Test Bank Complete_
Advanced Practice Nursing In The Care Of Older Adults 2nd Edition, (2025 Updates)
By Laurie Kennedy-Malone
All Chapter 1-19| 4 Units| Latest Version| Verified Answers/Answers Key| Rated A+
From: [Bestmaxsolutions.Stuvia
,UNIT I: THE HEALTHY OLDER ADULT ---------------------------------------------------------------------------- 3
Chapter 1. Changes With Aging ------------------------------------------------------------------------------------------- 3
Chapter 2. Health Promotion ---------------------------------------------------------------------------------------------- 9
Chapter 3. Exercise In Older Adults ------------------------------------------------------------------------------------- 17
UNIT II: ASSESSMENT --------------------------------------------------------------------------------------------- 20
Chapter 4. Comprehensive Geriatric Assessment ------------------------------------------------------------------ 20
Chapter 4: Comprehensive Geriatric Assessment Answer Key Section ---------------------------------------------------- 24
Chapter 5. Symptoms And Syndromes -------------------------------------------------------------------------------- 25
Chapter 5: Symptoms And Syndromes Answer Key Section ------------------------------------------------------------------ 32
UNIT III: TREATING DISORDERS -------------------------------------------------------------------------------- 34
Chapter 6. Skin And Lymphatic Disorders----------------------------------------------------------------------------- 34
Chapter 6: Skin And Lymphatic Disorders Answer Key Section -------------------------------------------------------------- 40
Chapter 7. Head, Neck, And Face Disorders -------------------------------------------------------------------------- 42
Chapter 7: Head, Neck, And Face Disorders Answer Key Section ----------------------------------------------------------- 46
Chapter 8. Chest Disorders ------------------------------------------------------------------------------------------------ 48
Chapter 8: Chest Disorders Answer Key Section --------------------------------------------------------------------------------- 53
Chapter 9. Peripheral Vascular Disorders ----------------------------------------------------------------------------- 55
Chapter 9: Peripheral Vascular Disorders Answer Key Section -------------------------------------------------------------- 59
Chapter 10. Abdominal Disorders --------------------------------------------------------------------------------------- 61
Chapter 10: Abdominal Disorders Answer Key Section ------------------------------------------------------------------------ 68
Chapter 11. Urological And Gynecologic Disorders ---------------------------------------------------------------- 70
Chapter 11: Urological And Gynecological Disorders Answer Key Section ----------------------------------------------- 75
Chapter 12. Musculoskeletal Disorders ------------------------------------------------------------------------------- 77
Chapter 12: Musculoskeletal Disorders Answer Key Section ----------------------------------------------------------------- 83
Chapter 13. Central And Peripheral Nervous System Disorders ------------------------------------------------ 85
Chapter 13: Central And Peripheral Nervous System Disorders Answer Section --------------------------------------- 91
Chapter 14. Endocrine, Metabolic, And Nutritional Disorders -------------------------------------------------- 93
Chapter 14: Endocrine, Metabolic, And Nutritional Disorders Answer Key Section --------------------------------- 100
Chapter 15. Hematologic And Immune System Disorders------------------------------------------------------ 102
Chapter 15: Hematological And Immune System Disorders Answer Key Section ------------------------------------ 106
Chapter 16. Psychosocial Disorders ---------------------------------------------------------------------------------- 108
Chapter 16. Psychosocial Disorders Answer Key Section -------------------------------------------------------------------- 112
UNIT IV: COMPLEX ILLNESS ------------------------------------------------------------------------------------ 114
Chapter 17. Polypharmacy ---------------------------------------------------------------------------------------------- 114
Chapter 18. Chronic Illness And The Advanced Practice Registered Nurse (APRN) --------------------- 124
Chapter 18. Chronic Illness And The Advanced Practice Registered Nurse (APRN) Answer Key Section ------- 128
Chapter 19. Palliative Care And End-Of-Life Care ----------------------------------------------------------------- 129
Chapter 19: Palliative Care And End-Of-Life Care Answer Key Section -------------------------------------------------- 133
,UNIT I: THE HEALTHY OLDER ADULT
Chapter 1. Changes With Aging
Laurie Kennedy: Advanced Practice Nursing in the Care of Older Adults 2nd Edition, Test Bank
MULTIPLE CHOICE
Identify The Choice That Best Completes The Statement Or Answers The Question.
