TEST BANK FOR Advanced Practice Nursing in the Care of Older Adults 4TH EDITION BY Laurie Kennedy-Malone, Evelyn Duffy .ISBN:% COMPLETE GUIDE FOR A+ GRADE WITH VERIFIED QUESTIONS AND ANSWERS!!

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Advanced Practice Nursing in the Care of Older Adults / Edition 2 TESTBANK
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Chapter 1. Changes With Aging
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Multiple Choice
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Identify the choice that best completes the statement or answers the question.
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1. The major impact of the physiological changes that occur with aging is:
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A. Reduced physiological reserve qw qw




B. Reduced homeostatic mechanisms qw qw




C. Impaired immunological response qw qw




D. All of the above
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2. The strongest evidence regarding normal physiological aging is available
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through:

A. Randomized controlled clinical trials qw qw qw




B. Cross-sectional studies qw




C. Longitudinal studies qw




D. Case control studies qw qw




3. All of the following statements are true about laboratory values in older adults
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except:

A. Reference ranges are preferable qw qw qw




B. Abnormal findings are often due to physiological aging
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C. Normal ranges may not be applicable for older adults
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D. Reference values are not necessarily acceptable values
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4. Biochemical individuality is best described as: qw qw qw qw qw




A. Each individual’s variation is often much greater than that of a larger group
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B. The unique biochemical profile of a selected population
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C. The truly “normal” individual—falling within average range
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D. Each individual’s variation is often much smaller than that of a larger group
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5. Polypharmacy is best described as taking: qw qw qw qw qw




A. More than nine medications per day
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B. More than five medications per day
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C. Even a single medication if there is not a clear indication for its use
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D. When a drug is given to treat the side effect of another drug
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6. Pharmacokinetic changes with aging is reflective of: qw qw qw qw qw qw




A. What the drug does to the body
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B. What the body does to the drug
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C. The effect at the site of action and the time and intensity of the drug
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D. The side effects commonly associated with the drug
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7. All the following statements are false about drug absorption except:
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A. Antacids increase the bioavailability of digitalis
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B. Gastric acidity decreases with age
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C. Anticholinergics increase colonic motility qw qw qw




D. Underlying chronic disease has little impact on drug absorption
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8. All of the following statements are true about drug distribution in the elderly
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except:

A. Drugs distributed in water have lower concentration
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B. Drugs distributed in fat have less intense, more prolonged effect
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C. Drugs highly protein bound have greater potential to cause an adverse drug reaction
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D. The fastest way to deliver a drug to the action site is by inhalation
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9. Men have faster and more efficient biotransformation of drugs and thi
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s isthought to be due to:
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A. Less obesity rates than women
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B. Prostate enlargementqw




C. Testosterone
D. Less estrogen than women
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10. The cytochrome p system involves enzymes that are generally:
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A. Inhibited by drugs qw qw




B. Induced by drugs qw qw




C. Inhibited or induced by drugs
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D. Associated with decreased liver perfusion
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11. A statement not shown to be true about pharmacodynamics changes with agin
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g
is:

A. Decreased sensitivity to oral anticoagulants
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B. Enhanced sensitivity to central nervous system drugs
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C. Drug responsiveness can be influenced by patient activity level
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D. There is a decreased sensitivity to beta blockers
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12. Atypical presentation of disease in the elderly is reflected by all the following
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except:

A. Infection without fever qw qw




B. Depression without dysphoric mood qw qw qw




C. Myocardial infarction with chest pain and diaphoresis
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D. Cardiac manifestations of thyroid disease
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13. Functional abilities are best assessed by: qw qw qw qw qw




A. Self-report of function qw qw




B. Observed assessment of function
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C. A comprehensive head-to-toe examination
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D. Family report of function
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