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 Stem
A 78-year-old client lives independently, volunteers twice
weekly, and reports “getting older means slowing down.”
During a clinic visit, the nurse notes the client walks slowly but
completes all self-care without assistance. Which nursing
response best reflects a wellness perspective on aging?
,Options
A. “Slower walking is expected, so no further assessment is
needed.”
B. “Let’s talk about the activities that help you stay independent
and engaged.”
C. “At your age, you should limit activity to prevent fatigue.”
D. “You should begin planning for assisted living before
problems develop.”
Correct Answer
B
Rationales
B. A wellness perspective focuses on strengths, function,
and meaningful roles rather than decline alone. Exploring what
supports independence and engagement helps the nurse
identify assets and promote healthy aging.
A. Slower gait may be age-related, but “no further
assessment” ignores function, safety, and prevention.
C. Routine activity restriction can worsen function and is not
evidence-based for healthy older adults.
D. Assisted living is not indicated based on age alone and
may reinforce ageist assumptions.
Teaching Point
Wellness care emphasizes strengths, function, and meaningful
engagement, not age-based decline.
,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 Stem
An 82-year-old client says, “I’m just old, so feeling tired all the
time is normal.” The client has lost interest in gardening and has
missed two follow-up visits for hypertension. What is the
nurse’s best initial response?
Options
A. “Fatigue is always normal in late life.”
B. “Let’s review what has changed in your energy and daily
routine.”
C. “You should rest more and stop gardening for now.”
D. “This is probably depression, so medication will likely be
needed.”
Correct Answer
B
Rationales
B. Fatigue and reduced interest can signal reversible
problems, not just aging. Assessing changes in energy and
routine supports differentiation between normal aging and
, possible illness or psychosocial concerns.
A. This dismisses symptoms that may reflect depression,
anemia, medication effects, or other pathology.
C. Rest alone may worsen deconditioning and misses
assessment.
D. Depression is possible, but the nurse should assess
before assuming a diagnosis or treatment.
Teaching Point
New fatigue in an older adult warrants assessment, not
automatic attribution to aging.
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 Stem
A nurse is teaching a group of older adults about healthy aging.
Which statement by a participant indicates correct
understanding of a wellness-based approach?
Options
A. “Healthy aging means avoiding all medical appointments
unless symptoms develop.”
B. “Keeping up with relationships and routine activity supports
OLDER ADULTS
9TH EDITION
• AUTHOR(S)CAROL A.
MILLER
TEST BANK
1) Reference
Ch. 1 — Seeing Older Adults Through the Eyes of Wellness
Question Stem
A 78-year-old client lives independently, volunteers twice
weekly, and reports “getting older means slowing down.”
During a clinic visit, the nurse notes the client walks slowly but
completes all self-care without assistance. Which nursing
response best reflects a wellness perspective on aging?
,Options
A. “Slower walking is expected, so no further assessment is
needed.”
B. “Let’s talk about the activities that help you stay independent
and engaged.”
C. “At your age, you should limit activity to prevent fatigue.”
D. “You should begin planning for assisted living before
problems develop.”
Correct Answer
B
Rationales
B. A wellness perspective focuses on strengths, function,
and meaningful roles rather than decline alone. Exploring what
supports independence and engagement helps the nurse
identify assets and promote healthy aging.
A. Slower gait may be age-related, but “no further
assessment” ignores function, safety, and prevention.
C. Routine activity restriction can worsen function and is not
evidence-based for healthy older adults.
D. Assisted living is not indicated based on age alone and
may reinforce ageist assumptions.
Teaching Point
Wellness care emphasizes strengths, function, and meaningful
engagement, not age-based decline.
,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 Stem
An 82-year-old client says, “I’m just old, so feeling tired all the
time is normal.” The client has lost interest in gardening and has
missed two follow-up visits for hypertension. What is the
nurse’s best initial response?
Options
A. “Fatigue is always normal in late life.”
B. “Let’s review what has changed in your energy and daily
routine.”
C. “You should rest more and stop gardening for now.”
D. “This is probably depression, so medication will likely be
needed.”
Correct Answer
B
Rationales
B. Fatigue and reduced interest can signal reversible
problems, not just aging. Assessing changes in energy and
routine supports differentiation between normal aging and
, possible illness or psychosocial concerns.
A. This dismisses symptoms that may reflect depression,
anemia, medication effects, or other pathology.
C. Rest alone may worsen deconditioning and misses
assessment.
D. Depression is possible, but the nurse should assess
before assuming a diagnosis or treatment.
Teaching Point
New fatigue in an older adult warrants assessment, not
automatic attribution to aging.
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 Stem
A nurse is teaching a group of older adults about healthy aging.
Which statement by a participant indicates correct
understanding of a wellness-based approach?
Options
A. “Healthy aging means avoiding all medical appointments
unless symptoms develop.”
B. “Keeping up with relationships and routine activity supports
