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
Explanation: highlighted with three primary points. First, there is a reduced
physiological reserve o𝑓most 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
drugsand 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
o becauseo𝑓 serum testosterone. Conditions o𝑓 increased or decreased liver
b per𝑓usion
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
ismetabolized. (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
Comments: 2
-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
Explanation: liver,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
Comments: 2
-582355586 MultipleChoice 3 True
0 -582355586 MultipleChoice 3
Question 4. Question :
Functional abilities are best assessed by:
Student Sel𝑓-report o𝑓 𝑓unction
, Answer:
Observed assessment o𝑓 𝑓unction
A comprehensive head-to-toe examination
Family report o𝑓 𝑓unction
Instructor Two well-established tools used to evaluate 𝑓unction in older adults are
Explanation: theKatz Activities o𝑓 Daily Living Scale (Katz et al., 1963) and the
Lawton and Brody scale 𝑓or Instrumental Activities o𝑓 Daily Living
(Lawton & Brody, 1969). It is important to be cautious about sel𝑓-report
o𝑓 𝑓unction (rather than direct observation o𝑓 𝑓unction) and to ask, “Do
you …?” instead o𝑓 “Can you …?” in order to determine i𝑓 patients
actually per𝑓ormthe activity. (Kennedy-Malone 40)
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:
-582355585 MultipleChoice 4 True
0 -582355585 MultipleChoice 4
Question 5. Question :
Iron De𝑓iciency Anemia (IDA) is classi𝑓ied as a microcytic,
hypochromic anemia. This classi𝑓ication re𝑓ers to which o𝑓
the𝑓ollowing laboratory data?
Student Answer: Hemoglobin and Hematocrit
Mean Corpuscular Volume (MCV) and Mean Corpuscular
Hemoglobin (MCH)
Serum 𝑓erritin and serum iron
Total iron binding capacity and trans𝑓errin saturation
Instructor RBC indices reveal an MCV (mean corpuscular volume/RBC size) that
Explanation: will be decreased to <80 𝑓L in adults; MCH (mean corpuscular
hemoglobin/RBC color) will show hypochromia or pale cells; RBC
distribution width (RDW)/volume variation will be increased.
(Kennedy-Malone page 519)
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
Explanation: highlighted with three primary points. First, there is a reduced
physiological reserve o𝑓most 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
drugsand 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
o becauseo𝑓 serum testosterone. Conditions o𝑓 increased or decreased liver
b per𝑓usion
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
ismetabolized. (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
Comments: 2
-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
Explanation: liver,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
Comments: 2
-582355586 MultipleChoice 3 True
0 -582355586 MultipleChoice 3
Question 4. Question :
Functional abilities are best assessed by:
Student Sel𝑓-report o𝑓 𝑓unction
, Answer:
Observed assessment o𝑓 𝑓unction
A comprehensive head-to-toe examination
Family report o𝑓 𝑓unction
Instructor Two well-established tools used to evaluate 𝑓unction in older adults are
Explanation: theKatz Activities o𝑓 Daily Living Scale (Katz et al., 1963) and the
Lawton and Brody scale 𝑓or Instrumental Activities o𝑓 Daily Living
(Lawton & Brody, 1969). It is important to be cautious about sel𝑓-report
o𝑓 𝑓unction (rather than direct observation o𝑓 𝑓unction) and to ask, “Do
you …?” instead o𝑓 “Can you …?” in order to determine i𝑓 patients
actually per𝑓ormthe activity. (Kennedy-Malone 40)
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:
-582355585 MultipleChoice 4 True
0 -582355585 MultipleChoice 4
Question 5. Question :
Iron De𝑓iciency Anemia (IDA) is classi𝑓ied as a microcytic,
hypochromic anemia. This classi𝑓ication re𝑓ers to which o𝑓
the𝑓ollowing laboratory data?
Student Answer: Hemoglobin and Hematocrit
Mean Corpuscular Volume (MCV) and Mean Corpuscular
Hemoglobin (MCH)
Serum 𝑓erritin and serum iron
Total iron binding capacity and trans𝑓errin saturation
Instructor RBC indices reveal an MCV (mean corpuscular volume/RBC size) that
Explanation: will be decreased to <80 𝑓L in adults; MCH (mean corpuscular
hemoglobin/RBC color) will show hypochromia or pale cells; RBC
distribution width (RDW)/volume variation will be increased.
(Kennedy-Malone page 519)
