,TESTBANK for Advanced Practice Nursing in the
Care of Older Adults 3rd Edition Laurie Kennedy-
Malone
Notes
1- The file is chapter after chapter.
2- We have shown you few pages sample.
3- The file contains all Appendix and Excel
sheet if it exists.
4- We have all what you need, we make
update at every time. There are many
new editions waiting you.
5- If you think you purchased the wrong file
You can contact us at every time, we can
replace it with true one.
Our email:
,Kennedy-Malone
Advanced Practice Nursing in the Care of Older Adults, 3e
Chapter 1 Changes With Aging
Multiple Choice
1. Mrs. Smith, who is 75 years old, reports that she is weak, has difficulty urinating, and is
dehydrated. Although she is afebrile, the nurse conducts a thorough physical examination
including urinalysis and complete blood count (CBC). The total assessment is necessary because:
1. All body systems interact, and symptoms could indicate a variety of diagnoses.
2. The symptoms are vague and may be signs of aging.
3. There may be other signs or symptoms more indicative of the condition.
4. Mrs. Smith may not be reporting all significant information.
2. A patient with renal disease has blood work drawn, and the results show an increase in serum
creatinine. Which of the following laboratory values does the advanced practice registered nurse
(APRN) need to know before ordering medications?
1. Complete blood count
2. Culture and sensitivity of the urine
3. Creatinine clearance
4. Uric acid levels
3. Which of the following statements is true regarding diagnostic testing?
1. A test is ordered for a specific purpose.
2. More invasive tests are the best option.
3. There is no need to discuss results with the patient.
4. If a test is needed, it should be ordered regardless of risk to the patient.
4. Janey, who is 25 years old, may experience arthritis differently than 65-year-old Mrs. Johnson
because:
1. The body undergoes physiological changes with aging, which changes how diseases present.
2. A healthy body does not experience significant changes as one gets older.
3. Older adults do not feel any constitutional symptoms, such as malaise and weight loss.
4. Even though the same joints are usually affected, age makes arthritis pain feel different.
5. The APRN is examining an 85-year-old man with reports of vague abdominal symptoms, new
onset constipation, and somatic complaints. These symptoms may be an atypical presentation of
which illness?
Page 1
,Kennedy-Malone
Advanced Practice Nursing in the Care of Older Adults, 3e
1. Depression
2. Heart failure
3. Hypothyroidism
4. Malignancy
6. A gerontological patient is being examined for a report of pain in the shoulder. The APRN
completes a thorough systemic examination because:
1. Older adults with one morbidity often express difficulties in general.
2. Arthritis of the shoulders can be accompanied by other neurological symptoms.
3. Older adults with arthritis often experience pain in the lower extremities.
4. The older adult may not report significant signs and symptoms.
7. The APRN performs a thorough systemic examination of a patient who reports melena, weight
loss, intermittent confusion, and dyspepsia. The older adult denies abdominal pain. One possible
diagnosis would be:
1. Pneumonia
2. Ulcerative colitis
3. Appendicitis
4. Peptic ulcer disease
8. An older woman is being seen in the ambulatory clinic for a routine check-up. The patient
asks about results of her blood work compared to last year’s results. Which response is best for
the clinician to offer?
1. They are likely to be the same if you have had no diseases since then.
2. Your results may be different because the body changes with disease and medications you are
taking.
3. Blood work is not a reliable indicator of health because many things can affect your health that
may not show up in the results of your blood work.
4. There is likely no significant difference if your body remains stable in its functioning.
Multiple Response
9. For individuals over 65, the most common morbidities are related to which of the following?
Select all that apply.
1. Heart disease
2. Respiratory problems
3. Diabetes
Page 2
,Kennedy-Malone
Advanced Practice Nursing in the Care of Older Adults, 3e
4. Cancer
5. Stroke
10. A 70-year-old man is seeing an APRN because he is feeling weak and dizzy. The APRN is
discussing a care plan with him and should make which of the following statements? Select all
that apply.
1. I want to order a test for your heart to evaluate its function.
2. I will perform a thorough examination of your functional abilities.
3. I will order a blood sugar test to check for diabetes.
4. I want to wait to order further tests. Many older adults feel this way, but it may resolve.
5. I will assess you for the presence of other conditions.
11. The APRN is leading a class of older adults over age 65 years old and is teaching about
nutritional needs. One of the men asks why, even though he eats correctly according to the
standards presented, he still feels weaker than he did 10 years ago. He also wonders why he gets
more infections than he used to. Which of the following answers are helpful? Select all that
apply.
