TEST BANK FOR Advanced Practice Nursing
b b b b b
b in the Care of Older Adults, 3rd Edition
b b b b b b b b
by Laurie Kennedy-Malone, Verified Chapters 1 - 23, Complete
b b b b b b b b
,Answers at the end of the Chapter
b b b b b b b
Chapter 1: Changes withAging b b b b
Multiple Choice b
Identify the choice that best completes the statement or answers the question.
b b b b b b b b b b b
1. The major impact of the physiological changes that occur with aging is:
b b b b b b b b b b b
A. Reducedphysiological reserve b b
B. Reduced homeostatic mechanismsb b
C. Impaired immunological response b b
D. All of the above
b b b
2. The strongest evidence regarding normal physiological aging is available through:
b b b b b b b b b
,A. Randomized controlledclinical trials b b b
B. Cross-sectional studies b
C. Longitudinal studies b
D. Case control studies
b b
3. All of the following statements are true about laboratory
bb b b b b b b b b b b
values in older adultsexcept: b b b
A. Referenceranges arepreferable b b b
B. Abnormal findings are often due to physiological aging
b b b b b b b
C. Normal ranges may not be applicable for older adults
b b b b b b b b
D. Reference values are not necessarily acceptable values
b b b b b b
bb b 4. Biochemical individuality is best described as:
b b b b b b
A. Each individual’s variation is often much greater than that of a larger group
b b b b b b b b b b b b
B. The unique biochemical profile of a selected population
b b b b b b b
C. The truly “normal” individual—falling within average range
b b b b b b
D. Each individual’s variation is often much smaller than that of a larger group
b b b b b b b b b b b b
bb b 5. Polypharmacy is best described as taking:
b b b b b b
A. More than nine medications per day
b b b b b
B. Morethan five medications per day
b b b b b
, C. Even a single medication if there is not a clear indication for its use
b b b b b b b b b b b b b
D. When a drug is given to treat the side effect of another drug
b b b b b b b b b b b b
bb b 6. Pharmacokinetic changes with aging is reflective of:
b b b b b b b
A. What the drug does to the body
b b b b b b
B. What the body does to the drug
b b b b b b
C. The effect at the site of action and the time and intensity of the drug
b b b b b b b b b b b b b b
D. The side effects commonly associated with the drug
b b b b b b b
bb b 7. All the following statements are false about drug absorption except:
b b b b b b b b b b
A. Antacids increase the bioavailability of digitalis
b b b b b
B. Gastric acidity decreases with age
b b b b
C. Anticholinergics increase colonic motility b b b
D. Underlying chronic disease has little impact on drug absorption
b b b b b b b b
bb b 8. All of the following statements are true about drug distribution in the
b b b b b b b b b b b b
elderly except: b
A. Drugs distributed in water have lower concentration
b b b b b b
B. Drugs distributed in fat have less intense, more prolonged effect
b b b b b b b b b
C. Drugs highly protein bound have greater potential to causean adverse drug reaction
b b b b b b b b b b b b
b b b b b
b in the Care of Older Adults, 3rd Edition
b b b b b b b b
by Laurie Kennedy-Malone, Verified Chapters 1 - 23, Complete
b b b b b b b b
,Answers at the end of the Chapter
b b b b b b b
Chapter 1: Changes withAging b b b b
Multiple Choice b
Identify the choice that best completes the statement or answers the question.
b b b b b b b b b b b
1. The major impact of the physiological changes that occur with aging is:
b b b b b b b b b b b
A. Reducedphysiological reserve b b
B. Reduced homeostatic mechanismsb b
C. Impaired immunological response b b
D. All of the above
b b b
2. The strongest evidence regarding normal physiological aging is available through:
b b b b b b b b b
,A. Randomized controlledclinical trials b b b
B. Cross-sectional studies b
C. Longitudinal studies b
D. Case control studies
b b
3. All of the following statements are true about laboratory
bb b b b b b b b b b b
values in older adultsexcept: b b b
A. Referenceranges arepreferable b b b
B. Abnormal findings are often due to physiological aging
b b b b b b b
C. Normal ranges may not be applicable for older adults
b b b b b b b b
D. Reference values are not necessarily acceptable values
b b b b b b
bb b 4. Biochemical individuality is best described as:
b b b b b b
A. Each individual’s variation is often much greater than that of a larger group
b b b b b b b b b b b b
B. The unique biochemical profile of a selected population
b b b b b b b
C. The truly “normal” individual—falling within average range
b b b b b b
D. Each individual’s variation is often much smaller than that of a larger group
b b b b b b b b b b b b
bb b 5. Polypharmacy is best described as taking:
b b b b b b
A. More than nine medications per day
b b b b b
B. Morethan five medications per day
b b b b b
, C. Even a single medication if there is not a clear indication for its use
b b b b b b b b b b b b b
D. When a drug is given to treat the side effect of another drug
b b b b b b b b b b b b
bb b 6. Pharmacokinetic changes with aging is reflective of:
b b b b b b b
A. What the drug does to the body
b b b b b b
B. What the body does to the drug
b b b b b b
C. The effect at the site of action and the time and intensity of the drug
b b b b b b b b b b b b b b
D. The side effects commonly associated with the drug
b b b b b b b
bb b 7. All the following statements are false about drug absorption except:
b b b b b b b b b b
A. Antacids increase the bioavailability of digitalis
b b b b b
B. Gastric acidity decreases with age
b b b b
C. Anticholinergics increase colonic motility b b b
D. Underlying chronic disease has little impact on drug absorption
b b b b b b b b
bb b 8. All of the following statements are true about drug distribution in the
b b b b b b b b b b b b
elderly except: b
A. Drugs distributed in water have lower concentration
b b b b b b
B. Drugs distributed in fat have less intense, more prolonged effect
b b b b b b b b b
C. Drugs highly protein bound have greater potential to causean adverse drug reaction
b b b b b b b b b b b b
