TEST BANK FOR Advanced Practice Nursing
in the Care of Older Adults, 3rd Edition
by Laurie Kennedy-Malone, Verified Chapters 1 - 23, Complete
,Answers at the end of the Chapter
Chapter 1: Changes with Aging
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 the above
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 adultsexcept:
A. Reference ranges are preferable
B. Abnormal findings are often due to physiological aging
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 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 not a clear indication 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 the body does to the drug
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. Allmthemfollowingmstatementsmaremfalsemaboutmdrugmabsorptionmexcept:
A. Antacidsmincreasemthembioavailabilitymofmdigitalis
B. Gastricmaciditymdecreasesmwithmage
C. Anticholinergicsmincreasemcolonicmmotility
D. Underlyingmchronicmdiseasemhasmlittlemimpactmonmdrugmabsorption
mmm 8.m Allmofmthemfollowingmstatementsmaremtruemaboutmdrugmdistributionminmthe
elderlymexcept:
A. Drugsmdistributedminmwatermhavemlowermconcentration
B. Drugsmdistributedminmfatmhavemlessmintense,mmoremprolongedmeffect
C. Drugsmhighlymproteinmboundmhavemgreatermpotentialmtomcausemanmadversemdrugmreaction
in the Care of Older Adults, 3rd Edition
by Laurie Kennedy-Malone, Verified Chapters 1 - 23, Complete
,Answers at the end of the Chapter
Chapter 1: Changes with Aging
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 the above
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 adultsexcept:
A. Reference ranges are preferable
B. Abnormal findings are often due to physiological aging
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 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 not a clear indication 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 the body does to the drug
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. Allmthemfollowingmstatementsmaremfalsemaboutmdrugmabsorptionmexcept:
A. Antacidsmincreasemthembioavailabilitymofmdigitalis
B. Gastricmaciditymdecreasesmwithmage
C. Anticholinergicsmincreasemcolonicmmotility
D. Underlyingmchronicmdiseasemhasmlittlemimpactmonmdrugmabsorption
mmm 8.m Allmofmthemfollowingmstatementsmaremtruemaboutmdrugmdistributionminmthe
elderlymexcept:
A. Drugsmdistributedminmwatermhavemlowermconcentration
B. Drugsmdistributedminmfatmhavemlessmintense,mmoremprolongedmeffect
C. Drugsmhighlymproteinmboundmhavemgreatermpotentialmtomcausemanmadversemdrugmreaction
