NURSING FOR WELLNESS IN
OLDER ADULTS
9TH EDITION
• AUTHOR(S)CAROL A.
MILLER
TEST BANK
1) Strengths-based assessment
Reference: Ch. 1 — Seeing Older Adults Through the Eyes of
Wellness
Question:
A 79-year-old woman lives alone, manages her own
medications, and still shops for groceries, but she says, “I guess
getting older means I should stop driving and stay home more.”
She has no recent falls and her cognition is intact. Which
nursing response best reflects a wellness perspective?
,A. “It is safest for older adults to stop driving once they reach
their late 70s.”
B. “Let’s talk about the activities you still do well and how to
stay safe while keeping them.”
C. “You should focus on resting more because energy naturally
declines with age.”
D. “Your family should start making decisions for you now that
you are older.”
Correct answer: B
Rationale — Correct:
A wellness perspective focuses on preserved function,
autonomy, and strengths rather than age alone. This response
invites the older adult to identify capabilities, risks, and goals,
which supports person-centered care and healthy aging.
Rationale — Incorrect options:
A: Driving decisions should be based on function and safety, not
age alone.
C: Rest is important, but this response reinforces decline rather
than potential.
D: Family involvement may be helpful, but older age does not
remove decision-making rights.
Teaching point:
Assess function and strengths before assuming limitation.
,Citation:
Miller, C. A. (2023). Nursing for Wellness in Older Adults (9th
ed.). Ch. 1.
2) Ageism in care
Reference: Ch. 1 — Seeing Older Adults Through the Eyes of
Wellness
Question:
A nurse hears a coworker say, “He is 86, so confusion is just part
of aging.” The patient is newly disoriented, has a fever, and is
withdrawing from conversation. What is the nurse’s best
action?
A. Agree that confusion is expected in late life
B. Reassure the coworker that the patient is probably just tired
C. Report that the change suggests possible acute illness and
needs prompt evaluation
D. Wait until the next shift to see whether the confusion
improves
Correct answer: C
Rationale — Correct:
Sudden confusion is not normal aging and may signal delirium
or infection. A wellness-oriented nurse recognizes abnormal
change, acts quickly, and prevents harm.
Rationale — Incorrect options:
A: This reflects ageism and a dangerous clinical error.
, B: Tiredness does not explain acute disorientation with fever.
D: Delays can worsen outcomes when delirium or infection is
present.
Teaching point:
Sudden mental status change is abnormal and urgent.
Citation:
Miller, C. A. (2023). Nursing for Wellness in Older Adults (9th
ed.). Ch. 1.
3) Wellness and independence
Reference: Ch. 1 — Seeing Older Adults Through the Eyes of
Wellness
Question:
An 82-year-old man with osteoarthritis says he no longer cooks
because he “does not want to bother anyone,” even though he
can stand for short periods and prepare simple meals. Which
nursing plan best supports wellness?
A. Encourage complete dependence to conserve energy
B. Identify adaptations that allow him to continue meal
preparation safely
C. Advise him to stop cooking because arthritis usually worsens
with activity
D. Ask his daughter to prepare all meals from now on
Correct answer: B
OLDER ADULTS
9TH EDITION
• AUTHOR(S)CAROL A.
MILLER
TEST BANK
1) Strengths-based assessment
Reference: Ch. 1 — Seeing Older Adults Through the Eyes of
Wellness
Question:
A 79-year-old woman lives alone, manages her own
medications, and still shops for groceries, but she says, “I guess
getting older means I should stop driving and stay home more.”
She has no recent falls and her cognition is intact. Which
nursing response best reflects a wellness perspective?
,A. “It is safest for older adults to stop driving once they reach
their late 70s.”
B. “Let’s talk about the activities you still do well and how to
stay safe while keeping them.”
C. “You should focus on resting more because energy naturally
declines with age.”
D. “Your family should start making decisions for you now that
you are older.”
Correct answer: B
Rationale — Correct:
A wellness perspective focuses on preserved function,
autonomy, and strengths rather than age alone. This response
invites the older adult to identify capabilities, risks, and goals,
which supports person-centered care and healthy aging.
Rationale — Incorrect options:
A: Driving decisions should be based on function and safety, not
age alone.
C: Rest is important, but this response reinforces decline rather
than potential.
D: Family involvement may be helpful, but older age does not
remove decision-making rights.
Teaching point:
Assess function and strengths before assuming limitation.
,Citation:
Miller, C. A. (2023). Nursing for Wellness in Older Adults (9th
ed.). Ch. 1.
2) Ageism in care
Reference: Ch. 1 — Seeing Older Adults Through the Eyes of
Wellness
Question:
A nurse hears a coworker say, “He is 86, so confusion is just part
of aging.” The patient is newly disoriented, has a fever, and is
withdrawing from conversation. What is the nurse’s best
action?
A. Agree that confusion is expected in late life
B. Reassure the coworker that the patient is probably just tired
C. Report that the change suggests possible acute illness and
needs prompt evaluation
D. Wait until the next shift to see whether the confusion
improves
Correct answer: C
Rationale — Correct:
Sudden confusion is not normal aging and may signal delirium
or infection. A wellness-oriented nurse recognizes abnormal
change, acts quickly, and prevents harm.
Rationale — Incorrect options:
A: This reflects ageism and a dangerous clinical error.
, B: Tiredness does not explain acute disorientation with fever.
D: Delays can worsen outcomes when delirium or infection is
present.
Teaching point:
Sudden mental status change is abnormal and urgent.
Citation:
Miller, C. A. (2023). Nursing for Wellness in Older Adults (9th
ed.). Ch. 1.
3) Wellness and independence
Reference: Ch. 1 — Seeing Older Adults Through the Eyes of
Wellness
Question:
An 82-year-old man with osteoarthritis says he no longer cooks
because he “does not want to bother anyone,” even though he
can stand for short periods and prepare simple meals. Which
nursing plan best supports wellness?
A. Encourage complete dependence to conserve energy
B. Identify adaptations that allow him to continue meal
preparation safely
C. Advise him to stop cooking because arthritis usually worsens
with activity
D. Ask his daughter to prepare all meals from now on
Correct answer: B
