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 2 Observeda2assessmenta2ofa2function
a 2 Aa2comprehensivea2head-to-
toea2examinationa2
Instructora2E a 2 Familya2reporta2ofa2function
xplanation:
Twoa2well-
establisheda2toolsa2useda2toa2evaluatea2functiona2ina2oldera2adultsa2area2the
Katza2Activitiesa2ofa2Dailya2Livinga2Scalea2(Katza2eta2al.,a21963)a2anda2thea
2Lawtona2anda2Brodya2scalea2fora2Instrumentala2Activitiesa2ofa2Dailya2Livi
nga2(Lawtona2&a2Brody,a21969).a2Ita2isa2importanta2toa2bea2cautiousa2abouta
2self-
reporta2ofa2functiona2(rathera2thana2directa2observationa2ofa2function)a2anda2
toa2ask,a2“Doa2youa2…?”a2insteada2ofa2“Cana2youa2…?”a2ina2ordera2toa2deter
minea2ifa2patientsa2actuallya2performa2thea2activity.a2(Kennedy-Malonea240)
Kennedy-Malone,a2Laurie,a2Kathleena2Fletcher,a2Loria2Martin-
Plank.a2Advanceda2Practicea2Nursinga2ina2thea2Carea2ofa2Oldera2Adults.a2F
.A.a2Davisa2Company,a22014-a201-14.a2VitalBooka2file.
Pointsa2Received: 2a2ofa22
Comments:
-582355585 MultipleChoice 4 True
0 -582355585 MultipleChoice 4
Questiona25.a 2 Questio
na2: Irona2Deficiencya2Anemiaa2(IDA)a2isa2classifieda2asa2aa2microc
ytic,a2hypochromica2anemia.a2Thisa2classificationa2refersa2toa2wh
icha2ofa2thea2followinga2laboratorya2data?
Studenta2Answer: a 2 Hemoglobina2anda2Hematocrit
Meana2Corpusculara2Volumea2(MCV)a2anda2Meana2Corpusculara2He
a 2
moglobina2(MCH)
a 2 Seruma2ferritina2anda2seruma2iron
a 2 Totala2irona2bindinga2capacitya2anda2transferrina2saturation
Instructora2E RBCa2indicesa2reveala2ana2MCVa2(meana2corpusculara2volume/RBCa2si
xplanation: ze)a2thata2willa2bea2decreaseda2toa2<80a2fLa2ina2adults;a2MCHa2(meana2
corpusculara2hemoglobin/RBCa2color)a2willa2showa2hypochromiaa2ora2
palea2cells;a2RBCa2distributiona2widtha2(RDW)/volumea2variationa2will
a2bea2increased.a2(Kennedy-Malonea2pagea2519)
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 2 Observeda2assessmenta2ofa2function
a 2 Aa2comprehensivea2head-to-
toea2examinationa2
Instructora2E a 2 Familya2reporta2ofa2function
xplanation:
Twoa2well-
establisheda2toolsa2useda2toa2evaluatea2functiona2ina2oldera2adultsa2area2the
Katza2Activitiesa2ofa2Dailya2Livinga2Scalea2(Katza2eta2al.,a21963)a2anda2thea
2Lawtona2anda2Brodya2scalea2fora2Instrumentala2Activitiesa2ofa2Dailya2Livi
nga2(Lawtona2&a2Brody,a21969).a2Ita2isa2importanta2toa2bea2cautiousa2abouta
2self-
reporta2ofa2functiona2(rathera2thana2directa2observationa2ofa2function)a2anda2
toa2ask,a2“Doa2youa2…?”a2insteada2ofa2“Cana2youa2…?”a2ina2ordera2toa2deter
minea2ifa2patientsa2actuallya2performa2thea2activity.a2(Kennedy-Malonea240)
Kennedy-Malone,a2Laurie,a2Kathleena2Fletcher,a2Loria2Martin-
Plank.a2Advanceda2Practicea2Nursinga2ina2thea2Carea2ofa2Oldera2Adults.a2F
.A.a2Davisa2Company,a22014-a201-14.a2VitalBooka2file.
Pointsa2Received: 2a2ofa22
Comments:
-582355585 MultipleChoice 4 True
0 -582355585 MultipleChoice 4
Questiona25.a 2 Questio
na2: Irona2Deficiencya2Anemiaa2(IDA)a2isa2classifieda2asa2aa2microc
ytic,a2hypochromica2anemia.a2Thisa2classificationa2refersa2toa2wh
icha2ofa2thea2followinga2laboratorya2data?
Studenta2Answer: a 2 Hemoglobina2anda2Hematocrit
Meana2Corpusculara2Volumea2(MCV)a2anda2Meana2Corpusculara2He
a 2
moglobina2(MCH)
a 2 Seruma2ferritina2anda2seruma2iron
a 2 Totala2irona2bindinga2capacitya2anda2transferrina2saturation
Instructora2E RBCa2indicesa2reveala2ana2MCVa2(meana2corpusculara2volume/RBCa2si
xplanation: ze)a2thata2willa2bea2decreaseda2toa2<80a2fLa2ina2adults;a2MCHa2(meana2
corpusculara2hemoglobin/RBCa2color)a2willa2showa2hypochromiaa2ora2
palea2cells;a2RBCa2distributiona2widtha2(RDW)/volumea2variationa2will
a2bea2increased.a2(Kennedy-Malonea2pagea2519)
