Test Bank Complete_
Advanced Practice Nursing In The Care Of Older Adults 3rd Edition, (2025 Updates)
By Laurie Kennedy‑Malone & Evelyn Groenke Duffy
All Chapter 1-23| 4 Units| Latest Version With Verified Detailed Answers| Rated A+
From: [Bestmaxsolutions.Stuvia
,UNIT I: THE HEALTHY OLDER ADULT ---------------------------------------------------------------------------- 3
Chapter 1. Changes With Aging ------------------------------------------------------------------------------------------- 3
Chapter 2. Health Promotion --------------------------------------------------------------------------------------------- 15
Chapter 3. Exercise In Older Adults ------------------------------------------------------------------------------------- 26
Chapter 4. Nutritional Support In The Older Adult ----------------------------------------------------------------- 40
Chapter 5. Settings Of Care ----------------------------------------------------------------------------------------------- 53
UNIT II: ASSESSMENT --------------------------------------------------------------------------------------------- 64
Chapter 6. Comprehensive Geriatric Assessment (CGA) ---------------------------------------------------------- 64
Chapter 7. Symptoms And Syndromes -------------------------------------------------------------------------------- 76
UNIT III: TREATING DISORDERS -------------------------------------------------------------------------------- 90
Chapter 8. Dermatologic Disorders ------------------------------------------------------------------------------------- 90
Chapter 9. Head, Neck, And Face Disorders ------------------------------------------------------------------------ 105
Chapter 10. Cardiovascular Disorders-------------------------------------------------------------------------------- 122
Chapter 11. Respiratory Disorders ------------------------------------------------------------------------------------ 137
Chapter 12. Peripheral Vascular Disorders ------------------------------------------------------------------------- 151
Chapter 13. Gastrointestinal Disorders ------------------------------------------------------------------------------ 165
Chapter 14. Urological & Renal Disorders -------------------------------------------------------------------------- 181
Chapter 15. Gynecologic Disorders ----------------------------------------------------------------------------------- 195
Chapter 16. Musculoskeletal Disorders ----------------------------------------------------------------------------- 209
Chapter 17. Central And Peripheral Nervous System Disorders ---------------------------------------------- 224
Chapter 18. Endocrine And Metabolic Disorders ----------------------------------------------------------------- 238
Chapter 19. Hematologic Disorders ---------------------------------------------------------------------------------- 256
Chapter 20. Psychosocial Disorders ---------------------------------------------------------------------------------- 272
UNIT IV: COMPLEX ILLNESS ------------------------------------------------------------------------------------ 288
Chapter 21. Polypharmacy ---------------------------------------------------------------------------------------------- 288
Chapter 22. Chronic Illness And The APRN ------------------------------------------------------------------------- 303
Chapter 23. Palliative Care And End-Of-Life ------------------------------------------------------------------------ 319
,UNIT I: THE HEALTHY OLDER ADULT
Chapter 1. Changes With Aging
Kennedy-Malone: Advanced Practice Nursing In The Care Of Older Adults 3rd Edition, Test Bank
MULTIPLE CHOICE
1. Mrs. Smith, 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. - 1.
ANS: 1
Page: 2
Feedback:
1. The Clinician Must Be Aware That All The Systems Interact And, In Doing So, Can
Increase The Older Person'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.
2. A Patient With Renal Disease Has Blood Work Drawn, And The Results Show An
Increase In Serum Creatinine. The Nurse Practitioner Needs To Know Which Of The
Following Laboratory Values Before Ordering Medications?
1. CBC
,2. Culture And Sensitivity Of The Urine
3. Creatinine Clearance
4. Uric Acid Levels - 2.
ANS: 3
Page: 3
Feedback:
1. A CBC Will Not Evaluate Kidney Function For A Patient With Renal Disease.
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.
3. Which Of The Following Statements Is True Regarding Diagnostic Testing?
1. A Test Is Ordered For A Specific Purpose.
2. A Test Is The Most Invasive Available.
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. - 3.
ANS: 1
Page: 3
Feedback:
1. The Nurse Practitioner 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 Noncore—First, Do No Harm.
3. Once Laboratory Tests Are Available For Review, Tests Results Should Be Discussed
With The Patient, With Abnormal Test Results 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.
4. Janey, 25 Years Old, May Experience Arthritis Differently Than 65-Year-Old Mrs.
Johnson Because:
1. The Body Undergoes Physiological Changes With Aging.
2. A Healthy Body Does Not Experience Significant Changes As One Gets Older.
3. Older Patients Do Not Feel Any Systemic Symptoms, Such As Malaise And Weight
Loss.
