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:
An 82-year-old client says, “Getting old means I should expect
to stop doing things on my own.” The nurse notes the client
lives independently, manages medications, and walks daily with
a cane. Which nursing response best reflects a wellness
perspective?
,A. “That is a normal part of aging, so dependence is expected.”
B. “Let’s focus on what helps you stay independent and active.”
C. “You should rely on family more because aging reduces
function.”
D. “Older adults usually need help with most daily activities.”
Correct Answer: B
Rationale — Correct:
A wellness perspective emphasizes strengths, independence,
function, and adaptation. The nurse reinforces the client’s
abilities rather than assuming decline is inevitable. This
supports healthy aging and patient-centered care.
Rationale — Incorrect:
A. This promotes ageism and unnecessary dependence.
C. This generalizes aging and ignores individual function.
D. This is inaccurate and reinforces stereotypes about older
adults.
Teaching Point:
Wellness in aging focuses on abilities, not assumptions of
decline.
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:
A 76-year-old client with hypertension and osteoarthritis says,
“I’m still gardening, but I pace myself now.” The nurse
recognizes this statement as evidence of which aging concept?
A. Loss of function due to normal aging
B. Successful adaptation and wellness
C. Early dementia
D. Total dependence on others
Correct Answer: B
Rationale — Correct:
The client is adapting to chronic conditions while maintaining
meaningful activity. This reflects wellness, resilience, and self-
management. Aging does not automatically mean loss of
purpose or function.
Rationale — Incorrect:
A. Pacing activity is not the same as functional loss.
C. There is no evidence of cognitive decline in the statement.
D. The client remains independent and active.
Teaching Point:
Adaptation and activity are signs of wellness in older adulthood.
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:
During an admission interview, the nurse asks an older adult
about hobbies, support systems, and daily routines before
asking about symptoms. What is the best reason for this
approach?
A. It reduces the need for a physical assessment
B. It identifies the client’s baseline strengths and resources
C. It prevents the client from discussing health problems
D. It is required only for clients with memory loss
Correct Answer: B
Rationale — Correct:
A wellness-based assessment begins with strengths, supports,
and usual functioning. Knowing baseline routines helps the
nurse identify changes and tailor care. This approach improves
accuracy and individualization.
Rationale — Incorrect:
A. A physical assessment is still necessary.
C. The goal is to gather a fuller picture, not avoid health
concerns.
D. This approach is appropriate for all older adults, not only
those with memory loss.
OLDER ADULTS
9TH EDITION
• AUTHOR(S)CAROL A.
MILLER
TEST BANK
1) Reference
Ch. 1 — Seeing Older Adults Through the Eyes of Wellness
Question:
An 82-year-old client says, “Getting old means I should expect
to stop doing things on my own.” The nurse notes the client
lives independently, manages medications, and walks daily with
a cane. Which nursing response best reflects a wellness
perspective?
,A. “That is a normal part of aging, so dependence is expected.”
B. “Let’s focus on what helps you stay independent and active.”
C. “You should rely on family more because aging reduces
function.”
D. “Older adults usually need help with most daily activities.”
Correct Answer: B
Rationale — Correct:
A wellness perspective emphasizes strengths, independence,
function, and adaptation. The nurse reinforces the client’s
abilities rather than assuming decline is inevitable. This
supports healthy aging and patient-centered care.
Rationale — Incorrect:
A. This promotes ageism and unnecessary dependence.
C. This generalizes aging and ignores individual function.
D. This is inaccurate and reinforces stereotypes about older
adults.
Teaching Point:
Wellness in aging focuses on abilities, not assumptions of
decline.
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:
A 76-year-old client with hypertension and osteoarthritis says,
“I’m still gardening, but I pace myself now.” The nurse
recognizes this statement as evidence of which aging concept?
A. Loss of function due to normal aging
B. Successful adaptation and wellness
C. Early dementia
D. Total dependence on others
Correct Answer: B
Rationale — Correct:
The client is adapting to chronic conditions while maintaining
meaningful activity. This reflects wellness, resilience, and self-
management. Aging does not automatically mean loss of
purpose or function.
Rationale — Incorrect:
A. Pacing activity is not the same as functional loss.
C. There is no evidence of cognitive decline in the statement.
D. The client remains independent and active.
Teaching Point:
Adaptation and activity are signs of wellness in older adulthood.
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:
During an admission interview, the nurse asks an older adult
about hobbies, support systems, and daily routines before
asking about symptoms. What is the best reason for this
approach?
A. It reduces the need for a physical assessment
B. It identifies the client’s baseline strengths and resources
C. It prevents the client from discussing health problems
D. It is required only for clients with memory loss
Correct Answer: B
Rationale — Correct:
A wellness-based assessment begins with strengths, supports,
and usual functioning. Knowing baseline routines helps the
nurse identify changes and tailor care. This approach improves
accuracy and individualization.
Rationale — Incorrect:
A. A physical assessment is still necessary.
C. The goal is to gather a fuller picture, not avoid health
concerns.
D. This approach is appropriate for all older adults, not only
those with memory loss.
