NURSING FOR WELLNESS IN
OLDER ADULTS
9TH EDITION
• AUTHOR(S)CAROL A.
MILLER
TEST BANK
1️⃣ Reference: Part 1️ Older Adults and Wellness — Ch. 1️, Seeing
Older Adults Through the Eyes of Wellness
NCLEX-Level Question Stem:
An 82-year-old client lives independently, manages mild
hypertension with lisinopril, and walks daily with a cane after a
recent knee replacement. The client says, “I am old, so there is
no point in trying to stay active anymore.” Which nursing
response best reflects a wellness-focused approach to aging?
,The nurse wants to support the client’s strengths while
promoting realistic health goals.
Options:
A. “At your age, slowing down is expected, so rest as much as
possible.”
B. “Let’s talk about what activities still matter to you and how
we can support them safely.”
C. “You should increase your exercise intensity to prevent
further aging.”
D. “You will need to depend on family now because
independence is unrealistic.”
Correct Answer:
B
Rationale:
Correct Answer (B): A wellness-focused approach emphasizes
remaining strengths, valued roles, and individualized goals
rather than assuming decline. This response promotes
autonomy, functional ability, and patient-centered planning.
Incorrect (A): Rest alone reinforces passivity and may worsen
deconditioning. It frames aging as inevitable decline rather than
modifiable function.
Incorrect (C): Sudden high-intensity exercise may be unsafe,
especially after knee surgery and with a cane. Wellness care
should be individualized and realistic.
Incorrect (D): Independence should not be dismissed without
,assessment. Many older adults maintain meaningful
independence with appropriate supports.
Teaching Point:
Wellness care focuses on strengths, function, and meaningful
goals, not age-based assumptions.
Citation:
Miller, C. A. (2023). Nursing for Wellness in Older Adults (9th
ed.). Ch. 1️.
2⃣ Reference: Part 1️ Older Adults and Wellness — Ch. 1️, Seeing
Older Adults Through the Eyes of Wellness
NCLEX-Level Question Stem:
A 79-year-old client with osteoarthritis and type 2 diabetes
says, “I am just supposed to get sick more as I get older.” The
client has stable blood glucose levels and completes self-care
independently. Which nursing action is most appropriate?
The nurse is trying to correct an age-based misconception while
reinforcing wellness.
Options:
A. Explain that chronic illness is unavoidable in all older adults.
B. Teach that some changes may occur with aging, but illness is
not an expected part of aging.
C. Focus teaching only on disease management because
wellness is less important in later life.
, D. Encourage the client to avoid all activity to reduce joint
stress.
Correct Answer:
B
Rationale:
Correct Answer (B): Normal aging is not the same as disease.
The nurse should reinforce that older adults can remain healthy,
functional, and engaged even with chronic conditions.
Incorrect (A): This is inaccurate and supports fatalistic thinking.
It may reduce motivation for self-care.
Incorrect (C): Wellness and chronic disease management should
be integrated. Older adults benefit from both symptom control
and health promotion.
Incorrect (D): Total avoidance of activity can worsen stiffness,
weakness, and functional decline.
Teaching Point:
Aging is not a disease; wellness and chronic illness management
can coexist.
Citation:
Miller, C. A. (2023). Nursing for Wellness in Older Adults (9th
ed.). Ch. 1️.
3⃣ Reference: Part 1️ Older Adults and Wellness — Ch. 1️, Seeing
Older Adults Through the Eyes of Wellness
OLDER ADULTS
9TH EDITION
• AUTHOR(S)CAROL A.
MILLER
TEST BANK
1️⃣ Reference: Part 1️ Older Adults and Wellness — Ch. 1️, Seeing
Older Adults Through the Eyes of Wellness
NCLEX-Level Question Stem:
An 82-year-old client lives independently, manages mild
hypertension with lisinopril, and walks daily with a cane after a
recent knee replacement. The client says, “I am old, so there is
no point in trying to stay active anymore.” Which nursing
response best reflects a wellness-focused approach to aging?
,The nurse wants to support the client’s strengths while
promoting realistic health goals.
Options:
A. “At your age, slowing down is expected, so rest as much as
possible.”
B. “Let’s talk about what activities still matter to you and how
we can support them safely.”
C. “You should increase your exercise intensity to prevent
further aging.”
D. “You will need to depend on family now because
independence is unrealistic.”
Correct Answer:
B
Rationale:
Correct Answer (B): A wellness-focused approach emphasizes
remaining strengths, valued roles, and individualized goals
rather than assuming decline. This response promotes
autonomy, functional ability, and patient-centered planning.
Incorrect (A): Rest alone reinforces passivity and may worsen
deconditioning. It frames aging as inevitable decline rather than
modifiable function.
Incorrect (C): Sudden high-intensity exercise may be unsafe,
especially after knee surgery and with a cane. Wellness care
should be individualized and realistic.
Incorrect (D): Independence should not be dismissed without
,assessment. Many older adults maintain meaningful
independence with appropriate supports.
Teaching Point:
Wellness care focuses on strengths, function, and meaningful
goals, not age-based assumptions.
Citation:
Miller, C. A. (2023). Nursing for Wellness in Older Adults (9th
ed.). Ch. 1️.
2⃣ Reference: Part 1️ Older Adults and Wellness — Ch. 1️, Seeing
Older Adults Through the Eyes of Wellness
NCLEX-Level Question Stem:
A 79-year-old client with osteoarthritis and type 2 diabetes
says, “I am just supposed to get sick more as I get older.” The
client has stable blood glucose levels and completes self-care
independently. Which nursing action is most appropriate?
The nurse is trying to correct an age-based misconception while
reinforcing wellness.
Options:
A. Explain that chronic illness is unavoidable in all older adults.
B. Teach that some changes may occur with aging, but illness is
not an expected part of aging.
C. Focus teaching only on disease management because
wellness is less important in later life.
, D. Encourage the client to avoid all activity to reduce joint
stress.
Correct Answer:
B
Rationale:
Correct Answer (B): Normal aging is not the same as disease.
The nurse should reinforce that older adults can remain healthy,
functional, and engaged even with chronic conditions.
Incorrect (A): This is inaccurate and supports fatalistic thinking.
It may reduce motivation for self-care.
Incorrect (C): Wellness and chronic disease management should
be integrated. Older adults benefit from both symptom control
and health promotion.
Incorrect (D): Total avoidance of activity can worsen stiffness,
weakness, and functional decline.
Teaching Point:
Aging is not a disease; wellness and chronic illness management
can coexist.
Citation:
Miller, C. A. (2023). Nursing for Wellness in Older Adults (9th
ed.). Ch. 1️.
3⃣ Reference: Part 1️ Older Adults and Wellness — Ch. 1️, Seeing
Older Adults Through the Eyes of Wellness
