NURSING FOR WELLNESS IN
OLDER ADULTS
9TH EDITION
• AUTHOR(S)CAROL A.
MILLER
TEST BANK
1️⃣ Reference: Ch. 1️ — Seeing Older Adults Through the Eyes of
Wellness
NCLEX-Level Question Stem: A 78-year-old woman with
controlled hypertension and osteoarthritis reports, “My doctor
says my joints are old, so I should stop walking.” She lives
independently, manages her own medications, and recently
reduced her daily neighborhood walks because of knee
stiffness. Which nursing response best reflects a wellness-
focused approach to aging?
Options:
,A. “Avoid walking because joint pain usually worsens with age.”
B. “Encourage low-impact activity and assess what helps you
stay active safely.”
C. “Refer her to long-term care because exercise is no longer
realistic.”
D. “Tell her arthritis is an expected part of aging that does not
need intervention.”
Correct Answer: B
Rationale — Correct Answer: Low-impact activity supports
function, mobility, and quality of life in older adults with
osteoarthritis. A wellness lens emphasizes what the older adult
can do, not only limitations, and the nurse should assess pain
management, gait, footwear, and safe activity options.
Rationale — Incorrect Options:
A. This reinforces inactivity and may accelerate deconditioning.
C. There is no indication she needs institutional care; the
scenario shows preserved independence.
D. Osteoarthritis may be common with aging, but pain and
mobility limits still require intervention.
Teaching Point: Promote function first; aging does not mean
activity should stop.
Citation: Miller, C. A. (2023). Nursing for Wellness in Older
Adults (9th ed.). Ch. 1️.
2⃣ Reference: Ch. 1️ — Seeing Older Adults Through the Eyes of
Wellness
,NCLEX-Level Question Stem: A 82-year-old man is admitted
after a fall. He says, “I’m just getting old, so falling is normal.”
He has mild vision loss, takes four medications, and still drives
and shops independently. Which nursing action is most
appropriate first?
Options:
A. Reassure him that falls are expected in aging
B. Perform a fall-risk and medication review with functional
assessment
C. Restrict all ambulation until physical therapy evaluates him
D. Teach him that aging always causes loss of independence
Correct Answer: B
Rationale — Correct Answer: Falls are not a normal, acceptable
part of aging; they require assessment for reversible causes,
including medication effects, vision, and environment.
Functional assessment helps identify modifiable risks while
preserving independence.
Rationale — Incorrect Options:
A. This normalizes a potentially preventable safety event.
C. Over-restricting activity can increase weakness, confusion,
and loss of function.
D. This promotes ageism and is inaccurate.
Teaching Point: A fall is a clinical problem, not a normal aging
milestone.
Citation: Miller, C. A. (2023). Nursing for Wellness in Older
Adults (9th ed.). Ch. 1️.
, 3⃣ Reference: Ch. 1️ — Seeing Older Adults Through the Eyes of
Wellness
NCLEX-Level Question Stem: A 75-year-old retired teacher asks
why the nurse keeps asking about bathing, dressing, shopping,
and transportation when she came in for blood pressure follow-
up. She says, “I can still take care of myself.” What is the nurse’s
best explanation for the assessment?
Options:
A. “These questions determine whether you are too old for
independent living.”
B. “They help identify how well you are functioning in daily life
and where support may help.”
C. “They are only asked because older adults usually need
nursing home placement.”
D. “They are required only if dementia is suspected.”
Correct Answer: B
Rationale — Correct Answer: ADLs and IADLs are central to
wellness because they reveal functional status, safety, and
support needs. A functional assessment identifies strengths and
early decline before major disability occurs.
Rationale — Incorrect Options:
A. This is stigmatizing and inaccurate.
C. Functional questions do not automatically imply institutional
care.
D. Functional screening is useful even without suspected
OLDER ADULTS
9TH EDITION
• AUTHOR(S)CAROL A.
MILLER
TEST BANK
1️⃣ Reference: Ch. 1️ — Seeing Older Adults Through the Eyes of
Wellness
NCLEX-Level Question Stem: A 78-year-old woman with
controlled hypertension and osteoarthritis reports, “My doctor
says my joints are old, so I should stop walking.” She lives
independently, manages her own medications, and recently
reduced her daily neighborhood walks because of knee
stiffness. Which nursing response best reflects a wellness-
focused approach to aging?
Options:
,A. “Avoid walking because joint pain usually worsens with age.”
B. “Encourage low-impact activity and assess what helps you
stay active safely.”
C. “Refer her to long-term care because exercise is no longer
realistic.”
D. “Tell her arthritis is an expected part of aging that does not
need intervention.”
Correct Answer: B
Rationale — Correct Answer: Low-impact activity supports
function, mobility, and quality of life in older adults with
osteoarthritis. A wellness lens emphasizes what the older adult
can do, not only limitations, and the nurse should assess pain
management, gait, footwear, and safe activity options.
Rationale — Incorrect Options:
A. This reinforces inactivity and may accelerate deconditioning.
C. There is no indication she needs institutional care; the
scenario shows preserved independence.
D. Osteoarthritis may be common with aging, but pain and
mobility limits still require intervention.
Teaching Point: Promote function first; aging does not mean
activity should stop.
Citation: Miller, C. A. (2023). Nursing for Wellness in Older
Adults (9th ed.). Ch. 1️.
2⃣ Reference: Ch. 1️ — Seeing Older Adults Through the Eyes of
Wellness
,NCLEX-Level Question Stem: A 82-year-old man is admitted
after a fall. He says, “I’m just getting old, so falling is normal.”
He has mild vision loss, takes four medications, and still drives
and shops independently. Which nursing action is most
appropriate first?
Options:
A. Reassure him that falls are expected in aging
B. Perform a fall-risk and medication review with functional
assessment
C. Restrict all ambulation until physical therapy evaluates him
D. Teach him that aging always causes loss of independence
Correct Answer: B
Rationale — Correct Answer: Falls are not a normal, acceptable
part of aging; they require assessment for reversible causes,
including medication effects, vision, and environment.
Functional assessment helps identify modifiable risks while
preserving independence.
Rationale — Incorrect Options:
A. This normalizes a potentially preventable safety event.
C. Over-restricting activity can increase weakness, confusion,
and loss of function.
D. This promotes ageism and is inaccurate.
Teaching Point: A fall is a clinical problem, not a normal aging
milestone.
Citation: Miller, C. A. (2023). Nursing for Wellness in Older
Adults (9th ed.). Ch. 1️.
, 3⃣ Reference: Ch. 1️ — Seeing Older Adults Through the Eyes of
Wellness
NCLEX-Level Question Stem: A 75-year-old retired teacher asks
why the nurse keeps asking about bathing, dressing, shopping,
and transportation when she came in for blood pressure follow-
up. She says, “I can still take care of myself.” What is the nurse’s
best explanation for the assessment?
Options:
A. “These questions determine whether you are too old for
independent living.”
B. “They help identify how well you are functioning in daily life
and where support may help.”
C. “They are only asked because older adults usually need
nursing home placement.”
D. “They are required only if dementia is suspected.”
Correct Answer: B
Rationale — Correct Answer: ADLs and IADLs are central to
wellness because they reveal functional status, safety, and
support needs. A functional assessment identifies strengths and
early decline before major disability occurs.
Rationale — Incorrect Options:
A. This is stigmatizing and inaccurate.
C. Functional questions do not automatically imply institutional
care.
D. Functional screening is useful even without suspected