1. I suggest that you exercise a little more than you are currently doing.
2. Older adults experience a decrease in reserve energy.
3. Older adults have immune system weakness.
4. More viruses are being spread throughout the community.
5. I suggest that you see your primary care giver for extensive testing.
12. An older adult couple is discussing health concerns with the APRN. The couple is concerned
that each of their individual blood studies show different results. One set of test results shows a
significant decrease in blood sugar, but the test results of the partner do not show an equal
decrease. Their physician does not seem concerned, and the couple is wondering why. How is it
best for the APRN to respond? Select all that apply.
1. Studies show that each person’s pattern of chemical make-up is different.
2. There is no difference between one person’s range of blood results and that of any other
person.
3. Each person’s chemical make-up is the same as that of others of the same gender and age
group.
4. Many factors affect an individual’s chemical make-up.
5. Ranges of the values provided by the laboratory are correct for any age.
13. Adam, 70 years old, is admitted for possible myasthenia gravis (MG). The APRN knows that
MG is commonly seen in women between 20 and 40 years old. Adam, however, is experiencing
an ocular form of MG, has dysphonia, and does not have any thymus abnormalities. Adam asks
why the nurse is concerned about MG, as he is older and this is a “young person’s disease.”
Which responses from the APRN are best? Select all that apply.
Page 3
,Kennedy-Malone
Advanced Practice Nursing in the Care of Older Adults, 3e
1. We need to assess for anything, just in case.
2. Some diseases show up in two different age and gender groups.
3. Depending on your age, MG may present with different symptoms.
4. Your insurance will cover this, and we want to rule out as much as possible.
5. Signs and symptoms of illness are the same for each disease regardless of age.
14. Mrs. Smith is 75 years old and was diagnosed with type 2 diabetes mellitus 30 years ago. She
sees her APRN on a regular basis. Mrs. Smith asks the APRN why her treatment has not been
changed even though her lab values are seemingly out of the normal range. With which of the
following statements would the APRN respond? Select all that apply.
1. A decision to make changes must be based on a pattern and not on one set of lab results.
2. The normal range charts are based on patients younger than 75 years.
3. Currently, it is too expensive to change your treatment.
4. Comparing new results with your prior results gives a more accurate picture.
5. Normal values for laboratory tests differ as one gets older.
15. Mr. Adams is 90 years old. In the last few months, he appears unable to adhere to the health-
care plan developed by the APRN. The APRN considers which of the following reasons for the
patient’s nonadherence when updating his home-care plan? Select all that apply.
1. Polypharmacy
2. Diminished functional capacity
3. Attending multiple appointments
4. Affording complex drug regimens
5. Lack of dedication
Answers
1. Answer: 1
Page: 2
Feedback
1. The clinician must be aware that all the systems interact and, in doing so, can increase
the older adult’s vulnerability to illness/disease.
2. The nurse must not attribute symptoms only to the aging process.
3. There may be comorbidities accompanying this condition.
4. Assumptions of not reporting properly may not be true.
Chapter number/title: Chapter 1 Changes With Aging
Page 4
,Kennedy-Malone
Advanced Practice Nursing in the Care of Older Adults, 3e
Learning objective: The learner will be familiarized with fundamental underpinnings that serve
to guide the approach to assessment and management of older adults.
Heading: Physiological Changes With Aging
Difficulty: Moderate
2. Answer: 3
Page: 3
Feedback
1. A complete blood count (CBC) will not evaluate kidney function for a patient with
renal disease. It shows how the bone marrow is producing and the growth of blood
components.
2. A culture and sensitivity test reflects the presence of an infection and the antibiotic to
which the organism is sensitive.
3. The calculation of creatinine clearance provides an estimation of renal function.
4. Uric acid level is elevated in the presence of gout.
Chapter number/title: Chapter 1 Changes With Aging
Learning objective: The learner will understand how the changes that accompany aging influence
reference laboratory values.