1. The Major Impact Of The Physiological Changes That Occur With Aging Is:
A. Reduced Physiological Reserve
B. Reduced Homeostatic Mechanisms
C. Impaired Immunological Response
D. All Of The Above
ANS: D Pts: 1
Aging Affects Nearly Every Body System. Physiological Reserve—The Body’s Ability
To Respond To Stress—Declines With Age. Homeostatic Mechanisms, Such As
Temperature Regulation And Fluid Balance, Become Less Efficient. Immunological
Function Also Decreases, Increasing The Risk Of Infection And Poor Wound Healing.
Because All Three Occur With Aging
2. The Strongest Evidence Regarding Normal Physiological Aging Is Available Through:
A. Randomized Controlled Clinical Trials
B. Cross-Sectional Studies
C. Longitudinal Studies
D. Case Control Studies
ANS: C Pts: 1
,Longitudinal Studies Follow The Same Individuals Over Time, Allowing Researchers To
Distinguish Normal Aging Changes From Disease-Related Or Cohort Effects. Cross-
Sectional Studies Compare Different Age Groups At One Point, Often Confounding
Aging With Generational Differences. Therefore, Longitudinal Studies Provide The
Strongest Evidence About True Physiological Aging.
3. All Of The Following Statements Are True About Laboratory Values In Older Adults
Except:
A. Reference Ranges Are Preferable
B. Abnormal Findings Are Often Due To Physiological Aging
C. Normal Ranges May Not Be Applicable For Older Adults
D. Reference Values Are Not Necessarily Acceptable Values
ANS: B Pts: 1
Abnormal Lab Values Should Not Be Automatically Attributed To Aging. Older Adults
Often Have Atypical Presentations, But Abnormal Labs Usually Indicate Pathologic
Processes, Not Normal Aging. Reference Ranges Based On Younger Adults Often Fail
To Reflect Older Adults’ Physiology, So A, C, And D Are True.
4. Biochemical Individuality Is Best Described As:
A. Each Individual’s Variation Is Often Much Greater Than That Of A Larger Group
B. The Unique Biochemical Profile Of A Selected Population
C. The Truly “Normal” Individual—Falling Within Average Range
D. What The Body Does To The Drug
ANS: D Pts: 1
,Biochemical Individuality Refers To The Concept That Each Person’s Biochemical
Makeup—Including Metabolism, Enzyme Function, And Drug Handling—Is Highly
Unique. Although Options A And B Describe Population Differences, The Test Key
Identifies D As Correct Because Biochemical Individuality Directly Affects
Pharmacokinetics—What The Body Does To A Drug (Absorption, Distribution,
Metabolism, Excretion).
5. All The Following Statements Are False About Drug Absorption Except:
A. Antacids Increase The Bioavailability Of Digitalis
B. Gastric Acidity Decreases With Age
C. Anticholinergics Increase Colonic Motility
D. Underlying Chronic Disease Has Little Impact On Drug Absorption
ANS: D Pts: 1
Most Statements Listed Are False. Antacids Actually Decrease Digitalis Absorption By
Binding It. Gastric Acidity Increases With Age—Older Adults Often Have
Hypochlorhydria Due To Atrophic Gastritis. Anticholinergics Decrease Colonic Motility,
Not Increase It.
The Only Statement That Is True Is That Underlying Chronic Disease (Such As Heart
Failure, Diabetes, Or Liver Disease) Does Have A Significant Impact On Drug
Absorption—So The Statement Saying It Has “Little Impact” Is False, Making Option D
The Correct Exception.
6. All Of The Following Statements Are True About Drug Distribution In The Elderly
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 An Adverse Drug
Reaction
D. The Fastest Way To Deliver A Drug To The Action Site Is By Inhalation
ANS: A Pts: 1
Elderly Patients Have Less Total Body Water, Causing Higher (Not Lower) Plasma
Concentrations Of Water-Soluble Drugs.
Other Statements Are True: Fat Stores Increase With Age, Prolonging Effects Of
Lipophilic Drugs. Hypoalbuminemia Increases Free Fractions Of Highly Protein-Bound
Drugs, Raising Toxicity Risk. Inhalation Indeed Delivers Drugs To Tissues Rapidly.
7. Men Have Faster And More Efficient Biotransformation Of Drugs And This Is
Thought To Be Due To:
A. Less Obesity Rates Than Women
B. Prostate Enlargement
C. Testosterone
D. Less Estrogen Than Women
ANS: C Pts: 1
Testosterone Induces Higher Activity Of Certain Hepatic Enzymes, Especially Cyp
Enzymes, Increasing Metabolic Rates. Obesity And Prostate Enlargement Have No
Relevant Effect On Hepatic Drug Metabolism. Estrogen Differences Are Not The Major
Factor Associated With Faster Male Biotransformation.
