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
A 79-year-old man lives independently, gardens daily, and
manages his own medications. During an intake interview, he
says, “At my age, there is no point in trying to improve my
health.” Which nursing response best reflects a wellness
perspective?
,A. “You should focus only on managing your chronic
conditions.”
B. “Many older adults can improve strength, balance, and
function with the right plan.”
C. “At this stage, prevention is less important than comfort.”
D. “Aging always causes decline, so the goal is to maintain
current status.”
Correct Answer
B
Rationale
B: A wellness perspective emphasizes abilities, function,
and modifiable health behaviors rather than assuming decline is
inevitable. It supports patient-centered goals that can improve
safety, independence, and quality of life.
A: This is too narrow and ignores health promotion.
C: Prevention remains important in later life.
D: Aging does not always mean decline; many outcomes are
influenced by function, disease burden, and environment.
Teaching Point
Wellness-focused care targets function, prevention, and
strengths, not age-based decline.
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
A nurse is planning care for an 84-year-old woman who has
arthritis but still dresses herself, pays bills, and attends church
weekly. Which assessment approach is most consistent with
wellness-based gerontological nursing?
A. Ask only about diagnoses and laboratory values.
B. Focus on deficits and determine what she can no longer do.
C. Assess strengths, functional abilities, and goals she values.
D. Assume she needs help with most activities because she is
over 80.
Correct Answer
C
Rationale
C: Wellness-based assessment includes abilities,
preferences, and meaningful roles, not just illness. This
supports individualized planning and preserves independence.
A: Disease data alone do not capture function or wellness.
B: Deficit-only thinking can lead to unnecessary
dependence.
D: Age alone does not determine level of function.
, Teaching Point
Assess what the older adult can do and what matters most to
them.
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
A 72-year-old woman says she “just needs to slow down
because getting tired is normal for old people.” She still walks
one block daily but has started avoiding shopping because of
fatigue. What should the nurse do first?
A. Reinforce that fatigue is expected with aging.
B. Assess for potentially reversible causes of the fatigue.
C. Teach her to accept reduced activity as normal.
D. Tell her to rest more and avoid exercise.
Correct Answer
B
Rationale
B: New or worsening fatigue should not automatically be
attributed to aging. A wellness approach requires assessment
for illness, depression, medication effects, anemia, sleep
OLDER ADULTS
9TH EDITION
• AUTHOR(S)CAROL A.
MILLER
TEST BANK
1) Reference
Ch. 1 — Seeing Older Adults Through the Eyes of Wellness
Question
A 79-year-old man lives independently, gardens daily, and
manages his own medications. During an intake interview, he
says, “At my age, there is no point in trying to improve my
health.” Which nursing response best reflects a wellness
perspective?
,A. “You should focus only on managing your chronic
conditions.”
B. “Many older adults can improve strength, balance, and
function with the right plan.”
C. “At this stage, prevention is less important than comfort.”
D. “Aging always causes decline, so the goal is to maintain
current status.”
Correct Answer
B
Rationale
B: A wellness perspective emphasizes abilities, function,
and modifiable health behaviors rather than assuming decline is
inevitable. It supports patient-centered goals that can improve
safety, independence, and quality of life.
A: This is too narrow and ignores health promotion.
C: Prevention remains important in later life.
D: Aging does not always mean decline; many outcomes are
influenced by function, disease burden, and environment.
Teaching Point
Wellness-focused care targets function, prevention, and
strengths, not age-based decline.
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
A nurse is planning care for an 84-year-old woman who has
arthritis but still dresses herself, pays bills, and attends church
weekly. Which assessment approach is most consistent with
wellness-based gerontological nursing?
A. Ask only about diagnoses and laboratory values.
B. Focus on deficits and determine what she can no longer do.
C. Assess strengths, functional abilities, and goals she values.
D. Assume she needs help with most activities because she is
over 80.
Correct Answer
C
Rationale
C: Wellness-based assessment includes abilities,
preferences, and meaningful roles, not just illness. This
supports individualized planning and preserves independence.
A: Disease data alone do not capture function or wellness.
B: Deficit-only thinking can lead to unnecessary
dependence.
D: Age alone does not determine level of function.
, Teaching Point
Assess what the older adult can do and what matters most to
them.
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
A 72-year-old woman says she “just needs to slow down
because getting tired is normal for old people.” She still walks
one block daily but has started avoiding shopping because of
fatigue. What should the nurse do first?
A. Reinforce that fatigue is expected with aging.
B. Assess for potentially reversible causes of the fatigue.
C. Teach her to accept reduced activity as normal.
D. Tell her to rest more and avoid exercise.
Correct Answer
B
Rationale
B: New or worsening fatigue should not automatically be
attributed to aging. A wellness approach requires assessment
for illness, depression, medication effects, anemia, sleep
