Advanced Practice Nursing in the Care of Older Adults, 3rd Edition – Kennedy-Malone & Duffy – Complete Test Bank with Expert Verified Answers (Chapters 1–23, 2025)

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,Advanced Practice Nursing in the Care of Older Adults / Edition 3 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 x x




B. Reduced homeostatic mechanisms x x




C. Impaired immunological response x x




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 x x x




B. Cross-sectional studies x




C. Longitudinal studies x




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

A. Reference ranges are preferable x x x




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: x x x x x




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: x x x x x




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: x x x x x x




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 x x x




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 this ist
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hought to be due to:
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A. Less obesity rates than women
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B. Prostate enlargement x




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 x x




B. Induced by drugs x x




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 aging
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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 x x




B. Depression without dysphoric mood x x x




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: x x x x x




A. Self-report of function x x




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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