@PROFDOCDIGITALLIBRARIES
TEST BANK
Advanced Practice Nursing in the Care of Older Adults
Laurie Kennedy-Malone; Lori Martin-Plank; Evelyn Duffy
2nd Edition
,Malone: Advanced Practice Nursing in the Care of Older Adults 2nd Edition Complete Test Bank
Chapter 1: Changes With Aging
ANSWERS AT THE END OF EACH CHAPTER
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 i of the i above
2. The strongest evidence regarding normal physiological aging is available through:
A. Randomized controlled clinical trials
B. Cross-sectional studies
C. Longitudinal istudies
D. Case control studies
3. All of the following statements are true about laboratory values in older adults except:
A. Reference ranges are preferable
B. Abnormal findings i are i often due i to i physiological i aging
C. Normal ranges may not be applicable for older adults
D. Reference values are not necessarily acceptable values
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. Each iindividual’s variation i is ioften much smaller ithan ithat of ia larger group
5. Polypharmacy is best described as taking:
A. More than nine medications per day
B. More than five medications per day
C. Even ia isingle medication if there iis inot ia clear indication i for i its iuse
D. When a drug is given to treat the side effect of another drug
6. Pharmacokinetic changes with aging is reflective of:
A. What the drug does to the body
B. What i the i body i does i to i the i drug
C. The effect at the site of action and the time and intensity of the drug
, D. The side effects commonly associated with the drug
7. 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 i disease has i little impact on i drug absorption
8. All of the following statements are true about drug distribution in the elderly except:
A. Drugs distributed in iwater ihave ilower i concentration
B. Drugs distributed in fat have less intense, more prolonged effect
C. Drugs highly protein bound have greater potential to cause an
adverseidrug reaction
D. The fastest way to deliver a drug to the action site is by inhalation
9. Men have faster and more efficient biotransformation of drugs and this is thought to be due to:
A. Less obesity rates thanwomen
B. Prostate enlargement
C. Testosterone
D. Less estrogen thanwomen
10. The cytochrome p system involves enzymes that are generally:
A. Inhibited by drugs
B. Induced by drugs
C. Inhibited or i induced by drugs
D. Associated with decreased liver perfusion
11. A statement not shown to be true about pharmacodynamics changes with aging is:
A. Decreased sensitivity i to i oral anticoagulants
B. Enhanced sensitivity to central nervous systemdrugs
C. Drug responsiveness can be influenced by patient activity level
D. There is a decreased sensitivity to beta blockers
12. Atypical presentation of disease in the elderly is reflected by all the following except:
A. Infection without fever
B. Depression without dysphoric mood
C. Myocardial infarction i with chest pain i and i diaphoresis
D. Cardiac manifestations of thyroid disease
13. Functional abilities are best assessed by:
A. Self-report of function
B. Observed assessment of i function
C. A comprehensive head-to-toe examination
D. Family report of function
, Chapter 1: Changes with Aging
Answer Section
MULTIPLE CHOICE
1. ANS: D PTS: 1
2. ANS: C PTS: 1
3. ANS: B PTS: 1
4. ANS: D PTS: 1
5. ANS: C PTS: 1
6. ANS: B PTS: 1
7. ANS: D PTS: 1
8. ANS: A PTS: 1
9. ANS: C PTS: 1
10. ANS: C PTS: 1
11. ANS: A PTS: 1
12. ANS: C PTS: 1
13. ANS: B PTS: 1
TEST BANK
Advanced Practice Nursing in the Care of Older Adults
Laurie Kennedy-Malone; Lori Martin-Plank; Evelyn Duffy
2nd Edition
,Malone: Advanced Practice Nursing in the Care of Older Adults 2nd Edition Complete Test Bank
Chapter 1: Changes With Aging
ANSWERS AT THE END OF EACH CHAPTER
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 i of the i above
2. The strongest evidence regarding normal physiological aging is available through:
A. Randomized controlled clinical trials
B. Cross-sectional studies
C. Longitudinal istudies
D. Case control studies
3. All of the following statements are true about laboratory values in older adults except:
A. Reference ranges are preferable
B. Abnormal findings i are i often due i to i physiological i aging
C. Normal ranges may not be applicable for older adults
D. Reference values are not necessarily acceptable values
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. Each iindividual’s variation i is ioften much smaller ithan ithat of ia larger group
5. Polypharmacy is best described as taking:
A. More than nine medications per day
B. More than five medications per day
C. Even ia isingle medication if there iis inot ia clear indication i for i its iuse
D. When a drug is given to treat the side effect of another drug
6. Pharmacokinetic changes with aging is reflective of:
A. What the drug does to the body
B. What i the i body i does i to i the i drug
C. The effect at the site of action and the time and intensity of the drug
, D. The side effects commonly associated with the drug
7. 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 i disease has i little impact on i drug absorption
8. All of the following statements are true about drug distribution in the elderly except:
A. Drugs distributed in iwater ihave ilower i concentration
B. Drugs distributed in fat have less intense, more prolonged effect
C. Drugs highly protein bound have greater potential to cause an
adverseidrug reaction
D. The fastest way to deliver a drug to the action site is by inhalation
9. Men have faster and more efficient biotransformation of drugs and this is thought to be due to:
A. Less obesity rates thanwomen
B. Prostate enlargement
C. Testosterone
D. Less estrogen thanwomen
10. The cytochrome p system involves enzymes that are generally:
A. Inhibited by drugs
B. Induced by drugs
C. Inhibited or i induced by drugs
D. Associated with decreased liver perfusion
11. A statement not shown to be true about pharmacodynamics changes with aging is:
A. Decreased sensitivity i to i oral anticoagulants
B. Enhanced sensitivity to central nervous systemdrugs
C. Drug responsiveness can be influenced by patient activity level
D. There is a decreased sensitivity to beta blockers
12. Atypical presentation of disease in the elderly is reflected by all the following except:
A. Infection without fever
B. Depression without dysphoric mood
C. Myocardial infarction i with chest pain i and i diaphoresis
D. Cardiac manifestations of thyroid disease
13. Functional abilities are best assessed by:
A. Self-report of function
B. Observed assessment of i function
C. A comprehensive head-to-toe examination
D. Family report of function
, Chapter 1: Changes with Aging
Answer Section
MULTIPLE CHOICE
1. ANS: D PTS: 1
2. ANS: C PTS: 1
3. ANS: B PTS: 1
4. ANS: D PTS: 1
5. ANS: C PTS: 1
6. ANS: B PTS: 1
7. ANS: D PTS: 1
8. ANS: A PTS: 1
9. ANS: C PTS: 1
10. ANS: C PTS: 1
11. ANS: A PTS: 1
12. ANS: C PTS: 1
13. ANS: B PTS: 1
