Miller’s Nursing for Wellness in Older Adults – 9th
Edition – Test Bank with Detailed Solutions
Wellness Frameworks
Wellness frameworks, such as the Person-Centered Care Model, emphasize individual
strengths, cultural values, and holistic health to promote thriving aging. Nurses apply
these frameworks to counter ageism, enhance autonomy, and support physical, emotional,
and social well-being. Links to Chapters 1–4.
Health Promotion
Health promotion prevents functional decline through tailored interventions like exercise,
nutrition, and social engagement. Nurses address barriers, such as socioeconomic factors
or chronic conditions, to improve vitality, independence, and quality of life. Links to
Chapters 10–12.
Assessments
Assessments evaluate physical, cognitive, and emotional health to guide care. Tools like
the Mini-Mental State Examination (MMSE) for cognition and the Barthel Index for
activities of daily living (ADLs) identify impairments, enabling targeted interventions to
maintain function and safety. Links to Chapters 13–14.
Psychosocial Care
Psychosocial care manages emotional and cognitive needs, addressing conditions like de-
pression and dementia with tools like the Geriatric Depression Scale (GDS) and therapies
like validation. End-of-life care prioritizes comfort, dignity, and ethical decision-making.
Links to Chapters 15–23.
Exam Questions and Model Answers
1. Multiple Choice: What is the primary goal of the Person-Centered Care
Model in gerontological nursing? [2 marks]
A. Standardized care protocols
B. Individualized, strength-based care
C. Disease-focused interventions
D. Routine task simplification
Model Answer: B
Solution: The Person-Centered Care Model aims for individualized, strength-based
care, leveraging personal strengths (e.g., cultural resilience) to enhance wellness,
not standardized protocols (A), disease focus (C), or task simplification (D). This
approach fosters autonomy by aligning care with patient preferences, such as incor-
porating culturally significant activities (e.g., community storytelling for Indigenous
1
Edition – Test Bank with Detailed Solutions
Wellness Frameworks
Wellness frameworks, such as the Person-Centered Care Model, emphasize individual
strengths, cultural values, and holistic health to promote thriving aging. Nurses apply
these frameworks to counter ageism, enhance autonomy, and support physical, emotional,
and social well-being. Links to Chapters 1–4.
Health Promotion
Health promotion prevents functional decline through tailored interventions like exercise,
nutrition, and social engagement. Nurses address barriers, such as socioeconomic factors
or chronic conditions, to improve vitality, independence, and quality of life. Links to
Chapters 10–12.
Assessments
Assessments evaluate physical, cognitive, and emotional health to guide care. Tools like
the Mini-Mental State Examination (MMSE) for cognition and the Barthel Index for
activities of daily living (ADLs) identify impairments, enabling targeted interventions to
maintain function and safety. Links to Chapters 13–14.
Psychosocial Care
Psychosocial care manages emotional and cognitive needs, addressing conditions like de-
pression and dementia with tools like the Geriatric Depression Scale (GDS) and therapies
like validation. End-of-life care prioritizes comfort, dignity, and ethical decision-making.
Links to Chapters 15–23.
Exam Questions and Model Answers
1. Multiple Choice: What is the primary goal of the Person-Centered Care
Model in gerontological nursing? [2 marks]
A. Standardized care protocols
B. Individualized, strength-based care
C. Disease-focused interventions
D. Routine task simplification
Model Answer: B
Solution: The Person-Centered Care Model aims for individualized, strength-based
care, leveraging personal strengths (e.g., cultural resilience) to enhance wellness,
not standardized protocols (A), disease focus (C), or task simplification (D). This
approach fosters autonomy by aligning care with patient preferences, such as incor-
porating culturally significant activities (e.g., community storytelling for Indigenous
1