Heading: Laboratory Values in Older Adults
Difficulty: Moderate
3. Answer: 1
Page: 3
Feedback
1. The APRN should have a plan for the use of each test result value obtained.
2. When considering which laboratory tests to order, it is worth remembering the doctrine
primum no nnocere: First, do no harm.
3. Once laboratory tests are available for review, test results should be discussed with the
patient. Abnormal test results should be interpreted for the aging individual and
addressed with the patient and caregivers.
4. Any risks involved in laboratory testing must be considered concerning the patient’s
clinical condition and weighed against the test’s expected benefits.
Chapter number/title: Chapter 1 Changes With Aging
Learning objective: The learner will be familiarized with fundamental underpinnings that serve
to guide the approach to assessment and management of older adults.
Heading: Laboratory Values in Older Adults
Difficulty: Moderate
4. Answer: 1
Page: 4
Page 5
,Kennedy-Malone
Advanced Practice Nursing in the Care of Older Adults, 3e
Feedback
1. Knowledge of the bimodality of age onset of certain disease conditions, such as
knowing that the same disease may present differently in a 25 year old versus a 65
year old, will aid the APRN in avoiding misdiagnosis or delay in diagnosis due to lack
of recognition.
2. Regardless of health, the body experiences changes during aging. The reason
symptoms of rheumatoid arthritis may be different in these two patients is because of
the ages of the patients, rather than overall health.
3. Older patients experience constitutional symptoms such as fever, malaise, weight loss,
and depression while younger patients may not.
4. In late-onset rheumatoid arthritis, the joint involvement is more often in the larger
joints.
Chapter number/title: Chapter 1 Changes With Aging
Learning objective: The learner will develop a perspective in approaching the older adult that is
different from that of a younger adult.
Heading: Bimodality of Age of Onset of Clinical Conditions
Difficulty: Moderate
5. Answer: 1
Page: 5
Feedback
1. The older adult may have atypical presentations of some conditions. These symptoms
may be atypical presentation of depression.
2. Atypical presentation of heart failure in the older adult may include anorexia,
confusion, and nocturia.
3. Atypical presentation of hypothyroidism may include confusion and agitation, new
onset of anorexia, and ataxia.
4. Atypical presentation of malignancies may be new or worsening back pain secondary
to metastases from slow growing breast masses or silent masses of the bowel.
Chapter number/title: Chapter 1 Changes With Aging
Learning objective: The learner will recognize that presenting features pf disease/illness may be
different in older adults.
Heading: Presenting Features of Illness/Disease in the Older Adult
Difficulty: Moderate
6. Answer:1
Page: 4
Feedback
1. Older patients with late-onset rheumatoid arthritis experience joint involvement more
often in the larger joints such as the shoulder, and they also experience systemic
symptoms such as fever, malaise, weight loss, and depression.
Page 6
,Kennedy-Malone
Advanced Practice Nursing in the Care of Older Adults, 3e
2. Older adults may express symptoms in any other physical systems.
3. Patients more often experience arthritis in smaller joints.
4. A thorough examination will detect objective indicators.
Chapter number/title: Chapter 1 Changes With Aging
Learning objective: The learner will develop a perspective in approaching the older adult that is
different from that of a younger adult.
Heading: Bimodality of Age of Onset of Clinical Conditions
Difficulty: Moderate
7. Answer: 4
Page: 5
Feedback
1. Pneumonia in the older adult may present with mild cough, tachycardia and
tachypnea, anorexia, and other atypical symptoms.
2. Diarrhea is associated with ulcerative colitis.
3. Appendicitis is more common in younger patients than in older patients. The older
adult may experience pain in the right lower abdomen that becomes diffuse.
4. Peptic ulcer disease is manifested differently in a bimodal pattern. It presents in the
older adults with no abdominal pain, melena, dyspepsia, anorexia, confusion, and
other atypical symptoms.
Chapter number/title: Chapter 1 Changes With Aging
Learning objective: The learner will recognize that presenting features of disease/illness may be
different in older adults.
Heading: Table 1-1 Atypical Presentation of Illness in Older Adults
Difficulty: Moderate
8. Answer: 2
Page: 3
Feedback
1. Biochemical individuality variation is often much smaller than variation within the
larger group.
2. Disease, nutrition, and medications affect health in older adults.
3. Although abnormal laboratory findings are often attributed to old age, rarely are they
true aging changes.
