Sp Sp Sp Sp Sp
la la la la al a l
sh sh sh sh sh sh
ne ne ne ne ne ne
tz tz tz tz tz t
Sp Sp Sp Sp Sp
la la la a la l
sh sh sh sh sh
ne ne ne ne ne
, ne
sh
ne
Question :
la The major impact of the physiological changes that occur with
aging is:
tz
sh
Sp
Student
Answer: ne Reduced physiological reserve
la
Reduced homeostatic mechanisms
sh
Sp
ne
Impaired immunological response
la
tz
All of the above
sh
Sp
ne
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
la
most body systems, particularly cardiac, respiratory, and renal. Second,
there are reduced homeostatic mechanisms that fail to adjust regulatory
sh
Sp
systems such as temperature control and fluid and electrolyte balance.
ne
Third, there is impaired immunological function: infection risk is greater,
and autoimmune diseases are more prevalent. (Kennedy-Malone 3)
la
tz
sh
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced
Sp
Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014-
ne
01-14. VitalBook file.
la
sh
Points Received: 2 of 2
Sp
ne
Comments:
la
-582355588 MultipleChoice 1 True
tz
0 -582355588 MultipleChoice 1
sh
Sp
ne
Question 2 Question :
. Men have faster and more efficient biotransformation of drugs
la
and this is thought to be due to:
sh
Sp
ne
Student Less obesity rates than women
Answer:
a
tz
Prostate enlargement
l
sh
Sp
ne
Testosterone
la
sh
Sp
la
Sp
, ne
sh
ne
Less estrogen than women
Instructor
la
Men have faster and more efficient biotransformation, presumably because
tz
sh
Explanation: of serum testosterone. Conditions of increased or decreased liver perfusion
Sp
alter the overall level of the drug that is absorbed and how it is
ne
metabolized. (Kennedy-Malone 5)
la
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced
sh
Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014-
Sp
01-14. VitalBook file.
ne
la
tz
Points Received: 2 of 2
sh
Sp
Comments:
ne
-582355587 MultipleChoice 2 True
la
0 -582355587 MultipleChoice 2
sh
Sp
Question 3 Question :
ne
. The cytochrome p system involves enzymes that are generally:
la
tz
sh
Student Inhibited by drugs
Sp
Answer:
ne
Induced by drugs
la
sh
Inhibited or induced by drugs
Sp
ne
Associated with decreased liver perfusion
la
tz
Instructor
sh
Biotransformation occurs in all body tissues but primarily in the liver,
Sp
Explanation: where enzymatic activity (cytochrome P [CYP] system) alters and
ne
detoxifies the drug and prepares it for excretion. (Kennedy-Malone 5)
la
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank.
sh
Advanced Practice Nursing in the Care of Older Adults. F.A. Davis
Sp
Company, 2014-01-14. VitalBook file.
ne
a
tz
Points Received: 2 of 2
l
sh
Sp
Comments:
ne
-582355586 MultipleChoice 3 True
la
sh
Sp
la
Sp
, ne
sh
0 -582355586 MultipleChoice 3
ne
Question 4 Question :
la
. Functional abilities are best assessed by:
tz
sh
Sp
ne
Student
Answer:
Self-report of function
la
Observed assessment of function
sh
Sp
ne
A comprehensive head-to-toe examination
la
tz
Family report of function
sh
Sp
ne
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
la
and Brody scale for Instrumental Activities of Daily Living (Lawton &
sh
Brody, 1969). It is important to be cautious about self-report of function
Sp
(rather than direct observation of function) and to ask, “Do you …?”
ne
instead of “Can you …?” in order to determine if patients actually perform
la
the activity. (Kennedy-Malone 40)
tz
sh
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced
Sp
Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014-
ne
01-14. VitalBook file.
la
sh
Points Received: 2 of 2
Sp
ne
Comments:
la
-582355585 MultipleChoice 4 True
tz
0 -582355585 MultipleChoice 4
sh
Sp
ne
Question 5 Question :
. Iron Deficiency Anemia (IDA) is classified as a microcytic,
la
hypochromic anemia. This classification refers to which of the
sh
following laboratory data?
