TEST BANK
Advanced Practice Nursing in the Care of Older Adults
Evelyn G. Kennedy-Malone
3rd Edition
Chapters 1-23 (Questions with Verified Solutions)
,Table of Contents
Unit I: The Healthy Older Adult
1. Changes With Aging
2. Health Promotion
3. Exercise in Older Adults
4. Nutritional Support in the Older Adult
5. Settings of Care
Unit II: Assessment
6. Comprehensive Geriatric Assessment
7. Symptoms and Syndromes
Unit III: Treating Disorders
8. Dermatologic Disorders
9. Head, Neck, and Face Disorders
10. Cardiovascular Disorders
11. Respiratory Disorders
12. Peripheral Vascular Disorders
13. Gastrointestinal Disorders
14. Urologic and Renal Disorders
15. Gynecologic Disorders
16. Musculoskeletal Disorders
17. Central and Peripheral Nervous System Disorders
18. Endocrine and Metabolic Disorders
19. Hematologic Disorders
20. Psychosocial Disorders
Unit IV: Complex Illness
21. Polypharmacy
22. Chronic Illness and the APRN
23. Palliative Care and End-of-Life Care
,Chapter 1: Changes With Aging
ANSWERS AT THE END OF EACH CHAPTER
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The major impact of the physiological changes that occur with aging is:
A. Reduced physiological reserve
B. Reduced homeostatic mechanisms
C. Impaired immunological response
D. All of thei abov
2. The strongest evidence regarding normal physiological aging is available through:
A. Randomized controlled clinical trials
B. Cross-sectional studies
C. Longitudinal studies
D. Case control studies
3. All of the following statements are true about laboratory values in older adults except:
A. Reference ranges are preferable
B. Abnormal findings i are i often due i to i physiologicali agi
C. Normal ranges may not be applicable for older adults
D. Reference values are not necessarily acceptable values
4. Biochemical individuality is best described as:
A. Each individual’s variation is often much greater than that of a larger group
B. The unique biochemical profile of a selected population
C. The truly “normal” individual—falling within average range
D. Each individual’s variation i is often much smaller than that of a larger group
5. Polypharmacy is best described as taking:
A. More than nine medications per day
B. More than five medications per day
C. Even a single medication if there is inot a clear indicationi for its use
D. When a drug is given to treat the side effect of another drug
6. Pharmacokinetic changes with aging is reflective of:
A. What the drug does to the body
B. What i thei bodyi does i to i the i dr
C. The effect at the site of action and the time and intensity of the drug
, D. The side effects commonly associated with the drug
7. All the following statements are false about drug absorption except:
A. Antacids increase the bioavailability of digitalis
B. Gastric acidity decreases with age
C. Anticholinergics increase colonic motility
D. Underlying chronic i disease has i little impact oni drug absorpt
8. All of the following statements are true about drug distribution in the elderly except:
A. Drugs distributed in water have lower concentration
B. Drugs distributed in fat have less intense, more prolonged effect
C. Drugs highly protein bound have greater potential to cause an
adverseidrug reaction
D. The fastest way to deliver a drug to the action site is by inhalation
9. Men have faster and more efficient biotransformation of drugs and this is thought to be due to:
A. Less obesity rates thanwomen
B. Prostate enlargement
C. Testosterone
D. Less estrogen thanwomen
10. The cytochrome p system involves enzymes that are generally:
A. Inhibited by drugs
B. Induced by drugs
C. Inhibited or i induced by dru
D. Associated with decreased liver perfusion
11. A statement not shown to be true about pharmacodynamics changes with aging is:
A. Decreased sensitivity i to i oral anticoagulan
B. Enhanced sensitivity to central nervous systemdrugs
C. Drug responsiveness can be influenced by patient activity level
D. There is a decreased sensitivity to beta blockers
12. Atypical presentation of disease in the elderly is reflected by all the following except:
A. Infection without fever
B. Depression without dysphoric mood
C. Myocardial infarction i with chest paini andi diaphore
D. Cardiac manifestations of thyroid disease
13. Functional abilities are best assessed by:
A. Self-report of function
B. Observed assessment of i functio
C. A comprehensive head-to-toe examination
D. Family report of function
