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:
A 78-year-old woman with osteoarthritis and hypertension says,
“At my age, the goal is just to slow down and not bother
anyone.” She still gardens, manages her medications
independently, and drives short distances. Which nursing
response best reflects a wellness perspective?
,A. “That is expected, because older adults usually become less
active with age.”
B. “Let’s identify the activities that matter most to you and build
on those strengths.”
C. “You should reduce activities to avoid injury and conserve
energy.”
D. “Aging usually means losing independence, so family should
take over more tasks.”
Correct Answer: B
Rationale — Correct Answer:
A wellness perspective focuses on strengths, function, and
meaningful activities rather than decline alone. This response
supports patient-centered care by building on what the older
adult can do and values, which promotes autonomy and healthy
aging.
Rationales — Incorrect Options:
A. This reinforces ageism and normalizes inactivity as inevitable,
which can reduce motivation and function.
C. Energy conservation may help with specific conditions, but
blanket reduction of activity is not a wellness-focused
recommendation.
D. Independence should be supported whenever possible;
assuming loss of independence is a common geriatric reasoning
error.
Teaching Point: Wellness in aging means preserving function,
autonomy, and meaningful roles.
,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:
An 82-year-old man with well-controlled type 2 diabetes lives
alone, prepares meals, and attends weekly community events.
He reports mild forgetfulness but is still able to pay bills and
take medications correctly. Which nursing conclusion is most
appropriate?
A. He is experiencing normal aging and maintaining wellness.
B. He is unsafe to live independently because any memory
change is abnormal.
C. He likely has dementia because he forgets details
occasionally.
D. He should stop managing his own medications to prevent
errors.
Correct Answer: A
Rationale — Correct Answer:
Mild forgetfulness can occur with aging and does not
necessarily indicate cognitive impairment. His intact IADLs,
medication management, and social engagement indicate
preserved function and wellness.
, Rationales — Incorrect Options:
B. Occasional memory lapses do not automatically mean unsafe
independent living.
C. Dementia requires a broader pattern of decline that
interferes with function, not isolated forgetfulness.
D. Removing self-management unnecessarily reduces autonomy
and may undermine confidence.
Teaching Point: Function matters more than a single symptom
when judging wellness.
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 76-year-old man says, “My provider keeps saying my blood
pressure is aging-related, so I should not worry.” His blood
pressure remains elevated on two antihypertensive
medications, and he has new headaches. What is the nurse’s
best interpretation?
A. Elevated blood pressure is an expected normal aging change.
B. Symptoms and persistent elevation suggest the need for
further assessment.
C. Headaches are irrelevant in older adults because pain
perception decreases.
OLDER ADULTS
9TH EDITION
• AUTHOR(S)CAROL A.
MILLER
TEST BANK
1. Reference: Ch. 1 — Seeing Older Adults Through the Eyes
of Wellness
Question:
A 78-year-old woman with osteoarthritis and hypertension says,
“At my age, the goal is just to slow down and not bother
anyone.” She still gardens, manages her medications
independently, and drives short distances. Which nursing
response best reflects a wellness perspective?
,A. “That is expected, because older adults usually become less
active with age.”
B. “Let’s identify the activities that matter most to you and build
on those strengths.”
C. “You should reduce activities to avoid injury and conserve
energy.”
D. “Aging usually means losing independence, so family should
take over more tasks.”
Correct Answer: B
Rationale — Correct Answer:
A wellness perspective focuses on strengths, function, and
meaningful activities rather than decline alone. This response
supports patient-centered care by building on what the older
adult can do and values, which promotes autonomy and healthy
aging.
Rationales — Incorrect Options:
A. This reinforces ageism and normalizes inactivity as inevitable,
which can reduce motivation and function.
C. Energy conservation may help with specific conditions, but
blanket reduction of activity is not a wellness-focused
recommendation.
D. Independence should be supported whenever possible;
assuming loss of independence is a common geriatric reasoning
error.
Teaching Point: Wellness in aging means preserving function,
autonomy, and meaningful roles.
,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:
An 82-year-old man with well-controlled type 2 diabetes lives
alone, prepares meals, and attends weekly community events.
He reports mild forgetfulness but is still able to pay bills and
take medications correctly. Which nursing conclusion is most
appropriate?
A. He is experiencing normal aging and maintaining wellness.
B. He is unsafe to live independently because any memory
change is abnormal.
C. He likely has dementia because he forgets details
occasionally.
D. He should stop managing his own medications to prevent
errors.
Correct Answer: A
Rationale — Correct Answer:
Mild forgetfulness can occur with aging and does not
necessarily indicate cognitive impairment. His intact IADLs,
medication management, and social engagement indicate
preserved function and wellness.
, Rationales — Incorrect Options:
B. Occasional memory lapses do not automatically mean unsafe
independent living.
C. Dementia requires a broader pattern of decline that
interferes with function, not isolated forgetfulness.
D. Removing self-management unnecessarily reduces autonomy
and may undermine confidence.
Teaching Point: Function matters more than a single symptom
when judging wellness.
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 76-year-old man says, “My provider keeps saying my blood
pressure is aging-related, so I should not worry.” His blood
pressure remains elevated on two antihypertensive
medications, and he has new headaches. What is the nurse’s
best interpretation?
A. Elevated blood pressure is an expected normal aging change.
B. Symptoms and persistent elevation suggest the need for
further assessment.
C. Headaches are irrelevant in older adults because pain
perception decreases.
