TEST BANK FOR ADVANCED PRACTICE
NURSING IN THE CARE OF OLDER
ADULTS 3RD EDITION BY KENNEDY-
MALONE
Question : The major impact of the physiological changes that occur withaging is:
Student Reduced physiological reserve
Answer:
Reduced homeostatic mechanisms
Impaired immunological response
All of the above
Instructor The major impact of all of these physiological changes can be highlighted
Explanation: with three primary points. First, there is a reduced physiological reserve of
most body systems, particularly cardiac, respiratory, and renal. Second,
there are reduced homeostatic mechanisms that fail to adjust regulatory
systems such as temperature control and fluid and electrolyte balance.
Third, there is impaired immunological function: infection risk is greater,
and autoimmune diseases are more prevalent. (Kennedy-Malone 3)
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced
Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014-
01-14. VitalBook file.
Points Received: 2 of 2
Comments:
-582355588 MultipleChoice 1 True
0 -582355588 MultipleChoice 1
Question 2. Question :
Men have faster and more efficient biotransformation of drugs
and this is thought to be due to:
Student
Answer: Instructor Explanation:
, argement
L
e Testosterone
s
s Less estrogen than women
Men have faster and more efficient biotransformation, presumably because
o of serum testosterone. Conditions of increased or decreased liver perfusion
b
e
s
i
t
y
r
a
t
e
s
t
h
a
n
w
o
m
e
n
P
r
o
s
t
a
t
e
e
n
l
, alter the overall level of the drug that is absorbed and how it is
metabolized. (Kennedy-Malone 5)
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced
Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014-
01-14. VitalBook file.
Points Received: 2 of 2
Comments:
-582355587 MultipleChoice 2 True
0 -582355587 MultipleChoice 2
Question 3. Question :
The cytochrome p system involves enzymes that are generally:
Student Inhibited by drugs
Answer:
Induced by drugs
Inhibited or induced by drugs
Associated with decreased liver perfusion
Instructor Biotransformation occurs in all body tissues but primarily in the liver,
Explanation: where enzymatic activity (cytochrome P [CYP] system) alters and
detoxifies the drug and prepares it for excretion. (Kennedy-Malone 5)
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank.
Advanced Practice Nursing in the Care of Older Adults. F.A. Davis
Company, 2014-01-14. VitalBook file.
Points Received: 2 of 2
Comments:
-582355586 MultipleChoice 3 True
0 -582355586 MultipleChoice 3
Question 4. Question :
Functional abilities are best assessed by:
Student Self-report of function
, Answer:
Observed assessment of function
A comprehensive head-to-toe examination
Family report of function
Instructor Two well-established tools used to evaluate function in older adults are the
Explanation: Katz Activities of Daily Living Scale (Katz et al., 1963) and the Lawton
and Brody scale for Instrumental Activities of Daily Living (Lawton &
Brody, 1969). It is important to be cautious about self-report of function
(rather than direct observation of function) and to ask, “Do you …?”
instead of “Can you …?” in order to determine if patients actually perform
the activity. (Kennedy-Malone 40)
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced
Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014-
01-14. VitalBook file.
Points Received: 2 of 2
Comments:
-582355585 MultipleChoice 4 True
0 -582355585 MultipleChoice 4
Question 5. Question :
Iron Deficiency Anemia (IDA) is classified as a microcytic,
hypochromic anemia. This classification refers to which of the
following laboratory data?
Student Answer: Hemoglobin and Hematocrit
Mean Corpuscular Volume (MCV) and Mean Corpuscular
Hemoglobin (MCH)
Serum ferritin and serum iron
Total iron binding capacity and transferrin saturation
Instructor RBC indices reveal an MCV (mean corpuscular volume/RBC size) that
Explanation: will be decreased to <80 fL in adults; MCH (mean corpuscular
hemoglobin/RBC color) will show hypochromia or pale cells; RBC
distribution width (RDW)/volume variation will be increased.
