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 — Ageism and wellness perspective
Stem: A 78-year-old client says, “I stopped exercising because
my knees ache. That is just what happens when you get old.”
The nurse notes that the client still walks independently and
wants to remain active. Which nursing response is best?
A. “Joint discomfort is expected, so rest is the safest plan.”
B. “Let’s assess what is causing the pain and adapt your activity
safely.”
,C. “At your age, strenuous activity is no longer appropriate.”
D. “You should avoid exercise until the pain is completely gone.”
Correct Answer: B
Rationale:
B is correct because a wellness-oriented nurse avoids assuming
the symptom is normal aging and first evaluates for reversible
causes, then individualizes activity to maintain function. This
reflects the chapter’s emphasis on seeing older adults through a
wellness lens rather than an ageist one.
A is incorrect because knee pain should not automatically be
dismissed as “just old age.”
C is incorrect because chronological age alone does not
determine exercise tolerance or function.
D is incorrect because stopping all activity can worsen strength,
balance, and independence.
Teaching Point: Pain is not automatically “normal aging”; assess
first, then adapt safely.
Citation: Miller, C. A. (2021). Nursing for Wellness in Older
Adults (9th ed.). Ch. 1.
2. Reference: Ch. 1 — Seeing Older Adults Through the Eyes
of Wellness — Age attribution
Stem: In a clinic, an 84-year-old client reports new fatigue and
reduced appetite over the past 3 weeks. A staff member says,
“That is probably just aging.” What is the nurse’s best action?
A. Accept the comment because fatigue is common in older
,adults
B. Assess for medication effects, depression, infection, and
other reversible causes
C. Reassure the client that appetite changes are expected with
age
D. Document the symptom as a normal age-related change
Correct Answer: B
Rationale:
B is correct because age attribution can delay diagnosis by
wrongly blaming symptoms on aging rather than pathology. The
nurse should investigate reversible causes and avoid dismissing
a potentially significant change.
A is incorrect because common is not the same as normal, and
symptoms still require assessment.
C is incorrect because appetite loss can signal medication
problems, mood changes, or illness.
D is incorrect because documenting a symptom as “normal
aging” without assessment is unsafe.
Teaching Point: New symptoms in older adults require
assessment, not automatic age-based assumptions.
Citation: Miller, C. A. (2021). Nursing for Wellness in Older
Adults (9th ed.). Ch. 1.
3. Reference: Ch. 1 — Seeing Older Adults Through the Eyes
of Wellness — Successful aging
, Stem: A 71-year-old client with hypertension, osteoarthritis,
and type 2 diabetes says, “I still volunteer twice a week,
manage my medications, and walk daily. I guess I am aging
well.” Which finding best supports successful aging?
A. Absence of any chronic disease
B. Active engagement in meaningful roles despite health
conditions
C. Dependence on family for all care tasks
D. Having no need for health promotion
Correct Answer: B
Rationale:
B is correct because successful aging emphasizes function,
engagement, and adaptation, not the absence of every
diagnosis. A wellness approach recognizes that older adults can
live purposefully and meaningfully while managing chronic
conditions.
A is incorrect because chronic illness does not automatically
mean unsuccessful aging.
C is incorrect because dependence for all tasks is not required
for healthy aging.
D is incorrect because health promotion remains relevant
throughout later life.
Teaching Point: Successful aging is about function, purpose, and
engagement, not perfect health.
Citation: Miller, C. A. (2021). Nursing for Wellness in Older
Adults (9th ed.). Ch. 1.
OLDER ADULTS
9TH EDITION
• AUTHOR(S)CAROL A.
MILLER
TEST BANK
1. Reference: Ch. 1 — Seeing Older Adults Through the Eyes
of Wellness — Ageism and wellness perspective
Stem: A 78-year-old client says, “I stopped exercising because
my knees ache. That is just what happens when you get old.”
The nurse notes that the client still walks independently and
wants to remain active. Which nursing response is best?
A. “Joint discomfort is expected, so rest is the safest plan.”
B. “Let’s assess what is causing the pain and adapt your activity
safely.”
,C. “At your age, strenuous activity is no longer appropriate.”
D. “You should avoid exercise until the pain is completely gone.”
Correct Answer: B
Rationale:
B is correct because a wellness-oriented nurse avoids assuming
the symptom is normal aging and first evaluates for reversible
causes, then individualizes activity to maintain function. This
reflects the chapter’s emphasis on seeing older adults through a
wellness lens rather than an ageist one.
A is incorrect because knee pain should not automatically be
dismissed as “just old age.”
C is incorrect because chronological age alone does not
determine exercise tolerance or function.
D is incorrect because stopping all activity can worsen strength,
balance, and independence.
Teaching Point: Pain is not automatically “normal aging”; assess
first, then adapt safely.
Citation: Miller, C. A. (2021). Nursing for Wellness in Older
Adults (9th ed.). Ch. 1.
2. Reference: Ch. 1 — Seeing Older Adults Through the Eyes
of Wellness — Age attribution
Stem: In a clinic, an 84-year-old client reports new fatigue and
reduced appetite over the past 3 weeks. A staff member says,
“That is probably just aging.” What is the nurse’s best action?
A. Accept the comment because fatigue is common in older
,adults
B. Assess for medication effects, depression, infection, and
other reversible causes
C. Reassure the client that appetite changes are expected with
age
D. Document the symptom as a normal age-related change
Correct Answer: B
Rationale:
B is correct because age attribution can delay diagnosis by
wrongly blaming symptoms on aging rather than pathology. The
nurse should investigate reversible causes and avoid dismissing
a potentially significant change.
A is incorrect because common is not the same as normal, and
symptoms still require assessment.
C is incorrect because appetite loss can signal medication
problems, mood changes, or illness.
D is incorrect because documenting a symptom as “normal
aging” without assessment is unsafe.
Teaching Point: New symptoms in older adults require
assessment, not automatic age-based assumptions.
Citation: Miller, C. A. (2021). Nursing for Wellness in Older
Adults (9th ed.). Ch. 1.
3. Reference: Ch. 1 — Seeing Older Adults Through the Eyes
of Wellness — Successful aging
, Stem: A 71-year-old client with hypertension, osteoarthritis,
and type 2 diabetes says, “I still volunteer twice a week,
manage my medications, and walk daily. I guess I am aging
well.” Which finding best supports successful aging?
A. Absence of any chronic disease
B. Active engagement in meaningful roles despite health
conditions
C. Dependence on family for all care tasks
D. Having no need for health promotion
Correct Answer: B
Rationale:
B is correct because successful aging emphasizes function,
engagement, and adaptation, not the absence of every
diagnosis. A wellness approach recognizes that older adults can
live purposefully and meaningfully while managing chronic
conditions.
A is incorrect because chronic illness does not automatically
mean unsuccessful aging.
C is incorrect because dependence for all tasks is not required
for healthy aging.
D is incorrect because health promotion remains relevant
throughout later life.
Teaching Point: Successful aging is about function, purpose, and
engagement, not perfect health.
Citation: Miller, C. A. (2021). Nursing for Wellness in Older
Adults (9th ed.). Ch. 1.
