TEST BANK FOR ADVANCED PRACTICE
NURSING IN THE CARE OF OLDER
ADULTS 2ND EDITION BY KENNEDY-
MALONE
Question : The major impact of the physiological changes that occur withaging is:
Student Reduced physiological reserve
Answer:
Reduced homeostatic mechanisms
Impaired immunological response
All of the above
Instructor The major impact of all of these physiological changes can be highlighted
Explanation: with three primary points. First, there is a reduced physiological reserve of
most body systems, particularly cardiac, respiratory, and renal. Second,
there are reduced homeostatic mechanisms that fail to adjust regulatory
systems such as temperature control and fluid and electrolyte balance.
Third, there is impaired immunological function: infection risk is greater,
and autoimmune diseases are more prevalent. (Kennedy-Malone 3)
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced
Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014-
01-14. VitalBook file.
Points Received: 2 of 2
Comments:
-582355588 MultipleChoice 1 True
0 -582355588 MultipleChoice 1
Question 2. Question :
Men have faster and more efficient biotransformation of drugs
and this is thought to be due to:
Student
Answer: Instructor Explanation:
, argement
L
e Testosterone
s
s Less estrogen than women
Men have faster and more efficient biotransformation, presumably because
o of serum testosterone. Conditions of increased or decreased liver perfusion
b
e
s
i
t
y
r
a
t
e
s
t
h
a
n
w
o
m
e
n
P
r
o
s
t
a
t
e
e
n
l
, alter the overall level of the drug that is absorbed and how it is
metabolized. (Kennedy-Malone 5)
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced
Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014-
01-14. VitalBook file.
Points Received: 2 of 2
Comments:
-582355587 MultipleChoice 2 True
0 -582355587 MultipleChoice 2
Question 3. Question :
The cytochrome p system involves enzymes that are generally:
Student Inhibited by drugs
Answer:
Induced by drugs
Inhibited or induced by drugs
Associated with decreased liver perfusion
Instructor Biotransformation occurs in all body tissues but primarily in the liver,
Explanation: where enzymatic activity (cytochrome P [CYP] system) alters and
detoxifies the drug and prepares it for excretion. (Kennedy-Malone 5)
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank.
Advanced Practice Nursing in the Care of Older Adults. F.A. Davis
Company, 2014-01-14. VitalBook file.
Points Received: 2 of 2
Comments:
0 -582355586 MultipleChoice 3
Question 4. Question :
Functional abilities are best assessed by:
Student Self-report of function
, Answer:
a 3 Observeda3assessmenta3ofa3function
a 3 Aa3comprehensivea3head-to-
toea3examinationa3
Instructora3E a 3 Familya3reporta3ofa3function
xplanation:
Twoa3well-
establisheda3toolsa3useda3toa3evaluatea3functiona3ina3oldera3adultsa3area3the
Katza3Activitiesa3ofa3Dailya3Livinga3Scalea3(Katza3eta3al.,a31963)a3anda3thea
3Lawtona3anda3Brodya3scalea3fora3Instrumentala3Activitiesa3ofa3Dailya3Livi
nga3(Lawtona3&a3Brody,a31969).a3Ita3isa3importanta3toa3bea3cautiousa3abouta
3self-
reporta3ofa3functiona3(rathera3thana3directa3observationa3ofa3function)a3anda3
toa3ask,a3“Doa3youa3…?”a3insteada3ofa3“Cana3youa3…?”a3ina3ordera3toa3deter
minea3ifa3patientsa3actuallya3performa3thea3activity.a3(Kennedy-Malonea340)
Kennedy-Malone,a3Laurie,a3Kathleena3Fletcher,a3Loria3Martin-
Plank.a3Advanceda3Practicea3Nursinga3ina3thea3Carea3ofa3Oldera3Adults.a3F
.A.a3Davisa3Company,a32014-a301-14.a3VitalBooka3file.
Pointsa3Received: 2a3ofa32
Comments:
-582355585 MultipleChoice 4 True
0 -582355585 MultipleChoice 4
Questiona35.a 3 Questio
na3: Irona3Deficiencya3Anemiaa3(IDA)a3isa3classifieda3asa3aa3microc
ytic,a3hypochromica3anemia.a3Thisa3classificationa3refersa3toa3wh
icha3ofa3thea3followinga3laboratorya3data?
Studenta3Answer: a 3 Hemoglobina3anda3Hematocrit
Meana3Corpusculara3Volumea3(MCV)a3anda3Meana3Corpusculara3He
a 3
moglobina3(MCH)
a 3 Seruma3ferritina3anda3seruma3iron
a 3 Totala3irona3bindinga3capacitya3anda3transferrina3saturation
Instructora3E RBCa3indicesa3reveala3ana3MCVa3(meana3corpusculara3volume/RBCa3si
xplanation: ze)a3thata3willa3bea3decreaseda3toa3<80a3fLa3ina3adults;a3MCHa3(meana3
corpusculara3hemoglobin/RBCa3color)a3willa3showa3hypochromiaa3ora3
palea3cells;a3RBCa3distributiona3widtha3(RDW)/volumea3variationa3will
a3bea3increased.a3(Kennedy-Malonea3pagea3519)
NURSING IN THE CARE OF OLDER
ADULTS 2ND EDITION BY KENNEDY-
MALONE
Question : The major impact of the physiological changes that occur withaging is:
Student Reduced physiological reserve
Answer:
Reduced homeostatic mechanisms
Impaired immunological response
All of the above
Instructor The major impact of all of these physiological changes can be highlighted
Explanation: with three primary points. First, there is a reduced physiological reserve of
most body systems, particularly cardiac, respiratory, and renal. Second,
there are reduced homeostatic mechanisms that fail to adjust regulatory
systems such as temperature control and fluid and electrolyte balance.
