Test Bank For Advanced Practice Nursing in the Care of Older Adults Second Edition by Laurie Kennedy-Malone ISBN NO 10,0803666616 ISBN NO 13,978-0803666610 All Chapters Complete Guide A+

TestgBankgAdvancedgPracticegNursinggingthegCaregofgOldergAdultsg2ndgeditiongKennedy-
MalonegTestgBankg|gAdvancedgPracticegNursinggingthegCaregofgOldergAdultsg/gEditiong2gTESTBANK_Kennedy-
Maloneg


Advanced Practice Nursing in the Care of
g g g g g g g


Older Adults / Edition 2 TESTBANK
g g g g g




Chapterg1.gChangesgWithgAging

MultiplegChoice
Identifygthegchoicegthatgbestgcompletesgthegstatementgorganswersgthegquestion.

g 1. Thegmajorgimpactgofgthegphysiologicalgchangesgthatgoccurgwithgaginggis:
A.g Reducedgphysiologicalgreserve
B.g Reducedghomeostaticgmechanisms
C.g Impairedgimmunologicalgresponse
D.g Allgofgthegabove

g 2. Thegstrongestgevidencegregardinggnormalgphysiologicalgaginggisgavailablegthrough:
A.g Randomizedgcontrolledgclinicalgtrials
B.g Cross-sectionalgstudies
C.g Longitudinalgstudies
D.g Casegcontrolgstudies

g 3. Allgofgthegfollowinggstatementsgaregtruegaboutglaboratorygvaluesgingoldergadultsgexcept
:
A.g Referencegrangesgaregpreferable
B. Abnormalgfindingsgaregoftengduegtogphysiologicalgaging
C. Normalgrangesgmaygnotgbegapplicablegforgoldergadults
D.g Referencegvaluesgaregnotgnecessarilygacceptablegvalues

g 4. Biochemicalgindividualitygisgbestgdescribedgas:
A.g Eachgindividual’sgvariationgisgoftengmuchggreatergthangthatgofgaglargerggroup
B.g Theguniquegbiochemicalgprofilegofgagselectedgpopulation
C.g Thegtrulyg“normal”gindividual—fallinggwithingaveragegrange
D.g Eachgindividual’sgvariationgisgoftengmuchgsmallergthangthatgofgaglargerggroup

g 5. Polypharmacygisgbestgdescribedgasgtaking:
A.g Moregthangninegmedicationsgpergday
B.g Moregthangfivegmedicationsgpergday
C.g Evengagsinglegmedicationgifgtheregisgnotgagcleargindicationgforgitsguse
D.g Whengagdruggisggivengtogtreatgthegsidegeffectgofganothergdrug

g 6. Pharmacokineticgchangesgwithgaginggisgreflectivegof:
A.g Whatgthegdruggdoesgtogthegbody
B.g Whatgthegbodygdoesgtogthegdrug
C.g Thegeffectgatgthegsitegofgactiongandgthegtimegandgintensitygofgthegdrug

,TestgBankgAdvancedgPracticegNursinggingthegCaregofgOldergAdultsg2ndgeditiongKennedy-
MalonegTestgBankg|gAdvancedgPracticegNursinggingthegCaregofgOldergAdultsg/gEditiong2gTESTBANK_Kennedy-
Maloneg

D.g Thegsidegeffectsgcommonlygassociatedgwithgthegdrug
g
7. Allgthegfollowinggstatementsgaregfalsegaboutgdruggabsorptiongexcept:
A. Antacidsgincreasegthegbioavailabilitygofgdigitalis
B. Gastricgaciditygdecreasesgwithgage
C. Anticholinergicsgincreasegcolonicgmotility
D. Underlyinggchronicgdiseaseghasglittlegimpactgongdruggabsorption
g
8. Allgofgthegfollowinggstatementsgaregtruegaboutgdruggdistributiongingthegelderlygexcept:
A. Drugsgdistributedgingwaterghaveglowergconcentration
B. Drugsgdistributedgingfatghaveglessgintense,gmoregprolongedgeffect
C. Drugsghighlygproteingboundghaveggreatergpotentialgtogcausegangadversegdru
ggreaction
D. Thegfastestgwaygtogdelivergagdruggtogthegactiongsitegisgbyginhalation
g
9. Menghavegfastergandgmoregefficientgbiotransformationgofgdrugsgandgthisgisgthoughtgtogbegduegt
o:
A. Lessgobesitygratesgthangwomen
B. Prostategenlargement
C. Testosterone
D. Lessgestrogengthangwomen
g
10. Thegcytochromegpgsystemginvolvesgenzymesgthatgareggenerally:
A. Inhibitedgbygdrugs
B. Inducedgbygdrugs
C. Inhibitedgorginducedgbygdrugs
D. Associatedgwithgdecreasedglivergperfusion
g
11. Agstatementgnotgshowngtogbegtruegaboutgpharmacodynamicsgchangesgwithgaginggis:
A. Decreasedgsensitivitygtogoralganticoagulants
B. Enhancedgsensitivitygtogcentralgnervousgsystemgdrugs
C. Druggresponsivenessgcangbeginfluencedgbygpatientgactivityglevel
D. Theregisgagdecreasedgsensitivitygtogbetagblockers
g
12. Atypicalgpresentationgofgdiseasegingthegelderlygisgreflectedgbygallgthegfollowinggexcept:
A. Infectiongwithoutgfever
B. Depressiongwithoutgdysphoricgmood
C. Myocardialginfarctiongwithgchestgpaingandgdiaphoresis
D. Cardiacgmanifestationsgofgthyroidgdisease
g
13. Functionalgabilitiesgaregbestgassessedgby:
A. Self-reportgofgfunction
B. Observedgassessmentgofgfunction
C. Agcomprehensiveghead-to-toegexamination
D. Familygreportgofgfunction