4. Even Though The Same Joints Are Usually Affected, Age Makes It Feel Different. - 4.
ANS: 1
Page: 5
Feedback:
1. Knowledge Of The Bimodality Of Age Onset Of Certain Disease Conditions Will Aid
The Advanced Practice Nurse In Avoiding Misdiagnosis Or Delay In Diagnosis Due To
Lack Of Recognition.
2. Symptoms Of Rheumatoid Arthritis May Be Different Depending On The Age Of The
Patient.
3. Younger Patients May Not Experience Constitutional Symptoms Such As Fever,
Malaise, Weight Loss, And Depression.
4. In Late-Onset Rheumatoid Arthritis, The Joint Involvement Is More Often In The
Larger Joints.
5. The Nurse Practitioner Is Examining An 85-Year-Old Man With Reports Of
Abdominal Pain, Weakness, And Loss Of Appetite. Which Is The Most Likely Condition
To Be Tested For And Ruled Out?
, 1. Neoplasms And Carcinomas
2. Partial Seizure
3. Sarcopenia
4. Hirschsprung's Disease - 5.
ANS: 1
Page: 4
Feedback:
1. Certain Diseases, Such As Neoplasms And Carcinomas, Are More Common In The
Elderly, And An Understanding Of The Epidemiology Is Critical In The Interpretation.
2. Partial Seizure Is More Common In Early Old Age.
3. Sarcopenia Is More Common In Early Old Age.
4. Hirschsprung's Disease Is Most Common In Infancy.
6. For Individuals Over 65 Years Old, The Most Common Morbidities Are Related To:
1. Heart Disease, Arthritis
2. Respiratory Problems, Cancer
3. Diabetes, Stroke
4. All Of These Are Common Morbidities. - 6.
ANS: 4
Page: 5
Feedback:
1. Heart Disease Is One Of The Common Morbidities.
2. Cancer Is Common In The General Population; However, Specific Types Are More
Common In The Older Patient.
3. Diabetes Is Common In Patients Over 40 Years Of Age.
4. Heart Disease, Cancer, And Diabetes Combined Are The Most Common Morbidities
In Older Patients.
Advanced Practice Nursing In The Care Of Older Adults 3rd Edition, (2025 Updates)
By Laurie Kennedy‑Malone & Evelyn Groenke Duffy
All Chapter 1-23| 4 Units| Latest Version With Verified Detailed Answers| Rated A+
From: [Bestmaxsolutions.Stuvia
,UNIT I: THE HEALTHY OLDER ADULT ---------------------------------------------------------------------------- 3
Chapter 1. Changes With Aging ------------------------------------------------------------------------------------------- 3
Chapter 2. Health Promotion --------------------------------------------------------------------------------------------- 15
Chapter 3. Exercise In Older Adults ------------------------------------------------------------------------------------- 26
Chapter 4. Nutritional Support In The Older Adult ----------------------------------------------------------------- 40
Chapter 5. Settings Of Care ----------------------------------------------------------------------------------------------- 53
UNIT II: ASSESSMENT --------------------------------------------------------------------------------------------- 64
Chapter 6. Comprehensive Geriatric Assessment (CGA) ---------------------------------------------------------- 64
Chapter 7. Symptoms And Syndromes -------------------------------------------------------------------------------- 76
UNIT III: TREATING DISORDERS -------------------------------------------------------------------------------- 90
Chapter 8. Dermatologic Disorders ------------------------------------------------------------------------------------- 90
Chapter 9. Head, Neck, And Face Disorders ------------------------------------------------------------------------ 105
Chapter 10. Cardiovascular Disorders-------------------------------------------------------------------------------- 122
Chapter 11. Respiratory Disorders ------------------------------------------------------------------------------------ 137
Chapter 12. Peripheral Vascular Disorders ------------------------------------------------------------------------- 151
Chapter 13. Gastrointestinal Disorders ------------------------------------------------------------------------------ 165
Chapter 14. Urological & Renal Disorders -------------------------------------------------------------------------- 181
Chapter 15. Gynecologic Disorders ----------------------------------------------------------------------------------- 195
Chapter 16. Musculoskeletal Disorders ----------------------------------------------------------------------------- 209
Chapter 17. Central And Peripheral Nervous System Disorders ---------------------------------------------- 224
Chapter 18. Endocrine And Metabolic Disorders ----------------------------------------------------------------- 238
Chapter 19. Hematologic Disorders ---------------------------------------------------------------------------------- 256
Chapter 20. Psychosocial Disorders ---------------------------------------------------------------------------------- 272
UNIT IV: COMPLEX ILLNESS ------------------------------------------------------------------------------------ 288
Chapter 21. Polypharmacy ---------------------------------------------------------------------------------------------- 288
Chapter 22. Chronic Illness And The APRN ------------------------------------------------------------------------- 303
Chapter 23. Palliative Care And End-Of-Life ------------------------------------------------------------------------ 319
,UNIT I: THE HEALTHY OLDER ADULT
Chapter 1. Changes With Aging
Kennedy-Malone: Advanced Practice Nursing In The Care Of Older Adults 3rd Edition, Test Bank
