Advanced Practice Nursing in the Care of Older Adults: Geriatric Clinical Guide & Exam Prep

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Advanced Practice Nursing in the Care of vr vr vr vr vr vr




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




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 vr vr




B. Reduced homeostaticmechanisms vr vr




C. Impaired immunologicalresponse vr vr




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D. All of theabove vr vr vr




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




B. Cross-sectional studies vr




C. Longitudinal studies vr


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D. Case control studies vr vr




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




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




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




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




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




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: vr vr vr vr vr




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




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




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: vr vr vr vr vr vr




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




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




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




B. Gastric acidity decreases with age vr vr vr vr




C. Anticholinergics increase colonic motility vr vr vr




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




vr vr vr v r 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 vr vr vr vr vr v r




B. Drugs distributed in fat have less intense, more prolonged effect vr vr vr vr vr vr vr vr v r




C. Drugs highly protein bound have greater potential to cause an adversedrug
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reaction vr




D. The fastest way to deliver a drug to the action site is by inhalation
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vr vr vr v r 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 vr vr vr vr




B. Prostate enlargement vr




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




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




B. Induced by drugs vr vr




C. Inhibited or induced by drugs vr vr vr vr




D. Associated with decreased liver perfusion vr vr vr vr




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




B. Enhanced sensitivity to central nervous systemdrugs vr vr vr vr vr vr




C. Drug responsiveness can be influenced by patient activity level vr vr vr vr vr vr vr vr




D. There is a decreased sensitivity to beta blockers vr vr vr vr vr vr vr




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




B. Depression without dysphoric mood vr vr vr




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




D. Cardiac manifestations of thyroid disease vr vr vr vr




vr v r 13. Functional abilities are best assessed by:
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A. Self-report of function vr vr




B. Observed assessment of function vr vr vr




C. A comprehensive head-to-toe examinationvr vr vr




D. Family report of function vr vr vr

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Chapter 1: Changes with Aging
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Answer Section
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MULTIPLE CHOICE vr




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




Chapter 2. HealthPromotion vr vr




Multiple Choice vr




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




B. Infections
C. Accidents
D. Malaria

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




B. Bottled water vr




C. Salad buffet vr




D. Unpeeled bananas vr




vr vr vr v r 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 vr vr vr vr vr vr vr




B. Treating clothes with permetherin vr vr vr




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




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