TEST BANK FOR ADVANCED PRACTICE NU
n n n n n
RSING IN THE CARE OF OLDER ADULTS 2N
n n n n n n n
D EDITION BY KENNEDY-MALONE
n n n
Then majorn impact n of n then physiologicaln changesn that n occurn withnagingn is:
Questionn :
Student n Reduced n physiologicaln reserve
Answer:
Reduced n homeostaticn mechanismsn
Impaired n immunologicaln responsen
Alln of n then above
Instructorn E Then majorn impact n of n alln of n thesen physiologicaln changesn cann ben highlighted n
xplanation: withn threen primaryn points.n First,n theren isn an reduced n physiologicaln reserven of n
most n bodyn systems,n particularlyn cardiac,n respiratory,n and n renal.n Second,n the
ren aren reduced n homeostaticn mechanismsn that n failn ton adjust nregulatoryn system
sn suchn asn temperaturen controln and n fluid n and n electrolyten balance.
Third,n theren isn impaired n immunologicaln function:n infectionn riskn isn greater,na
nd n autoimmunen diseasesn aren moren prevalent.n (Kennedy-Malonen 3)
Kennedy-Malone,n Laurie,n Kathleenn Fletcher,n Lorin Martin-
Plank.n AdvancednPracticen Nursingn inn then Caren ofn Oldern Adults.n F.A.n Davisn
Company,n 2014-n01-14.n VitalBookn file.
Pointsn Received: 2nof n2
Comments:
-582355588 MultipleChoice 1 True
0 -582355588 MultipleChoice 1
Questionn 2.n Questionn :
Menn haven fastern and nmoren efficient n biotransformationn of n drugsn
and n thisn isn thought n ton ben duen to:
Student n
Answer: Instructorn Explanation:
, gement nTestosterone
L
e Lessn estrogenn thann women
s
Menn haven fastern and nmoren efficient n biotransformation,n presumablyn becauseno
s
n f n serumn testosterone.n Conditionsn of n increased n orn decreased n livern perfusion
o
b
e
s
i
t
y
n
r
a
t
e
s
n
t
h
a
n
n
w
o
m
e
n
P
r
o
s
t
a
t
e
n
e
n
l
a
r
, altern then overalln leveln of n then drugn that n isn absorbed n and n how n it n isn
metabolized.n (Kennedy-Malonen 5)
Kennedy-Malone,n Laurie,n Kathleenn Fletcher,n Lorin Martin-
Plank.n AdvancednPracticen Nursingn inn then Caren ofn Oldern Adults.n F.A.n Davisn
Company,n 2014-n01-14.n VitalBookn file.
Pointsn Received: 2nof n2
Comments:
-582355587 MultipleChoice 2 True
0 -582355587 MultipleChoice 2
Questionn 3.n Questionn :
Then cytochromen pn systemn involvesn enzymesn that n aren generally:
Student n Inhibited n byn drugs
Answer:
Induced n byn drugs
Inhibited n orn induced n byn drugs
Associated n withn decreased n livern perfusion
Instructorn E Biotransformationn occursn inn alln bodyn tissuesn but n primarilyn inn then liver,n
xplanation: wheren enzymaticn activityn (cytochromen Pn [CYP]n system)n altersn and n det
oxifiesn then drugn and n preparesn it n forn excretion.n (Kennedy-Malonen 5)
Kennedy-Malone,n Laurie,n Kathleenn Fletcher,n Lorin Martin-
Plank.n Advancedn Practicen Nursingn inn then Caren ofn OldernAdults.n F.A.n D
avisnCompany,n 2014-01-14.n VitalBookn file.
