A)Ensure that the client’s care is coordinated and encourage the primary care provider to review her medication regimen.B)Recommend holistic and herbal remedies to replace some of the medications.C)Contact the client’s local pharmacy to discuss possible changes to her medication regimen.D)Encourage the client to reduce her medication load by withholding some medications when she is asymptomatic.Ans:AFeedback:Polypharmacy can sometimes be addressed by conducting a thorough and coordinated review of a client’s medicationregimen. It would be inappropriate and unsafe for the nurse to arbitrarily withhold some medications or to encourage theclient to do so. The client’s local pharmacist is not normally able to make independent changes to the client’s medicationregimen.5.According to the free radical theory of aging, what substance is affected by aging and causes damage?A)CarbohydratesB)ProteinsC)WaterD)LipidsAns:DFeedback:TEST BANK FOR FUNDAMENTALS OF NURSING 9TH EDITION BY TAYLORTESTBANKWORLD.ORG
NFree radicals, formed during cellular metabolism, have adverse effects on adjacent molecules. Lipids (found in cellmembranes, proteins, and cell organelles) are affected. Over time, irreversible damage results from the accumulatedeffects of this damage. Carbohydrates, proteins, and water are not affected in this way.6.Which aging theory describes a chemical reaction that produces damage to the DNA and cell death?A)Genetic theoryB)Immunity theoryC)Cross-linkage theoryD)Free radical theoryAns:CFeedback:Cross-linkage is a chemical reaction that produces damage to the DNA and cell death. As one ages, cross-linksaccumulate, leading to essential molecules in the cell that bind together and interfere with normal cell function.7.According to Erikson, the middle adult is in a period of generativity versus stagnation. What happens if developmentaltasks are not achieved?A)Physical changes are deniedB)Health needs become a major concernC)Motivation to learn is decreasedD)Awareness of own mortality increasesAns:BFeedback:According to Erikson, if the middle adult does not achieve the tasks of generativity, stagnation results. Adults who donot achieve the tasks of establishing and guiding the next generation, accepting middle-age changes, adjusting to theneeds of aging parents, and re-evaluating goals and accomplishments tend to focus on themselves and become overlyconcerned with their own physical and emotional health needs.8.A middle adult client requests visits by the hospital chaplain and reads the Bible each day while hospitalized fortreatment of heart problems. What is the individual illustrating?A)Midlife transitionB)Support of the rights of othersC)Fear for the futureD)Trust in spiritual strengthAns:DFeedback:The middle adult, according to Fowler’s theory of spiritual development, is less rigid in his or her beliefs and hasincreased faith in a supreme being, as well as trust in spiritual strength.
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