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AdvancedPracticeNursingintheCareofOlderAdults/ Edition3TESTBANK O
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Chapter 1. Changes With Aging
Multiple Choice
Identify the choice that best
I O I O I O I O completes the statement I O I O
or answers the question.
IO I O I O
1. The major impact of the physiological changes that occur
I O I O I O I O I O I O I O I O I O
with aging is: IO I O
A. Reduced I O physiological reserve
B. Reduced I O homeostatic mechanisms I O I O
C. Impaired I O immunological response I O
D. All of the above
2. The strongest evidence regarding normal physiological aging
I O I O I O I O I O I O I
O is availablethrough:
IO IO
A. Randomized I O controlled clinical trials I O
B. Cross-sectional I O studies
C. Longitudinal I O I O studies
D. Case control studies
3. All of the following statements are true about laboratory val
I O I O I O I O I O I O I O I O I O
ues in older adults IO I O I O
except:
A. Reference ranges are preferable
B. Abnormal findings are often due to
physiological aging IO
C. Normal ranges may not be applicable for older adults
D. Reference values are not necessarily acceptable values
4. Biochemical individuality is best described as:
A. Each individual’s variation is often much greater than
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that of a
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larger group
B. The unique biochemical profile of a selected population
C. The truly “normal” individual—falling within average range
D. Each individual’s variation is often much smaller than that
I O I O I O I O I O I O I O I O I
O of a larger group
I O I O I O
5. Polypharmacy is best described as taking:
A. More than nine medications per day
B. More than five medications per day
C. Even a single medication if there is not a clear indicat
I O I O I O I O I O I O I O I O I O I O
ion for its useIO I O
D. When a drug is given to treat the
IO side effect
of another drug
IO
6. Pharmacokinetic changes with aging is reflective of:
A. What the drug does to the body
B. What the body does to the drug
C. The I O effect at I O the site of action and
I O the I O I O I O
time and intensity of the drug
I O IO I O I O I O
D. The side effects commonly associated with the drug
7. All the following statements are false about drug
absorption except: IO
A. Antacids increase the bioavailability of digitalis
B. Gastric acidity decreases with age
C. Anticholinergics increase colonic motility I O I O I O
D. Underlying chronic disease has little impact on drug absorption
8. All of the following statements are true about drug distribution
I O I O I O I O I O I O I O I O I O
I in the elderly
O IO
except:
A. Drugs distributed in water have lower concentration
B. Drugs distributed in fat have less intense, more prolonged effect
C. Drugs highly protein bound have greater potential to cause
I O I O I O I O I O I O I O I O I
an adverse drug reaction
O IO I O I O