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 woman lives independently, volunteers weekly,
and says, “I’m older, so I just expect to be slowed down.” Her
blood pressure is mildly elevated, but she walks daily and
manages her medications accurately. Which nursing response
best reflects a wellness perspective?
,A. “At your age, slowing down is expected, so focus on avoiding
overexertion.”
B. “Let’s build on your strengths and identify goals that support
your independence.”
C. “Because you live alone, you should consider assisted living
for safety.”
D. “Your blood pressure matters more than your daily function,
so we will focus on that first.”
Correct Answer: B
Rationales:
B is correct. A wellness perspective emphasizes strengths,
function, independence, and patient-centered goals rather than
deficits alone. The nurse supports autonomy by helping the
older adult identify meaningful goals that preserve wellness
and quality of life.
A is incorrect. This response reinforces age-related
stereotyping and assumes decline is inevitable.
C is incorrect. Living alone does not automatically indicate
unsafe living; the nurse should assess function, support, and
preferences.
D is incorrect. Blood pressure is important, but a wellness
approach integrates health data with function, goals, and self-
management capacity.
,Teaching Point:
Wellness care focuses on strengths, function, and autonomy—
not age-based assumptions.
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 man with osteoarthritis says he has “nothing to
offer anymore” since retiring. He has stopped attending church,
avoids social events, and reports low motivation to cook or
exercise. Which nursing assessment best reflects a wellness-
focused approach?
A. Ask whether he has any history of arthritis flares in the past
year.
B. Assess his mood, social roles, daily routines, and activities
that give his life meaning.
C. Teach him that retirement often leads to boredom and
isolation in older adults.
D. Recommend a walker to improve mobility and prevent falls.
Correct Answer: B
, Rationales:
B is correct. Wellness care includes psychosocial and role
assessment, not only physical symptoms. The nurse should
explore meaning, connectedness, mood, and daily routines
because these affect motivation and overall well-being.
A is incorrect. Arthritis history is relevant, but it does not
address the broader wellness concern.
C is incorrect. This is ageist and dismisses the patient’s
experience rather than assessing it.
D is incorrect. A walker may be helpful, but mobility
support alone does not address withdrawal and loss of purpose.
Teaching Point:
Older-adult wellness includes identity, purpose, mood, and
social connectedness.
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 outpatient visit, a 79-year-old woman says, “My
neighbor is 80 and has dementia, so I’m probably headed there
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 woman lives independently, volunteers weekly,
and says, “I’m older, so I just expect to be slowed down.” Her
blood pressure is mildly elevated, but she walks daily and
manages her medications accurately. Which nursing response
best reflects a wellness perspective?
,A. “At your age, slowing down is expected, so focus on avoiding
overexertion.”
B. “Let’s build on your strengths and identify goals that support
your independence.”
C. “Because you live alone, you should consider assisted living
for safety.”
D. “Your blood pressure matters more than your daily function,
so we will focus on that first.”
Correct Answer: B
Rationales:
B is correct. A wellness perspective emphasizes strengths,
function, independence, and patient-centered goals rather than
deficits alone. The nurse supports autonomy by helping the
older adult identify meaningful goals that preserve wellness
and quality of life.
A is incorrect. This response reinforces age-related
stereotyping and assumes decline is inevitable.
C is incorrect. Living alone does not automatically indicate
unsafe living; the nurse should assess function, support, and
preferences.
D is incorrect. Blood pressure is important, but a wellness
approach integrates health data with function, goals, and self-
management capacity.
,Teaching Point:
Wellness care focuses on strengths, function, and autonomy—
not age-based assumptions.
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 man with osteoarthritis says he has “nothing to
offer anymore” since retiring. He has stopped attending church,
avoids social events, and reports low motivation to cook or
exercise. Which nursing assessment best reflects a wellness-
focused approach?
A. Ask whether he has any history of arthritis flares in the past
year.
B. Assess his mood, social roles, daily routines, and activities
that give his life meaning.
C. Teach him that retirement often leads to boredom and
isolation in older adults.
D. Recommend a walker to improve mobility and prevent falls.
Correct Answer: B
, Rationales:
B is correct. Wellness care includes psychosocial and role
assessment, not only physical symptoms. The nurse should
explore meaning, connectedness, mood, and daily routines
because these affect motivation and overall well-being.
A is incorrect. Arthritis history is relevant, but it does not
address the broader wellness concern.
C is incorrect. This is ageist and dismisses the patient’s
experience rather than assessing it.
D is incorrect. A walker may be helpful, but mobility
support alone does not address withdrawal and loss of purpose.
Teaching Point:
Older-adult wellness includes identity, purpose, mood, and
social connectedness.
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 outpatient visit, a 79-year-old woman says, “My
neighbor is 80 and has dementia, so I’m probably headed there
