TEST BANK FOR Advanced Practice Nursing
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ss 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 ss ss ss ss ss ss ss
Chapter 1: Changes with Aging ss ss ss ss
Multiple Choice ss
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 ss ss
B. Reduced homeostatic mechanisms ss ss
C. Impaired immunological response ss ss
D. All of the above
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2. The strongest evidence regarding normal physiological aging is available through:
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,A. Randomized controlled clinical trials ss ss ss
B. Cross-sectional studies ss
C. Longitudinal studies ss
D. Case control studies
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3. All of the following statements are true about laboratory
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values in older adultsexcept: ss ss ss
A. Reference ranges are preferable s ss ss
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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ss ss s s 4. Biochemical individuality is best described as:
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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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ss ss s s 5. Polypharmacy is best described as taking:
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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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ss ss s s 6. Pharmacokinetic changes with aging is reflective of:
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A. What the drug does to the body
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B. What the body does to the drug
ss ss ss ss ss ss
C. The effect at the site of action and the time and intensity of the drug
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
D. The side effects commonly associated with the drug
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ss ss s s 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 agess ss ss ss
C. Anticholinergics increase colonic motility ss ss ss
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
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elderly except: ss
A. Drugs distributed in water have lower concentration
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B. Drugs distributed in fat have less intense, more prolonged effect
ss ss ss ss ss ss ss ss ss
C. Drugs highly protein bound have greater potential to cause an adverse drug reaction
ss ss ss ss ss ss ss ss ss ss ss ss
ss ss ss ss ss
ss in the Care of Older Adults, 3rd Edition
ss ss ss ss ss ss ss ss
by Laurie Kennedy-Malone, Verified Chapters 1 - 23, Complete
ss ss ss ss ss ss ss ss
,Answers at the end of the Chapter ss ss ss ss ss ss ss
Chapter 1: Changes with Aging ss ss ss ss
Multiple Choice ss
Identify the choice that best completes the statement or answers the question.
ss ss ss ss ss ss ss ss ss ss ss
1. The major impact of the physiological changes that occur with aging is:
ss ss ss ss ss ss ss ss ss ss ss
A. Reduced physiological reserve ss ss
B. Reduced homeostatic mechanisms ss ss
C. Impaired immunological response ss ss
D. All of the above
ss ss ss
2. The strongest evidence regarding normal physiological aging is available through:
ss ss ss ss ss ss ss ss ss
,A. Randomized controlled clinical trials ss ss ss
B. Cross-sectional studies ss
C. Longitudinal studies ss
D. Case control studies
ss ss
3. All of the following statements are true about laboratory
ss ss s s s s ss ss ss ss ss ss ss ss
values in older adultsexcept: ss ss ss
A. Reference ranges are preferable s ss ss
B. Abnormal findings are often due to physiological aging
ss ss ss ss ss ss ss
C. Normal ranges may not be applicable for older adults
ss ss ss ss ss ss ss ss
D. Reference values are not necessarily acceptable values
ss ss ss ss ss ss
ss ss s s 4. Biochemical individuality is best described as:
s s ss ss ss ss ss
A. Each individual’s variation is often much greater than that of a larger group
ss ss ss ss ss ss ss ss ss ss ss ss
B. The unique biochemical profile of a selected population
ss ss ss ss ss ss ss
C. The truly “normal” individual—falling within average range
ss ss ss ss ss ss
D. Each individual’s variation is often much smaller than that of a larger group
ss ss ss ss ss ss ss ss ss ss ss ss
ss ss s s 5. Polypharmacy is best described as taking:
s s ss ss ss ss ss
A. More than nine medications per day
ss ss ss ss ss
B. More than five medications per day
ss ss ss ss ss
, C. Even a single medication if there is not a clear indication for its use
ss ss ss ss ss ss ss ss ss ss ss ss ss
D. When a drug is given to treat the side effect of another drug
ss ss ss ss ss ss ss ss ss ss ss ss
ss ss s s 6. Pharmacokinetic changes with aging is reflective of:
s s ss ss ss ss ss ss
A. What the drug does to the body
ss ss ss ss ss ss
B. What the body does to the drug
ss ss ss ss ss ss
C. The effect at the site of action and the time and intensity of the drug
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
D. The side effects commonly associated with the drug
ss ss ss ss ss ss ss
ss ss s s 7. All the following statements are false about drug absorption except:
s s ss ss ss ss ss ss ss ss ss
A. Antacids increase the bioavailability of digitalis
ss ss ss ss ss
B. Gastric acidity decreases with agess ss ss ss
C. Anticholinergics increase colonic motility ss ss ss
D. Underlying chronic disease has little impact on drug absorption
ss ss ss ss ss ss ss ss
8. All of the following statements are true about drug distribution in the
ss ss s s s s ss ss ss ss ss ss ss ss ss ss ss
elderly except: ss
A. Drugs distributed in water have lower concentration
ss ss ss ss ss ss
B. Drugs distributed in fat have less intense, more prolonged effect
ss ss ss ss ss ss ss ss ss
C. Drugs highly protein bound have greater potential to cause an adverse drug reaction
ss ss ss ss ss ss ss ss ss ss ss ss
