Advanced Practice Nursing in the Care of Older Adults 2nd Edition Kennedy Malone Test Bank

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ADVANCED PRACTICE NURSING IN THE CARE OF OLDER ADULTS 2ND
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EDITION BY LAURIE KENNEDY-MALONE; LORI MARTIN-
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PLANK; EVELYN G. DUFFY g g g




PRINTED PDF I ORIGINAL DIRECTLY FROM THE PUBLISHER I 1OO%
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g VERIFIED ANSWERS I DOWNLOAD IMMEDIATELY AFTER THE ORDER
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ADVANCED PRACTICE g g




NURSING




LAURIE KENNEDY-MALONE g




LORI MARTIN-PLANK g




g EVELYN DUFFY g




Complete Test bank, All Chapters are included.
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AdvancedPractice Nursingin the Care of g g g g g g




Older Adults / Edition 2 TESTBANK
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Chapter 1. Changes With Aging g g g g




Multiple Choice
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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 g g




B. Reduced homeostatic mechanisms g g




C. Impaired immunological response g g




D. All of the above g g g




2. The strongest evidence regarding normal physiological aging is available through:
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A. Randomized controlled clinical trials g g g




B. Cross-sectional studies g




C. Longitudinal studies g




D. Case control studies g g




3. All of the following statements are true about laboratory values in older adults except:
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A. Reference ranges are preferable g g g




B. Abnormal findings are often due to physiological aging g g g g g g g




C. Normal ranges may not be applicable for older adults g g g g g g g g




D. Reference values are not necessarily acceptable values g g g g g g




4. Biochemical individuality is best described as: g g g g g




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: g g g g g




A. More than nine medications per day g g g g g




B. More than five medications per day g g g g g




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: g g g g g g




A. What the drug does to the body g g g g g g




B. What the body does to the drug g g g g g g




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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g g 7. All the following statements are false about drug absorption except:
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A. Antacids increase the bioavailability of digitalis g g g g g




B. Gastric acidity decreases with age g g g g




C. Anticholinergics increase colonic motility g g g




D. Underlying chronic disease has little impact on drug absorption g g g g g g g g




g g 8. All of the following statements are true about drug distribution in the elderly except:
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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 adversedrug
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reaction
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D. The fastest way to deliver a drug to the action site is by inhalation
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g g 9. Men have faster and more efficient biotransformation of drugs and this is thought to be due to:
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A. Less obesity rates than women g g g g




B. Prostate enlargement g




C. Testosterone
D. Less estrogen than women g g g




g 10. The cytochrome p system involves enzymes that are generally:
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A. Inhibited by drugs g g




B. Induced by drugs g g




C. Inhibited or induced by drugs g g g g




D. Associated with decreased liver perfusion g g g g




g 11. A statement not shown to be true about pharmacodynamics changes with aging is:
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A. Decreased sensitivity to oral anticoagulants g g g g




B. Enhanced sensitivity to central nervous system drugs g g g g g g




C. Drug responsiveness can be influenced by patient activity level
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D. There is a decreased sensitivity to beta blockersg g g g g g g




g 12. Atypical presentation of disease in the elderly is reflected by all the following except:
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A. Infection without fever g g




B. Depression without dysphoric mood g g g




C. Myocardial infarction with chest pain and diaphoresis g g g g g g




D. Cardiac manifestations of thyroid disease g g g g




g 13. Functional abilities are best assessed by:
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A. Self-report of function g g




B. Observed assessment of function g g g




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

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Chapter 1: Changes with Aging
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Answer Section
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MULTIPLE CHOICE g




1. ANS: g D PTS: 1
2. ANS: g C PTS: 1
3. ANS: g B PTS: 1
4. ANS: g D PTS: 1
5. ANS: g C PTS: 1
6. ANS: g B PTS: 1
7. ANS: g D PTS: 1
8. ANS: g A PTS: 1
9. ANS: g C PTS: 1
10. ANS: g C PTS: 1
11. ANS: g A PTS: 1
12. ANS: g C PTS: 1
13. ANS: g B PTS: 1




Chapter 2. HealthPromotion g g




Multiple Choice g




Identify the choice that best completes the statement or answers the question.
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g g 1. The leading cause of death in elderly travelers worldwide is:
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A. Cardiovascular disease g




B. Infections
C. Accidents
D. Malaria

g 2. Which of the following should be avoided in countries where food and water precautions are to be
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g observed?
A. Hot coffee g




B. Bottled water g




C. Salad buffet g




D. Unpeeled bananas g




g g 3. What insect precautions are not necessary to prevent insect-borne diseases in the tropics?
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A. Using 100% DEET on skin to prevent bites g g g g g g g




B. Treating clothes with permetherin g g g




C. Covering up exposed skin to lessen biting surface g g g g g g g




D. Taking malaria pills as directed for areas at risk for malaria
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