Third, there is impaired immunological function: infection risk is greater,
and autoimmune diseases are more prevalent. (Kennedy-Malone 3)
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced
Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014-
01-14. VitalBook file.
Points Received: 2 of 2
Comments:
-582355588 MultipleChoice 1 True
0 -582355588 MultipleChoice 1
Question 2. Question :
Men have faster and more efficient biotransformation of drugs
and this is thought to be due to:
Student
Answer: Instructor Explanation:
, argement
L
e Testosterone
s
s Less estrogen than women
Men have faster and more efficient biotransformation, presumably because
o of serum testosterone. Conditions of increased or decreased liver perfusion
b
e
s
i
t
y
r
a
t
e
s
t
h
a
n
w
o
m
e
n
P
r
o
s
t
a
t
e
e
n
l
, alter the overall level of the drug that is absorbed and how it is
metabolized. (Kennedy-Malone 5)
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced
Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014-
01-14. VitalBook file.
Points Received: 2 of 2
Comments:
-582355587 MultipleChoice 2 True
0 -582355587 MultipleChoice 2
Question 3. Question :
The cytochrome p system involves enzymes that are generally:
Student Inhibited by drugs
Answer:
Induced by drugs
Inhibited or induced by drugs
Associated with decreased liver perfusion
Instructor Biotransformation occurs in all body tissues but primarily in the liver,
Explanation: where enzymatic activity (cytochrome P [CYP] system) alters and
detoxifies the drug and prepares it for excretion. (Kennedy-Malone 5)
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank.
Advanced Practice Nursing in the Care of Older Adults. F.A. Davis
Company, 2014-01-14. VitalBook file.
Points Received: 2 of 2
Comments:
0 -582355586 MultipleChoice 3
Question 4. Question :
Functional abilities are best assessed by:
Student Self-report of function
, Answer:
a 3 Observeda3assessmenta3ofa3function
a 3 Aa3comprehensivea3head-to-
toea3examinationa3
Instructora3E a 3 Familya3reporta3ofa3function
xplanation:
Twoa3well-
establisheda3toolsa3useda3toa3evaluatea3functiona3ina3oldera3adultsa3area3the
Katza3Activitiesa3ofa3Dailya3Livinga3Scalea3(Katza3eta3al.,a31963)a3anda3thea
3Lawtona3anda3Brodya3scalea3fora3Instrumentala3Activitiesa3ofa3Dailya3Livi
nga3(Lawtona3&a3Brody,a31969).a3Ita3isa3importanta3toa3bea3cautiousa3abouta
3self-
reporta3ofa3functiona3(rathera3thana3directa3observationa3ofa3function)a3anda3
toa3ask,a3“Doa3youa3…?”a3insteada3ofa3“Cana3youa3…?”a3ina3ordera3toa3deter
minea3ifa3patientsa3actuallya3performa3thea3activity.a3(Kennedy-Malonea340)
Kennedy-Malone,a3Laurie,a3Kathleena3Fletcher,a3Loria3Martin-
Plank.a3Advanceda3Practicea3Nursinga3ina3thea3Carea3ofa3Oldera3Adults.a3F
.A.a3Davisa3Company,a32014-a301-14.a3VitalBooka3file.
Pointsa3Received: 2a3ofa32
Comments:
-582355585 MultipleChoice 4 True
0 -582355585 MultipleChoice 4
Questiona35.a 3 Questio
na3: Irona3Deficiencya3Anemiaa3(IDA)a3isa3classifieda3asa3aa3microc
ytic,a3hypochromica3anemia.a3Thisa3classificationa3refersa3toa3wh
icha3ofa3thea3followinga3laboratorya3data?
Studenta3Answer: a 3 Hemoglobina3anda3Hematocrit
Meana3Corpusculara3Volumea3(MCV)a3anda3Meana3Corpusculara3He
a 3
moglobina3(MCH)
a 3 Seruma3ferritina3anda3seruma3iron
a 3 Totala3irona3bindinga3capacitya3anda3transferrina3saturation
Instructora3E RBCa3indicesa3reveala3ana3MCVa3(meana3corpusculara3volume/RBCa3si
xplanation: ze)a3thata3willa3bea3decreaseda3toa3<80a3fLa3ina3adults;a3MCHa3(meana3
corpusculara3hemoglobin/RBCa3color)a3willa3showa3hypochromiaa3ora3
palea3cells;a3RBCa3distributiona3widtha3(RDW)/volumea3variationa3will
a3bea3increased.a3(Kennedy-Malonea3pagea3519)
