NURSING FOR WELLNESS IN
OLDER ADULTS
9TH EDITION
• AUTHOR(S)CAROL A.
MILLER
TEST BANK
1. Reference: Part 1 — Older Adults and Wellness — Ch. 1:
Seeing Older Adults Through the Eyes of Wellness
Question:
A 79-year-old woman who lives independently says, “I am
slowing down, but I still manage my apartment, shop for
groceries, and attend church.” She has well-controlled
hypertension and uses a cane outdoors. Which nursing
assessment best reflects a wellness-focused approach?
,A. Ask only about chronic disease symptoms because they
predict future decline
B. Assess her functional abilities, goals, supports, and health-
promoting routines
C. Focus primarily on her age-related losses to identify the
greatest risk
D. Reassure her that independence is expected to decline at her
age
Correct Answer: B
Rationale:
B: A wellness-focused approach centers on function,
strengths, goals, and supports rather than only disease. In older
adults, preserving independence and identifying what helps
them thrive is a key nursing priority.
A: Chronic disease matters, but wellness assessment must
include function and quality of life, not symptoms alone.
C: Aging is not defined only by loss; this is a deficit-based
approach that can miss strengths and resources.
D: Independence does not automatically decline just
because of age; this reflects ageist thinking.
Teaching Point: Focus on function, strengths, and goals—not
age alone.
Citation: Miller, C. A. (2023). Nursing for Wellness in Older
Adults (9th ed.). Ch. 1.
, 2. Reference: Part 1 — Older Adults and Wellness — Ch. 1:
Seeing Older Adults Through the Eyes of Wellness
Question:
A 72-year-old man with osteoarthritis tells the nurse, “I don’t
want to be treated like I am fragile just because I walk slower.”
Which nursing response is best?
A. “Slowing down is expected, so we will adjust your care
around that.”
B. “I will focus on what matters most to you and support your
independence.”
C. “Older adults usually need family to make health decisions
for them.”
D. “We should limit activity to prevent injury and conserve
energy.”
Correct Answer: B
Rationale:
B: This response supports autonomy, respect, and person-
centered care. Wellness care values the older adult’s priorities
and encourages safe independence.
A: This reinforces stereotypes and assumes fragility without
assessment.
C: Family involvement may be helpful, but it is not
automatically required for decision-making.
D: Unnecessary activity restriction can reduce function and
confidence.
, Teaching Point: Ask what the older adult values before making
care assumptions.
Citation: Miller, C. A. (2023). Nursing for Wellness in Older
Adults (9th ed.). Ch. 1.
3. Reference: Part 1 — Older Adults and Wellness — Ch. 1:
Seeing Older Adults Through the Eyes of Wellness
Question:
An 81-year-old man recently discharged after pneumonia says
he wants to “get back to walking to the market every morning.”
He has mild hearing loss and takes two antihypertensive
medications. Which plan is the nurse’s best first action?
A. Tell him walking is unsafe until he is 100% recovered
B. Assess his baseline mobility, endurance, and fall risk before
planning activity
C. Recommend complete rest for one week to prevent relapse
D. Refer him to long-term care because recovery is slower in
older adults
Correct Answer: B
Rationale:
B: Recovery planning should start with baseline function,
safety, and realistic goals. Wellness-oriented geriatric care
supports activity while checking for risk factors.
A: Overly restrictive advice can delay recovery and reduce
OLDER ADULTS
9TH EDITION
• AUTHOR(S)CAROL A.
MILLER
TEST BANK
1. Reference: Part 1 — Older Adults and Wellness — Ch. 1:
Seeing Older Adults Through the Eyes of Wellness
Question:
A 79-year-old woman who lives independently says, “I am
slowing down, but I still manage my apartment, shop for
groceries, and attend church.” She has well-controlled
hypertension and uses a cane outdoors. Which nursing
assessment best reflects a wellness-focused approach?
,A. Ask only about chronic disease symptoms because they
predict future decline
B. Assess her functional abilities, goals, supports, and health-
promoting routines
C. Focus primarily on her age-related losses to identify the
greatest risk
D. Reassure her that independence is expected to decline at her
age
Correct Answer: B
Rationale:
B: A wellness-focused approach centers on function,
strengths, goals, and supports rather than only disease. In older
adults, preserving independence and identifying what helps
them thrive is a key nursing priority.
A: Chronic disease matters, but wellness assessment must
include function and quality of life, not symptoms alone.
C: Aging is not defined only by loss; this is a deficit-based
approach that can miss strengths and resources.
D: Independence does not automatically decline just
because of age; this reflects ageist thinking.
Teaching Point: Focus on function, strengths, and goals—not
age alone.
Citation: Miller, C. A. (2023). Nursing for Wellness in Older
Adults (9th ed.). Ch. 1.
, 2. Reference: Part 1 — Older Adults and Wellness — Ch. 1:
Seeing Older Adults Through the Eyes of Wellness
Question:
A 72-year-old man with osteoarthritis tells the nurse, “I don’t
want to be treated like I am fragile just because I walk slower.”
Which nursing response is best?
A. “Slowing down is expected, so we will adjust your care
around that.”
B. “I will focus on what matters most to you and support your
independence.”
C. “Older adults usually need family to make health decisions
for them.”
D. “We should limit activity to prevent injury and conserve
energy.”
Correct Answer: B
Rationale:
B: This response supports autonomy, respect, and person-
centered care. Wellness care values the older adult’s priorities
and encourages safe independence.
A: This reinforces stereotypes and assumes fragility without
assessment.
C: Family involvement may be helpful, but it is not
automatically required for decision-making.
D: Unnecessary activity restriction can reduce function and
confidence.
, Teaching Point: Ask what the older adult values before making
care assumptions.
Citation: Miller, C. A. (2023). Nursing for Wellness in Older
Adults (9th ed.). Ch. 1.
3. Reference: Part 1 — Older Adults and Wellness — Ch. 1:
Seeing Older Adults Through the Eyes of Wellness
Question:
An 81-year-old man recently discharged after pneumonia says
he wants to “get back to walking to the market every morning.”
He has mild hearing loss and takes two antihypertensive
medications. Which plan is the nurse’s best first action?
A. Tell him walking is unsafe until he is 100% recovered
B. Assess his baseline mobility, endurance, and fall risk before
planning activity
C. Recommend complete rest for one week to prevent relapse
D. Refer him to long-term care because recovery is slower in
older adults
Correct Answer: B
Rationale:
B: Recovery planning should start with baseline function,
safety, and realistic goals. Wellness-oriented geriatric care
supports activity while checking for risk factors.
A: Overly restrictive advice can delay recovery and reduce
