TEST BANK FOR Advanced Practice Nursing in the Care of Older Adults 2nd edition by Laurie Kennedy-Malone , Lori Martin-Plank , Evelyn Duffy ISBN:978-0803694798 COMPLETE GUIDE WITH RATIONALES 100% VERIFIED A+ GRADE ASSURED!!!!!!NEW LATEST UPDATE!!!!!

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Chapter 1. Changes With Aging
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Multiple Choicehg




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 hg hg




B. Reduced homeostatic mechanisms hg hg




C. Impaired immunological response hg hg




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 hg hg hg




B. Cross-sectional studies hg




C. Longitudinal studies hg




D. Case control studies hg hg




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

A. Reference ranges are preferable hg hg hg




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: hg hg hg hg hg




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: hg hg hg hg hg




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: hg hg hg hg hg hg




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 hg hg hg




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 hg hg hg hg hg hg hg hg hg hg hg



isthought to be due to:
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A. Less obesity rates than women
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B. Prostate enlargement hg




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 hg hg




B. Induced by drugs hg hg




C. Inhibited or induced by drugs hg hg hg hg




D. Associated with decreased liver perfusionhg hg hg hg




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 hg hg




B. Depression without dysphoric mood hg hg hg




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: hg hg hg hg hg




A. Self-report of function hg hg




B. Observed assessment of function hg hg hg




C. A comprehensive head-to-toe examination
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D. Family report of function
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