NURSING FOR WELLNESS IN
OLDER ADULTS
9TH EDITION
• AUTHOR(S)CAROL A.
MILLER
TEST BANK
1️⃣ Reference
Ch. 1 — Seeing Older Adults Through the Eyes of Wellness
NCLEX-Level Question Stem
A 78-year-old man with hypertension, osteoarthritis, and mild
hearing loss attends a community wellness visit. He says, “I’m
old, so there is nothing more I can do for my health,” and
reports that he no longer exercises because of knee stiffness.
Which nursing response best reflects a wellness-focused
approach to care?
,Options
A. “At your age, the goal is to prevent further decline rather
than improve health.”
B. “Let’s identify activities you enjoy and can safely continue
despite your knee pain.”
C. “You should rest more because exercise can worsen aging-
related joint changes.”
D. “Your current limitations mean wellness goals are no longer
realistic.”
Correct Answer
B
Rationale — Correct Answer
This response uses a strengths-based, wellness-oriented
approach by focusing on what the older adult can do safely and
enjoyably. It supports function, autonomy, and individualized
health promotion rather than reinforcing age-based loss or
disability. This is consistent with gerontological nursing that
emphasizes maximizing capacity and quality of life.
Rationale — Incorrect Options
A. This frames aging as inevitable decline and limits therapeutic
expectations. Wellness care includes improvement and
adaptation, not only decline prevention.
C. Resting excessively can worsen functional decline, stiffness,
and deconditioning. Older adults generally benefit from
appropriate activity, not inactivity.
D. This is ageist and dismisses the possibility of meaningful
,adaptation and health gains.
Teaching Point
Wellness care focuses on abilities, preferences, and function—
not age alone.
Citation
Miller, C. A. Nursing for Wellness in Older Adults (9th ed.). Ch. 1️.
2️⃣ Reference
Ch. 1 — Seeing Older Adults Through the Eyes of Wellness
NCLEX-Level Question Stem
A nurse is assessing a 72️-year-old woman who lives
independently and manages diabetes with oral medication. She
reports volunteering weekly, walking daily, and cooking most
meals, but says she is “not healthy” because she has wrinkles
and slower movement than before. What is the nurse’s best
interpretation?
Options
A. Her self-assessment is accurate because visible aging means
poor health.
B. Her chronic disease and age indicate she is functionally
dependent.
C. She demonstrates wellness through preserved function and
active engagement.
D. She is likely minimizing illness and should be treated as high
risk only.
, Correct Answer
C
Rationale — Correct Answer
Wellness in older adults includes function, engagement, and
adaptation, not only absence of disease. This client shows
independence in ADLs/IADLs, community participation, and
self-management of a chronic condition. The nurse should
validate strengths while continuing health promotion.
Rationale — Incorrect Options
A. Wrinkles and slowed movement are common age-related
changes and do not by themselves indicate poor health.
B. Having a chronic illness does not automatically mean
dependency. Functional status is the more important indicator.
D. She may have risks, but there is no evidence she is
minimizing illness. The nurse should avoid assuming
impairment from age alone.
Teaching Point
Functional ability is a better wellness indicator than appearance
or age.
Citation
Miller, C. A. Nursing for Wellness in Older Adults (9th ed.). Ch. 1️.
3️⃣ Reference
Ch. 1 — Seeing Older Adults Through the Eyes of Wellness
OLDER ADULTS
9TH EDITION
• AUTHOR(S)CAROL A.
MILLER
TEST BANK
1️⃣ Reference
Ch. 1 — Seeing Older Adults Through the Eyes of Wellness
NCLEX-Level Question Stem
A 78-year-old man with hypertension, osteoarthritis, and mild
hearing loss attends a community wellness visit. He says, “I’m
old, so there is nothing more I can do for my health,” and
reports that he no longer exercises because of knee stiffness.
Which nursing response best reflects a wellness-focused
approach to care?
,Options
A. “At your age, the goal is to prevent further decline rather
than improve health.”
B. “Let’s identify activities you enjoy and can safely continue
despite your knee pain.”
C. “You should rest more because exercise can worsen aging-
related joint changes.”
D. “Your current limitations mean wellness goals are no longer
realistic.”
Correct Answer
B
Rationale — Correct Answer
This response uses a strengths-based, wellness-oriented
approach by focusing on what the older adult can do safely and
enjoyably. It supports function, autonomy, and individualized
health promotion rather than reinforcing age-based loss or
disability. This is consistent with gerontological nursing that
emphasizes maximizing capacity and quality of life.
Rationale — Incorrect Options
A. This frames aging as inevitable decline and limits therapeutic
expectations. Wellness care includes improvement and
adaptation, not only decline prevention.
C. Resting excessively can worsen functional decline, stiffness,
and deconditioning. Older adults generally benefit from
appropriate activity, not inactivity.
D. This is ageist and dismisses the possibility of meaningful
,adaptation and health gains.
Teaching Point
Wellness care focuses on abilities, preferences, and function—
not age alone.
Citation
Miller, C. A. Nursing for Wellness in Older Adults (9th ed.). Ch. 1️.
2️⃣ Reference
Ch. 1 — Seeing Older Adults Through the Eyes of Wellness
NCLEX-Level Question Stem
A nurse is assessing a 72️-year-old woman who lives
independently and manages diabetes with oral medication. She
reports volunteering weekly, walking daily, and cooking most
meals, but says she is “not healthy” because she has wrinkles
and slower movement than before. What is the nurse’s best
interpretation?
Options
A. Her self-assessment is accurate because visible aging means
poor health.
B. Her chronic disease and age indicate she is functionally
dependent.
C. She demonstrates wellness through preserved function and
active engagement.
D. She is likely minimizing illness and should be treated as high
risk only.
, Correct Answer
C
Rationale — Correct Answer
Wellness in older adults includes function, engagement, and
adaptation, not only absence of disease. This client shows
independence in ADLs/IADLs, community participation, and
self-management of a chronic condition. The nurse should
validate strengths while continuing health promotion.
Rationale — Incorrect Options
A. Wrinkles and slowed movement are common age-related
changes and do not by themselves indicate poor health.
B. Having a chronic illness does not automatically mean
dependency. Functional status is the more important indicator.
D. She may have risks, but there is no evidence she is
minimizing illness. The nurse should avoid assuming
impairment from age alone.
Teaching Point
Functional ability is a better wellness indicator than appearance
or age.
Citation
Miller, C. A. Nursing for Wellness in Older Adults (9th ed.). Ch. 1️.
3️⃣ Reference
Ch. 1 — Seeing Older Adults Through the Eyes of Wellness
