TESTBANK x
Advanced Practice Nursing in the Care of O
x x x x x x x
lder Adults Second Edition by Laurie Kenn
x x x x x x
edy-Malone ISBN-13 9780803666610
x x
TESTBANK x
, Advanced Practice Nursing in the Care of Older
x x x x x x x x
Adults / Edition 2 TESTBANK
x x x x
Chapter 1. Changes With Aging
x x x x
MultiplexChoice
Identifyxthexchoicexthatxbestxcompletesxthexstatementxorxanswersxthexquestion.
1. Thexmajorximpactxofxthexphysiologicalxchangesxthatxoccurxwithxagingxis:
x
A.x Reducedxphysiologicalxreserve
B.x Reducedxhomeostaticxmechanisms
C.x Impairedximmunologicalxresponse
D.x Allxofxthexabove
2. Thexstrongestxevidencexregardingxnormalxphysiologicalxagingxisxavailablexthrough:
A.x Randomizedxcontrolledxclinicalxtrials
B.x Cross-sectionalxstudies
C.x Longitudinalxstudies
D.x Casexcontrolxstudies
3. Allxofxthexfollowingxstatementsxarextruexaboutx laboratoryxvaluesxinxolderxadultsxexcept:
A.x Referencexrangesxarexpreferable
B. Abnormalxfindingsxarexoftenxduextoxphysiologicalxaging
C. Normalxrangesxmayxnotxbexapplicablexforxolderxadults
D.x Referencexvaluesxarexnotxnecessarilyxacceptablexvalues
4. Biochemicalxindividualityxisxbestxdescribedxas:
A.x Eachxindividual’sxvariationxisxoftenxmuchxgreaterxthanxthatxofxaxlargerxgroup
B.x Thexuniquexbiochemicalxprofilexofxaxselectedxpopulation
C.x Thextrulyx“normal”xindividual—fallingxwithinxaveragexrange
D.x Eachxindividual’sxvariationxisxoftenxmuchxsmallerxthanxthatxofxaxlargerxgroup
5. Polypharmacyxisxbestxdescribedxasxtaking:
A.x Morexthanxninexmedicationsxperxday
B.x Morexthanxfivexmedicationsxperxday
C.x Evenxaxsinglexmedicationxifxtherexisxnotxaxclearxindicationxforxitsxuse
D.x Whenxaxdrugxisxgivenxtoxtreatxthexsidexeffectxofxanotherxdrug
6. Pharmacokineticxchangesxwithxagingxisxreflectivexof:
A.x Whatxthexdrugxdoesxtoxthexbody
B.x Whatxthexbodyxdoesxtoxthexdrug
C.x Thexeffectx atxthexsitexofxactionxandxthextimexandx intensityxofxthexdrug
, D.x Thexsidexeffectsxcommonlyxassociatedxwithxthexdrug
x
7. Allxthexfollowingxstatementsxarexfalsexaboutxdrugxabsorptionxexcept:
A. Antacidsxincreasexthexbioavailabilityxofxdigitalis
B. Gastricxacidityxdecreasesxwithxage
C. Anticholinergicsxincreasexcolonicxmotility
D. Underlyingxchronicxdiseasexhasxlittleximpactxonxdrugxabsorption
x
8. Allxofxthexfollowingxstatementsxarextruexaboutxdrugxdistributionxinxthexelderlyxexcept:
A. Drugsxdistributedxinxwaterxhavexlowerxconcentration
B. Drugsxdistributedxinxfatxhavexlessxintense,xmorexprolongedxeffect
C. Drugsxhighlyxproteinxboundxhavexgreaterxpotentialxtoxcausexanxadversexdrugxr
eaction
x
D. Thexfastestxwayxtoxdeliverxaxdrugxtoxthexactionxsitexisxbyxinhalation
9. Menxhavexfasterxandxmorexefficientxbiotransformationxofxdrugsxandxthisxisxthoughtxtoxbexduexto:
A. Lessxobesityxratesxthanxwomen
B. Prostatexenlargement
C. Testosterone
x
D. Lessxestrogenxthanxwomen
10. Thexcytochromexpxsystemxinvolvesxenzymesxthatxarexgenerally:
A. Inhibitedxbyxdrugs
B. Inducedxbyxdrugs
x
C. Inhibitedxorxinducedxbyxdrugs
D. Associatedxwithxdecreasedxliverxperfusion
11. Axstatementxnotxshownxtoxbextruexaboutxpharmacodynamicsxchangesxwithxagingxis:
A. Decreasedxsensitivityxtoxoralxanticoagulants
B. Enhancedxsensitivityxtoxcentralxnervousxsystemxdrugs
