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j in the Care of Older Adults, 3rd Edition
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by Laurie Kennedy-Malone, Verified Chapters 1 - 23, Complete
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,Answers at the end of the Chapter
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Chapter1: Changes withAging j j j j
Multiple Choice j
Identify the choicethat best completesthe statement or answers the question.
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1. The major impact ofthe physiological changes that occur withaging is:
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A. Reducedphysiologicalreserve j j
B. Reducedhomeostatic mechanisms j j
C. Impairedimmunologicalresponse j j
D. All of theabove
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2. The strongestevidence regarding normal physiological aging is available through:
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,A. Randomizedcontrolledclinicaltrials j j j
B. Cross-sectionalstudies j
C. Longitudinalstudies j
D. Casecontrolstudies
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3. All of the following statements are true about laboratory
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values in older adultsexcept: j j j
A. Referenceranges arepreferable j j j
B. Abnormalfindings areoften duetophysiologicalaging
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C. Normalranges maynot beapplicable for older adults
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D. Referencevaluesarenotnecessarilyacceptablevalues
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jj j 4. Biochemical individuality is best describedas:
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A. Eachindividual’s variationis oftenmuchgreater thanthatofalarger group
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B. Theuniquebiochemical profile of a selectedpopulation
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C. Thetruly“normal” individual—fallingwithinaveragerange
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D. Eachindividual’s variationis oftenmuchsmaller thanthat ofalarger group
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jj j 5. Polypharmacy is best described as taking:
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A. Morethannine medications per day
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B. Morethanfive medications per day
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, C. Evena single medicationifthereis not a clear indicationfor its use
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D. Whena drugis givento treat theside effect of another drug
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jj j 6. Pharmacokinetic changes withaging is reflective of:
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A. What the drugdoes to thebody
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B. What thebody does tothe drug
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C. The effect at thesiteof action andthe timeand intensity of the drug
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D. Theside effects commonlyassociated withthe drug
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jj j 7. All the following statements are false about drug absorption except:
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A. Antacidsincreasethebioavailabilityofdigitalis
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B. Gastricacidity decreases withagej j j j
C. Anticholinergics increasecolonic motility j j j
D. Underlyingchronic disease has littleimpact ondrugabsorption
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jj j 8. All of the following statements are true about drug distribution in the
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elderly except: j
A. Drugsdistributedinwater havelower concentration
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B. Drugsdistributedinfat haveless intense, moreprolonged effect
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C. Drugs highlyprotein boundhave greater potentialto causean adverse drugreaction
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