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
Question Stem
A 78-year-old community-dwelling adult tells the nurse, “I am
getting old, so there is nothing I can do to stay healthy.” The
client has controlled hypertension, walks with a cane, and still
manages finances independently. Which nursing response best
reflects a wellness perspective?
,Options
A. “At your age, the focus should be on comfort rather than
health promotion.”
B. “You have already lost the ability to improve your health
because of aging.”
C. “Let’s identify the activities that matter most to you and build
on those strengths.”
D. “You should stop independent activities to prevent fatigue
and injury.”
Correct Answer
C
Rationale
Correct: A wellness perspective focuses on strengths, function,
and goals important to the older adult. This response supports
autonomy and patient-centered care while recognizing existing
abilities.
A: This reflects ageism and incorrectly limits health promotion
in later life.
B: Aging does not eliminate the ability to improve function,
safety, or quality of life.
D: Removing independence is unnecessary and can reduce
confidence, activity, and function.
Teaching Point
Focus on strengths, not age, when planning care.
,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
Question Stem
An 82-year-old client says, “I hear people better when they
speak slowly and face me.” The client lives alone, has mild
hearing loss, and reads medication labels without difficulty.
Which nursing action best supports wellness?
Options
A. Speak louder from the doorway to improve attention
B. Face the client and use clear, unhurried speech
C. Avoid discussing complex topics because hearing loss means
poor understanding
D. Shout key words only when the client appears confused
Correct Answer
B
Rationale
Correct: Facing the client and speaking clearly supports
communication without assuming cognitive decline. This
preserves dignity and improves understanding.
A: Speaking from a distance reduces lip reading and may
worsen communication.
, C: Hearing loss does not mean the client cannot understand
complex information.
D: Shouting is not therapeutic and can be disrespectful or
confusing.
Teaching Point
Adapt communication to sensory changes without assuming
cognitive loss.
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
Question Stem
During an annual visit, a 74-year-old client says, “I can still cook,
shop, and pay bills, but I get tired faster than I used to.” The
nurse wants to assess wellness most accurately. Which question
is best?
Options
A. “What year did your fatigue begin?”
B. “How many years have you been retired?”
C. “What activities are most important to you, and which ones
have become harder?”
D. “Do you think your fatigue means you are becoming
dependent?”
OLDER ADULTS
9TH EDITION
• AUTHOR(S)CAROL A.
MILLER
TEST BANK
1) Reference
Ch. 1 — Seeing Older Adults Through the Eyes of Wellness
Question Stem
A 78-year-old community-dwelling adult tells the nurse, “I am
getting old, so there is nothing I can do to stay healthy.” The
client has controlled hypertension, walks with a cane, and still
manages finances independently. Which nursing response best
reflects a wellness perspective?
,Options
A. “At your age, the focus should be on comfort rather than
health promotion.”
B. “You have already lost the ability to improve your health
because of aging.”
C. “Let’s identify the activities that matter most to you and build
on those strengths.”
D. “You should stop independent activities to prevent fatigue
and injury.”
Correct Answer
C
Rationale
Correct: A wellness perspective focuses on strengths, function,
and goals important to the older adult. This response supports
autonomy and patient-centered care while recognizing existing
abilities.
A: This reflects ageism and incorrectly limits health promotion
in later life.
B: Aging does not eliminate the ability to improve function,
safety, or quality of life.
D: Removing independence is unnecessary and can reduce
confidence, activity, and function.
Teaching Point
Focus on strengths, not age, when planning care.
,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
Question Stem
An 82-year-old client says, “I hear people better when they
speak slowly and face me.” The client lives alone, has mild
hearing loss, and reads medication labels without difficulty.
Which nursing action best supports wellness?
Options
A. Speak louder from the doorway to improve attention
B. Face the client and use clear, unhurried speech
C. Avoid discussing complex topics because hearing loss means
poor understanding
D. Shout key words only when the client appears confused
Correct Answer
B
Rationale
Correct: Facing the client and speaking clearly supports
communication without assuming cognitive decline. This
preserves dignity and improves understanding.
A: Speaking from a distance reduces lip reading and may
worsen communication.
, C: Hearing loss does not mean the client cannot understand
complex information.
D: Shouting is not therapeutic and can be disrespectful or
confusing.
Teaching Point
Adapt communication to sensory changes without assuming
cognitive loss.
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
Question Stem
During an annual visit, a 74-year-old client says, “I can still cook,
shop, and pay bills, but I get tired faster than I used to.” The
nurse wants to assess wellness most accurately. Which question
is best?
Options
A. “What year did your fatigue begin?”
B. “How many years have you been retired?”
C. “What activities are most important to you, and which ones
have become harder?”
D. “Do you think your fatigue means you are becoming
dependent?”
