Advanced Practice Nursing in the Care of Older
Adults 3rd Edition (Kennedy-Malone, 2025) Chapter
1-23 | All Chapters Newest!!
__________________________________________________________
The nurse practitioner performs a thorough systemic examination of a patient who
reports diarrhea and pain in the upper left quadrant of the abdomen. One possible
diagnosis would be:
4. Gastrointestinal inflammatory bowel disease (GIBD)
(Select all) A 70-year-old man is seeing a nurse practitioner because he is feeling weak and
dizzy. The nurse practitioner is discussing a care plan with him and makes which of the
following statements? Select all that apply.
1. I want to order a test for your heart to evaluate its function.
2. I will perform a thorough examination of your functional abilities.
3. I will order a blood sugar test to check for diabetes.
5. I will assess you for the presence of other conditions.
(select all) The nurse practitioner is leading a class of seniors over age 65 years and is
teaching about
nutritional needs. One of the men asks why, even though he eats correctly according to
the standards presented, he still feels weaker than he did 10 years ago. He also wonders
why he gets more infections than he used to. Which of the following are helpful answers?
Select all that apply.
2. Some people experience a decrease in reserve energy.
3. For some people, the immune system weakens.
5. I suggest that you see your primary caregiver for extensive testing.
(select all) An older woman is seen in the ambulatory clinic for a routine checkup. The
patient asks about results of her blood work compared to last year's results. How is it best
for the clinician to respond? Select all that apply.
,2. Blood work results may be different just because of your aging process.
3. Your results may be different because the body changes with disease and medications
you are taking.
(select all) An elderly couple is discussing health concerns with the nurse practitioner. The
couple is
concerned that each of their individual blood studies show different results. One set of
test results shows a significant decrease in blood sugar, but the test results of the partner
does not show an equal decrease. Their physician does not seem concerned, and the
couple is wondering why. How is it best for the nurse practitioner to respond? Select all
that apply.
1. Studies show that each person's pattern of chemical make-up is different.
4. Many factors affect an individual's chemical make-up.
(select all) Adam, 70 years old, is admitted for possible myasthenia gravis (MG). The nurse
practitioner knows that MG is commonly seen in women between 20 and 40 years old.
Adam, however, is experiencing an ocular form of MG, has dysphonia, and does not have
any thymus abnormalities. Adam asks why the nurse is concerned about MG since he is
older and this is a "young person's disease." Which of the following are the best answers?
Select all that apply.
2. Some diseases show up in two different age and gender groups.
3. Older people often experience weakness, and we must rule out other conditions.
(select all) Mrs. Smith is 75 years old and has had type 2 diabetes for 30 years. She sees
her nurse practitioner on a regular basis. Mrs. Smith asks the nurse practitioner why her
treatment has not been changed, even though her laboratory values are seemingly out of
normal range. Which of the following answers are best? Select all that apply.
1. A decision to make changes must be based on a pattern and not on one set of laboratory
results.
4. Comparing new results with your prior results gives a more accurate picture.
5. Normal values for laboratory tests differ as one gets older.
, (select all) Mr. Adams is 90 years old. In the last few months he appears unable to comply
with the health-care plan developed by the nurse practitioner. The nurse practitioner
considers which of the following reasons for noncompliance when updating his home care
plan? Select all that apply.
1. Polypharmacy
2. Treatment burden
3. Attending multiple appointments
4. Affording complex drug regimens
Mr. and Mrs. Smith are both 75 years old and are seeing their nurse practitioner for their
annual checkups. Mrs. Smith wonders why they each have trouble digesting different
foods. It is inconvenient for her to fix different meals that they both can tolerate. The
nurse practitioner explains that:
4. Organ systems progress differently for each person regardless of age.
The nurse practitioner conducts a comprehensive geriatric assessment of the older
individual because:
1. Health of older people is affected by several factors.
The nurse practitioner knows that conducting a comprehensive geriatric assessment (CGA)
is more beneficial for which of the following groups?
3. People classified as vulnerable older adults.
A family member comes into the clinician's office with her older mother, the patient. In
the process of the examination, the nurse practitioner identifies the patient as "frail older
adult." The family member asks what that means. The nurse practitioner explains that this
refers to:
2. An older person already exhibiting signs of decline.
Jane, 83 years old, comes to the clinic with her daughter for a geriatric assessment. The
daughter asks about the necessity of this comprehensive assessment. The clinician
explains that a CGA is a multidimensional process to:
1. Identify care needs and plans of care for older people.
Adults 3rd Edition (Kennedy-Malone, 2025) Chapter
1-23 | All Chapters Newest!!
