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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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Chapter1: ChangeswithAging s ss s s
Multiple Choice s s
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 ss ss ss
B. Cross-sectional studies ss
C. Longitudinal studies ss
D. Case control studies
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3. All of the following statements are true about laboratory
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ss 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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4. Biochemical individuality is best described as: s s ss ss s s ss
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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5. Polypharmacy is best described as taking: ss s s s s ss s s
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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6. Pharmacokinetic changes with aging is reflective of: s s ss ss ss ss s s
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
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B. Gastric acidity decreases with age
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C. Anticholinergics increase colonic motility ss ss s s
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
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ss 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 drug reaction
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