NURSING FOR WELLNESS IN
OLDER ADULTS
9TH EDITION
• AUTHOR(S)CAROL A.
MILLER
TEST BANK
1. Reference
Ch. 1 — Seeing Older Adults Through the Eyes of Wellness —
Strengths-Based Assessment
Question
An 82-year-old client with hypertension and osteoarthritis says,
“I am old, so slowing down is just part of life.” The client still
lives independently, manages medications, and walks daily with
,a cane. Which nursing response best reflects a wellness
perspective?
A. “Slowing down is expected, so the focus should be on
adapting to dependency.”
B. “Your ability to manage daily life suggests strengths we can
build on to support health.”
C. “Because of your age, you should limit activity to prevent
injury.”
D. “It is best to arrange help now before your condition
worsens.”
Correct Answer: B
Rationale
Correct: A wellness perspective identifies abilities, resilience,
and functional independence rather than focusing only on
limitations. The nurse reinforces current strengths and uses
them as a foundation for promoting health and safety.
A: This statement promotes a decline-focused view and
assumes dependency is inevitable.
C: Routine activity restriction is not supported by age alone and
may worsen function.
D: The client may eventually need support, but the immediate
priority is to recognize existing strengths rather than assume
decline.
Teaching Point: Wellness care builds on strengths, not age-
based assumptions.
,Citation: Miller, C. A. (2023). Nursing for Wellness in Older
Adults (9th ed.). Ch. 1.
2. Reference
Ch. 1 — Seeing Older Adults Through the Eyes of Wellness —
Normal Aging vs. Pathology
Question
A 76-year-old client reports taking a few extra seconds to recall
names but remains oriented, independent, and able to manage
finances. The client worries this means “dementia is starting.”
Which nursing response is best?
A. “Any memory change in older adults is abnormal and should
be reported urgently.”
B. “Mild slowing in recall can occur with aging, but we assess for
changes that affect function.”
C. “You should begin memory medication now to protect
cognition.”
D. “This is expected, so there is no reason to monitor it further.”
Correct Answer: B
Rationale
Correct: Mild cognitive slowing can occur with aging, but
functional decline, confusion, or major change would be more
concerning. Nursing assessment focuses on whether cognition
interferes with safety and daily life.
A: Not every memory change is pathologic, and this response is
, overly alarming.
C: Medication is not indicated based on normal age-related
slowing alone.
D: Even expected changes should be monitored over time for
progression.
Teaching Point: Normal aging may slow recall; functional
decline suggests pathology.
Citation: Miller, C. A. (2023). Nursing for Wellness in Older
Adults (9th ed.). Ch. 1.
3. Reference
Ch. 1 — Seeing Older Adults Through the Eyes of Wellness —
Ageism
Question
A nurse hears a colleague say, “There is no point teaching this
79-year-old about exercise because older adults cannot really
improve.” What is the best response?
A. “That is true because aging prevents meaningful behavior
change.”
B. “Older adults can improve strength, endurance, and quality
of life with appropriate activity.”
C. “Exercise is only helpful if the client is younger than 65.”
D. “Older adults should focus on rest rather than activity.”
Correct Answer: B
OLDER ADULTS
9TH EDITION
• AUTHOR(S)CAROL A.
MILLER
TEST BANK
1. Reference
Ch. 1 — Seeing Older Adults Through the Eyes of Wellness —
Strengths-Based Assessment
Question
An 82-year-old client with hypertension and osteoarthritis says,
“I am old, so slowing down is just part of life.” The client still
lives independently, manages medications, and walks daily with
,a cane. Which nursing response best reflects a wellness
perspective?
A. “Slowing down is expected, so the focus should be on
adapting to dependency.”
B. “Your ability to manage daily life suggests strengths we can
build on to support health.”
C. “Because of your age, you should limit activity to prevent
injury.”
D. “It is best to arrange help now before your condition
worsens.”
Correct Answer: B
Rationale
Correct: A wellness perspective identifies abilities, resilience,
and functional independence rather than focusing only on
limitations. The nurse reinforces current strengths and uses
them as a foundation for promoting health and safety.
A: This statement promotes a decline-focused view and
assumes dependency is inevitable.
C: Routine activity restriction is not supported by age alone and
may worsen function.
D: The client may eventually need support, but the immediate
priority is to recognize existing strengths rather than assume
decline.
Teaching Point: Wellness care builds on strengths, not age-
based assumptions.
,Citation: Miller, C. A. (2023). Nursing for Wellness in Older
Adults (9th ed.). Ch. 1.
2. Reference
Ch. 1 — Seeing Older Adults Through the Eyes of Wellness —
Normal Aging vs. Pathology
Question
A 76-year-old client reports taking a few extra seconds to recall
names but remains oriented, independent, and able to manage
finances. The client worries this means “dementia is starting.”
Which nursing response is best?
A. “Any memory change in older adults is abnormal and should
be reported urgently.”
B. “Mild slowing in recall can occur with aging, but we assess for
changes that affect function.”
C. “You should begin memory medication now to protect
cognition.”
D. “This is expected, so there is no reason to monitor it further.”
Correct Answer: B
Rationale
Correct: Mild cognitive slowing can occur with aging, but
functional decline, confusion, or major change would be more
concerning. Nursing assessment focuses on whether cognition
interferes with safety and daily life.
A: Not every memory change is pathologic, and this response is
, overly alarming.
C: Medication is not indicated based on normal age-related
slowing alone.
D: Even expected changes should be monitored over time for
progression.
Teaching Point: Normal aging may slow recall; functional
decline suggests pathology.
Citation: Miller, C. A. (2023). Nursing for Wellness in Older
Adults (9th ed.). Ch. 1.
3. Reference
Ch. 1 — Seeing Older Adults Through the Eyes of Wellness —
Ageism
Question
A nurse hears a colleague say, “There is no point teaching this
79-year-old about exercise because older adults cannot really
improve.” What is the best response?
A. “That is true because aging prevents meaningful behavior
change.”
B. “Older adults can improve strength, endurance, and quality
of life with appropriate activity.”
C. “Exercise is only helpful if the client is younger than 65.”
D. “Older adults should focus on rest rather than activity.”
Correct Answer: B