Pointsn Received: 2nof n2
Comments:
-582355586 MultipleChoice 3 True
0 -582355586 MultipleChoice 3
Questionn 4.n Questionn :
Functionaln abilitiesn aren best n assessed n by:
Student Self-report n of n function
, Answer:
Observed n assessment n of n function
A n comprehensiven head-to-
toen examinationnFamilyn report n of n function
Instructorn E Twon well-
xplanation: established n toolsn used n ton evaluatenfunctionninn oldern adultsnaren thenKatznActivi
tiesn of n Dailyn Livingn Scalen (Katzn et nal.,n 1963)nand nthen Lawtonnandn Brodynscal
en forn Instrumentaln Activitiesn of nDailyn Livingn (Lawtonn&n Brody,n 1969).nItn isn
important n ton ben cautiousn about n self-
report n of n functionn (rathern thann direct n observationn ofnfunction)n andn ton ask,n“D
on youn …?”n instead n ofn “Cann youn…?”n inn ordern tondeterminen if n patientsn actual
lyn performnt hen activity.n (Kennedy-Malonen 40)
Kennedy-Malone,n Laurie,n Kathleenn Fletcher,n Lorin Martin-
Plank.n AdvancednPracticen Nursingn inn then Caren ofn Oldern Adults.n F.A.n Davisn
Company,n 2014-n01-14.n VitalBookn file.
Pointsn Received: 2nof n2
Comments:
-582355585 MultipleChoice 4 True
0 -582355585 MultipleChoice 4
Questionn 5.n Questionn :
Ironn Deficiencyn Anemian (IDA)n isn classified n asn an microcytic,n hy
pochromicn anemia.n Thisn classificationn refersn ton whichn of n thenf oll
owingn laboratoryn data?
Student nAnswer: Hemoglobinn and n Hematocrit
MeannCorpuscularnVolumen(MCV)nand nMeannCorpuscularn
Hemoglobinn (MCH)
Serumn ferritinn and n serumn iron
Totaln ironn bindingn capacityn and n transferrinn saturation
Instructorn E RBCn indicesn revealn ann MCV n (meann corpuscularn volume/RBCn size)n that n
xplanation: willn ben decreased n ton <80nfLn innadults;n MCHn (meann corpuscularn hemoglo
bin/RBCn color)n willn show n hypochromian orn palen cells;n RBCn distributionn
widthn (RDW)/volumen variationn willn ben increased.n (Kennedy-
Malonen pagen 519)
n n n n n
RSING IN THE CARE OF OLDER ADULTS 2N
n n n n n n n
D EDITION BY KENNEDY-MALONE
n n n
Then majorn impact n of n then physiologicaln changesn that n occurn withnagingn is:
Questionn :
Student n Reduced n physiologicaln reserve
Answer:
Reduced n homeostaticn mechanismsn
Impaired n immunologicaln responsen
Alln of n then above
Instructorn E Then majorn impact n of n alln of n thesen physiologicaln changesn cann ben highlighted n
xplanation: withn threen primaryn points.n First,n theren isn an reduced n physiologicaln reserven of n
most n bodyn systems,n particularlyn cardiac,n respiratory,n and n renal.n Second,n the
ren aren reduced n homeostaticn mechanismsn that n failn ton adjust nregulatoryn system
sn suchn asn temperaturen controln and n fluid n and n electrolyten balance.
Third,n theren isn impaired n immunologicaln function:n infectionn riskn isn greater,na
nd n autoimmunen diseasesn aren moren prevalent.n (Kennedy-Malonen 3)
Kennedy-Malone,n Laurie,n Kathleenn Fletcher,n Lorin Martin-
Plank.n AdvancednPracticen Nursingn inn then Caren ofn Oldern Adults.n F.A.n Davisn
Company,n 2014-n01-14.n VitalBookn file.
Pointsn Received: 2nof n2
Comments:
-582355588 MultipleChoice 1 True
0 -582355588 MultipleChoice 1
Questionn 2.n Questionn :
Menn haven fastern and nmoren efficient n biotransformationn of n drugsn
and n thisn isn thought n ton ben duen to:
Student n
Answer: Instructorn Explanation:
, gement nTestosterone
L
e Lessn estrogenn thann women
s
Menn haven fastern and nmoren efficient n biotransformation,n presumablyn becauseno
s
n f n serumn testosterone.n Conditionsn of n increased n orn decreased n livern perfusion
o
b
e
s
i
t
y
n
r
a
t
e
s
n
t
h
a
n
n
w
o
m
e
n
P
r
o
s
t
a
t
e
n
e
n
l
a
r
, altern then overalln leveln of n then drugn that n isn absorbed n and n how n it n isn
metabolized.n (Kennedy-Malonen 5)
Kennedy-Malone,n Laurie,n Kathleenn Fletcher,n Lorin Martin-
Plank.n AdvancednPracticen Nursingn inn then Caren ofn Oldern Adults.n F.A.n Davisn
Company,n 2014-n01-14.n VitalBookn file.