Advanced Practice Nursing in the Care of Older Adults
Evelyn G. Kennedy-Malone
3rd Edition
Chapters 1-23 (Questions with Verified Solutions)
,Table of Contents
Unit I: The Healthy Older Adult
1. Changes With Aging
2. Health Promotion
3. Exercise in Older Adults
4. Nutritional Support in the Older Adult
5. Settings of Care
Unit II: Assessment
6. Comprehensive Geriatric Assessment
7. Symptoms and Syndromes
Unit III: Treating Disorders
8. Dermatologic Disorders
9. Head, Neck, and Face Disorders
10. Cardiovascular Disorders
11. Respiratory Disorders
12. Peripheral Vascular Disorders
13. Gastrointestinal Disorders
14. Urologic and Renal Disorders
15. Gynecologic Disorders
16. Musculoskeletal Disorders
17. Central and Peripheral Nervous System Disorders
18. Endocrine and Metabolic Disorders
19. Hematologic Disorders
20. Psychosocial Disorders
Unit IV: Complex Illness
21. Polypharmacy
22. Chronic Illness and the APRN
23. Palliative Care and End-of-Life Care
,Chapter 1: Changes With Aging
ANSWERS AT THE END OF EACH CHAPTER
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The major impact of the physiological changes that occur with aging is:
A. Reduced physiological reserve
B. Reduced homeostatic mechanisms
C. Impaired immunological response
D. All of thei abov
2. The strongest evidence regarding normal physiological aging is available through:
A. Randomized controlled clinical trials
B. Cross-sectional studies
C. Longitudinal studies
D. Case control studies
3. All of the following statements are true about laboratory values in older adults except:
A. Reference ranges are preferable
B. Abnormal findings i are i often due i to i physiologicali agi
C. Normal ranges may not be applicable for older adults
D. Reference values are not necessarily acceptable values
4. Biochemical individuality is best described as:
A. Each individual’s variation is often much greater than that of a larger group
B. The unique biochemical profile of a selected population
C. The truly “normal” individual—falling within average range
D. Each individual’s variation i is often much smaller than that of a larger group
5. Polypharmacy is best described as taking:
A. More than nine medications per day
B. More than five medications per day
C. Even a single medication if there is inot a clear indicationi for its use
D. When a drug is given to treat the side effect of another drug
6. Pharmacokinetic changes with aging is reflective of:
A. What the drug does to the body
B. What i thei bodyi does i to i the i dr
C. The effect at the site of action and the time and intensity of the drug
, D. The side effects commonly associated with the drug
7. All the following statements are false about drug absorption except:
A. Antacids increase the bioavailability of digitalis
B. Gastric acidity decreases with age
C. Anticholinergics increase colonic motility
D. Underlying chronic i disease has i little impact oni drug absorpt
8. All of the following statements are true about drug distribution in the elderly except:
A. Drugs distributed in water have lower concentration
B. Drugs distributed in fat have less intense, more prolonged effect
C. Drugs highly protein bound have greater potential to cause an
adverseidrug reaction
D. The fastest way to deliver a drug to the action site is by inhalation
9. Men have faster and more efficient biotransformation of drugs and this is thought to be due to:
A. Less obesity rates thanwomen
B. Prostate enlargement
C. Testosterone
D. Less estrogen thanwomen
10. The cytochrome p system involves enzymes that are generally:
A. Inhibited by drugs
B. Induced by drugs
C. Inhibited or i induced by dru
D. Associated with decreased liver perfusion
11. A statement not shown to be true about pharmacodynamics changes with aging is:
A. Decreased sensitivity i to i oral anticoagulan
B. Enhanced sensitivity to central nervous systemdrugs
C. Drug responsiveness can be influenced by patient activity level
D. There is a decreased sensitivity to beta blockers
12. Atypical presentation of disease in the elderly is reflected by all the following except:
A. Infection without fever
B. Depression without dysphoric mood
C. Myocardial infarction i with chest paini andi diaphore
D. Cardiac manifestations of thyroid disease
13. Functional abilities are best assessed by:
A. Self-report of function
B. Observed assessment of i functio
C. A comprehensive head-to-toe examination
D. Family report of function
