TEST BANK FOR Advanced Practice Nursing
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in the Care of Older Adults, 3rd Edition
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by Laurie Kennedy-Malone, Verified Chapters 1 - 23, Complete
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,Answers at the end of the Chapter
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Chapter 1: Changes with Aging pg pg pg pg
Multiple Choice pg
Identify the choice that best completes the statement or answers the question.
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1. The major impact of the physiological changes that occur with aging is:
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A. Reduced physiological reserve
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B. Reduced homeostatic mechanisms
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C. Impaired immunological response
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D. All of the above
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2. The strongest evidence regarding normal physiological aging is available through:
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,A. Randomized controlled clinical trials pg pg pg
B. Cross-sectional studies pg
C. Longitudinal studies pg
D. Case control studies
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3. All of the following statements are true about laboratory
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values in older adultsexcept:
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A. Reference ranges are preferable
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B. Abnormal findings are often due to physiological aging
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C. Normal ranges may not be applicable for older adults
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D. Reference values are not necessarily acceptable values
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pg pg p g 4. p g Biochemical individuality is best described as:
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A. Each individual’s variation is often much greater than that of a larger group
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B. The unique biochemical profile of a selected population
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C. The truly “normal” individual—falling within average range
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D. Each individual’s variation is often much smaller than that of a larger group
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pg pg p g 5. p g Polypharmacy is best described as taking: pg pg pg pg pg
A. More than nine medications per day
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B. More than five medications per day
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, C. Even a single medication if there is not a clear indication for its use
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D. When a drug is given to treat the side effect of another drug
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pg pg p g 6. p g Pharmacokinetic changes with aging is reflective of: pg pg pg pg pg pg
A. What the drug does to the body
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B. What the body does to the drug
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C. The effect at the site of action and the time and intensity of the drug
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D. The side effects commonly associated with the drug
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pg pg p g 7. All the following statements are false about drug absorption except:
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A. Antacids increase the bioavailability of digitalis
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B. Gastric acidity decreases with age
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C. Anticholinergics increase colonic motility pg pg pg
D. Underlying chronic disease has little impact on drug absorption
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8. All of the following statements are true about drug distribution in the
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elderly except: pg
A. Drugs distributed in water have lower concentration
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B. Drugs distributed in fat have less intense, more prolonged effect
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C. Drugs highly protein bound have greater potential to cause an adverse drug reaction
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pg pg pg pg pg
in the Care of Older Adults, 3rd Edition
pg pg pg pg pg pg pg pg pg
by Laurie Kennedy-Malone, Verified Chapters 1 - 23, Complete
pg pg pg pg pg pg pg pg
,Answers at the end of the Chapter
pg pg pg pg pg pg pg
Chapter 1: Changes with Aging pg pg pg pg
Multiple Choice pg
Identify the choice that best completes the statement or answers the question.
pg pg pg pg pg pg pg pg pg pg pg
1. The major impact of the physiological changes that occur with aging is:
pg pg pg pg pg pg pg pg pg pg pg
A. Reduced physiological reserve
pg pg
B. Reduced homeostatic mechanisms
pg pg
C. Impaired immunological response
pg pg
D. All of the above
pg pg pg
2. The strongest evidence regarding normal physiological aging is available through:
pg pg pg pg pg pg pg pg pg
,A. Randomized controlled clinical trials pg pg pg
B. Cross-sectional studies pg
C. Longitudinal studies pg
D. Case control studies
pg pg
3. All of the following statements are true about laboratory
pg pg p g p g pg pg pg pg pg pg pg pg
values in older adultsexcept:
pg pg pg
A. Reference ranges are preferable
pg pg pg
B. Abnormal findings are often due to physiological aging
pg pg pg pg pg pg pg
C. Normal ranges may not be applicable for older adults
pg pg pg pg pg pg pg pg
D. Reference values are not necessarily acceptable values
pg pg pg pg pg pg
pg pg p g 4. p g Biochemical individuality is best described as:
pg pg pg pg pg
A. Each individual’s variation is often much greater than that of a larger group
pg pg pg pg pg pg pg pg pg pg pg pg
B. The unique biochemical profile of a selected population
pg pg pg pg pg pg pg
C. The truly “normal” individual—falling within average range
pg pg pg pg pg pg
D. Each individual’s variation is often much smaller than that of a larger group
pg pg pg pg pg pg pg pg pg pg pg pg
pg pg p g 5. p g Polypharmacy is best described as taking: pg pg pg pg pg
A. More than nine medications per day
pg pg pg pg pg
B. More than five medications per day
pg pg pg pg pg
, C. Even a single medication if there is not a clear indication for its use
pg pg pg pg pg pg pg pg pg pg pg pg pg
D. When a drug is given to treat the side effect of another drug
pg pg pg pg pg pg pg pg pg pg pg pg
pg pg p g 6. p g Pharmacokinetic changes with aging is reflective of: pg pg pg pg pg pg
A. What the drug does to the body
pg pg pg pg pg pg
B. What the body does to the drug
pg pg pg pg pg pg
C. The effect at the site of action and the time and intensity of the drug
pg pg pg pg pg pg pg pg pg pg pg pg pg pg
D. The side effects commonly associated with the drug
pg pg pg pg pg pg pg
pg pg p g 7. All the following statements are false about drug absorption except:
p g pg pg pg pg pg pg pg pg pg
A. Antacids increase the bioavailability of digitalis
pg pg pg pg pg
B. Gastric acidity decreases with age
pg pg pg pg
C. Anticholinergics increase colonic motility pg pg pg
D. Underlying chronic disease has little impact on drug absorption
pg pg pg pg pg pg pg pg
8. All of the following statements are true about drug distribution in the
pg pg p g p g pg pg pg pg pg pg pg pg pg pg pg
elderly except: pg
A. Drugs distributed in water have lower concentration
pg pg pg pg pg pg
B. Drugs distributed in fat have less intense, more prolonged effect
pg pg pg pg pg pg pg pg pg
C. Drugs highly protein bound have greater potential to cause an adverse drug reaction
pg pg pg pg pg pg pg pg pg pg pg pg