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
An 81-year-old client says, “I’m old, so there is no point in
exercising anymore.” The client has controlled hypertension,
walks independently, and reports feeling “slower than I used
to.” Which nursing response best reflects a wellness
perspective?
,A. “At your age, exercise is not likely to improve your health
much.”
B. “Slowing down is expected, so focus on conserving your
energy.”
C. “Regular activity can still improve strength, balance, and
independence.”
D. “You should avoid exercise because aging weakens the heart
and joints.”
Correct Answer: C
Rationale:
C. A wellness perspective emphasizes that older adults can
benefit from health-promoting behaviors at any age. Regular
physical activity supports function, fall prevention, and
independence, even when age-related physiologic changes are
present.
A. This reinforces ageism and incorrectly minimizes the
benefits of activity.
B. Energy conservation may be useful in some conditions,
but it is not the main wellness message here.
D. This is inaccurate and discourages beneficial activity
without clinical justification.
Teaching Point: Older adults can improve function and wellness
through safe activity at any age.
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
A nurse is planning care for a 76-year-old client with diabetes,
osteoarthritis, and mild hearing loss who manages most
activities independently. Which assessment best supports a
wellness-based approach?
A. Focus only on current medical diagnoses and laboratory
values
B. Assess mobility, cognition, mood, support systems, and daily
function
C. Assume the client needs help with all instrumental activities
of daily living
D. Document that sensory loss is a normal part of aging and
needs no follow-up
Correct Answer: B
Rationale:
B. Wellness-focused gerontological care evaluates the
whole person, including function, cognition, mood, and support
systems. These factors strongly influence healthy aging and
independence.
A. Diagnosis-only thinking misses functional and
psychosocial strengths and risks.
C. Independence should be assessed, not assumed absent
, because of age.
D. Sensory changes may occur with aging, but they still
require assessment and intervention when they affect safety or
communication.
Teaching Point: Wellness assessment includes function,
cognition, mood, and support.
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
A 70-year-old client with well-controlled chronic kidney disease
says, “I’m afraid every new ache means my body is falling
apart.” Which nursing response best reflects healthy aging
education?
A. “All aches are caused by aging and should be expected.”
B. “Any pain in older adults usually means severe disease.”
C. “Some changes are common with aging, but new or
worsening symptoms still need evaluation.”
D. “You should avoid reporting symptoms unless they are
severe.”
Correct Answer: C
OLDER ADULTS
9TH EDITION
• AUTHOR(S)CAROL A.
MILLER
TEST BANK
1.
Reference: Ch. 1 — Seeing Older Adults Through the Eyes of
Wellness
An 81-year-old client says, “I’m old, so there is no point in
exercising anymore.” The client has controlled hypertension,
walks independently, and reports feeling “slower than I used
to.” Which nursing response best reflects a wellness
perspective?
,A. “At your age, exercise is not likely to improve your health
much.”
B. “Slowing down is expected, so focus on conserving your
energy.”
C. “Regular activity can still improve strength, balance, and
independence.”
D. “You should avoid exercise because aging weakens the heart
and joints.”
Correct Answer: C
Rationale:
C. A wellness perspective emphasizes that older adults can
benefit from health-promoting behaviors at any age. Regular
physical activity supports function, fall prevention, and
independence, even when age-related physiologic changes are
present.
A. This reinforces ageism and incorrectly minimizes the
benefits of activity.
B. Energy conservation may be useful in some conditions,
but it is not the main wellness message here.
D. This is inaccurate and discourages beneficial activity
without clinical justification.
Teaching Point: Older adults can improve function and wellness
through safe activity at any age.
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
A nurse is planning care for a 76-year-old client with diabetes,
osteoarthritis, and mild hearing loss who manages most
activities independently. Which assessment best supports a
wellness-based approach?
A. Focus only on current medical diagnoses and laboratory
values
B. Assess mobility, cognition, mood, support systems, and daily
function
C. Assume the client needs help with all instrumental activities
of daily living
D. Document that sensory loss is a normal part of aging and
needs no follow-up
Correct Answer: B
Rationale:
B. Wellness-focused gerontological care evaluates the
whole person, including function, cognition, mood, and support
systems. These factors strongly influence healthy aging and
independence.
A. Diagnosis-only thinking misses functional and
psychosocial strengths and risks.
C. Independence should be assessed, not assumed absent
, because of age.
D. Sensory changes may occur with aging, but they still
require assessment and intervention when they affect safety or
communication.
Teaching Point: Wellness assessment includes function,
cognition, mood, and support.
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
A 70-year-old client with well-controlled chronic kidney disease
says, “I’m afraid every new ache means my body is falling
apart.” Which nursing response best reflects healthy aging
education?
A. “All aches are caused by aging and should be expected.”
B. “Any pain in older adults usually means severe disease.”
C. “Some changes are common with aging, but new or
worsening symptoms still need evaluation.”
D. “You should avoid reporting symptoms unless they are
severe.”
Correct Answer: C
