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 says, “My knees hurt,
but I still garden every morning and take the bus to my
volunteer job.” She lives alone, manages her medications
independently, and asks the nurse how to keep her energy up
without “becoming dependent.” Which nursing response best
reflects a wellness-focused approach to aging?
,A. “Your priority is to reduce activity so you can protect your
joints.”
B. “Let’s build on the activities you already do well and identify
ways to support your function.”
C. “At your age, fatigue and pain are expected, so there is little
that can be changed.”
D. “You should focus mainly on what you can no longer do.”
Correct Answer: B
Rationale — Correct:
A wellness-focused approach emphasizes strengths, function,
and adaptation rather than loss. The nurse recognizes existing
independence and helps the older adult maintain meaningful
activity, safety, and self-management.
Rationale — Incorrect:
A is overly restrictive and may promote deconditioning. C
normalizes symptoms in a way that discourages intervention. D
uses a deficit-based lens that ignores functional capacity and
patient goals.
Teaching Point:
Focus on strengths, function, and meaningful life goals in older
adults.
Citation: Miller, C. A. (n.d.). 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 is admitted after a fall. The staff say, “He is
just old and frail.” He is alert, walks with a cane, and reports
that he slipped while trying to reach the bathroom at night.
Which nursing action best demonstrates ageism-free clinical
judgment?
A. Accept that falls are inevitable in advanced age
B. Document the fall as a normal consequence of aging
C. Assess reversible causes and functional risks contributing to
the fall
D. Restrict all mobility to prevent another fall
Correct Answer: C
Rationale — Correct:
Falls are not an inevitable or acceptable part of aging. The nurse
should assess for environmental hazards, medication effects,
footwear, toileting needs, gait changes, and other reversible
contributors.
Rationale — Incorrect:
A and B reflect ageist assumptions and reduce patient safety. D
may increase weakness, confusion, and functional decline.
Teaching Point:
Falls require assessment; they are not “normal aging.”
, Citation: Miller, C. A. (n.d.). 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 woman with hypertension and type 2 diabetes
asks whether she still needs “all these medicines” since she
feels well. She reports using a pill organizer but sometimes
forgets midday doses. Which nursing response best supports
wellness and medication safety?
A. Tell her to stop asking because older adults often take many
medications
B. Review her medication regimen, routines, and ability to
manage the schedule safely
C. Advise her to take extra doses when she remembers
D. Tell her that feeling well means the medications are no
longer needed
Correct Answer: B
Rationale — Correct:
Wellness in older adults includes safe self-management and
preventing medication harm. The nurse should assess
adherence barriers, cognition, organization strategies, and
whether the regimen can be simplified or supported.
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 says, “My knees hurt,
but I still garden every morning and take the bus to my
volunteer job.” She lives alone, manages her medications
independently, and asks the nurse how to keep her energy up
without “becoming dependent.” Which nursing response best
reflects a wellness-focused approach to aging?
,A. “Your priority is to reduce activity so you can protect your
joints.”
B. “Let’s build on the activities you already do well and identify
ways to support your function.”
C. “At your age, fatigue and pain are expected, so there is little
that can be changed.”
D. “You should focus mainly on what you can no longer do.”
Correct Answer: B
Rationale — Correct:
A wellness-focused approach emphasizes strengths, function,
and adaptation rather than loss. The nurse recognizes existing
independence and helps the older adult maintain meaningful
activity, safety, and self-management.
Rationale — Incorrect:
A is overly restrictive and may promote deconditioning. C
normalizes symptoms in a way that discourages intervention. D
uses a deficit-based lens that ignores functional capacity and
patient goals.
Teaching Point:
Focus on strengths, function, and meaningful life goals in older
adults.
Citation: Miller, C. A. (n.d.). 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 is admitted after a fall. The staff say, “He is
just old and frail.” He is alert, walks with a cane, and reports
that he slipped while trying to reach the bathroom at night.
Which nursing action best demonstrates ageism-free clinical
judgment?
A. Accept that falls are inevitable in advanced age
B. Document the fall as a normal consequence of aging
C. Assess reversible causes and functional risks contributing to
the fall
D. Restrict all mobility to prevent another fall
Correct Answer: C
Rationale — Correct:
Falls are not an inevitable or acceptable part of aging. The nurse
should assess for environmental hazards, medication effects,
footwear, toileting needs, gait changes, and other reversible
contributors.
Rationale — Incorrect:
A and B reflect ageist assumptions and reduce patient safety. D
may increase weakness, confusion, and functional decline.
Teaching Point:
Falls require assessment; they are not “normal aging.”
, Citation: Miller, C. A. (n.d.). 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 woman with hypertension and type 2 diabetes
asks whether she still needs “all these medicines” since she
feels well. She reports using a pill organizer but sometimes
forgets midday doses. Which nursing response best supports
wellness and medication safety?
A. Tell her to stop asking because older adults often take many
medications
B. Review her medication regimen, routines, and ability to
manage the schedule safely
C. Advise her to take extra doses when she remembers
D. Tell her that feeling well means the medications are no
longer needed
Correct Answer: B
Rationale — Correct:
Wellness in older adults includes safe self-management and
preventing medication harm. The nurse should assess
adherence barriers, cognition, organization strategies, and
whether the regimen can be simplified or supported.