4. Many factors can influence laboratory value interpretation in the older adult, including
the physiological changes with aging, the prevalence of chronic disease, changes in
nutritional and fluid intake, lifestyle (including activity), and the medications taken.
Chapter number/title: Chapter 1 Changes With Aging
Page 7
, Kennedy-Malone
Advanced Practice Nursing in the Care of Older Adults, 3e
Learning objective: The learner will understand how that changes that accompany aging
influence reference laboratory values.
Heading: Laboratory Values in Older Adults
Difficulty: Difficult
9. Answer: 1, 2, 3, 4, 5
Page: 6
Feedback
1. The most common comorbidities are related to heart disease, arthritis, respiratory
problems, cancer, diabetes, and stroke.
2. The most common comorbidities are related to heart disease, arthritis, respiratory
problems, cancer, diabetes, and stroke.
3. The most common comorbidities are related to heart disease, arthritis, respiratory
problems, cancer, diabetes, and stroke.
4. The most common comorbidities are related to heart disease, arthritis, respiratory
problems, cancer, diabetes, and stroke.
5. The most common comorbidities are related to heart disease, arthritis, respiratory
problems, cancer, diabetes, and stroke.
Chapter number/title: Chapter 1 Changes With Aging
Learning objective: The learner will develop an awareness of the impact of chronic illness on
functional capacity and quality of life.
Heading: Chronic Illness and Functional Capacity
Difficulty: Easy
10. Answer: 1, 2, 3, 5
Page: 2
Feedback
1. A complete assessment will help differentiate signs of aging from disease.
2. All systems interact and can affect an existing condition.
3. Identifying underlying conditions will avoid undertreatment.
4. Attributing symptoms to aging can contribute to depression in an older adult.
Furthermore, failing to take action at this time risks undertreating the client.
5. There are changes in the sympathetic response that contribute to the orthostasis and
falls as well as lack of hypoglycemic response.
Chapter number/title: Chapter 1 Changes With Aging
Learning objective: The learner will be familiarized with fundamental underpinnings that serve
to guide the approach of assessment and management of the older adult.
Heading: Physiological Changes With Aging
Difficulty: Difficult
11. Answer: 2, 3, 5
Page 8
Care of Older Adults 3rd Edition Laurie Kennedy-
Malone
Notes
1- The file is chapter after chapter.
2- We have shown you few pages sample.
3- The file contains all Appendix and Excel
sheet if it exists.
4- We have all what you need, we make
update at every time. There are many
new editions waiting you.
5- If you think you purchased the wrong file
You can contact us at every time, we can
replace it with true one.
Our email:
,Kennedy-Malone
Advanced Practice Nursing in the Care of Older Adults, 3e
Chapter 1 Changes With Aging
Multiple Choice
1. Mrs. Smith, who is 75 years old, reports that she is weak, has difficulty urinating, and is
dehydrated. Although she is afebrile, the nurse conducts a thorough physical examination
including urinalysis and complete blood count (CBC). The total assessment is necessary because:
1. All body systems interact, and symptoms could indicate a variety of diagnoses.
2. The symptoms are vague and may be signs of aging.
3. There may be other signs or symptoms more indicative of the condition.
4. Mrs. Smith may not be reporting all significant information.
2. A patient with renal disease has blood work drawn, and the results show an increase in serum
creatinine. Which of the following laboratory values does the advanced practice registered nurse
(APRN) need to know before ordering medications?
1. Complete blood count
2. Culture and sensitivity of the urine
3. Creatinine clearance
4. Uric acid levels
3. Which of the following statements is true regarding diagnostic testing?
1. A test is ordered for a specific purpose.
2. More invasive tests are the best option.
3. There is no need to discuss results with the patient.
4. If a test is needed, it should be ordered regardless of risk to the patient.
4. Janey, who is 25 years old, may experience arthritis differently than 65-year-old Mrs. Johnson
because:
1. The body undergoes physiological changes with aging, which changes how diseases present.
2. A healthy body does not experience significant changes as one gets older.
3. Older adults do not feel any constitutional symptoms, such as malaise and weight loss.
4. Even though the same joints are usually affected, age makes arthritis pain feel different.
5. The APRN is examining an 85-year-old man with reports of vague abdominal symptoms, new
onset constipation, and somatic complaints. These symptoms may be an atypical presentation of
which illness?
