NURSING FOR WELLNESS IN
OLDER ADULTS
9TH EDITION
• AUTHOR(S)CAROL A.
MILLER
TEST BANK
1. Reference
Ch. 1 — Wellness Perspective in Aging
Question
A 78-year-old adult with osteoarthritis reports, “I can’t garden
like I used to, so I just stay inside now.” The client is
independent in ADLs but has reduced mobility. Which nursing
intervention best reflects a wellness-oriented approach?
A. Encourage rest to prevent joint strain
B. Refer the client for assisted living placement
,C. Collaborate to modify gardening activities
D. Advise cessation of gardening to avoid injury
Correct Answer: C
Rationale
C: Wellness emphasizes maximizing function and quality of
life. Adapting activities supports autonomy and engagement
despite limitations.
A: Excessive rest can worsen functional decline.
B: Premature institutionalization ignores current
independence.
D: Eliminating meaningful activity reduces well-being.
Teaching Point: Promote adaptation—not restriction—to
support wellness.
Citation: Miller, C. A. (2023). Ch. 1.
2. Reference
Ch. 1 — Holistic Wellness
Question
An 82-year-old with hypertension and mild hearing loss reports
feeling socially isolated after moving. Which nursing action best
supports holistic wellness?
A. Adjust antihypertensive medication
B. Recommend hearing aids only
,C. Facilitate community engagement opportunities
D. Focus on blood pressure monitoring
Correct Answer: C
Rationale
C: Holistic wellness includes social well-being; promoting
engagement reduces isolation and improves overall health.
A: Addresses only physical health.
B: Partial intervention; ignores psychosocial needs.
D: Narrow biomedical focus.
Teaching Point: Wellness includes social connectedness.
Citation: Miller, C. A. (2023). Ch. 1.
3. Reference
Ch. 1 — Individualized Aging Experience
Question
A nurse is assessing two 75-year-old clients with similar
diagnoses but different functional abilities. Which principle
guides the nurse’s care planning?
A. Aging outcomes are predictable
B. Chronological age determines care needs
C. Individual variability in aging must guide interventions
D. Standardized protocols apply equally
Correct Answer: C
, Rationale
C: Aging is highly individualized; care must reflect functional
status, not age alone.
A: Aging outcomes vary widely.
B: Chronological age is a poor predictor of function.
D: Standardization ignores individual differences.
Teaching Point: Functional status > chronological age.
Citation: Miller, C. A. (2023). Ch. 1.
4. Reference
Ch. 1 — Wellness vs. Disease Model
Question
An 80-year-old with diabetes maintains good glycemic control
but expresses low life satisfaction. Which nursing approach best
reflects a wellness model?
A. Focus solely on glucose levels
B. Screen for depression and life satisfaction
C. Increase insulin dosage
D. Emphasize complication prevention only
Correct Answer: B
Rationale
B: Wellness includes emotional and psychological health,
not just disease control.
OLDER ADULTS
9TH EDITION
• AUTHOR(S)CAROL A.
MILLER
TEST BANK
1. Reference
Ch. 1 — Wellness Perspective in Aging
Question
A 78-year-old adult with osteoarthritis reports, “I can’t garden
like I used to, so I just stay inside now.” The client is
independent in ADLs but has reduced mobility. Which nursing
intervention best reflects a wellness-oriented approach?
A. Encourage rest to prevent joint strain
B. Refer the client for assisted living placement
,C. Collaborate to modify gardening activities
D. Advise cessation of gardening to avoid injury
Correct Answer: C
Rationale
C: Wellness emphasizes maximizing function and quality of
life. Adapting activities supports autonomy and engagement
despite limitations.
A: Excessive rest can worsen functional decline.
B: Premature institutionalization ignores current
independence.
D: Eliminating meaningful activity reduces well-being.
Teaching Point: Promote adaptation—not restriction—to
support wellness.
Citation: Miller, C. A. (2023). Ch. 1.
2. Reference
Ch. 1 — Holistic Wellness
Question
An 82-year-old with hypertension and mild hearing loss reports
feeling socially isolated after moving. Which nursing action best
supports holistic wellness?
A. Adjust antihypertensive medication
B. Recommend hearing aids only
,C. Facilitate community engagement opportunities
D. Focus on blood pressure monitoring
Correct Answer: C
Rationale
C: Holistic wellness includes social well-being; promoting
engagement reduces isolation and improves overall health.
A: Addresses only physical health.
B: Partial intervention; ignores psychosocial needs.
D: Narrow biomedical focus.
Teaching Point: Wellness includes social connectedness.
Citation: Miller, C. A. (2023). Ch. 1.
3. Reference
Ch. 1 — Individualized Aging Experience
Question
A nurse is assessing two 75-year-old clients with similar
diagnoses but different functional abilities. Which principle
guides the nurse’s care planning?
A. Aging outcomes are predictable
B. Chronological age determines care needs
C. Individual variability in aging must guide interventions
D. Standardized protocols apply equally
Correct Answer: C
, Rationale
C: Aging is highly individualized; care must reflect functional
status, not age alone.
A: Aging outcomes vary widely.
B: Chronological age is a poor predictor of function.
D: Standardization ignores individual differences.
Teaching Point: Functional status > chronological age.
Citation: Miller, C. A. (2023). Ch. 1.
4. Reference
Ch. 1 — Wellness vs. Disease Model
Question
An 80-year-old with diabetes maintains good glycemic control
but expresses low life satisfaction. Which nursing approach best
reflects a wellness model?
A. Focus solely on glucose levels
B. Screen for depression and life satisfaction
C. Increase insulin dosage
D. Emphasize complication prevention only
Correct Answer: B
Rationale
B: Wellness includes emotional and psychological health,
not just disease control.
