NURSING FOR WELLNESS IN
OLDER ADULTS
9TH EDITION
• AUTHOR(S)CAROL A.
MILLER
TEST BANK
1) Wellness-focused assessment
Reference: Ch. 1 — Seeing Older Adults Through the Eyes of
Wellness
Question:
A 78-year-old adult says, “I’m old, so I expect to slow down and
stop doing things for myself.” The client walks independently,
manages medications with a pill organizer, and enjoys gardening
twice a week. Which nursing response best reflects a wellness
perspective?
,A. “At your age, some decline is expected, so you should limit
activity.”
B. “Let’s identify the activities that matter most to you and
support continued independence.”
C. “It is important to accept dependence as a normal part of
aging.”
D. “You should focus mainly on your chronic conditions and
avoid overexertion.”
Correct Answer: B
Rationale — Correct:
A wellness perspective emphasizes strengths, function, and
what matters most to the older adult. This response promotes
autonomy, builds on existing abilities, and supports health and
quality of life. It is person-centered and avoids assuming decline
is inevitable.
Rationale — Incorrect Options:
A. This reinforces ageism and incorrectly frames reduced
function as unavoidable.
C. Dependence is not a normal requirement of aging; many
older adults remain highly independent.
D. Chronic conditions matter, but wellness care should not
reduce the person to diagnoses alone.
Teaching Point:
Wellness care builds on strengths, not stereotypes about
aging.
,Citation:
Miller, C. A. (2023). Nursing for Wellness in Older Adults (9th
ed.). Ch. 1.
2) Ageism in communication
Reference: Ch. 1 — Seeing Older Adults Through the Eyes of
Wellness
Question:
An older adult with hearing loss and mild osteoarthritis says,
“Nobody listens to me anymore.” Which nurse statement is
most appropriate?
A. “Many older adults feel that way, but it is part of getting
older.”
B. “You seem frustrated; let’s make sure I’m communicating in a
way that works for you.”
C. “Your hearing and arthritis are likely the main reasons you
feel overlooked.”
D. “Family usually knows best, so I will ask them what you
need.”
Correct Answer: B
Rationale — Correct:
This response acknowledges the older adult’s experience and
addresses communication barriers without making age-based
assumptions. It supports dignity, participation, and
individualized care. That is central to a wellness model.
, Rationale — Incorrect Options:
A. This normalizes a problem and dismisses the client’s concern.
C. Although physical barriers may contribute, the statement is
too deterministic and does not invite partnership.
D. This undermines autonomy and may ignore the client’s own
preferences.
Teaching Point:
Effective geriatric communication starts with respect, not
assumptions.
Citation:
Miller, C. A. (2023). Nursing for Wellness in Older Adults (9th
ed.). Ch. 1.
3) Strengths-based care planning
Reference: Ch. 1 — Seeing Older Adults Through the Eyes of
Wellness
Question:
A 82-year-old client with stable heart failure says, “I still want to
live in my own home and keep volunteering at church.” Which
nursing action best supports a wellness approach?
A. Recommend assisted living because of the diagnosis.
B. Focus teaching only on fluid restriction and daily weights.
C. Assess strengths, supports, and barriers to maintaining
preferred routines.
OLDER ADULTS
9TH EDITION
• AUTHOR(S)CAROL A.
MILLER
TEST BANK
1) Wellness-focused assessment
Reference: Ch. 1 — Seeing Older Adults Through the Eyes of
Wellness
Question:
A 78-year-old adult says, “I’m old, so I expect to slow down and
stop doing things for myself.” The client walks independently,
manages medications with a pill organizer, and enjoys gardening
twice a week. Which nursing response best reflects a wellness
perspective?
,A. “At your age, some decline is expected, so you should limit
activity.”
B. “Let’s identify the activities that matter most to you and
support continued independence.”
C. “It is important to accept dependence as a normal part of
aging.”
D. “You should focus mainly on your chronic conditions and
avoid overexertion.”
Correct Answer: B
Rationale — Correct:
A wellness perspective emphasizes strengths, function, and
what matters most to the older adult. This response promotes
autonomy, builds on existing abilities, and supports health and
quality of life. It is person-centered and avoids assuming decline
is inevitable.
Rationale — Incorrect Options:
A. This reinforces ageism and incorrectly frames reduced
function as unavoidable.
C. Dependence is not a normal requirement of aging; many
older adults remain highly independent.
D. Chronic conditions matter, but wellness care should not
reduce the person to diagnoses alone.
Teaching Point:
Wellness care builds on strengths, not stereotypes about
aging.
,Citation:
Miller, C. A. (2023). Nursing for Wellness in Older Adults (9th
ed.). Ch. 1.
2) Ageism in communication
Reference: Ch. 1 — Seeing Older Adults Through the Eyes of
Wellness
Question:
An older adult with hearing loss and mild osteoarthritis says,
“Nobody listens to me anymore.” Which nurse statement is
most appropriate?
A. “Many older adults feel that way, but it is part of getting
older.”
B. “You seem frustrated; let’s make sure I’m communicating in a
way that works for you.”
C. “Your hearing and arthritis are likely the main reasons you
feel overlooked.”
D. “Family usually knows best, so I will ask them what you
need.”
Correct Answer: B
Rationale — Correct:
This response acknowledges the older adult’s experience and
addresses communication barriers without making age-based
assumptions. It supports dignity, participation, and
individualized care. That is central to a wellness model.
, Rationale — Incorrect Options:
A. This normalizes a problem and dismisses the client’s concern.
C. Although physical barriers may contribute, the statement is
too deterministic and does not invite partnership.
D. This undermines autonomy and may ignore the client’s own
preferences.
Teaching Point:
Effective geriatric communication starts with respect, not
assumptions.
Citation:
Miller, C. A. (2023). Nursing for Wellness in Older Adults (9th
ed.). Ch. 1.
3) Strengths-based care planning
Reference: Ch. 1 — Seeing Older Adults Through the Eyes of
Wellness
Question:
A 82-year-old client with stable heart failure says, “I still want to
live in my own home and keep volunteering at church.” Which
nursing action best supports a wellness approach?
A. Recommend assisted living because of the diagnosis.
B. Focus teaching only on fluid restriction and daily weights.
C. Assess strengths, supports, and barriers to maintaining
preferred routines.
