KENNEDY-MALONE ADVANCED PRACTICE
NURSING IN THE CARE OF OLDER ADULTS,
2E TEST BANK
,Table of contents
• Chapter 1: The Field of Gerontology
• Chapter 2: Studying Aging
• Chapter 3: The Social Consequences of Physical Aging
• Chapter 4: Personality and Relationships
• Chapter 5: Productive Aging
• Chapter 6: The Economics of Aging
• Chapter 7: Work and Retirement
• Chapter 8: Living Arrangements
• Chapter 9: Family Relationships and Social Support Systems
• Chapter 10: Health and Health Care
• Chapter 11: Dying, Death, and Bereavement
• Chapter 12: Social Policy and Programs for Older Adults
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,Chapter 1 Changes with
Aging Multiple Choice
1. Mrs. Smith, 75 years old, reports that she is weak, has difficulty urinating,
and is dehydrated. Although she is afebrile, the nurse conducts a thorough
physical examination, including urinalysis and complete blood count (CBC).
The total assessment is necessary because:
ANS) 1. All body systems interact, and symptoms could indicate a variety of
diagnoses.
2. The symptoms are vague and may be signs of aging.
3. There may be other signs or symptoms more indicative of the condition.
4. Mrs. Smith may not be reporting all significant information.
2. A patient with renal disease has blood work drawn, and the results show an
increase in serum creatinine. The nurse practitioner needs to know which of the
following laboratory values before ordering medications?
1. CBC
2. Culture and
sensitivity of the urine ANS).
3. Creatinine clearance
4. Uric acid levels
3. Which of the following statements is true regarding diagnostic testing?
ANS) 1. A test is ordered for a specific purpose.
2. A test is the most invasive available.
3. There is no need to discuss results with the patient.
4. If a test is needed, it should be ordered regardless of risk to the patient.
4. Janey, 25 years old, may experience arthritis differently than 65-year-
old Mrs. Johnson because:
1. The body undergoes physiological changes with aging.
2. A healthy body does not experience significant changes as one gets older.
3. Older patients do not feel any systemic symptoms, such as malaise and
weight loss.
4. Even though the same joints are usually affected, age makes it feel
different.
5. The nurse practitioner is examining an 85-year-old man with reports of
abdominal pain, weakness, and loss of appetite. Which is the most likely
condition to be tested for and ruled out?
1. Neoplasms and carcinomas
2. Partial seizure
3. Sarcopenia
4. Hirschsprung’s disease
Page 1
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, Q6. Gerontology is best defined as:
a) The study of diseases that affect only the elderly
b) The scientific study of aging and older adults
c) The study of childhood and adolescence
d) The medical treatment of age-related conditions
Answer: b) The scientific study of aging and older adults
Rationale: Gerontology covers the biological, psychological, and social aspects of
aging—not just diseases.
Q7. Which term specifically refers to the medical care of older adults?
a) Gerontology
b) Geriatrics
c) Geropsychology
d) Chronology
Answer: b) Geriatrics
Rationale: Geriatrics is the branch of medicine focused on prevention, diagnosis, and
treatment of age-related health issues, while gerontology is broader.
Q8. The concept of “population aging” refers to:
a) The growing number and proportion of older adults in a population
b) The physical decline of individuals
c) The increasing life expectancy of infants
d) The youthfulness of modern populations
Answer: a) The growing number and proportion of older adults in a population
Rationale: Population aging describes demographic shifts where older adults make up a
larger share of society due to lower birth rates and longer lifespans.
Q9. The U.S. “baby boom” generation includes people born between:
a) 1920–1940
b) 1946–1964
c) 1965–1980
d) 1981–2000
Answer: b) 1946–1964
Rationale: Baby boomers, a central focus in gerontology, are those born after WWII
through the mid-1960s, now moving into older adulthood.
