NURSING FOR WELLNESS IN
OLDER ADULTS
9TH EDITION
• AUTHOR(S)CAROL A.
MILLER
TEST BANK
Chapter 1 — Seeing Older Adults Through the Eyes of Wellness
1) Strengths-based framing
Reference: Ch. 1 — Seeing Older Adults Through the Eyes of
Wellness
Question stem:
An 82-year-old client says, “I am not sick; I just move slower
than I used to.” The nurse notes that the client independently
manages medications, shops with a cane, and attends a senior
exercise class. Which nursing response best reflects a wellness
,perspective?
A. “Slower movement means your independence is declining.”
B. “Let us focus on the abilities you are maintaining and the
supports that keep you active.”
C. “At your age, exercise is less important than conserving
energy.”
D. “Aging usually causes major loss of function, so we should
prepare for that.”
Correct answer: B
Rationales:
B — Correct. A wellness perspective emphasizes preserved
strengths, function, and supportive interventions rather than
deficits. This response reinforces autonomy and patient-
centered care while acknowledging ongoing activity and
independence.
A — Incorrect. This frames normal age-related pace changes as
inevitable decline and may promote helplessness.
C — Incorrect. Physical activity remains important for many
older adults and supports health, mobility, and confidence.
D — Incorrect. It generalizes aging as universal major disability,
which reflects ageism rather than accurate gerontological
nursing.
Teaching point: Focus on function and strengths, not age-based
assumptions.
Citation: Miller, C. A. (2023). Nursing for Wellness in Older
Adults (9th ed.). Ch. 1.
,2) Countering ageism
Reference: Ch. 1 — Seeing Older Adults Through the Eyes of
Wellness
Question stem:
A newly hired nurse says, “Older adults are usually confused
and hard to teach.” The charge nurse wants to address the
comment in a way that supports quality care. Which response is
best?
A. “That is true for most older adults, so teaching should be
brief.”
B. “Older adults vary widely, and education should be based on
individual cognition, preferences, and readiness.”
C. “It is usually better to teach the family instead of the
patient.”
D. “Confusion is a normal part of aging, so it is expected.”
Correct answer: B
Rationales:
B — Correct. This response rejects stereotypes and uses an
individualized approach. Wellness-oriented gerontological care
is based on assessment of the person, not assumptions about
age.
A — Incorrect. It reinforces a harmful stereotype and reduces
meaningful patient education.
C — Incorrect. Family involvement can help, but the patient
, should not be bypassed without cause.
D — Incorrect. Confusion is not a normal expected part of aging
and may signal illness or medication effects.
Teaching point: Age does not determine learning ability or
cognition.
Citation: Miller, C. A. (2023). Nursing for Wellness in Older
Adults (9th ed.). Ch. 1.
3) First priority in a wellness assessment
Reference: Ch. 1 — Seeing Older Adults Through the Eyes of
Wellness
Question stem:
An 86-year-old client is admitted after a fall. The client has
hypertension, type 2 diabetes, and lives alone. Which nursing
assessment is most important first to support a wellness-
focused plan?
A. Ask whether the client has completed a will.
B. Determine the client’s baseline function in daily activities
before the fall.
C. Measure the client’s height and weight only.
D. Ask the client to describe childhood illnesses.
Correct answer: B
Rationales:
B — Correct. Baseline function is essential to determine what
has changed and what supports are needed for safe recovery.
OLDER ADULTS
9TH EDITION
• AUTHOR(S)CAROL A.
MILLER
TEST BANK
Chapter 1 — Seeing Older Adults Through the Eyes of Wellness
1) Strengths-based framing
Reference: Ch. 1 — Seeing Older Adults Through the Eyes of
Wellness
Question stem:
An 82-year-old client says, “I am not sick; I just move slower
than I used to.” The nurse notes that the client independently
manages medications, shops with a cane, and attends a senior
exercise class. Which nursing response best reflects a wellness
,perspective?
A. “Slower movement means your independence is declining.”
B. “Let us focus on the abilities you are maintaining and the
supports that keep you active.”
C. “At your age, exercise is less important than conserving
energy.”
D. “Aging usually causes major loss of function, so we should
prepare for that.”
Correct answer: B
Rationales:
B — Correct. A wellness perspective emphasizes preserved
strengths, function, and supportive interventions rather than
deficits. This response reinforces autonomy and patient-
centered care while acknowledging ongoing activity and
independence.
A — Incorrect. This frames normal age-related pace changes as
inevitable decline and may promote helplessness.
C — Incorrect. Physical activity remains important for many
older adults and supports health, mobility, and confidence.
D — Incorrect. It generalizes aging as universal major disability,
which reflects ageism rather than accurate gerontological
nursing.
Teaching point: Focus on function and strengths, not age-based
assumptions.
Citation: Miller, C. A. (2023). Nursing for Wellness in Older
Adults (9th ed.). Ch. 1.
,2) Countering ageism
Reference: Ch. 1 — Seeing Older Adults Through the Eyes of
Wellness
Question stem:
A newly hired nurse says, “Older adults are usually confused
and hard to teach.” The charge nurse wants to address the
comment in a way that supports quality care. Which response is
best?
A. “That is true for most older adults, so teaching should be
brief.”
B. “Older adults vary widely, and education should be based on
individual cognition, preferences, and readiness.”
C. “It is usually better to teach the family instead of the
patient.”
D. “Confusion is a normal part of aging, so it is expected.”
Correct answer: B
Rationales:
B — Correct. This response rejects stereotypes and uses an
individualized approach. Wellness-oriented gerontological care
is based on assessment of the person, not assumptions about
age.
A — Incorrect. It reinforces a harmful stereotype and reduces
meaningful patient education.
C — Incorrect. Family involvement can help, but the patient
, should not be bypassed without cause.
D — Incorrect. Confusion is not a normal expected part of aging
and may signal illness or medication effects.
Teaching point: Age does not determine learning ability or
cognition.
Citation: Miller, C. A. (2023). Nursing for Wellness in Older
Adults (9th ed.). Ch. 1.
3) First priority in a wellness assessment
Reference: Ch. 1 — Seeing Older Adults Through the Eyes of
Wellness
Question stem:
An 86-year-old client is admitted after a fall. The client has
hypertension, type 2 diabetes, and lives alone. Which nursing
assessment is most important first to support a wellness-
focused plan?
A. Ask whether the client has completed a will.
B. Determine the client’s baseline function in daily activities
before the fall.
C. Measure the client’s height and weight only.
D. Ask the client to describe childhood illnesses.
Correct answer: B
Rationales:
B — Correct. Baseline function is essential to determine what
has changed and what supports are needed for safe recovery.