Page 1
,Kennedy-Malone
Advanced Practice Nursing in the Care of Older Adults, 3e
1. Depression
2. Heart failure
3. Hypothyroidism
4. Malignancy
6. A gerontological patient is being examined for a report of pain in the shoulder. The APRN
completes a thorough systemic examination because:
1. Older adults with one morbidity often express difficulties in general.
2. Arthritis of the shoulders can be accompanied by other neurological symptoms.
3. Older adults with arthritis often experience pain in the lower extremities.
4. The older adult may not report significant signs and symptoms.
7. The APRN performs a thorough systemic examination of a patient who reports melena, weight
loss, intermittent confusion, and dyspepsia. The older adult denies abdominal pain. One possible
diagnosis would be:
1. Pneumonia
2. Ulcerative colitis
3. Appendicitis
4. Peptic ulcer disease
8. An older woman is being seen in the ambulatory clinic for a routine check-up. The patient
asks about results of her blood work compared to last year’s results. Which response is best for
the clinician to offer?
1. They are likely to be the same if you have had no diseases since then.
2. Your results may be different because the body changes with disease and medications you are
taking.
3. Blood work is not a reliable indicator of health because many things can affect your health that
may not show up in the results of your blood work.
4. There is likely no significant difference if your body remains stable in its functioning.
Multiple Response
9. For individuals over 65, the most common morbidities are related to which of the following?
Select all that apply.
1. Heart disease
2. Respiratory problems
3. Diabetes
Page 2
,Kennedy-Malone
Advanced Practice Nursing in the Care of Older Adults, 3e
4. Cancer
5. Stroke
10. A 70-year-old man is seeing an APRN because he is feeling weak and dizzy. The APRN is
discussing a care plan with him and should make which of the following statements? Select all
that apply.
1. I want to order a test for your heart to evaluate its function.
2. I will perform a thorough examination of your functional abilities.
3. I will order a blood sugar test to check for diabetes.
4. I want to wait to order further tests. Many older adults feel this way, but it may resolve.
5. I will assess you for the presence of other conditions.
11. The APRN is leading a class of older adults over age 65 years old and is teaching about
nutritional needs. One of the men asks why, even though he eats correctly according to the
standards presented, he still feels weaker than he did 10 years ago. He also wonders why he gets
more infections than he used to. Which of the following answers are helpful? Select all that
apply.
1. I suggest that you exercise a little more than you are currently doing.
2. Older adults experience a decrease in reserve energy.
3. Older adults have immune system weakness.
4. More viruses are being spread throughout the community.
5. I suggest that you see your primary care giver for extensive testing.
12. An older adult couple is discussing health concerns with the APRN. The couple is concerned
that each of their individual blood studies show different results. One set of test results shows a
significant decrease in blood sugar, but the test results of the partner do not show an equal
decrease. Their physician does not seem concerned, and the couple is wondering why. How is it
best for the APRN to respond? Select all that apply.
1. Studies show that each person’s pattern of chemical make-up is different.
2. There is no difference between one person’s range of blood results and that of any other
person.
3. Each person’s chemical make-up is the same as that of others of the same gender and age
group.
4. Many factors affect an individual’s chemical make-up.
5. Ranges of the values provided by the laboratory are correct for any age.
13. Adam, 70 years old, is admitted for possible myasthenia gravis (MG). The APRN knows that
MG is commonly seen in women between 20 and 40 years old. Adam, however, is experiencing
an ocular form of MG, has dysphonia, and does not have any thymus abnormalities. Adam asks
why the nurse is concerned about MG, as he is older and this is a “young person’s disease.”
Which responses from the APRN are best? Select all that apply.
Page 3
,Kennedy-Malone
Advanced Practice Nursing in the Care of Older Adults, 3e
1. We need to assess for anything, just in case.
2. Some diseases show up in two different age and gender groups.
3. Depending on your age, MG may present with different symptoms.
4. Your insurance will cover this, and we want to rule out as much as possible.
5. Signs and symptoms of illness are the same for each disease regardless of age.
14. Mrs. Smith is 75 years old and was diagnosed with type 2 diabetes mellitus 30 years ago. She
sees her APRN on a regular basis. Mrs. Smith asks the APRN why her treatment has not been
changed even though her lab values are seemingly out of the normal range. With which of the
following statements would the APRN respond? Select all that apply.
