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Nursing for Wellness in Older Adults Study Guide – 8th Edition | 2025–2026 Updated Exam & Review Notes

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Prepare confidently for exams, assignments, and clinical practice with this latest 2025–2026 updated study guide based on Nursing for Wellness in Older Adults, 8th Edition (Carol A. Miller). Designed specifically for nursing students, caregivers, and health professionals, this guide simplifies complex gerontological nursing concepts into clear, organized, and high-yield review content that enhances understanding and retention. This comprehensive resource focuses on promoting wellness, maintaining functional ability, and applying evidence-based nursing interventions for older adult populations. Key areas include aging physiology, health promotion strategies, chronic disease management, psychosocial wellbeing, functional assessment, risk reduction, transitions of care, and culturally competent care planning. Each topic is presented in a structured format to support efficient study — ideal for exam preparation, senior care courses, or building confidence before clinical rotations. Emphasis is placed on safe practice considerations, holistic assessment frameworks, interdisciplinary care, and strategies for enhancing quality of life among older adults. The 2025–2026 update ensures alignment with current nursing education priorities, including patient safety, person-centered wellness, cognitive changes in aging populations, and contemporary approaches to chronic condition management. Whether you're reviewing for tests, writing care plans, or strengthening clinical reasoning, this guide provides high-value content that helps you succeed. Perfect for: • Nursing students (undergraduate and graduate) • Gerontological nursing courses • NCLEX review focused on older adult care • Clinical skills and care planning practice • Caregivers and allied health learners Gain confidence, deepen your understanding, and advance your ability to provide safe, effective, and compassionate care to older adults.

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Nursing for Wellness in Older Adults Study
Guide – 8th Edition | 2025–2026 Updated
Exam & Review Notes




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Nursing for Wellness in Older Adults Miller 8th Edition Test Bank
Chapter 1 Seeing Older Adults Through the Eyes of Wellness

1. In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published.
The nurse would use these standards to:

a. promote the practice of gerontologic nursing within the acute care setting.
b. define the concepts and dimensions of gerontologic nursing practice.
c. elevate the practice of gerontologic nursing.
d. incorporate suggested interventions from others who practice gerontologic
nursing.


CORRECT ANSWER : D

The current publishing of the Standards and Scope of Gerontological Nursing Practice in 2010
incorporates the input of gerontologic nurses from across the United States. It was not intended
to promote gerontologic nursing practice within acute care settings, define concepts or
dimensions of gerontologic nursing practice, or elevate the practice of gerontologic nursing.

DIF: Remembering (Knowledge) REF: MCS: 2 OBJ: 1-1

TOP: N/A MSC: Safe and Effective Care Environment

2. When attempting to minimize the effect of ageism on the practice of nursing older adults, a
nurse needs to first:

a. recognize that nurses must act as advocates for aging patients.
b. accept that this population represents a substantial portion of those requiring
nursing care.
c. self-reflect and formulate ones personal view of aging and the older patient.
d. recognize ageism as a form of bigotry shared by many AmericCORRECT ANSWER .


CORRECT ANSWER : C




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Ageism is an ever-increasing prejudicial view of the effects of the aging process and of the older
population as a whole. With nurses being members of a society holding such views, it is critical
that the individual nurse self-reflect on personal feelings and determine whether such feelings
will affect the nursing care that he or she provides to the aging patient. Acting as an advocate is
an important nursing role in all settings. Simply accepting a fact does not help end ageism, nor
does recognizing ageism as a form of bigotry.

DIF: Applying (Application) REF: N/A OBJ: 1-9

TOP: Teaching-Learning MSC: Safe and Effective Care Environment

3. When discussing factors that have helped to increase the number of healthy, independent older
AmericCORRECT ANSWER , the nurse includes the importance of:

a. increased availability of in-home care services.
b. government support of retired citizens.
c. effective antibiotic therapies.
d. the development of life-extending therapies.


CORRECT ANSWER : C

The health and ultimate autonomy of older AmericCORRECT ANSWER has been positively
impacted by the development of antibiotics, better sanitation, and vaccines. These public health
measures have been more instrumental in increasing the numbers of healthy, independent older
AmericCORRECT ANSWER than have in-home care services, government programs, or life-
extending therapies.

DIF: Remembering (Knowledge) REF: MCS: 2 OBJ: 3-3

TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance

4. Based on current data, when presenting an older adults discharge teaching plan, the nurse



a. nonrelated caretaker.
b. paid caregiver.




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c. family member.
d. intuitional representative.


CORRECT ANSWER : C

Less than 4% of older adults live in a formal health care environment. The majority of the
geriatric population lives at home or with family members.

DIF: Applying (Application) REF: N/A OBJ: 3-3

TOP: Nursing Process: Planning MSC: Safe and Effective Care Environment

5. The nurse planning care for an older adult who has recently been diagnosed with rheumatoid
arthritis views the priority criterion for continued independence to be the patients:

a. age.
b. financial status.
c. gender.
d. functional status.


CORRECT ANSWER : D

Maintaining the functional status of older adults may avert the onset of physical frailty and
cognitive impairment, two conditions that increase the likelihood of institutionalization.

DIF: Remembering (Knowledge) REF: MCS: 8 OBJ: 1-6

TOP: Nursing Process: Planning MSC: Physiologic Integrity

6. A nurse working with the older adult population is most likely to assess a need for a financial
social services referral for a(n):

a. white male.
b. black female.
c. Hispanic male.




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