Advanced Practice Nursing in the Care of Older Adults / Edition 2 TESTBANK

Chapter 1. Changes With Aging
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Multiple Choice
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Identify the choice that best completes the statement or answers the question.
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xa 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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,xa 2. The strongest evidence regarding normal physiological aging is available through:
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A. Randomized controlled clinical trials
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B. Cross-sectional studies
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C. Longitudinal studies
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D. Case control studies
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xa 3. All of the following statements are true about laboratory values in older adults excep
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t:
A. x a Reference ranges are preferable xa xa xa


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. x a Reference values are not necessarily acceptable values
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xa 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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xa 5. Polypharmacy is best described as taking: xa xa xa xa xa


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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xa 6. Pharmacokinetic changes with aging is reflective of: xa xa xa xa xa xa


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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7. All the following statements are false about drug absorption except:
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A. Antacids increase the bioavailability of digitalis xa xa xa xa xa


B. Gastric acidity decreases with age xa xa xa xa


C. Anticholinergics increase colonic motility xa xa xa


D. Underlying chronic disease has little impact on drug absorption
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xa
8. All of the following statements are true about drug distribution in the elderly except:
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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 dr
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ugreaction a
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D. The fastest way to deliver a drug to the action site is by inhalation
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9. Men have faster and more efficient biotransformation of drugs and this is thought to be due t
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o:
A. Less obesity rates than women
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B. Prostate enlargement xa


C. Testosterone
D. Less estrogen than women
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10. The cytochrome p system involves enzymes that are generally:
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A. Inhibited by drugs xa xa


B. Induced by drugs xa xa


C. Inhibited or induced by drugs xa xa xa xa


D. Associated with decreased liver perfusion xa xa xa xa



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11. A statement not shown to be true about pharmacodynamics changes with aging is:
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A. Decreased sensitivity to oral anticoagulants xa xa xa xa


B. Enhanced sensitivity to central nervous system drugs xa xa xa xa xa xa


C. Drug responsiveness can be influenced by patient activity level
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D. There is a decreased sensitivity to beta blockers
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12. Atypical presentation of disease in the elderly is reflected by all the following except:
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A. Infection without fever xa xa


B. Depression without dysphoric mood xa xa xa


C. Myocardial infarction with chest pain and diaphoresis xa xa xa xa xa xa


D. Cardiac manifestations of thyroid disease xa xa xa xa



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13. Functional abilities are best assessed by:
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A. Self-report of function xa xa


B. Observed assessment of function xa xa xa


C. A comprehensive head-to-toe examination
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D. Family report of function xa xa xa

, Chapter 1: Changes with Agin
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gAnswer Section
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MULTIPLE CHOICE xa




1. x a ANS: D PTS: 1
2. x a ANS: C PTS: 1
3. x a ANS: B PTS: 1
4. x a ANS: D PTS: 1
5. x a ANS: C PTS: 1
6. x a ANS: B PTS: 1
7. x a ANS: D PTS: 1
8. x a ANS: A PTS: 1
9. x a ANS: C PTS: 1
10. x a ANS: C PTS: 1
11. x a ANS: A PTS: 1
12. x a ANS: C PTS: 1
13. x a ANS: B PTS: 1




Chapter 2. Health Promotion xa xa xa




Multiple Choicexa


Identify the choice that best completes the statement or answers the question.
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xa 1. The leading cause of death in elderly travelers worldwide is:
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A. Cardiovascular disease xa


B. Infections
C. Accidents
D. Malaria
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2. Which of the following should be avoided in countries where food and water precautio
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ns are to beobserved?
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A. Hot coffee xa


B. Bottled water xa


C. Salad buffet xa


D. Unpeeled bananas xa




xa 3. What insect precautions are not necessary to prevent insect-borne diseases in the tropics?
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A. Using 100% DEET on skin to prevent bites xa xa xa xa xa xa xa


B. Treating clothes with permetherin xa xa xa


C. Covering up exposed skin to lessen biting surface xa xa xa xa xa xa xa


D. Taking malaria pills as directed for areas at risk for malaria
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