Kennedy Malone NR 601 Advanced Practice Nursing in the Care of Older Adults / Edition 2 TESTBANK with Answers (Chpt
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AdvancedPracticeNursingintheCar
eof Older Adults/ Edition2
TESTBANKChapter 1. Changes With Aging
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The major impact of the physiological changes that occur with aging is:
A. Reduced physiological reserve
B. Reduced homeostatic mechanisms
C. Impaired immunological response
D. All of the above
2. The strongest evidence regarding normal physiological aging is available through:
A. Randomized controlled clinical trials
B. Cross-sectional studies
C. Longitudinal studies
D. Case control studies
3. All of the following statements are true about laboratory values in older adults except:
A. Reference ranges are preferable
B. Abnormal findings are often due to physiologicalaging
C. Normal ranges may not be applicable for olderadults
D. Reference values are not necessarily acceptable values
4. Biochemical individuality is best described as:
A. Each individual’s variation is often much greater than that of a larger group
B. The unique biochemical profile of a selected population
C. The truly “normal” individual—falling within average range
D. Each individual’s variation is often much smaller than that of a larger group
5. Polypharmacy is best described as taking:
A. More than nine medications per day
B. More than five medications per day
C. Even a single medication if there is not a clear indication for its use
D. When a drug is given to treat the side effect of another drug
6. Pharmacokinetic changes with aging is reflective of:
A. What the drug does to the body
B. What the body does to the drug
C. The effect at the site of action and the time and intensity of the drug
D. The side effects commonly associated with the drug
7. All the following statements are false about drug absorption except:
A. Antacids increase the bioavailability ofdigitalis
B. Gastric acidity decreases withage
C. Anticholinergics increase colonicmotility
D. Underlying chronic disease has little impact on drugabsorption
8. All of the following statements are true about drug distribution in the elderly except:
A. Drugs distributed in water have lowerconcentration
B. Drugs distributed in fat have less intense, more prolongedeffect
C. Drugs highly protein bound have greater potential to cause an adversedrug
reaction
D. The fastest way to deliver a drug to the action site is byinhalation
9. Men have faster and more efficient biotransformation of drugs and this is thought to be due to:
A. Less obesity rates thanwomen
B. Prostateenlargement
C. Testosterone
D. Less estrogen thanwomen
10. The cytochrome p system involves enzymes that are generally:
A. Inhibited bydrugs
B. Induced bydrugs
C. Inhibited or induced bydrugs
D. Associated with decreased liverperfusion
11. A statement not shown to be true about pharmacodynamics changes with aging is:
A. Decreased sensitivity to oralanticoagulants
B. Enhanced sensitivity to central nervous systemdrugs
C. Drug responsiveness can be influenced by patient activitylevel
D. There is a decreased sensitivity to betablockers
12. Atypical presentation of disease in the elderly is reflected by all the following except:
A. Infection withoutfever
B. Depression without dysphoricmood
C. Myocardial infarction with chest pain anddiaphoresis
D. Cardiac manifestations of thyroid disease
13. Functional abilities are best assessed by:
A. Self-report of function
B. Observed assessment offunction
C. A comprehensive head-to-toeexamination
D. Family report offunctionChapter 2. Health Promotion
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The leading cause of death in elderly travelers worldwideis:
A. Cardiovasculardisease
B. Infections
C. Accidents
D. Malaria
2. Which of the following should be avoided in countries where food and water precautions are to be
observed?
A. Hotcoffee
B. Bottledwater
C. Saladbuffet
D. Unpeeledbananas
3. What insect precautions are not necessary to prevent insect-borne diseases in thetropics?
A. Using 100% DEET on skin to preventbites
B. Treating clothes withpermetherin
C. Covering up exposed skin to lessen bitingsurface
D. Taking malaria pills as directed for areas at risk formalaria4. An example of secondary prevention you could recommend/order for older adults would beto:
A. Check for fecal occultblood
B. Wear seat belts in thecar
C. Provide foot care for a diabeticpatient
D. Administer a tetanusshot
5. Ali is a 72-year-old man who recently came to the U.S. from Nigeria. He reports having BCG
(bacille Calmette-Guerin) vaccination as a child. Which of the following is correct regarding a
tuberculin skin test?
A. It should not be done atall.
B. Itshould be read as smaller than it reallyis.
C. Vaccination history is irrelevant; read as usual.
D. It should be read as larger than it reallyis.
6. A 72-year-old woman and her husband are on a cross-country driving vacation. After a long day of
driving, they stop for dinner. Midway through the meal, the woman becomes very short of breath,
with chest pain and a feeling of panic. Which of the following problems is mostlikely?
A. Pulmonaryedema
B. Heartfailure
C. Pulmonaryembolism
D. Pneumonia
7. Ivan W. is a 65-year-old man who is new to your practice. He has a history of COPD, CAD,
hypertension, and type 2 diabetes mellitus. He has had no immunizations since his discharge from
the military at age 25. Childhood diseases included chickenpox, measles, mumps, and “German
measles.”Hepresentsforadisease management visit.Whichofthefollowingimmunizationswould you
recommend forIvan?
A. MMR, influenza, pneumococcal,Zostavax
B. Influenza, pneumococcal, PPD, HepatitisB
C. Tdap, pneumococcal, influenza,Zostavax
D. Hepatitis B, influenza, pneumococcal, HepatitisA
8. Leo L. is a 62-year-old African American male who comes for an initial visit to yourpractice.
Personal health history includes smoking 1 pack/day since age 11, consuming a case of beer (24
bottles) every weekend, and working as an assembler (sedentary job) for the past 10 years. Family
history in first-degree relatives includes hypertension, high cholesterol, heart attack, and type 2
diabetes mellitus. Leo’s BMI is 32; BP today is 130/86. You order a fasting glucose, lipid profile,
and return visit for BP check. This is an example of:
A.Primaryprevention
B.Secondaryprevention
C.Tertiaryprevention
D.Healthprofiling
9. A local chapter of a nurse practitioner organization has begun planning a community-based
screening for hypertension at a local congregate living facility. This population was selected onthe
basisof:
A. A predicted decreased incidence of high blood pressurein thispopulation
B. A recognized element of high risk within thisgroup [Show Less]