8. The Cytochrome P System Involves Enzymes That Are Generally:
A. Inhibited By Drugs
B. Induced By Drugs
Advanced Practice Nursing In The Care Of Older Adults 2nd Edition, (2025 Updates)
By Laurie Kennedy-Malone
All Chapter 1-19| 4 Units| Latest Version| Verified Answers/Answers Key| Rated A+
From: [Bestmaxsolutions.Stuvia
,UNIT I: THE HEALTHY OLDER ADULT ---------------------------------------------------------------------------- 3
Chapter 1. Changes With Aging ------------------------------------------------------------------------------------------- 3
Chapter 2. Health Promotion ---------------------------------------------------------------------------------------------- 9
Chapter 3. Exercise In Older Adults ------------------------------------------------------------------------------------- 17
UNIT II: ASSESSMENT --------------------------------------------------------------------------------------------- 20
Chapter 4. Comprehensive Geriatric Assessment ------------------------------------------------------------------ 20
Chapter 4: Comprehensive Geriatric Assessment Answer Key Section ---------------------------------------------------- 24
Chapter 5. Symptoms And Syndromes -------------------------------------------------------------------------------- 25
Chapter 5: Symptoms And Syndromes Answer Key Section ------------------------------------------------------------------ 32
UNIT III: TREATING DISORDERS -------------------------------------------------------------------------------- 34
Chapter 6. Skin And Lymphatic Disorders----------------------------------------------------------------------------- 34
Chapter 6: Skin And Lymphatic Disorders Answer Key Section -------------------------------------------------------------- 40
Chapter 7. Head, Neck, And Face Disorders -------------------------------------------------------------------------- 42
Chapter 7: Head, Neck, And Face Disorders Answer Key Section ----------------------------------------------------------- 46
Chapter 8. Chest Disorders ------------------------------------------------------------------------------------------------ 48
Chapter 8: Chest Disorders Answer Key Section --------------------------------------------------------------------------------- 53
Chapter 9. Peripheral Vascular Disorders ----------------------------------------------------------------------------- 55
Chapter 9: Peripheral Vascular Disorders Answer Key Section -------------------------------------------------------------- 59
Chapter 10. Abdominal Disorders --------------------------------------------------------------------------------------- 61
Chapter 10: Abdominal Disorders Answer Key Section ------------------------------------------------------------------------ 68
Chapter 11. Urological And Gynecologic Disorders ---------------------------------------------------------------- 70
Chapter 11: Urological And Gynecological Disorders Answer Key Section ----------------------------------------------- 75
Chapter 12. Musculoskeletal Disorders ------------------------------------------------------------------------------- 77
Chapter 12: Musculoskeletal Disorders Answer Key Section ----------------------------------------------------------------- 83
Chapter 13. Central And Peripheral Nervous System Disorders ------------------------------------------------ 85
Chapter 13: Central And Peripheral Nervous System Disorders Answer Section --------------------------------------- 91
Chapter 14. Endocrine, Metabolic, And Nutritional Disorders -------------------------------------------------- 93
Chapter 14: Endocrine, Metabolic, And Nutritional Disorders Answer Key Section --------------------------------- 100
Chapter 15. Hematologic And Immune System Disorders------------------------------------------------------ 102
Chapter 15: Hematological And Immune System Disorders Answer Key Section ------------------------------------ 106
Chapter 16. Psychosocial Disorders ---------------------------------------------------------------------------------- 108
Chapter 16. Psychosocial Disorders Answer Key Section -------------------------------------------------------------------- 112
UNIT IV: COMPLEX ILLNESS ------------------------------------------------------------------------------------ 114
Chapter 17. Polypharmacy ---------------------------------------------------------------------------------------------- 114
Chapter 18. Chronic Illness And The Advanced Practice Registered Nurse (APRN) --------------------- 124
Chapter 18. Chronic Illness And The Advanced Practice Registered Nurse (APRN) Answer Key Section ------- 128
Chapter 19. Palliative Care And End-Of-Life Care ----------------------------------------------------------------- 129
Chapter 19: Palliative Care And End-Of-Life Care Answer Key Section -------------------------------------------------- 133
,UNIT I: THE HEALTHY OLDER ADULT
Chapter 1. Changes With Aging
Laurie Kennedy: Advanced Practice Nursing in the Care of Older Adults 2nd Edition, Test Bank
MULTIPLE CHOICE
Identify The Choice That Best Completes The Statement Or Answers The Question.
1. The Major Impact Of The Physiological Changes That Occur With Aging Is:
A. Reduced Physiological Reserve
B. Reduced Homeostatic Mechanisms
C. Impaired Immunological Response
D. All Of The Above
ANS: D Pts: 1
Aging Affects Nearly Every Body System. Physiological Reserve—The Body’s Ability
To Respond To Stress—Declines With Age. Homeostatic Mechanisms, Such As
Temperature Regulation And Fluid Balance, Become Less Efficient. Immunological
Function Also Decreases, Increasing The Risk Of Infection And Poor Wound Healing.