1. A decision to make changes must be based on a pattern and not on one set of lab results.
2. The normal range charts are based on patients younger than 75 years.
3. Currently, it is too expensive to change your treatment.
4. Comparing new results with your prior results gives a more accurate picture.
5. Normal values for laboratory tests differ as one gets older.
15. Mr. Adams is 90 years old. In the last few months, he appears unable to adhere to the health-
care plan developed by the APRN. The APRN considers which of the following reasons for the
patient’s nonadherence when updating his home-care plan? Select all that apply.
1. Polypharmacy
2. Diminished functional capacity
3. Attending multiple appointments
4. Affording complex drug regimens
5. Lack of dedication
Answers
1. Answer: 1
Page: 2
Feedback
1. The clinician must be aware that all the systems interact and, in doing so, can increase
the older adult’s vulnerability to illness/disease.
2. The nurse must not attribute symptoms only to the aging process.
3. There may be comorbidities accompanying this condition.
4. Assumptions of not reporting properly may not be true.
Chapter number/title: Chapter 1 Changes With Aging
Page 4
,Kennedy-Malone
Advanced Practice Nursing in the Care of Older Adults, 3e
Learning objective: The learner will be familiarized with fundamental underpinnings that serve
to guide the approach to assessment and management of older adults.
Heading: Physiological Changes With Aging
Difficulty: Moderate
2. Answer: 3
Page: 3
Feedback
1. A complete blood count (CBC) will not evaluate kidney function for a patient with
renal disease. It shows how the bone marrow is producing and the growth of blood
components.
2. A culture and sensitivity test reflects the presence of an infection and the antibiotic to
which the organism is sensitive.
3. The calculation of creatinine clearance provides an estimation of renal function.
4. Uric acid level is elevated in the presence of gout.
Chapter number/title: Chapter 1 Changes With Aging
Learning objective: The learner will understand how the changes that accompany aging influence
reference laboratory values.
Heading: Laboratory Values in Older Adults
Difficulty: Moderate
3. Answer: 1
Page: 3
Feedback
1. The APRN should have a plan for the use of each test result value obtained.
2. When considering which laboratory tests to order, it is worth remembering the doctrine
primum no nnocere: First, do no harm.
3. Once laboratory tests are available for review, test results should be discussed with the
patient. Abnormal test results should be interpreted for the aging individual and
addressed with the patient and caregivers.
4. Any risks involved in laboratory testing must be considered concerning the patient’s
clinical condition and weighed against the test’s expected benefits.
Chapter number/title: Chapter 1 Changes With Aging
Learning objective: The learner will be familiarized with fundamental underpinnings that serve
to guide the approach to assessment and management of older adults.
Heading: Laboratory Values in Older Adults
Difficulty: Moderate
4. Answer: 1
Page: 4
Page 5
,Kennedy-Malone
Advanced Practice Nursing in the Care of Older Adults, 3e
Feedback
1. Knowledge of the bimodality of age onset of certain disease conditions, such as
knowing that the same disease may present differently in a 25 year old versus a 65
year old, will aid the APRN in avoiding misdiagnosis or delay in diagnosis due to lack
of recognition.
2. Regardless of health, the body experiences changes during aging. The reason
symptoms of rheumatoid arthritis may be different in these two patients is because of
the ages of the patients, rather than overall health.
3. Older patients experience constitutional symptoms such as fever, malaise, weight loss,
and depression while younger patients may not.
4. In late-onset rheumatoid arthritis, the joint involvement is more often in the larger
joints.
Chapter number/title: Chapter 1 Changes With Aging
Learning objective: The learner will develop a perspective in approaching the older adult that is
different from that of a younger adult.
Heading: Bimodality of Age of Onset of Clinical Conditions
Difficulty: Moderate
5. Answer: 1
Page: 5
Feedback
1. The older adult may have atypical presentations of some conditions. These symptoms
may be atypical presentation of depression.
2. Atypical presentation of heart failure in the older adult may include anorexia,
confusion, and nocturia.
3. Atypical presentation of hypothyroidism may include confusion and agitation, new
onset of anorexia, and ataxia.
4. Atypical presentation of malignancies may be new or worsening back pain secondary
to metastases from slow growing breast masses or silent masses of the bowel.