,TestgBankgAdvancedgPracticegNursinggingthegCaregofgOldergAdultsg2ndgeditiongKennedy-
MalonegTestgBankg|gAdvancedgPracticegNursinggingthegCaregofgOldergAdultsg/gEditiong2gTESTBANK_Kennedy-
Maloneg

Chapterg1:gChangesgwithgAging
gAnswergSection



MULTIPLEgCHOICE

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




Chapterg2.gHealthgPromotion

MultiplegChoice
Identifygthegchoicegthatgbestgcompletesgthegstatementgorganswersgthegquestion.

g 1.g Thegleadinggcausegofgdeathgingelderlygtravelersgworldwidegis:
A. Cardiovasculargdisease
B. Infections
C. Accidents
D. Malaria
g
2.gWhichgofgthegfollowinggshouldgbegavoidedgingcountriesgwheregfoodgandgwatergprecautio
nsgaregtogbegobserved?
A. Hotgcoffee
B. Bottledgwater
C. Saladgbuffet
D. Unpeeledgbananas

g 3.g Whatginsectgprecautionsgaregnotgnecessarygtogpreventginsect-bornegdiseasesgingthegtropics?
A. Usingg100%gDEETgongskingtogpreventgbites
B. Treatinggclothesgwithgpermetherin
C. Coveringgupgexposedgskingtoglessengbitinggsurface
D. Takinggmalariagpillsgasgdirectedgforgareasgatgriskgforgmalaria

, TestgBankgAdvancedgPracticegNursinggingthegCaregofgOldergAdultsg2ndgeditiongKennedy-
MalonegTestgBankg|gAdvancedgPracticegNursinggingthegCaregofgOldergAdultsg/gEditiong2gTESTBANK_Kennedy-
Maloneg

g 4.g Angexamplegofgsecondarygpreventiongyougcouldgrecommend/ordergforgoldergadultsgwouldgbegto:
A. Checkgforgfecalgoccultgblood
B. Weargseatgbeltsgingthegcar
C. Providegfootgcaregforgagdiabeticgpatient
D. Administergagtetanusgshot

Aligisgag72-year-
ggggggggggggg 5.g
oldgmangwhogrecentlygcamegtogthegU.S.gfromgNigeria.gHegreportsghavinggBCGg(bacillegCalme
tte-
Guerin)gvaccinationgasgagchild.gWhichgofgthegfollowinggisgcorrectgregardinggagtuberculingskingt
est?
A. Itgshouldgnotgbegdonegatgall.
B. Itgshouldgbegreadgasgsmallergthangitgreallygis.
C. Vaccinationghistorygisgirrelevant;greadgasgusual.
D. Itgshouldgbegreadgasglargergthangitgreallygis.

g 6.gAg72-year-oldgwomangandgherghusbandgaregongagcross-
countrygdrivinggvacation.gAftergaglonggdaygofgdriving,gtheygstopgforgdinner.gMidwaygthroughgtheg
meal,gthegwomangbecomesgverygshortgofgbreath,gwithgchestgpaingandgagfeelinggofgpanic.gWhichgof
gthegfollowinggproblemsgisgmostg likely?
A. Pulmonarygedema
B. Heartgfailure
C. Pulmonarygembolism
D. Pneumonia

g 7.g IvangW.gisgag65-year-
oldgmangwhogisgnewgtog yourgpractice.gHeghasgaghistorygofgCOPD,gCAD,ghypertension,gandgtypeg2gd
iabetesgmellitus.gHeghasghadgnogimmunizationsgsinceghisgdischargegfromgthegmilitarygatgageg25.gChi
ldhoodgdiseasesgincludedgchickenpox,gmeasles,gmumps,gandg“Germangmeasles.”gHegpresentsgforgag
diseasegmanagementgvisit.gWhichgofgthegfollowinggimmunizationsgwouldgyougrecommendgforgIvan?
A. MMR,ginfluenza,gpneumococcal,gZostavax
B. Influenza,gpneumococcal,gPPD,gHepatitisgB
C. Tdap,gpneumococcal,ginfluenza,gZostavax
D. HepatitisgB,ginfluenza,gpneumococcal,gHepatitisgA

g 8.g LeogL.gisgag62-year-oldgAfricangAmericangmalegwhogcomesgforganginitialgvisitgtogyourgpractice.
Personalghealthghistorygincludesgsmokingg1gpack/daygsincegageg11,gconsuminggagcasegofgbeerg(24gb
ottles)geverygweekend,gandgworkinggasgangassemblerg(sedentarygjob)gforgthegpastg10gyears.g Familygh
istorygingfirst-
degreegrelativesgincludesghypertension,ghighgcholesterol,gheartgattack,gandgtypeg2gdiabetesgmellitus.g
Leo’sgBMIgisg32;gBPgtodaygisg130/86.gYougordergagfastinggglucose,glipidgprofile,gandgreturngvisitg fo
rgBPgcheck.gThisgisgangexamplegof:
A. Primarygprevention
B. Secondarygprevention
C. Tertiarygprevention
D. Healthgprofiling

g 9.gAglocalgchaptergofgagnursegpractitionergorganizationghasgbegungplanninggagcommunity-
basedgscreeninggforghypertensiongatgaglocalgcongregateglivinggfacility.gThisgpopulationgwasgselecte
dgongthegbasisgof:
A. Agpredictedgdecreasedgincidencegofghighgbloodgpressuregingthisgpopulation