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 woman who lives alone says, “I am getting older,
so I should stop doing most things for myself.” She has
controlled hypertension, walks with a cane, and still manages
her medications and meals. Which nursing response best
reflects a wellness perspective?
,Options
A. “It is normal to reduce activity at your age to prevent injury.”
B. “Let’s identify which activities you can continue safely and
where support is needed.”
C. “You should rely on family for most daily tasks now.”
D. “Age-related decline means independence is no longer
realistic.”
Correct Answer
B
Rationale
B is correct. A wellness perspective focuses on strengths,
remaining abilities, and safe independence. The nurse should
assess function and support healthy adaptation rather than
assume dependency.
A is incorrect. Older age alone is not a reason to stop
activity; unnecessary inactivity can worsen function.
C is incorrect. Family support may help, but it should not
replace assessment of the person’s abilities.
D is incorrect. Aging does not automatically eliminate
independence; many older adults remain highly functional.
Teaching Point
Focus on abilities first, 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
Question Stem
An 82-year-old man with osteoarthritis says he no longer leaves
home because “getting around is too much trouble.” He reports
feeling lonely and has gained weight over the past year. What is
the nurse’s best first action?
Options
A. Recommend bed rest until his pain improves
B. Assess barriers to mobility and social participation
C. Tell him isolation is common in older adults
D. Encourage him to accept that social withdrawal is normal
Correct Answer
B
Rationale
B is correct. A wellness approach begins with assessing
what is limiting participation, such as pain, fear of falling,
transportation, or depression.
A is incorrect. Bed rest would likely worsen function and
health outcomes.
C is incorrect. Normalizing isolation can miss treatable
problems.
, D is incorrect. Social withdrawal is not an expected or
harmless part of aging.
Teaching Point
Investigate the cause of reduced activity before labeling it
“aging.”
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
A nurse is teaching a group of new staff members about
wellness in older adults. Which statement by a staff member
shows the best understanding?
Options
A. “Wellness means the absence of disease.”
B. “Wellness includes adaptation, function, and quality of life.”
C. “Wellness is only relevant for healthy older adults.”
D. “Wellness is the same as being physically fit.”
Correct Answer
B
Rationale
B is correct. Wellness in older adults includes maximizing
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 woman who lives alone says, “I am getting older,
so I should stop doing most things for myself.” She has
controlled hypertension, walks with a cane, and still manages
her medications and meals. Which nursing response best
reflects a wellness perspective?
,Options
A. “It is normal to reduce activity at your age to prevent injury.”
B. “Let’s identify which activities you can continue safely and
where support is needed.”
C. “You should rely on family for most daily tasks now.”
D. “Age-related decline means independence is no longer
realistic.”
Correct Answer
B
Rationale
B is correct. A wellness perspective focuses on strengths,
remaining abilities, and safe independence. The nurse should
assess function and support healthy adaptation rather than
assume dependency.
A is incorrect. Older age alone is not a reason to stop
activity; unnecessary inactivity can worsen function.
C is incorrect. Family support may help, but it should not
replace assessment of the person’s abilities.
D is incorrect. Aging does not automatically eliminate
independence; many older adults remain highly functional.
Teaching Point
Focus on abilities first, 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
Question Stem
An 82-year-old man with osteoarthritis says he no longer leaves
home because “getting around is too much trouble.” He reports
feeling lonely and has gained weight over the past year. What is
the nurse’s best first action?
Options
A. Recommend bed rest until his pain improves
B. Assess barriers to mobility and social participation
C. Tell him isolation is common in older adults
D. Encourage him to accept that social withdrawal is normal
Correct Answer
B
Rationale
B is correct. A wellness approach begins with assessing
what is limiting participation, such as pain, fear of falling,
transportation, or depression.
A is incorrect. Bed rest would likely worsen function and
health outcomes.
C is incorrect. Normalizing isolation can miss treatable
problems.
, D is incorrect. Social withdrawal is not an expected or
harmless part of aging.
Teaching Point
Investigate the cause of reduced activity before labeling it
“aging.”
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
A nurse is teaching a group of new staff members about
wellness in older adults. Which statement by a staff member
shows the best understanding?
Options
A. “Wellness means the absence of disease.”
B. “Wellness includes adaptation, function, and quality of life.”
C. “Wellness is only relevant for healthy older adults.”
D. “Wellness is the same as being physically fit.”
Correct Answer
B
Rationale
B is correct. Wellness in older adults includes maximizing