Pointsn Received: 2nof n2
Comments:
-582355587 MultipleChoice 2 True
0 -582355587 MultipleChoice 2
Questionn 3.n Questionn :
Then cytochromen pn systemn involvesn enzymesn that n aren generally:
Student n Inhibited n byn drugs
Answer:
Induced n byn drugs
Inhibited n orn induced n byn drugs
Associated n withn decreased n livern perfusion
Instructorn E Biotransformationn occursn inn alln bodyn tissuesn but n primarilyn inn then liver,n
xplanation: wheren enzymaticn activityn (cytochromen Pn [CYP]n system)n altersn and n det
oxifiesn then drugn and n preparesn it n forn excretion.n (Kennedy-Malonen 5)
Kennedy-Malone,n Laurie,n Kathleenn Fletcher,n Lorin Martin-
Plank.n Advancedn Practicen Nursingn inn then Caren ofn OldernAdults.n F.A.n D
avisnCompany,n 2014-01-14.n VitalBookn file.
Pointsn Received: 2nof n2
Comments:
-582355586 MultipleChoice 3 True
0 -582355586 MultipleChoice 3
Questionn 4.n Questionn :
Functionaln abilitiesn aren best n assessed n by:
Student Self-report n of n function
, Answer:
Observed n assessment n of n function
A n comprehensiven head-to-
toen examinationnFamilyn report n of n function
Instructorn E Twon well-
xplanation: established n toolsn used n ton evaluatenfunctionninn oldern adultsnaren thenKatznActivi
tiesn of n Dailyn Livingn Scalen (Katzn et nal.,n 1963)nand nthen Lawtonnandn Brodynscal
en forn Instrumentaln Activitiesn of nDailyn Livingn (Lawtonn&n Brody,n 1969).nItn isn
important n ton ben cautiousn about n self-
report n of n functionn (rathern thann direct n observationn ofnfunction)n andn ton ask,n“D
on youn …?”n instead n ofn “Cann youn…?”n inn ordern tondeterminen if n patientsn actual
lyn performnt hen activity.n (Kennedy-Malonen 40)
Kennedy-Malone,n Laurie,n Kathleenn Fletcher,n Lorin Martin-
Plank.n AdvancednPracticen Nursingn inn then Caren ofn Oldern Adults.n F.A.n Davisn
Company,n 2014-n01-14.n VitalBookn file.
Pointsn Received: 2nof n2
Comments:
-582355585 MultipleChoice 4 True
0 -582355585 MultipleChoice 4
Questionn 5.n Questionn :
Ironn Deficiencyn Anemian (IDA)n isn classified n asn an microcytic,n hy
pochromicn anemia.n Thisn classificationn refersn ton whichn of n thenf oll
owingn laboratoryn data?
Student nAnswer: Hemoglobinn and n Hematocrit
MeannCorpuscularnVolumen(MCV)nand nMeannCorpuscularn
Hemoglobinn (MCH)
Serumn ferritinn and n serumn iron
Totaln ironn bindingn capacityn and n transferrinn saturation
Instructorn E RBCn indicesn revealn ann MCV n (meann corpuscularn volume/RBCn size)n that n
xplanation: willn ben decreased n ton <80nfLn innadults;n MCHn (meann corpuscularn hemoglo
bin/RBCn color)n willn show n hypochromian orn palen cells;n RBCn distributionn
widthn (RDW)/volumen variationn willn ben increased.n (Kennedy-
Malonen pagen 519)
