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TEST BANK FOR Advanced Practice Nursing
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in the Care of Older Adults, 3rd Edition
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byLaurie 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
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Multiple Choice V
Identify the choice that best completes the statement or answers the question.
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1. The major impact ofthe physiological changes that occur with aging is:
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A. Reducedphysiological reserve V V
B. Reduced homeostatic mechanisms V V
C. Impaired immunological response V V
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 controlledclinicaltrials V V V
B. Cross-sectional studies V
C. Longitudinal studies V
D. Casecontrol studies
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V 3. All ofthe following statements are true about laboratory
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values in older adultsexcept:
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A. Referenceranges arepreferable V V V
B. Abnormal findings areoften due to physiological aging
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C. Normal ranges may not be applicable for older adults
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D. Referencevalues arenot necessarily acceptable values
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V 4. Biochemical individuality is best described as: V V V V V
A. Each individual’s variation is often much greater than that of a larger group
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B. Theunique biochemical profile of a selected population
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C. Thetruly “normal” individual—falling within averagerange
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D. Each individual’s variation is often much smaller than that of a larger group
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V 5. Polypharmacy is best described as taking: V V V V V
A. Morethan nine medications per day
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B. Morethan 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 theside effect of another drug
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V 6. Pharmacokinetic changes withaging is reflective of: V V V V V V
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. Theside effects commonly associated with the drug
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V 7. All the following statements are false about drug absorption except:
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A. Antacids increase thebioavailability of digitalis
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B. Gastric acidity decreases with age
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C. Anticholinergics increasecolonic motility V V V
D. Underlying chronic disease has little impact on drug absorption
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V 8. All of the following statements are true about drug distribution in the
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elderlyexcept: V
A. Drugs distributed in water have lower concentration
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B. Drugs distributed in fat have less intense, moreprolonged effect
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C. Drugs highly protein bound have greater potential to causean adverse drug reaction
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