
0planation: 0ill0be.decreased0to0<800fL0in.adults;0MCH0(mean0corpuscular0hemoglob
i0n/RBC0color)0will0show0hypochromia0or0pale0cells;0RBC0distribution0
wi0dth0(RDW)/volume0variation0will0be0increased.0(Kennedy-
Malone0page0519)
