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 with hypertension and osteoarthritis
says, “I am old, so I should just accept that being tired and slow
is normal.” She lives independently, manages her medications,
and still gardens daily. Which nursing response best reflects a
wellness-focused approach?
,Options:
A. “These changes are expected in aging, so no intervention is
needed.”
B. “Let’s focus on what you are still able to do and what helps
you stay active.”
C. “You should reduce all physical activity to prevent injury.”
D. “Fatigue is always part of normal aging and should be
ignored.”
Correct Answer:
B
Rationale — Correct Answer:
A wellness-focused approach emphasizes strengths, function,
and healthy aging rather than decline alone. This response
supports autonomy, preserves independence, and opens the
door to assessment of modifiable factors affecting fatigue and
mobility.
Rationales — Incorrect Options:
A. This normalizes symptoms without assessment and may miss
treatable problems such as anemia, depression, sleep
disturbance, or medication effects.
C. Routine activity reduction can worsen function, balance, and
quality of life in older adults.
D. Fatigue is not automatically “normal aging” and should be
evaluated for underlying causes.
Teaching Point:
Focus on strengths, function, and goals—not age alone.
,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 well-controlled diabetes tells the nurse
he stopped attending his senior center because “people there
act like aging means waiting to decline.” He denies depression
but reports he has “lost interest in things.” Which nursing action
is best?
Options:
A. Tell him social withdrawal is expected in later life
B. Screen for depression and explore meaningful activities he
enjoys
C. Recommend that he avoid group settings to reduce stress
D. Reassure him that losing interest is a normal part of aging
Correct Answer:
B
Rationale — Correct Answer:
A wellness approach recognizes that loss of interest and social
withdrawal may signal depression, not normal aging. Screening
and exploring meaningful activity supports psychological well-
being and early intervention.
, Rationales — Incorrect Options:
A. This dismisses a possible mental health concern and
reinforces ageist assumptions.
C. Avoidance may increase isolation and worsen mood and
function.
D. Anhedonia is not a normal age-related change and needs
assessment.
Teaching Point:
Do not confuse depression with normal aging.
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:
A 69-year-old woman with mild hearing loss and hypertension
says she feels “talked over” during clinic visits and sometimes
leaves confused about her care plan. Which nursing
intervention best supports wellness and patient-centered care?
Options:
A. Speak louder and repeat instructions once
B. Use written instructions, face the patient, and confirm
understanding
C. Ask a family member to answer for her at every visit
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 with hypertension and osteoarthritis
says, “I am old, so I should just accept that being tired and slow
is normal.” She lives independently, manages her medications,
and still gardens daily. Which nursing response best reflects a
wellness-focused approach?
,Options:
A. “These changes are expected in aging, so no intervention is
needed.”
B. “Let’s focus on what you are still able to do and what helps
you stay active.”
C. “You should reduce all physical activity to prevent injury.”
D. “Fatigue is always part of normal aging and should be
ignored.”
Correct Answer:
B
Rationale — Correct Answer:
A wellness-focused approach emphasizes strengths, function,
and healthy aging rather than decline alone. This response
supports autonomy, preserves independence, and opens the
door to assessment of modifiable factors affecting fatigue and
mobility.
Rationales — Incorrect Options:
A. This normalizes symptoms without assessment and may miss
treatable problems such as anemia, depression, sleep
disturbance, or medication effects.
C. Routine activity reduction can worsen function, balance, and
quality of life in older adults.
D. Fatigue is not automatically “normal aging” and should be
evaluated for underlying causes.
Teaching Point:
Focus on strengths, function, and goals—not age alone.
,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 well-controlled diabetes tells the nurse
he stopped attending his senior center because “people there
act like aging means waiting to decline.” He denies depression
but reports he has “lost interest in things.” Which nursing action
is best?
Options:
A. Tell him social withdrawal is expected in later life
B. Screen for depression and explore meaningful activities he
enjoys
C. Recommend that he avoid group settings to reduce stress
D. Reassure him that losing interest is a normal part of aging
Correct Answer:
B
Rationale — Correct Answer:
A wellness approach recognizes that loss of interest and social
withdrawal may signal depression, not normal aging. Screening
and exploring meaningful activity supports psychological well-
being and early intervention.
, Rationales — Incorrect Options:
A. This dismisses a possible mental health concern and
reinforces ageist assumptions.
C. Avoidance may increase isolation and worsen mood and
function.
D. Anhedonia is not a normal age-related change and needs
assessment.
Teaching Point:
Do not confuse depression with normal aging.
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:
A 69-year-old woman with mild hearing loss and hypertension
says she feels “talked over” during clinic visits and sometimes
leaves confused about her care plan. Which nursing
intervention best supports wellness and patient-centered care?
Options:
A. Speak louder and repeat instructions once
B. Use written instructions, face the patient, and confirm
understanding
C. Ask a family member to answer for her at every visit
