NURSING FOR WELLNESS IN
OLDER ADULTS
9TH EDITION
• AUTHOR(S)CAROL A.
MILLER
TEST BANK
1) Seeing Beyond Stereotypes
Reference: Ch. 1 — Seeing Older Adults Through the Eyes of
Wellness
Question:
An 82-year-old woman with osteoarthritis says, “I am slower
now, but I still manage my own meals and medications.” A new
nurse tells the team, “At her age, dependence is expected.”
Which response by the charge nurse best reflects a wellness
perspective?
,A. “Dependence should be assumed because aging always
causes decline.”
B. “Assess what she can still do and build care around her
strengths.”
C. “Focus only on her diagnoses because function is less
important.”
D. “Tell her family to take over all self-care tasks immediately.”
Correct Answer: B
Rationale:
B: A wellness perspective emphasizes preserved abilities,
functional strengths, and individualized care rather than age-
based assumptions. This aligns with gerontological nursing’s
focus on maximizing function and quality of life.
A: Aging does not automatically equal dependence; this
reflects stereotyping and ageism.
C: Diagnoses matter, but function is equally important in
older-adult care.
D: Family involvement may help, but removing autonomy
without assessment is inappropriate.
Teaching Point:
Assess function first; age alone does not define capability.
Citation:
Miller, C. A. (2023). Nursing for Wellness in Older Adults (9th
ed.). Ch. 1.
,2) Distinguishing Normal Aging From Pathology
Reference: Ch. 1 — Seeing Older Adults Through the Eyes of
Wellness
Question:
A 76-year-old man reports needing extra time to recall a name
but remains oriented, manages finances, and drives safely. His
daughter worries that “any memory change means dementia.”
What is the nurse’s best response?
A. “Any memory change in older adults is abnormal.”
B. “Mild occasional forgetfulness can occur with aging, but
function determines concern.”
C. “This is dementia unless proven otherwise.”
D. “Stop all complex tasks to prevent cognitive decline.”
Correct Answer: B
Rationale:
B: The key is to evaluate whether the change interferes with
function, safety, or daily life. Normal aging may include slower
recall, but intact function suggests this is not automatically
pathologic.
A: This overstates normal aging changes and may create
unnecessary alarm.
C: Dementia requires a broader cognitive and functional
pattern than occasional forgetfulness.
D: Restricting activity can reduce independence and is not
evidence-based.
, Teaching Point:
Function, not memory alone, guides concern about cognitive
change.
Citation:
Miller, C. A. (2023). Nursing for Wellness in Older Adults (9th
ed.). Ch. 1.
3) Wellness-Oriented Goal Setting
Reference: Ch. 1 — Seeing Older Adults Through the Eyes of
Wellness
Question:
A 79-year-old recovering from a hip fracture says, “I want to
keep living in my apartment and make my own breakfast again.”
Which nursing goal best reflects a wellness approach?
A. “The patient will accept that independence is no longer
realistic.”
B. “The patient will demonstrate safe transfer techniques and
meal preparation adaptations.”
C. “The patient will agree to move in with family permanently.”
D. “The patient will avoid all cooking and walking after
discharge.”
Correct Answer: B
Rationale:
B: Wellness care supports meaningful function, safety, and
OLDER ADULTS
9TH EDITION
• AUTHOR(S)CAROL A.
MILLER
TEST BANK
1) Seeing Beyond Stereotypes
Reference: Ch. 1 — Seeing Older Adults Through the Eyes of
Wellness
Question:
An 82-year-old woman with osteoarthritis says, “I am slower
now, but I still manage my own meals and medications.” A new
nurse tells the team, “At her age, dependence is expected.”
Which response by the charge nurse best reflects a wellness
perspective?
,A. “Dependence should be assumed because aging always
causes decline.”
B. “Assess what she can still do and build care around her
strengths.”
C. “Focus only on her diagnoses because function is less
important.”
D. “Tell her family to take over all self-care tasks immediately.”
Correct Answer: B
Rationale:
B: A wellness perspective emphasizes preserved abilities,
functional strengths, and individualized care rather than age-
based assumptions. This aligns with gerontological nursing’s
focus on maximizing function and quality of life.
A: Aging does not automatically equal dependence; this
reflects stereotyping and ageism.
C: Diagnoses matter, but function is equally important in
older-adult care.
D: Family involvement may help, but removing autonomy
without assessment is inappropriate.
Teaching Point:
Assess function first; age alone does not define capability.
Citation:
Miller, C. A. (2023). Nursing for Wellness in Older Adults (9th
ed.). Ch. 1.
,2) Distinguishing Normal Aging From Pathology
Reference: Ch. 1 — Seeing Older Adults Through the Eyes of
Wellness
Question:
A 76-year-old man reports needing extra time to recall a name
but remains oriented, manages finances, and drives safely. His
daughter worries that “any memory change means dementia.”
What is the nurse’s best response?
A. “Any memory change in older adults is abnormal.”
B. “Mild occasional forgetfulness can occur with aging, but
function determines concern.”
C. “This is dementia unless proven otherwise.”
D. “Stop all complex tasks to prevent cognitive decline.”
Correct Answer: B
Rationale:
B: The key is to evaluate whether the change interferes with
function, safety, or daily life. Normal aging may include slower
recall, but intact function suggests this is not automatically
pathologic.
A: This overstates normal aging changes and may create
unnecessary alarm.
C: Dementia requires a broader cognitive and functional
pattern than occasional forgetfulness.
D: Restricting activity can reduce independence and is not
evidence-based.
, Teaching Point:
Function, not memory alone, guides concern about cognitive
change.
Citation:
Miller, C. A. (2023). Nursing for Wellness in Older Adults (9th
ed.). Ch. 1.
3) Wellness-Oriented Goal Setting
Reference: Ch. 1 — Seeing Older Adults Through the Eyes of
Wellness
Question:
A 79-year-old recovering from a hip fracture says, “I want to
keep living in my apartment and make my own breakfast again.”
Which nursing goal best reflects a wellness approach?
A. “The patient will accept that independence is no longer
realistic.”
B. “The patient will demonstrate safe transfer techniques and
meal preparation adaptations.”
C. “The patient will agree to move in with family permanently.”
D. “The patient will avoid all cooking and walking after
discharge.”
Correct Answer: B
Rationale:
B: Wellness care supports meaningful function, safety, and