Q10. Which of the following best illustrates the concept of “chronological age”?
a) John feels young despite being 75
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NURSING IN THE CARE OF OLDER ADULTS,
2E TEST BANK
,Table of contents
• Chapter 1: The Field of Gerontology
• Chapter 2: Studying Aging
• Chapter 3: The Social Consequences of Physical Aging
• Chapter 4: Personality and Relationships
• Chapter 5: Productive Aging
• Chapter 6: The Economics of Aging
• Chapter 7: Work and Retirement
• Chapter 8: Living Arrangements
• Chapter 9: Family Relationships and Social Support Systems
• Chapter 10: Health and Health Care
• Chapter 11: Dying, Death, and Bereavement
• Chapter 12: Social Policy and Programs for Older Adults
Downloaded by Collins Mwaniki ()
,Chapter 1 Changes with
Aging Multiple Choice
1. Mrs. Smith, 75 years old, reports that she is weak, has difficulty urinating,
and is dehydrated. Although she is afebrile, the nurse conducts a thorough
physical examination, including urinalysis and complete blood count (CBC).
The total assessment is necessary because:
ANS) 1. All body systems interact, and symptoms could indicate a variety of
diagnoses.
2. The symptoms are vague and may be signs of aging.
3. There may be other signs or symptoms more indicative of the condition.
4. Mrs. Smith may not be reporting all significant information.
2. A patient with renal disease has blood work drawn, and the results show an
increase in serum creatinine. The nurse practitioner needs to know which of the
following laboratory values before ordering medications?
1. CBC
2. Culture and
sensitivity of the urine ANS).
3. Creatinine clearance
4. Uric acid levels
3. Which of the following statements is true regarding diagnostic testing?
ANS) 1. A test is ordered for a specific purpose.
2. A test is the most invasive available.
3. There is no need to discuss results with the patient.
4. If a test is needed, it should be ordered regardless of risk to the patient.
4. Janey, 25 years old, may experience arthritis differently than 65-year-
old Mrs. Johnson because:
1. The body undergoes physiological changes with aging.
2. A healthy body does not experience significant changes as one gets older.
3. Older patients do not feel any systemic symptoms, such as malaise and
weight loss.
4. Even though the same joints are usually affected, age makes it feel
different.
5. The nurse practitioner is examining an 85-year-old man with reports of
abdominal pain, weakness, and loss of appetite. Which is the most likely
condition to be tested for and ruled out?
1. Neoplasms and carcinomas
2. Partial seizure
3. Sarcopenia
4. Hirschsprung’s disease
Page 1
Downloaded by Collins Mwaniki ()
, Q6. Gerontology is best defined as:
a) The study of diseases that affect only the elderly
b) The scientific study of aging and older adults
c) The study of childhood and adolescence
d) The medical treatment of age-related conditions
Answer: b) The scientific study of aging and older adults
Rationale: Gerontology covers the biological, psychological, and social aspects of
aging—not just diseases.
Q7. Which term specifically refers to the medical care of older adults?
a) Gerontology
b) Geriatrics
c) Geropsychology
d) Chronology
Answer: b) Geriatrics
Rationale: Geriatrics is the branch of medicine focused on prevention, diagnosis, and
treatment of age-related health issues, while gerontology is broader.
Q8. The concept of “population aging” refers to:
a) The growing number and proportion of older adults in a population
b) The physical decline of individuals
c) The increasing life expectancy of infants
d) The youthfulness of modern populations
Answer: a) The growing number and proportion of older adults in a population
Rationale: Population aging describes demographic shifts where older adults make up a
larger share of society due to lower birth rates and longer lifespans.
Q9. The U.S. “baby boom” generation includes people born between:
a) 1920–1940
b) 1946–1964
c) 1965–1980
d) 1981–2000
Answer: b) 1946–1964
Rationale: Baby boomers, a central focus in gerontology, are those born after WWII
through the mid-1960s, now moving into older adulthood.
Q10. Which of the following best illustrates the concept of “chronological age”?
a) John feels young despite being 75
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