(Kennedy-Malone page 519)
NURSING IN THE CARE OF OLDER
ADULTS 3RD EDITION BY KENNEDY-
MALONE
Question : The major impact of the physiological changes that occur withaging is:
Student Reduced physiological reserve
Answer:
Reduced homeostatic mechanisms
Impaired immunological response
All of the above
Instructor The major impact of all of these physiological changes can be highlighted
Explanation: with three primary points. First, there is a reduced physiological reserve of
most body systems, particularly cardiac, respiratory, and renal. Second,
there are reduced homeostatic mechanisms that fail to adjust regulatory
systems such as temperature control and fluid and electrolyte balance.
Third, there is impaired immunological function: infection risk is greater,
and autoimmune diseases are more prevalent. (Kennedy-Malone 3)
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced
Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014-
01-14. VitalBook file.
Points Received: 2 of 2
Comments:
-582355588 MultipleChoice 1 True
0 -582355588 MultipleChoice 1
Question 2. Question :
Men have faster and more efficient biotransformation of drugs
and this is thought to be due to:
Student
Answer: Instructor Explanation:
, argement
L
e Testosterone
s
s Less estrogen than women
Men have faster and more efficient biotransformation, presumably because
o of serum testosterone. Conditions of increased or decreased liver perfusion
b
e
s
i
t
y
r
a
t
e
s
t
h
a
n
w
o
m
e
n
P
r
o
s
t
a
t
e
e
n
l
, alter the overall level of the drug that is absorbed and how it is
metabolized. (Kennedy-Malone 5)
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced
Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014-
01-14. VitalBook file.
Points Received: 2 of 2
Comments:
-582355587 MultipleChoice 2 True
0 -582355587 MultipleChoice 2
Question 3. Question :
The cytochrome p system involves enzymes that are generally:
Student Inhibited by drugs
Answer:
Induced by drugs
Inhibited or induced by drugs
Associated with decreased liver perfusion
Instructor Biotransformation occurs in all body tissues but primarily in the liver,
Explanation: where enzymatic activity (cytochrome P [CYP] system) alters and
detoxifies the drug and prepares it for excretion. (Kennedy-Malone 5)
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank.
Advanced Practice Nursing in the Care of Older Adults. F.A. Davis
Company, 2014-01-14. VitalBook file.
Points Received: 2 of 2
Comments:
-582355586 MultipleChoice 3 True
0 -582355586 MultipleChoice 3
Question 4. Question :
Functional abilities are best assessed by:
Student Self-report of function
, Answer:
Observed assessment of function
A comprehensive head-to-toe examination
Family report of function
Instructor Two well-established tools used to evaluate function in older adults are the
Explanation: Katz Activities of Daily Living Scale (Katz et al., 1963) and the Lawton
and Brody scale for Instrumental Activities of Daily Living (Lawton &
Brody, 1969). It is important to be cautious about self-report of function
(rather than direct observation of function) and to ask, “Do you …?”
instead of “Can you …?” in order to determine if patients actually perform
the activity. (Kennedy-Malone 40)
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced
Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014-
01-14. VitalBook file.
Points Received: 2 of 2
Comments:
-582355585 MultipleChoice 4 True
0 -582355585 MultipleChoice 4
Question 5. Question :
Iron Deficiency Anemia (IDA) is classified as a microcytic,
hypochromic anemia. This classification refers to which of the
following laboratory data?
Student Answer: Hemoglobin and Hematocrit
Mean Corpuscular Volume (MCV) and Mean Corpuscular
Hemoglobin (MCH)
Serum ferritin and serum iron
Total iron binding capacity and transferrin saturation
Instructor RBC indices reveal an MCV (mean corpuscular volume/RBC size) that
Explanation: will be decreased to <80 fL in adults; MCH (mean corpuscular
hemoglobin/RBC color) will show hypochromia or pale cells; RBC
distribution width (RDW)/volume variation will be increased.
(Kennedy-Malone page 519)
