ADVANCED PRACTICE NURSING IN THE CARE OF OLDER ADULTS 2ND
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EDITION BY LAURIE KENNEDY-MALONE; LORI MARTIN-
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PLANK; EVELYN G. DUFFY m m m
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ADVANCED PRACTICE m m
NURSING
LAURIE KENNEDY-MALONE
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LORI MARTIN-PLANK
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EVELYN DUFFY
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Complete Test bank, All Chapters are included.
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Advanced Practice Nursing in the Care of m m m m m m
Older Adults / Edition 2 TESTBANK
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Chapter 1. Changes With Aging m m m m
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 m m
B. Reduced homeostatic mechanisms m m
C. Impaired immunological response m m
D. All of the above m m m
2. The strongest evidence regarding normal physiological aging is available through:
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A. Randomized controlled clinical trials m m m
B. Cross-sectional studies m
C. Longitudinal studies m
D. Case control studies m m
3. All of the following statements are true about laboratory values in older adults except:
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A. Reference ranges are preferable m m m
B. Abnormal findings are often due to physiological aging m m m m m m m
C. Normal ranges may not be applicable for older adults
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D. Reference values are not necessarily acceptable values m m m m m m
4. Biochemical individuality is best described as: m m m m m
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: m m m m m
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: m m m m m m
A. What the drug does to the body m m m m m m
B. What the body does to the drug m m m m m m
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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m m 7. All the following statements are false about drug absorption except:
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A. Antacids increase the bioavailability of digitalis m m m m m
B. Gastric acidity decreases with age m m m m
C. Anticholinergics increase colonic motility m m m
D. Underlying chronic disease has little impact on drug absorption m m m m m m m m
m m 8. All of the following statements are true about drug distribution in the elderly except:
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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 adversedrug
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reaction m
D. The fastest way to deliver a drug to the action site is by inhalation
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m m 9. Men have faster and more efficient biotransformation of drugs and this is thought to be due to:
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A. Less obesity rates than women m m m m
B. Prostate enlargement m
C. Testosterone
D. Less estrogen than women m m m
m 10. The cytochrome p system involves enzymes that are generally:
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A. Inhibited by drugs m m
B. Induced by drugs m m
C. Inhibited or induced by drugs m m m m
D. Associated with decreased liver perfusion m m m m
m 11. A statement not shown to be true about pharmacodynamics changes with aging is:
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A. Decreased sensitivity to oral anticoagulants m m m m
B. Enhanced sensitivity to central nervous system drugs m m m m m m
C. Drug responsiveness can be influenced by patient activity level
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D. There is a decreased sensitivity to beta blockers m m m m m m m
m 12. Atypical presentation of disease in the elderly is reflected by all the following except:
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A. Infection without fever m m
B. Depression without dysphoric mood m m m
C. Myocardial infarction with chest pain and diaphoresis m m m m m m
D. Cardiac manifestations of thyroid disease m m m m
m 13. Functional abilities are best assessed by:
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A. Self-report of function m m
B. Observed assessment of function m m m
C. A comprehensive head-to-toe examination
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D. Family report of function m m m
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Chapter 1: Changes with Aging
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Answer Section
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MULTIPLE CHOICE m
1. ANS: m D PTS: 1
2. ANS: m C PTS: 1
3. ANS: m B PTS: 1
4. ANS: m D PTS: 1
5. ANS: m C PTS: 1
6. ANS: m B PTS: 1
7. ANS: m D PTS: 1
8. ANS: m A PTS: 1
9. ANS: m C PTS: 1
10. ANS: m C PTS: 1
11. ANS: m A PTS: 1
12. ANS: m C PTS: 1
13. ANS: m B PTS: 1
Chapter 2. HealthPromotion m m
Multiple Choice m
Identify the choice that best completes the statement or answers the question.
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m m 1. The leading cause of death in elderly travelers worldwide is:
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A. Cardiovascular disease m
B. Infections
C. Accidents
D. Malaria
m 2. Which of the following should be avoided in countries where food and water precautions are to be
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observed?
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A. Hot coffee m
B. Bottled water m
C. Salad buffet m
D. Unpeeled bananas m
m m 3. What insect precautions are not necessary to prevent insect-borne diseases in the tropics?
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A. Using 100% DEET on skin to prevent bites
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B. Treating clothes with permetherin m m m
C. Covering up exposed skin to lessen biting surface m m m m m m m
D. Taking malaria pills as directed for areas at risk for malaria
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