Sp
ne
a
Student Answer: Hemoglobin and Hematocrit
tz
l
sh
Sp
Mean Corpuscular Volume (MCV) and Mean Corpuscular
ne
Hemoglobin (MCH)
la
sh
Sp
la
Sp
la la la la al a l
sh sh sh sh sh sh
ne ne ne ne ne ne
tz tz tz tz tz t
Sp Sp Sp Sp Sp
la la la a la l
sh sh sh sh sh
ne ne ne ne ne
, ne
sh
ne
Question :
la The major impact of the physiological changes that occur with
aging is:
tz
sh
Sp
Student
Answer: ne Reduced physiological reserve
la
Reduced homeostatic mechanisms
sh
Sp
ne
Impaired immunological response
la
tz
All of the above
sh
Sp
ne
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
la
most body systems, particularly cardiac, respiratory, and renal. Second,
there are reduced homeostatic mechanisms that fail to adjust regulatory
sh
Sp
systems such as temperature control and fluid and electrolyte balance.
ne
Third, there is impaired immunological function: infection risk is greater,
and autoimmune diseases are more prevalent. (Kennedy-Malone 3)
la
tz
sh
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced
Sp
Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014-
ne
01-14. VitalBook file.
la
sh
Points Received: 2 of 2
Sp
ne
Comments:
la
-582355588 MultipleChoice 1 True
tz
0 -582355588 MultipleChoice 1
sh
Sp
ne
Question 2 Question :
. Men have faster and more efficient biotransformation of drugs
la
and this is thought to be due to:
sh
Sp
ne
Student Less obesity rates than women
Answer:
a
tz
Prostate enlargement
l
sh
Sp
ne
Testosterone
la
sh
Sp
la
Sp
, ne
sh
ne
Less estrogen than women
Instructor
la
Men have faster and more efficient biotransformation, presumably because
tz
sh
Explanation: of serum testosterone. Conditions of increased or decreased liver perfusion
Sp
alter the overall level of the drug that is absorbed and how it is
ne
metabolized. (Kennedy-Malone 5)
la
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced
sh
Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014-
Sp
01-14. VitalBook file.
ne
la
tz
Points Received: 2 of 2
sh
Sp
Comments:
ne
-582355587 MultipleChoice 2 True
la
0 -582355587 MultipleChoice 2
sh
Sp
Question 3 Question :
ne
. The cytochrome p system involves enzymes that are generally:
la
tz
sh
Student Inhibited by drugs
Sp
Answer:
ne
Induced by drugs
la
sh
Inhibited or induced by drugs
Sp
ne
Associated with decreased liver perfusion
la
tz
Instructor
sh
Biotransformation occurs in all body tissues but primarily in the liver,
Sp
Explanation: where enzymatic activity (cytochrome P [CYP] system) alters and
ne
detoxifies the drug and prepares it for excretion. (Kennedy-Malone 5)
la
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank.
sh
Advanced Practice Nursing in the Care of Older Adults. F.A. Davis
Sp
Company, 2014-01-14. VitalBook file.
ne
a
tz
Points Received: 2 of 2
l
sh
Sp
Comments:
ne
-582355586 MultipleChoice 3 True
la
sh
Sp
la
Sp
, ne
sh
0 -582355586 MultipleChoice 3
ne
Question 4 Question :
la
. Functional abilities are best assessed by:
tz
sh
Sp
ne
Student
Answer:
Self-report of function
la
Observed assessment of function
sh
Sp
ne
A comprehensive head-to-toe examination
la
tz
Family report of function
sh
Sp
ne
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
la
and Brody scale for Instrumental Activities of Daily Living (Lawton &
sh
Brody, 1969). It is important to be cautious about self-report of function
Sp
(rather than direct observation of function) and to ask, “Do you …?”
ne
instead of “Can you …?” in order to determine if patients actually perform
la
the activity. (Kennedy-Malone 40)
tz
sh
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced
Sp
Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014-
ne
01-14. VitalBook file.
la
sh
Points Received: 2 of 2
Sp
ne
Comments:
la
-582355585 MultipleChoice 4 True
tz
0 -582355585 MultipleChoice 4
sh
Sp
ne
Question 5 Question :
. Iron Deficiency Anemia (IDA) is classified as a microcytic,
la
hypochromic anemia. This classification refers to which of the
sh
following laboratory data?
Sp
ne
a
Student Answer: Hemoglobin and Hematocrit
tz
l
sh
Sp
Mean Corpuscular Volume (MCV) and Mean Corpuscular
ne
Hemoglobin (MCH)
la
sh
Sp
la
Sp
