NURSING FOR WELLNESS IN
OLDER ADULTS
9TH EDITION
• AUTHOR(S)CAROL A.
MILLER
TEST BANK
Part 1: Older Adults and Wellness
Chapter 1 — Seeing Older Adults Through the Eyes of Wellness
1) Reference
Ch. 1 — Seeing Older Adults Through the Eyes of Wellness
Question
A 79-year-old client who lives independently says, “I am old, so
losing energy and staying home most of the time is just
,normal.” The nurse notices the client has stopped attending
church, no longer walks with neighbors, and has gained 10
pounds in 6 months. Which nursing response best reflects a
wellness perspective?
A. “These changes are expected in aging, so no action is
needed.”
B. “Let’s explore what activities matter most to you and what
might help you stay active.”
C. “You should be more disciplined about exercise and diet.”
D. “These changes suggest depression, so you should be
referred immediately.”
Correct Answer: B
Rationale — Correct
A wellness perspective focuses on strengths, meaning, function,
and self-directed goals rather than assuming decline is
inevitable. The nurse should assess the client’s priorities,
barriers, and desired level of participation in daily life. This
approach supports individualized, person-centered aging.
Rationale — Incorrect Options
A: This reflects ageism and ignores potentially modifiable
changes in function, mood, or social engagement.
C: The response is judgmental and does not assess the client’s
goals, readiness, or barriers.
D: Depression is possible, but the nurse should assess first
rather than jump to a diagnosis.
,Teaching Point
Wellness in aging means supporting function, meaning, and
personal goals.
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
During shift report, a nurse hears, “The older adults on this unit
usually do better when family makes decisions for them.” Which
statement by the nurse best demonstrates a wellness-oriented
approach?
A. “Family involvement is always more important than patient
preference.”
B. “Most older adults cannot make complex decisions.”
C. “Each client’s decision-making ability should be assessed
individually.”
D. “Older adults need simpler explanations because they rarely
understand options.”
Correct Answer: C
Rationale — Correct
A wellness lens recognizes heterogeneity among older adults
, and avoids assumptions based on age alone. Decision-making
capacity must be assessed individually, because many older
adults retain full autonomy. This protects dignity and supports
patient-centered care.
Rationale — Incorrect Options
A: Family may help, but they do not replace the client’s
preferences unless legally appropriate.
B: This is ageist and incorrect.
D: Older adults deserve clear communication, but they are not
inherently unable to understand.
Teaching Point
Do not assume incapacity based on age; assess each person
individually.
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 74-year-old client says, “I still want to garden and cook, but
my knees slow me down.” Which nursing action best reflects
wellness-based care?
OLDER ADULTS
9TH EDITION
• AUTHOR(S)CAROL A.
MILLER
TEST BANK
Part 1: Older Adults and Wellness
Chapter 1 — Seeing Older Adults Through the Eyes of Wellness
1) Reference
Ch. 1 — Seeing Older Adults Through the Eyes of Wellness
Question
A 79-year-old client who lives independently says, “I am old, so
losing energy and staying home most of the time is just
,normal.” The nurse notices the client has stopped attending
church, no longer walks with neighbors, and has gained 10
pounds in 6 months. Which nursing response best reflects a
wellness perspective?
A. “These changes are expected in aging, so no action is
needed.”
B. “Let’s explore what activities matter most to you and what
might help you stay active.”
C. “You should be more disciplined about exercise and diet.”
D. “These changes suggest depression, so you should be
referred immediately.”
Correct Answer: B
Rationale — Correct
A wellness perspective focuses on strengths, meaning, function,
and self-directed goals rather than assuming decline is
inevitable. The nurse should assess the client’s priorities,
barriers, and desired level of participation in daily life. This
approach supports individualized, person-centered aging.
Rationale — Incorrect Options
A: This reflects ageism and ignores potentially modifiable
changes in function, mood, or social engagement.
C: The response is judgmental and does not assess the client’s
goals, readiness, or barriers.
D: Depression is possible, but the nurse should assess first
rather than jump to a diagnosis.
,Teaching Point
Wellness in aging means supporting function, meaning, and
personal goals.
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
During shift report, a nurse hears, “The older adults on this unit
usually do better when family makes decisions for them.” Which
statement by the nurse best demonstrates a wellness-oriented
approach?
A. “Family involvement is always more important than patient
preference.”
B. “Most older adults cannot make complex decisions.”
C. “Each client’s decision-making ability should be assessed
individually.”
D. “Older adults need simpler explanations because they rarely
understand options.”
Correct Answer: C
Rationale — Correct
A wellness lens recognizes heterogeneity among older adults
, and avoids assumptions based on age alone. Decision-making
capacity must be assessed individually, because many older
adults retain full autonomy. This protects dignity and supports
patient-centered care.
Rationale — Incorrect Options
A: Family may help, but they do not replace the client’s
preferences unless legally appropriate.
B: This is ageist and incorrect.
D: Older adults deserve clear communication, but they are not
inherently unable to understand.
Teaching Point
Do not assume incapacity based on age; assess each person
individually.
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 74-year-old client says, “I still want to garden and cook, but
my knees slow me down.” Which nursing action best reflects
wellness-based care?