MULTIPLE CHOICE
1. Mrs. Smith, 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. - 1.
ANS: 1
Page: 2
Feedback:
1. The Clinician Must Be Aware That All The Systems Interact And, In Doing So, Can
Increase The Older Person'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.
2. A Patient With Renal Disease Has Blood Work Drawn, And The Results Show An
Increase In Serum Creatinine. The Nurse Practitioner Needs To Know Which Of The
Following Laboratory Values Before Ordering Medications?
1. CBC
,2. Culture And Sensitivity Of The Urine
3. Creatinine Clearance
4. Uric Acid Levels - 2.
ANS: 3
Page: 3
Feedback:
1. A CBC Will Not Evaluate Kidney Function For A Patient With Renal Disease.
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.
3. Which Of The Following Statements Is True Regarding Diagnostic Testing?
1. A Test Is Ordered For A Specific Purpose.
2. A Test Is The Most Invasive Available.
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. - 3.
ANS: 1
Page: 3
Feedback:
1. The Nurse Practitioner 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 Noncore—First, Do No Harm.
3. Once Laboratory Tests Are Available For Review, Tests Results Should Be Discussed
With The Patient, With Abnormal Test Results 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.
4. Janey, 25 Years Old, May Experience Arthritis Differently Than 65-Year-Old Mrs.
Johnson Because:
1. The Body Undergoes Physiological Changes With Aging.
2. A Healthy Body Does Not Experience Significant Changes As One Gets Older.
3. Older Patients Do Not Feel Any Systemic Symptoms, Such As Malaise And Weight
Loss.
4. Even Though The Same Joints Are Usually Affected, Age Makes It Feel Different. - 4.
ANS: 1
Page: 5
Feedback:
1. Knowledge Of The Bimodality Of Age Onset Of Certain Disease Conditions Will Aid
The Advanced Practice Nurse In Avoiding Misdiagnosis Or Delay In Diagnosis Due To
Lack Of Recognition.
2. Symptoms Of Rheumatoid Arthritis May Be Different Depending On The Age Of The
Patient.
3. Younger Patients May Not Experience Constitutional Symptoms Such As Fever,
Malaise, Weight Loss, And Depression.
4. In Late-Onset Rheumatoid Arthritis, The Joint Involvement Is More Often In The
Larger Joints.
5. The Nurse Practitioner Is Examining An 85-Year-Old Man With Reports Of
Abdominal Pain, Weakness, And Loss Of Appetite. Which Is The Most Likely Condition
To Be Tested For And Ruled Out?
, 1. Neoplasms And Carcinomas
2. Partial Seizure
3. Sarcopenia
4. Hirschsprung's Disease - 5.
ANS: 1
Page: 4
Feedback:
1. Certain Diseases, Such As Neoplasms And Carcinomas, Are More Common In The
Elderly, And An Understanding Of The Epidemiology Is Critical In The Interpretation.
2. Partial Seizure Is More Common In Early Old Age.
3. Sarcopenia Is More Common In Early Old Age.
4. Hirschsprung's Disease Is Most Common In Infancy.
6. For Individuals Over 65 Years Old, The Most Common Morbidities Are Related To:
1. Heart Disease, Arthritis
2. Respiratory Problems, Cancer
3. Diabetes, Stroke
4. All Of These Are Common Morbidities. - 6.
ANS: 4
Page: 5
Feedback:
1. Heart Disease Is One Of The Common Morbidities.
2. Cancer Is Common In The General Population; However, Specific Types Are More
Common In The Older Patient.
3. Diabetes Is Common In Patients Over 40 Years Of Age.
4. Heart Disease, Cancer, And Diabetes Combined Are The Most Common Morbidities
In Older Patients.
