TEST BANK FOR Advanced Practice Nursing in the Care of Older Adults, 3rd Edition by Laurie Kennedy-Malone, Verified Chapters 1 - 23, Complete

TEST BANK FOR Advanced Practice Nursing
in the Care of Older Adults, 3rd Edition
by Laurie Kennedy-Malone, Verified Chapters 1 - 23, Complete

,Answers at the end of the Chapter
Chapter 1: Changes with Aging
Multiple Choice

Identify the choice that best completes the statement or answers the question.


1. The major impact of the physiological changes that occur with aging is:

A. Reduced physiological reserve

B. Reduced homeostatic mechanisms

C. Impaired immunological response

D. All of the above

2. The strongest evidence regarding normal physiological aging is available through:

,A. Randomized controlled clinical trials jk jk jk




B. Cross-sectional studies jk




C. Longitudinal studies jk




D. Case control studies
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jkjkj k3. All of the following statements are true about laboratory
j k jk jk jk jk jk jk jk jk


values in older adultsexcept:
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A. Reference ranges are preferablejk jk jk




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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jkjkj k 4. 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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jkjkj k 5. Polypharmacy is best described as taking:
j k jk jk jk jk jk




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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jkjkj k 6. Pharmacokinetic changes with aging is reflective of:
j k jk jk jk jk jk jk




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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jkjkj k 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 jk jk jk




D. Underlying chronic disease has little impact on drug absorption
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jkjkj k8. All of the following statements are true about drug distribution in the
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elderly except: jk




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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