NURSING FOR WELLNESS IN
OLDER ADULTS
9TH EDITION
• AUTHOR(S)CAROL A.
MILLER
TEST BANK
1) Wellness perspective
Reference: Ch. 1 — Seeing Older Adults Through the Eyes of
Wellness — Wellness and Older Adults
Question:
A 78-year-old woman with osteoarthritis says, “I’m too old to
start exercising now.” She lives independently, manages her
medications, and wants to stay active enough to garden. Which
nurse response best reflects a wellness-focused approach?
A. “At your age, exercise will not make much difference.”
,B. “Let’s identify one activity that fits your current abilities and
goals.”
C. “You should wait until your arthritis is completely resolved.”
D. “Exercise is only important if you are losing weight.”
Correct Answer: B
Rationale — Correct:
A wellness-focused response emphasizes function, goals, and
what the older adult can still do, not age alone. Starting with
one realistic activity supports self-efficacy, safety, and quality of
life. This aligns with Chapter 1’s emphasis on viewing aging
through wellness rather than decline.
Rationales — Incorrect:
A is ageist and discourages health promotion.
C delays a safe intervention and implies all-or-nothing thinking.
D narrows wellness to weight loss and ignores function and
participation.
Teaching Point: Focus on ability, goals, and function rather than
age.
Citation: Miller, C. A. (2022). Nursing for wellness in older adults
(9th ed.). Ch. 1.
2) Ageism
Reference: Ch. 1 — Attitudes Toward Aging — Ageism
,Question:
During discharge teaching, a nurse hears a colleague say, “He is
84, so confusion after surgery is expected.” The patient is alert
at baseline and now has new disorientation and agitation. What
is the nurse’s best action?
A. Accept the statement as normal aging
B. Reassure the family that this always happens in older adults
C. Treat the change as possible delirium and assess further
D. Delay assessment until the patient is fully awake tomorrow
Correct Answer: C
Rationale — Correct:
New confusion is not normal aging and should trigger
assessment for delirium or another acute problem. Chapter 1
emphasizes that ageism and misattribution of symptoms to
aging can delay recognition of treatable conditions. Prompt
assessment protects safety.
Rationales — Incorrect:
A normalizes a potentially dangerous change.
B reinforces misinformation and may delay care.
D risks missing an acute reversible cause.
Teaching Point: New confusion is pathology until proven
otherwise.
Citation: Miller, C. A. (2022). Nursing for wellness in older adults
(9th ed.). Ch. 1.
, 3) Definitions of aging
Reference: Ch. 1 — Definitions of Aging
Question:
A 72-year-old marathon volunteer says, “I feel like I’m 55, not
72.” Which concept is the nurse recognizing?
A. Chronologic age
B. Functional age
C. Subjective age
D. Perceived dependency
Correct Answer: C
Rationale — Correct:
Subjective age is how old a person feels, which may differ from
actual chronological age. Chapter 1 highlights that aging can be
viewed from several perspectives, including subjective and
functional dimensions. This helps nurses avoid assumptions
based only on the calendar.
Rationales — Incorrect:
A is the number of years since birth.
B refers to how well the person functions relative to peers.
D is not one of the chapter’s aging definitions.
Teaching Point: Felt age may differ from chronological age.
Citation: Miller, C. A. (2022). Nursing for wellness in older adults
(9th ed.). Ch. 1.
OLDER ADULTS
9TH EDITION
• AUTHOR(S)CAROL A.
MILLER
TEST BANK
1) Wellness perspective
Reference: Ch. 1 — Seeing Older Adults Through the Eyes of
Wellness — Wellness and Older Adults
Question:
A 78-year-old woman with osteoarthritis says, “I’m too old to
start exercising now.” She lives independently, manages her
medications, and wants to stay active enough to garden. Which
nurse response best reflects a wellness-focused approach?
A. “At your age, exercise will not make much difference.”
,B. “Let’s identify one activity that fits your current abilities and
goals.”
C. “You should wait until your arthritis is completely resolved.”
D. “Exercise is only important if you are losing weight.”
Correct Answer: B
Rationale — Correct:
A wellness-focused response emphasizes function, goals, and
what the older adult can still do, not age alone. Starting with
one realistic activity supports self-efficacy, safety, and quality of
life. This aligns with Chapter 1’s emphasis on viewing aging
through wellness rather than decline.
Rationales — Incorrect:
A is ageist and discourages health promotion.
C delays a safe intervention and implies all-or-nothing thinking.
D narrows wellness to weight loss and ignores function and
participation.
Teaching Point: Focus on ability, goals, and function rather than
age.
Citation: Miller, C. A. (2022). Nursing for wellness in older adults
(9th ed.). Ch. 1.
2) Ageism
Reference: Ch. 1 — Attitudes Toward Aging — Ageism
,Question:
During discharge teaching, a nurse hears a colleague say, “He is
84, so confusion after surgery is expected.” The patient is alert
at baseline and now has new disorientation and agitation. What
is the nurse’s best action?
A. Accept the statement as normal aging
B. Reassure the family that this always happens in older adults
C. Treat the change as possible delirium and assess further
D. Delay assessment until the patient is fully awake tomorrow
Correct Answer: C
Rationale — Correct:
New confusion is not normal aging and should trigger
assessment for delirium or another acute problem. Chapter 1
emphasizes that ageism and misattribution of symptoms to
aging can delay recognition of treatable conditions. Prompt
assessment protects safety.
Rationales — Incorrect:
A normalizes a potentially dangerous change.
B reinforces misinformation and may delay care.
D risks missing an acute reversible cause.
Teaching Point: New confusion is pathology until proven
otherwise.
Citation: Miller, C. A. (2022). Nursing for wellness in older adults
(9th ed.). Ch. 1.
, 3) Definitions of aging
Reference: Ch. 1 — Definitions of Aging
Question:
A 72-year-old marathon volunteer says, “I feel like I’m 55, not
72.” Which concept is the nurse recognizing?
A. Chronologic age
B. Functional age
C. Subjective age
D. Perceived dependency
Correct Answer: C
Rationale — Correct:
Subjective age is how old a person feels, which may differ from
actual chronological age. Chapter 1 highlights that aging can be
viewed from several perspectives, including subjective and
functional dimensions. This helps nurses avoid assumptions
based only on the calendar.
Rationales — Incorrect:
A is the number of years since birth.
B refers to how well the person functions relative to peers.
D is not one of the chapter’s aging definitions.
Teaching Point: Felt age may differ from chronological age.
Citation: Miller, C. A. (2022). Nursing for wellness in older adults
(9th ed.). Ch. 1.