x
C. Drugxresponsivenessxcanxbexinfluencedxbyxpatientx activityxlevel
D. Therexisxaxdecreasedxsensitivityxtoxbetaxblockers
12. Atypicalxpresentationxofxdiseasexinxthexelderlyxisxreflectedxbyxallxthexfollowingxexcept:
A. Infectionxwithoutxfever
x
B. Depressionxwithoutxdysphoricxmood
C. Myocardialxinfarctionxwithxchestxpainxandxdiaphoresis
D. Cardiacxmanifestationsxofxthyroidxdisease
13. Functionalxabilitiesxarexbestxassessedxby:
A. Self-reportxofxfunction
B. Observedxassessmentxofxfunction
C. Axcomprehensivexhead-to-toexexamination
D. Familyxreportxofxfunction
, Chapter 1: Changes with Aging Ans
x x x x x
wer Section
x
MULTIPLExCHOICE
1.x ANS: D PTS: 1
2.x ANS: C PTS: 1
3.x ANS: B PTS: 1
4.x ANS: D PTS: 1
5.x ANS: C PTS: 1
6.x ANS: B PTS: 1
7.x ANS: D PTS: 1
8.x ANS: A PTS: 1
9.x ANS: C PTS: 1
10.x ANS: C PTS: 1
11.x ANS: A PTS: 1
12.x ANS: C PTS: 1
13.x ANS: B PTS: 1
Chapter 2. Health Promotion
x x x
MultiplexChoice
Identifyxthexchoicexthatxbestxcompletesxthexstatementxorxanswersxthexquestion.
1.x Thexleadingxcausexofxdeathxinxelderlyxtravelersxworldwidexis:
A. Cardiovascularxdisease
B. Infections
C. Accidents
D. Malaria
2.xWhichxofxthexfollowingxshouldxbexavoidedxinxcountriesxwherexfoodxandxwaterxprecautionsxare
toxbexobserved?
x
A. Hotxcoffee
B. Bottledxwater
C. Saladxbuffet
D. Unpeeledxbananas
3.x Whatxinsectxprecautionsxarexnotxnecessaryxtoxpreventxinsect-bornexdiseasesxinxthextropics?
A. Usingx100%xDEETxonxskinxtoxpreventxbites
B. Treatingxclothesxwithxpermetherin
C. Coveringxupxexposedxskinxtoxlessenxbitingxsurface
D. Takingxmalariaxpillsxasxdirectedxforxareasxatxriskxforxmalaria
Advanced Practice Nursing in the Care of O
x x x x x x x
lder Adults Second Edition by Laurie Kenn
x x x x x x
edy-Malone ISBN-13 9780803666610
x x
TESTBANK x
, Advanced Practice Nursing in the Care of Older
x x x x x x x x
Adults / Edition 2 TESTBANK
x x x x
Chapter 1. Changes With Aging
x x x x
MultiplexChoice
Identifyxthexchoicexthatxbestxcompletesxthexstatementxorxanswersxthexquestion.
1. Thexmajorximpactxofxthexphysiologicalxchangesxthatxoccurxwithxagingxis:
x
A.x Reducedxphysiologicalxreserve
B.x Reducedxhomeostaticxmechanisms
C.x Impairedximmunologicalxresponse
D.x Allxofxthexabove
2. Thexstrongestxevidencexregardingxnormalxphysiologicalxagingxisxavailablexthrough:
A.x Randomizedxcontrolledxclinicalxtrials
B.x Cross-sectionalxstudies
C.x Longitudinalxstudies
D.x Casexcontrolxstudies
3. Allxofxthexfollowingxstatementsxarextruexaboutx laboratoryxvaluesxinxolderxadultsxexcept:
A.x Referencexrangesxarexpreferable
B. Abnormalxfindingsxarexoftenxduextoxphysiologicalxaging
C. Normalxrangesxmayxnotxbexapplicablexforxolderxadults
D.x Referencexvaluesxarexnotxnecessarilyxacceptablexvalues
4. Biochemicalxindividualityxisxbestxdescribedxas:
A.x Eachxindividual’sxvariationxisxoftenxmuchxgreaterxthanxthatxofxaxlargerxgroup
B.x Thexuniquexbiochemicalxprofilexofxaxselectedxpopulation
C.x Thextrulyx“normal”xindividual—fallingxwithinxaveragexrange
D.x Eachxindividual’sxvariationxisxoftenxmuchxsmallerxthanxthatxofxaxlargerxgroup
5. Polypharmacyxisxbestxdescribedxasxtaking:
A.x Morexthanxninexmedicationsxperxday
B.x Morexthanxfivexmedicationsxperxday