Chapter number/title: Chapter 1 Changes With Aging
Learning objective: The learner will recognize that presenting features pf disease/illness may be
different in older adults.
Heading: Presenting Features of Illness/Disease in the Older Adult
Difficulty: Moderate
6. Answer:1
Page: 4
Feedback
1. Older patients with late-onset rheumatoid arthritis experience joint involvement more
often in the larger joints such as the shoulder, and they also experience systemic
symptoms such as fever, malaise, weight loss, and depression.
Page 6
,Kennedy-Malone
Advanced Practice Nursing in the Care of Older Adults, 3e
2. Older adults may express symptoms in any other physical systems.
3. Patients more often experience arthritis in smaller joints.
4. A thorough examination will detect objective indicators.
Chapter number/title: Chapter 1 Changes With Aging
Learning objective: The learner will develop a perspective in approaching the older adult that is
different from that of a younger adult.
Heading: Bimodality of Age of Onset of Clinical Conditions
Difficulty: Moderate
7. Answer: 4
Page: 5
Feedback
1. Pneumonia in the older adult may present with mild cough, tachycardia and
tachypnea, anorexia, and other atypical symptoms.
2. Diarrhea is associated with ulcerative colitis.
3. Appendicitis is more common in younger patients than in older patients. The older
adult may experience pain in the right lower abdomen that becomes diffuse.
4. Peptic ulcer disease is manifested differently in a bimodal pattern. It presents in the
older adults with no abdominal pain, melena, dyspepsia, anorexia, confusion, and
other atypical symptoms.
Chapter number/title: Chapter 1 Changes With Aging
Learning objective: The learner will recognize that presenting features of disease/illness may be
different in older adults.
Heading: Table 1-1 Atypical Presentation of Illness in Older Adults
Difficulty: Moderate
8. Answer: 2
Page: 3
Feedback
1. Biochemical individuality variation is often much smaller than variation within the
larger group.
2. Disease, nutrition, and medications affect health in older adults.
3. Although abnormal laboratory findings are often attributed to old age, rarely are they
true aging changes.
4. Many factors can influence laboratory value interpretation in the older adult, including
the physiological changes with aging, the prevalence of chronic disease, changes in
nutritional and fluid intake, lifestyle (including activity), and the medications taken.
Chapter number/title: Chapter 1 Changes With Aging
Page 7
, Kennedy-Malone
Advanced Practice Nursing in the Care of Older Adults, 3e
Learning objective: The learner will understand how that changes that accompany aging
influence reference laboratory values.
Heading: Laboratory Values in Older Adults
Difficulty: Difficult
9. Answer: 1, 2, 3, 4, 5
Page: 6
Feedback
1. The most common comorbidities are related to heart disease, arthritis, respiratory
problems, cancer, diabetes, and stroke.
2. The most common comorbidities are related to heart disease, arthritis, respiratory
problems, cancer, diabetes, and stroke.
3. The most common comorbidities are related to heart disease, arthritis, respiratory
problems, cancer, diabetes, and stroke.
4. The most common comorbidities are related to heart disease, arthritis, respiratory
problems, cancer, diabetes, and stroke.
5. The most common comorbidities are related to heart disease, arthritis, respiratory
problems, cancer, diabetes, and stroke.
Chapter number/title: Chapter 1 Changes With Aging
Learning objective: The learner will develop an awareness of the impact of chronic illness on
functional capacity and quality of life.
Heading: Chronic Illness and Functional Capacity
Difficulty: Easy
10. Answer: 1, 2, 3, 5
Page: 2
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1. A complete assessment will help differentiate signs of aging from disease.
2. All systems interact and can affect an existing condition.
3. Identifying underlying conditions will avoid undertreatment.
4. Attributing symptoms to aging can contribute to depression in an older adult.
Furthermore, failing to take action at this time risks undertreating the client.
5. There are changes in the sympathetic response that contribute to the orthostasis and
falls as well as lack of hypoglycemic response.
Chapter number/title: Chapter 1 Changes With Aging
Learning objective: The learner will be familiarized with fundamental underpinnings that serve
to guide the approach of assessment and management of the older adult.
Heading: Physiological Changes With Aging
Difficulty: Difficult
11. Answer: 2, 3, 5
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