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 —
Images of Aging
Question Stem
A 79-year-old man with controlled hypertension says, “I still
walk my dog daily and volunteer at the library.” A new nurse
tells a student, “Most people his age should expect to slow
down and avoid too much activity.” Which response by the
student shows the best clinical judgment?
,A. “That statement is accurate because normal aging always
causes major activity limits.”
B. “Functional ability varies widely in older adults, so age alone
does not predict activity tolerance.”
C. “Older adults should be encouraged to rest most of the day
to conserve energy.”
D. “The nurse is correct if the older adult has any chronic
condition.”
Correct Answer
B
Rationale — Correct
Older adults are highly heterogeneous, and chronological age
does not determine function. Wellness-oriented gerontological
nursing focuses on what the person can do, not assumptions
based on age.
Rationale — Incorrect
A. Normal aging does not automatically cause major disability.
C. Excess rest can reduce strength, mobility, and independence.
D. Chronic illness does not necessarily mean poor function or
inactivity.
Teaching Point
Age does not equal disability; assess function, not stereotypes.
Citation
Miller, C. A. (2022). Nursing for Wellness in Older Adults (9th
ed.). Ch. 1.
,2) Reference
Ch. 1 — Seeing Older Adults Through the Eyes of Wellness —
Ageism
Question Stem
A 74-year-old woman admitted with pneumonia is repeatedly
called “sweetie” and “dear” by staff. She has hearing loss and
nods without answering. Which nursing action is best?
A. Continue using affectionate terms to reduce anxiety.
B. Speak loudly and slower so she can follow the conversation.
C. Address her by name, face her directly, and confirm
understanding.
D. Ask her adult child to answer all questions.
Correct Answer
C
Rationale — Correct
Respectful, person-centered communication supports dignity
and accurate assessment. Facing the patient, using her name,
and confirming understanding help distinguish hearing
impairment from cognitive misunderstanding.
Rationale — Incorrect
A. Pet names can be patronizing and reinforce ageism.
B. Speaking louder is not always effective and may feel
demeaning.
, D. Family input can help, but the patient should be addressed
first whenever possible.
Teaching Point
Respectful communication reduces ageism and improves
assessment.
Citation
Miller, C. A. (2022). Nursing for Wellness in Older Adults (9th
ed.). Ch. 1.
3) Reference
Ch. 1 — Seeing Older Adults Through the Eyes of Wellness —
Wellness and Older Adults
Question Stem
A 68-year-old man with osteoarthritis says, “I cannot be healthy
because I have arthritis and take medications.” Which nursing
response best reflects a wellness perspective?
A. “Health means being free of all disease.”
B. “Wellness can still be promoted even when chronic
conditions are present.”
C. “Arthritis usually leads to inevitable dependence.”
D. “Older adults should not expect meaningful improvement.”
Correct Answer
B
OLDER ADULTS
9TH EDITION
• AUTHOR(S)CAROL A.
MILLER
TEST BANK
1) Reference
Ch. 1 — Seeing Older Adults Through the Eyes of Wellness —
Images of Aging
Question Stem
A 79-year-old man with controlled hypertension says, “I still
walk my dog daily and volunteer at the library.” A new nurse
tells a student, “Most people his age should expect to slow
down and avoid too much activity.” Which response by the
student shows the best clinical judgment?
,A. “That statement is accurate because normal aging always
causes major activity limits.”
B. “Functional ability varies widely in older adults, so age alone
does not predict activity tolerance.”
C. “Older adults should be encouraged to rest most of the day
to conserve energy.”
D. “The nurse is correct if the older adult has any chronic
condition.”
Correct Answer
B
Rationale — Correct
Older adults are highly heterogeneous, and chronological age
does not determine function. Wellness-oriented gerontological
nursing focuses on what the person can do, not assumptions
based on age.
Rationale — Incorrect
A. Normal aging does not automatically cause major disability.
C. Excess rest can reduce strength, mobility, and independence.
D. Chronic illness does not necessarily mean poor function or
inactivity.
Teaching Point
Age does not equal disability; assess function, not stereotypes.
Citation
Miller, C. A. (2022). Nursing for Wellness in Older Adults (9th
ed.). Ch. 1.
,2) Reference
Ch. 1 — Seeing Older Adults Through the Eyes of Wellness —
Ageism
Question Stem
A 74-year-old woman admitted with pneumonia is repeatedly
called “sweetie” and “dear” by staff. She has hearing loss and
nods without answering. Which nursing action is best?
A. Continue using affectionate terms to reduce anxiety.
B. Speak loudly and slower so she can follow the conversation.
C. Address her by name, face her directly, and confirm
understanding.
D. Ask her adult child to answer all questions.
Correct Answer
C
Rationale — Correct
Respectful, person-centered communication supports dignity
and accurate assessment. Facing the patient, using her name,
and confirming understanding help distinguish hearing
impairment from cognitive misunderstanding.
Rationale — Incorrect
A. Pet names can be patronizing and reinforce ageism.
B. Speaking louder is not always effective and may feel
demeaning.
, D. Family input can help, but the patient should be addressed
first whenever possible.
Teaching Point
Respectful communication reduces ageism and improves
assessment.
Citation
Miller, C. A. (2022). Nursing for Wellness in Older Adults (9th
ed.). Ch. 1.
3) Reference
Ch. 1 — Seeing Older Adults Through the Eyes of Wellness —
Wellness and Older Adults
Question Stem
A 68-year-old man with osteoarthritis says, “I cannot be healthy
because I have arthritis and take medications.” Which nursing
response best reflects a wellness perspective?
A. “Health means being free of all disease.”
B. “Wellness can still be promoted even when chronic
conditions are present.”
C. “Arthritis usually leads to inevitable dependence.”
D. “Older adults should not expect meaningful improvement.”
Correct Answer
B