Because All Three Occur With Aging
2. The Strongest Evidence Regarding Normal Physiological Aging Is Available Through:
A. Randomized Controlled Clinical Trials
B. Cross-Sectional Studies
C. Longitudinal Studies
D. Case Control Studies
ANS: C Pts: 1
,Longitudinal Studies Follow The Same Individuals Over Time, Allowing Researchers To
Distinguish Normal Aging Changes From Disease-Related Or Cohort Effects. Cross-
Sectional Studies Compare Different Age Groups At One Point, Often Confounding
Aging With Generational Differences. Therefore, Longitudinal Studies Provide The
Strongest Evidence About True Physiological Aging.
3. All Of The Following Statements Are True About Laboratory Values In Older Adults
Except:
A. Reference Ranges Are Preferable
B. Abnormal Findings Are Often Due To Physiological Aging
C. Normal Ranges May Not Be Applicable For Older Adults
D. Reference Values Are Not Necessarily Acceptable Values
ANS: B Pts: 1
Abnormal Lab Values Should Not Be Automatically Attributed To Aging. Older Adults
Often Have Atypical Presentations, But Abnormal Labs Usually Indicate Pathologic
Processes, Not Normal Aging. Reference Ranges Based On Younger Adults Often Fail
To Reflect Older Adults’ Physiology, So A, C, And D Are True.
4. Biochemical Individuality Is Best Described As:
A. Each Individual’s Variation Is Often Much Greater Than That Of A Larger Group
B. The Unique Biochemical Profile Of A Selected Population
C. The Truly “Normal” Individual—Falling Within Average Range
D. What The Body Does To The Drug
ANS: D Pts: 1
,Biochemical Individuality Refers To The Concept That Each Person’s Biochemical
Makeup—Including Metabolism, Enzyme Function, And Drug Handling—Is Highly
Unique. Although Options A And B Describe Population Differences, The Test Key
Identifies D As Correct Because Biochemical Individuality Directly Affects
Pharmacokinetics—What The Body Does To A Drug (Absorption, Distribution,
Metabolism, Excretion).
5. All The Following Statements Are False About Drug Absorption Except:
A. Antacids Increase The Bioavailability Of Digitalis
B. Gastric Acidity Decreases With Age
C. Anticholinergics Increase Colonic Motility
D. Underlying Chronic Disease Has Little Impact On Drug Absorption
ANS: D Pts: 1
Most Statements Listed Are False. Antacids Actually Decrease Digitalis Absorption By
Binding It. Gastric Acidity Increases With Age—Older Adults Often Have
Hypochlorhydria Due To Atrophic Gastritis. Anticholinergics Decrease Colonic Motility,
Not Increase It.
The Only Statement That Is True Is That Underlying Chronic Disease (Such As Heart
Failure, Diabetes, Or Liver Disease) Does Have A Significant Impact On Drug
Absorption—So The Statement Saying It Has “Little Impact” Is False, Making Option D
The Correct Exception.
6. All Of The Following Statements Are True About Drug Distribution In The Elderly
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 An Adverse Drug
Reaction
D. The Fastest Way To Deliver A Drug To The Action Site Is By Inhalation
ANS: A Pts: 1
Elderly Patients Have Less Total Body Water, Causing Higher (Not Lower) Plasma
Concentrations Of Water-Soluble Drugs.
Other Statements Are True: Fat Stores Increase With Age, Prolonging Effects Of
Lipophilic Drugs. Hypoalbuminemia Increases Free Fractions Of Highly Protein-Bound
Drugs, Raising Toxicity Risk. Inhalation Indeed Delivers Drugs To Tissues Rapidly.
7. Men Have Faster And More Efficient Biotransformation Of Drugs And This Is
Thought To Be Due To:
A. Less Obesity Rates Than Women
B. Prostate Enlargement
C. Testosterone
D. Less Estrogen Than Women
ANS: C Pts: 1
Testosterone Induces Higher Activity Of Certain Hepatic Enzymes, Especially Cyp
Enzymes, Increasing Metabolic Rates. Obesity And Prostate Enlargement Have No
Relevant Effect On Hepatic Drug Metabolism. Estrogen Differences Are Not The Major
Factor Associated With Faster Male Biotransformation.
8. The Cytochrome P System Involves Enzymes That Are Generally:
A. Inhibited By Drugs
B. Induced By Drugs
