ADVANCEDj PRACTICEj NURSINGj INjTHEjCAREjOFjOLDERjADULTSj2NDj
EDITIONj BYjLAURIEjKENNEDY-MALONE;jLORIj MARTIN-
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Advanced Practice Nursing in the Care of O
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lder Adults / Edition 2 TESTBANK
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Chapterj1.jChangesjWithjAging
MultiplejChoice
Identifyjthejchoicejthatjbestjcompletesjthejstatementjorjanswersjthejquestion.
1. Thejmajorjimpactjofjthejphysiologicaljchangesjthatjoccurjwithjagingjis:
A. Reducedjphysiologicaljreserve
B. Reducedjhomeostaticjmechanisms
C. Impairedjimmunologicaljresponse
D. Alljofj thejabove
2. Thejstrongestjevidencejregardingjnormaljphysiologicaljagingjisjavailablejthrough:
A. Randomizedjcontrolledjclinicaljtrials
B. Cross-sectionaljstudies
C. Longitudinaljstudies
D. Casejcontroljstudies
3. Alljofjthejfollowingjstatementsjarejtruejaboutjlaboratoryjvaluesjinjolderjadultsjexcept:
A. Referencejrangesjarejpreferable
B. Abnormaljfindingsjarejoftenjduejtojphysiologicaljaging
C. Normaljrangesjmayjnotjbejapplicablejforjolderj adults
D. Referencejvaluesjarejnotjnecessarilyjacceptablejvalues
4. Biochemicaljindividualityjisjbestjdescribedjas:
A. Eachjindividual’sjvariationjisjoftenjmuchjgreaterjthanjthatjofjajlargerjgroup
B. Thejuniquejbiochemicaljprofilejofjajselectedjpopulation
C. Thejtrulyj“normal”jindividual—fallingjwithinjaveragejrange
D. Eachjindividual’sjvariationjisjoftenjmuchjsmallerjthanjthatjofjajlargerjgroup
5. Polypharmacyjisjbestjdescribedjasjtaking:
A. Morejthanjninejmedicationsjperj day
B. Morejthanjfivejmedicationsjperj day
C. Evenjajsinglejmedicationjifjtherejisjnotjajclearjindicationjforjitsj use
D. Whenjajdrugjisjgivenjtojtreatjthejsidejeffectjofjanotherj drug
6. Pharmacokineticjchangesjwithjagingjisjreflectivejof:
A. Whatjthejdrugjdoesjtojthejbody
B. Whatjthejbodyjdoesjtojthejdrug
C. Thejeffectjatjthejsitejofjactionjandjthejtimejandjintensityjofj thejdrug
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D.jThejsidejeffectsjcommonlyjassociatedjwithjthejdrug
j j 7.jAlljthejfollowingjstatementsjarejfalsejaboutjdrugjabsorptionj except:
A. Antacidsjincreasejthejbioavailabilityjofjdigitalis
B. Gastricjacidityjdecreasesjwithjage
C. Anticholinergicsjincreasejcolonicj motility
D. Underlyingjchronicjdiseasejhasjlittlejimpactjonjdrugj absorption
j j 8.jAlljofj thejfollowingjstatementsjarejtruejaboutjdrugjdistributionjinjthejelderlyjexcept:
A. Drugsjdistributedjinjwaterjhavejlowerj concentration
B. Drugsjdistributedjinjfatjhavejlessjintense,jmorejprolongedj effect
C. Drugsjhighlyjproteinjboundjhavejgreaterjpotentialjtojcausejanjadversedrugjr
eaction
D. Thejfastestjwayjtojdeliverjajdrugjtojthejactionjsitejisjbyjinhalation
j j 9.jMenjhavejfasterjandjmorejefficientjbiotransformationjofjdrugsjandjthisjisjthoughtjtojbejduej to:
A. Lessjobesityjratesjthanjwomen
B. Prostatejenlargement
C. Testosterone
D. Lessjestrogenjthanjwomen
j 10.jThejcytochromejpjsystemjinvolvesjenzymesjthatjarej generally:
A. Inhibitedjbyjdrugs
B. Inducedjbyjdrugs
C. Inhibitedjorjinducedjbyjdrugs
D. Associatedjwithjdecreasedjliverj perfusion
j 11.jAjstatementjnotjshownjtojbejtruejaboutjpharmacodynamicsjchangesjwithjagingj is:
A. Decreasedjsensitivityjtojoraljanticoagulants
B. Enhancedjsensitivityjtojcentraljnervousjsystemjdrugs
C. Drugjresponsivenessjcanjbejinfluencedjbyjpatientjactivityj level
D. Therejisjajdecreasedjsensitivityjtojbetaj blockers
j 12.jAtypicaljpresentationjofjdiseasejinjthejelderlyjisjreflectedjbyjalljthejfollowingj except:
A. Infectionjwithoutjfever
B. Depressionjwithoutjdysphoricj mood
C. Myocardialjinfarctionjwithjchestjpainjandjdiaphoresis
D. Cardiacjmanifestationsjofjthyroidjdisease
j 13.jFunctionaljabilitiesjarejbestjassessedj by:
A. Self-reportjofjfunction
B. Observedjassessmentjofjfunction
C. Ajcomprehensivejhead-to-toejexamination
D. Familyjreportjofjfunction
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jj cPSD| 3013
Chapterj1:jChangesjwithjAgingjAns
werjSection
MULTIPLEjCHOICE
1.jANS: D PTS: 1
2.jANS: C PTS: 1
3.jANS: B PTS: 1
4.jANS: D PTS: 1
5.jANS: C PTS: 1
6.jANS: B PTS: 1
7.jANS: D PTS: 1
8.jANS: A PTS: 1
9.jANS: C PTS: 1
10.jANS: C PTS: 1
11.jANS: A PTS: 1
12.jANS: C PTS: 1
13.jANS: B PTS: 1
Chapterj2.jHealthPromotion
MultiplejChoice
Identifyjthejchoicejthatjbestjcompletesjthejstatementjorjanswersjthejquestion.
j j 1.jThejleadingjcausejofjdeathjinjelderlyjtravelersjworldwidej is:
A. Cardiovascularjdisease
B. Infections
C. Accidents
D. Malaria
j 2.jWhichjofjthejfollowingjshouldjbejavoidedjinjcountriesjwherejfoodjandjwaterjprecautionsjarejtojbejob
served?
A. Hotjcoffee
B. Bottledjwater
C. Saladj buffet
D. Unpeeledjbananas
j j 3.jWhatjinsectjprecautionsjarejnotjnecessaryjtojpreventjinsect-bornejdiseasesjinjthej tropics?
A. Usingj100%jDEETjonjskinjtojpreventj bites
B. Treatingjclothesjwithjpermetherin
C. Coveringjupjexposedjskinjtojlessenjbitingj surface
D. Takingjmalariajpillsjasjdirectedjforjareasjatjriskjforj malaria