C.x Evenxaxsinglexmedicationxifxtherexisxnotxaxclearxindicationxforxitsxuse
D.x Whenxaxdrugxisxgivenxtoxtreatxthexsidexeffectxofxanotherxdrug
6. Pharmacokineticxchangesxwithxagingxisxreflectivexof:
A.x Whatxthexdrugxdoesxtoxthexbody
B.x Whatxthexbodyxdoesxtoxthexdrug
C.x Thexeffectx atxthexsitexofxactionxandxthextimexandx intensityxofxthexdrug
, D.x Thexsidexeffectsxcommonlyxassociatedxwithxthexdrug
x
7. Allxthexfollowingxstatementsxarexfalsexaboutxdrugxabsorptionxexcept:
A. Antacidsxincreasexthexbioavailabilityxofxdigitalis
B. Gastricxacidityxdecreasesxwithxage
C. Anticholinergicsxincreasexcolonicxmotility
D. Underlyingxchronicxdiseasexhasxlittleximpactxonxdrugxabsorption
x
8. Allxofxthexfollowingxstatementsxarextruexaboutxdrugxdistributionxinxthexelderlyxexcept:
A. Drugsxdistributedxinxwaterxhavexlowerxconcentration
B. Drugsxdistributedxinxfatxhavexlessxintense,xmorexprolongedxeffect
C. Drugsxhighlyxproteinxboundxhavexgreaterxpotentialxtoxcausexanxadversexdrugxr
eaction
x
D. Thexfastestxwayxtoxdeliverxaxdrugxtoxthexactionxsitexisxbyxinhalation
9. Menxhavexfasterxandxmorexefficientxbiotransformationxofxdrugsxandxthisxisxthoughtxtoxbexduexto:
A. Lessxobesityxratesxthanxwomen
B. Prostatexenlargement
C. Testosterone
x
D. Lessxestrogenxthanxwomen
10. Thexcytochromexpxsystemxinvolvesxenzymesxthatxarexgenerally:
A. Inhibitedxbyxdrugs
B. Inducedxbyxdrugs
x
C. Inhibitedxorxinducedxbyxdrugs
D. Associatedxwithxdecreasedxliverxperfusion
11. Axstatementxnotxshownxtoxbextruexaboutxpharmacodynamicsxchangesxwithxagingxis:
A. Decreasedxsensitivityxtoxoralxanticoagulants
B. Enhancedxsensitivityxtoxcentralxnervousxsystemxdrugs
x
C. Drugxresponsivenessxcanxbexinfluencedxbyxpatientx activityxlevel
D. Therexisxaxdecreasedxsensitivityxtoxbetaxblockers
12. Atypicalxpresentationxofxdiseasexinxthexelderlyxisxreflectedxbyxallxthexfollowingxexcept:
A. Infectionxwithoutxfever
x
B. Depressionxwithoutxdysphoricxmood
C. Myocardialxinfarctionxwithxchestxpainxandxdiaphoresis
D. Cardiacxmanifestationsxofxthyroidxdisease
13. Functionalxabilitiesxarexbestxassessedxby:
A. Self-reportxofxfunction
B. Observedxassessmentxofxfunction
C. Axcomprehensivexhead-to-toexexamination
D. Familyxreportxofxfunction
, Chapter 1: Changes with Aging Ans
x x x x x
wer Section
x
MULTIPLExCHOICE
1.x ANS: D PTS: 1
2.x ANS: C PTS: 1
3.x ANS: B PTS: 1
4.x ANS: D PTS: 1
5.x ANS: C PTS: 1
6.x ANS: B PTS: 1
7.x ANS: D PTS: 1
8.x ANS: A PTS: 1
9.x ANS: C PTS: 1
10.x ANS: C PTS: 1
11.x ANS: A PTS: 1
12.x ANS: C PTS: 1
13.x ANS: B PTS: 1
Chapter 2. Health Promotion
x x x
MultiplexChoice
Identifyxthexchoicexthatxbestxcompletesxthexstatementxorxanswersxthexquestion.
1.x Thexleadingxcausexofxdeathxinxelderlyxtravelersxworldwidexis:
A. Cardiovascularxdisease
B. Infections
C. Accidents
D. Malaria
2.xWhichxofxthexfollowingxshouldxbexavoidedxinxcountriesxwherexfoodxandxwaterxprecautionsxare
toxbexobserved?
x
A. Hotxcoffee
B. Bottledxwater
C. Saladxbuffet
D. Unpeeledxbananas
3.x Whatxinsectxprecautionsxarexnotxnecessaryxtoxpreventxinsect-bornexdiseasesxinxthextropics?
A. Usingx100%xDEETxonxskinxtoxpreventxbites
B. Treatingxclothesxwithxpermetherin
C. Coveringxupxexposedxskinxtoxlessenxbitingxsurface
D. Takingxmalariaxpillsxasxdirectedxforxareasxatxriskxforxmalaria
