NURSING FOR WELLNESS IN
OLDER ADULTS
9TH EDITION
• AUTHOR(S)CAROL A.
MILLER
TEST BANK
Reference: Ch. 1 — Seeing Older Adults Through the Eyes of
Wellness
Question: A 79-year-old woman with osteoarthritis and
hypertension tells the nurse, “I still cook, manage my
medications, and walk to church three times a week.” Her
daughter says, “She is old now, so she should stop doing so
much.” Which nursing response best reflects a wellness
perspective?
,A. “Your daughter is right; reducing activity will conserve her
energy.”
B. “Let’s focus on the tasks she can still do safely and support
independence.”
C. “At her age, it is expected that she needs more help with
daily tasks.”
D. “We should prioritize her diagnoses before discussing her
daily routine.”
Correct Answer: B
Rationale:
B. A wellness perspective emphasizes strengths,
independence, and safe function rather than assuming decline
because of age. This response supports autonomy and person-
centered care while still allowing the nurse to assess safety and
needed supports.
A. Unnecessary restriction can reduce function and
confidence. Activity should be modified only when risk or
symptoms indicate it.
C. Age alone does not determine dependence. This reflects
ageism and ignores individual function.
D. Functional ability and daily routines are central to older-
adult wellness, not separate from diagnoses.
,Teaching Point: Focus on what older adults can do, not what
age suggests they cannot.
Citation: Miller, C. A. (2023). Nursing for Wellness in Older
Adults (9th ed.). Ch. 1.
Reference: Ch. 1 — Seeing Older Adults Through the Eyes of
Wellness
Question: During admission, a 74-year-old man says, “I do not
want my family making decisions for me just because I use a
cane.” He is alert, oriented, and manages his finances
independently. Which nurse action is best?
A. Ask the family to provide consent since the patient is older.
B. Explain that cane use means he likely lacks decision-making
ability.
C. Respect his autonomy and assess his preferences for
participation in care decisions.
D. Document that he is independent and does not need further
assessment.
Correct Answer: C
Rationale:
C. Using a cane does not determine decisional capacity. The
nurse should preserve autonomy and assess how much the
patient wants to be involved.
, A. Family involvement is helpful, but it does not replace the
patient’s right to decide when capacity is intact.
B. Mobility aids do not equal cognitive impairment or
incapacity.
D. Independence in one area does not eliminate the need
for a broader wellness assessment.
Teaching Point: Mobility limitations do not equal loss of
decision-making capacity.
Citation: Miller, C. A. (2023). Nursing for Wellness in Older
Adults (9th ed.). Ch. 1.
Reference: Ch. 1 — Seeing Older Adults Through the Eyes of
Wellness
Question: A community nurse teaches a group of older adults
about healthy aging. One participant says, “Healthy aging
means I should have no chronic illness.” Which nurse response
is best?
A. “Correct, wellness is only possible without disease.”
B. “Healthy aging means living as fully as possible while
managing health conditions.”
C. “Chronic illness prevents wellness, so focus only on
treatment.”
D. “Healthy aging is mainly determined by genetics, so
education will not help much.”
OLDER ADULTS
9TH EDITION
• AUTHOR(S)CAROL A.
MILLER
TEST BANK
Reference: Ch. 1 — Seeing Older Adults Through the Eyes of
Wellness
Question: A 79-year-old woman with osteoarthritis and
hypertension tells the nurse, “I still cook, manage my
medications, and walk to church three times a week.” Her
daughter says, “She is old now, so she should stop doing so
much.” Which nursing response best reflects a wellness
perspective?
,A. “Your daughter is right; reducing activity will conserve her
energy.”
B. “Let’s focus on the tasks she can still do safely and support
independence.”
C. “At her age, it is expected that she needs more help with
daily tasks.”
D. “We should prioritize her diagnoses before discussing her
daily routine.”
Correct Answer: B
Rationale:
B. A wellness perspective emphasizes strengths,
independence, and safe function rather than assuming decline
because of age. This response supports autonomy and person-
centered care while still allowing the nurse to assess safety and
needed supports.
A. Unnecessary restriction can reduce function and
confidence. Activity should be modified only when risk or
symptoms indicate it.
C. Age alone does not determine dependence. This reflects
ageism and ignores individual function.
D. Functional ability and daily routines are central to older-
adult wellness, not separate from diagnoses.
,Teaching Point: Focus on what older adults can do, not what
age suggests they cannot.
Citation: Miller, C. A. (2023). Nursing for Wellness in Older
Adults (9th ed.). Ch. 1.
Reference: Ch. 1 — Seeing Older Adults Through the Eyes of
Wellness
Question: During admission, a 74-year-old man says, “I do not
want my family making decisions for me just because I use a
cane.” He is alert, oriented, and manages his finances
independently. Which nurse action is best?
A. Ask the family to provide consent since the patient is older.
B. Explain that cane use means he likely lacks decision-making
ability.
C. Respect his autonomy and assess his preferences for
participation in care decisions.
D. Document that he is independent and does not need further
assessment.
Correct Answer: C
Rationale:
C. Using a cane does not determine decisional capacity. The
nurse should preserve autonomy and assess how much the
patient wants to be involved.
, A. Family involvement is helpful, but it does not replace the
patient’s right to decide when capacity is intact.
B. Mobility aids do not equal cognitive impairment or
incapacity.
D. Independence in one area does not eliminate the need
for a broader wellness assessment.
Teaching Point: Mobility limitations do not equal loss of
decision-making capacity.
Citation: Miller, C. A. (2023). Nursing for Wellness in Older
Adults (9th ed.). Ch. 1.
Reference: Ch. 1 — Seeing Older Adults Through the Eyes of
Wellness
Question: A community nurse teaches a group of older adults
about healthy aging. One participant says, “Healthy aging
means I should have no chronic illness.” Which nurse response
is best?
A. “Correct, wellness is only possible without disease.”
B. “Healthy aging means living as fully as possible while
managing health conditions.”
C. “Chronic illness prevents wellness, so focus only on
treatment.”
D. “Healthy aging is mainly determined by genetics, so
education will not help much.”
