TEST BANK FOR Advanced Practice Nursing
ff ff ff ff ff
in the Care of Older Adults, 3rd Edition
ff ff ff ff ff ff ff ff ff
by Laurie Kennedy-Malone, Verified Chapters 1 - 23, Complete
ff ff ff ff ff ff ff ff
,Answers at the end of the Chapter
ff ff ff ff ff ff ff
Chapter 1: Changes with Aging ff ff ff ff
Multiple ffChoice
Identify ffthe ffchoice ffthat ffbest ffcompletes ffthe ffstatement ffor ffanswers ffthe ffquestion.
1. The major impact of the physiological changes that occur with aging is:
ff ff ff ff ff ff ff ff ff ff ff
A. Reduced ffphysiological ffreserve
B. Reduced ffhomeostatic ffmechanisms
C. Impaired ffimmunological ffresponse
D. All ffof ffthe ffabove
2. The strongest evidence regarding normal physiological aging is available through:
ff ff ff ff ff ff ff ff ff
,A. Randomized ffcontrolled ffclinical fftrials
B. Cross-sectional ffstudies
C. Longitudinal ffstudies
D. Case ffcontrol ffstudies
3. All of the following statements are true about laboratory
ff ff f f ff ff ff ff ff ff ff ff ff
values in older adultsexcept:
ff ff ff
A. Reference ffranges ffare ffpreferable
B. Abnormal fffindings ffare ffoften ffdue ffto ffphysiological ffaging
C. Normal ffranges ffmay ffnot ffbe ffapplicable fffor ffolder ffadults
D. Reference ffvalues ffare ffnot ffnecessarily ffacceptable ffvalues
ff ff f f 4. Biochemical individuality is best described as:
f f ff ff ff ff ff
A. Each ffindividual’s ffvariation ffis ffoften ffmuch ffgreater ffthan ffthat ffof ffa fflarger ffgroup
B. The ffunique ffbiochemical ffprofile ffof ffa ffselected ffpopulation
C. The fftruly ff“normal” ffindividual—falling ffwithin ffaverage ffrange
D. Each ffindividual’s ffvariation ffis ffoften ffmuch ffsmaller ffthan ffthat ffof ffa fflarger ffgroup
ff ff f f 5. Polypharmacy is best described as taking:
f f ff ff ff ff ff
A. More ffthan ffnine ffmedications ffper ffday
B. More ffthan fffive ffmedications ffper ffday
, C. Even ffa ffsingle ffmedication ffif ffthere ffis ffnot ffa ffclear ffindication fffor ffits ffuse
D. When ffa ffdrug ffis ffgiven ffto fftreat ffthe ffside ffeffect ffof ffanother ffdrug
ff ff f f 6. Pharmacokinetic changes with aging is reflective of:
f f ff ff ff ff ff ff
A. What ffthe ffdrug ffdoes ffto ffthe ffbody
B. What ffthe ffbody ffdoes ffto ffthe ffdrug
C. The ffeffect ffat ffthe ffsite ffof ffaction ffand ffthe fftime ffand ffintensity ffof ffthe ffdrug
D. The ffside ffeffects ffcommonly ffassociated ffwith ffthe ffdrug
ff ff f f 7. All the following statements are false about drug absorption except:
ff ff ff ff ff ff ff ff ff ff
A. Antacids ffincrease ffthe ffbioavailability ffof ffdigitalis
B. Gastric ffacidity ffdecreases ffwith ffage
C. Anticholinergics ffincrease ffcolonic ffmotility
D. Underlying ffchronic ffdisease ffhas fflittle ffimpact ffon ffdrug ffabsorption
8. All of the following statements are true about drug distribution in the
ff ff f f ff ff ff ff ff ff ff ff ff ff ff ff
elderly except:
ff
A. Drugs ffdistributed ffin ffwater ffhave fflower ffconcentration
B. Drugs ffdistributed ffin fffat ffhave ffless ffintense, ffmore ffprolonged ffeffect
C. Drugs ffhighly ffprotein ffbound ffhave ffgreater ffpotential ffto ffcause ffan ffadverse ffdrug ffreaction
ff ff ff ff ff
in the Care of Older Adults, 3rd Edition
ff ff ff ff ff ff ff ff ff
by Laurie Kennedy-Malone, Verified Chapters 1 - 23, Complete
ff ff ff ff ff ff ff ff
,Answers at the end of the Chapter
ff ff ff ff ff ff ff
Chapter 1: Changes with Aging ff ff ff ff
Multiple ffChoice
Identify ffthe ffchoice ffthat ffbest ffcompletes ffthe ffstatement ffor ffanswers ffthe ffquestion.