__________________________________________________________
The nurse practitioner performs a thorough systemic examination of a patient who
reports diarrhea and pain in the upper left quadrant of the abdomen. One possible
diagnosis would be:
4. Gastrointestinal inflammatory bowel disease (GIBD)
(Select all) A 70-year-old man is seeing a nurse practitioner because he is feeling weak and
dizzy. The nurse practitioner is discussing a care plan with him and makes which of the
following statements? Select all that apply.
1. I want to order a test for your heart to evaluate its function.
2. I will perform a thorough examination of your functional abilities.
3. I will order a blood sugar test to check for diabetes.
5. I will assess you for the presence of other conditions.
(select all) The nurse practitioner is leading a class of seniors over age 65 years and is
teaching about
nutritional needs. One of the men asks why, even though he eats correctly according to
the standards presented, he still feels weaker than he did 10 years ago. He also wonders
why he gets more infections than he used to. Which of the following are helpful answers?
Select all that apply.
2. Some people experience a decrease in reserve energy.
3. For some people, the immune system weakens.
5. I suggest that you see your primary caregiver for extensive testing.
(select all) An older woman is seen in the ambulatory clinic for a routine checkup. The
patient asks about results of her blood work compared to last year's results. How is it best
for the clinician to respond? Select all that apply.
,2. Blood work results may be different just because of your aging process.
3. Your results may be different because the body changes with disease and medications
you are taking.
(select all) An elderly couple is discussing health concerns with the nurse practitioner. The
couple is
concerned that each of their individual blood studies show different results. One set of
test results shows a significant decrease in blood sugar, but the test results of the partner
does not show an equal decrease. Their physician does not seem concerned, and the
couple is wondering why. How is it best for the nurse practitioner to respond? Select all
that apply.
1. Studies show that each person's pattern of chemical make-up is different.
4. Many factors affect an individual's chemical make-up.
(select all) Adam, 70 years old, is admitted for possible myasthenia gravis (MG). The nurse
practitioner knows that MG is commonly seen in women between 20 and 40 years old.
Adam, however, is experiencing an ocular form of MG, has dysphonia, and does not have
any thymus abnormalities. Adam asks why the nurse is concerned about MG since he is
older and this is a "young person's disease." Which of the following are the best answers?
Select all that apply.
2. Some diseases show up in two different age and gender groups.
3. Older people often experience weakness, and we must rule out other conditions.
(select all) Mrs. Smith is 75 years old and has had type 2 diabetes for 30 years. She sees
her nurse practitioner on a regular basis. Mrs. Smith asks the nurse practitioner why her
treatment has not been changed, even though her laboratory values are seemingly out of
normal range. Which of the following answers are best? Select all that apply.
1. A decision to make changes must be based on a pattern and not on one set of laboratory
results.
4. Comparing new results with your prior results gives a more accurate picture.
5. Normal values for laboratory tests differ as one gets older.
, (select all) Mr. Adams is 90 years old. In the last few months he appears unable to comply
with the health-care plan developed by the nurse practitioner. The nurse practitioner
considers which of the following reasons for noncompliance when updating his home care
plan? Select all that apply.
1. Polypharmacy
2. Treatment burden
3. Attending multiple appointments
4. Affording complex drug regimens
Mr. and Mrs. Smith are both 75 years old and are seeing their nurse practitioner for their
annual checkups. Mrs. Smith wonders why they each have trouble digesting different
foods. It is inconvenient for her to fix different meals that they both can tolerate. The
nurse practitioner explains that:
4. Organ systems progress differently for each person regardless of age.
The nurse practitioner conducts a comprehensive geriatric assessment of the older
individual because:
1. Health of older people is affected by several factors.
The nurse practitioner knows that conducting a comprehensive geriatric assessment (CGA)
is more beneficial for which of the following groups?
3. People classified as vulnerable older adults.
A family member comes into the clinician's office with her older mother, the patient. In
the process of the examination, the nurse practitioner identifies the patient as "frail older
adult." The family member asks what that means. The nurse practitioner explains that this
refers to:
2. An older person already exhibiting signs of decline.
Jane, 83 years old, comes to the clinic with her daughter for a geriatric assessment. The
daughter asks about the necessity of this comprehensive assessment. The clinician
explains that a CGA is a multidimensional process to:
1. Identify care needs and plans of care for older people.