1. The major impact of the physiological changes that occur with aging is:
ff ff ff ff ff ff ff ff ff ff ff
A. Reduced ffphysiological ffreserve
B. Reduced ffhomeostatic ffmechanisms
C. Impaired ffimmunological ffresponse
D. All ffof ffthe ffabove
2. The strongest evidence regarding normal physiological aging is available through:
ff ff ff ff ff ff ff ff ff
,A. Randomized ffcontrolled ffclinical fftrials
B. Cross-sectional ffstudies
C. Longitudinal ffstudies
D. Case ffcontrol ffstudies
3. All of the following statements are true about laboratory
ff ff f f ff ff ff ff ff ff ff ff ff
values in older adultsexcept:
ff ff ff
A. Reference ffranges ffare ffpreferable
B. Abnormal fffindings ffare ffoften ffdue ffto ffphysiological ffaging
C. Normal ffranges ffmay ffnot ffbe ffapplicable fffor ffolder ffadults
D. Reference ffvalues ffare ffnot ffnecessarily ffacceptable ffvalues
ff ff f f 4. Biochemical individuality is best described as:
f f ff ff ff ff ff
A. Each ffindividual’s ffvariation ffis ffoften ffmuch ffgreater ffthan ffthat ffof ffa fflarger ffgroup
B. The ffunique ffbiochemical ffprofile ffof ffa ffselected ffpopulation
C. The fftruly ff“normal” ffindividual—falling ffwithin ffaverage ffrange
D. Each ffindividual’s ffvariation ffis ffoften ffmuch ffsmaller ffthan ffthat ffof ffa fflarger ffgroup
ff ff f f 5. Polypharmacy is best described as taking:
f f ff ff ff ff ff
A. More ffthan ffnine ffmedications ffper ffday
B. More ffthan fffive ffmedications ffper ffday
, C. Even ffa ffsingle ffmedication ffif ffthere ffis ffnot ffa ffclear ffindication fffor ffits ffuse
D. When ffa ffdrug ffis ffgiven ffto fftreat ffthe ffside ffeffect ffof ffanother ffdrug
ff ff f f 6. Pharmacokinetic changes with aging is reflective of:
f f ff ff ff ff ff ff
A. What ffthe ffdrug ffdoes ffto ffthe ffbody
B. What ffthe ffbody ffdoes ffto ffthe ffdrug
C. The ffeffect ffat ffthe ffsite ffof ffaction ffand ffthe fftime ffand ffintensity ffof ffthe ffdrug
D. The ffside ffeffects ffcommonly ffassociated ffwith ffthe ffdrug
ff ff f f 7. All the following statements are false about drug absorption except:
ff ff ff ff ff ff ff ff ff ff
A. Antacids ffincrease ffthe ffbioavailability ffof ffdigitalis
B. Gastric ffacidity ffdecreases ffwith ffage
C. Anticholinergics ffincrease ffcolonic ffmotility
D. Underlying ffchronic ffdisease ffhas fflittle ffimpact ffon ffdrug ffabsorption
8. All of the following statements are true about drug distribution in the
ff ff f f ff ff ff ff ff ff ff ff ff ff ff ff
elderly except:
ff
A. Drugs ffdistributed ffin ffwater ffhave fflower ffconcentration
B. Drugs ffdistributed ffin fffat ffhave ffless ffintense, ffmore ffprolonged ffeffect
C. Drugs ffhighly ffprotein ffbound ffhave ffgreater ffpotential ffto ffcause ffan ffadverse ffdrug ffreaction