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:
An 82-year-old client with controlled hypertension says, “I am
slower now, but I still garden, walk daily, and manage my own
medicines.” The nurse is planning care using a wellness
perspective rather than an illness perspective. Which action
best reflects that approach?
A. Focus assessment only on the client’s chronic disease burden
,B. Identify strengths, goals, and supports that maintain
independence
C. Assume reduced activity is an expected sign of aging
D. Encourage the family to make all health decisions
Correct Answer: B
Rationale:
B is correct. A wellness perspective emphasizes strengths,
function, resilience, and patient-defined goals. The nurse
supports independence by identifying what the client can do,
what matters to the client, and what resources sustain health.
A is incorrect. Chronic disease is important, but a wellness
model does not limit care to pathology.
C is incorrect. Slowing down is not enough to explain all
changes; the nurse should avoid age-based assumptions.
D is incorrect. Family involvement may help, but older adults
with decision-making capacity should direct their own care.
Teaching Point: Wellness care starts with strengths, not deficits.
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:
A 76-year-old client is hospitalized after a fall but states, “I do
not want to be treated like I am fragile just because I am old.”
,Which nursing response is most appropriate?
A. “Older adults always need help after a fall.”
B. “Your age means recovery will be slow.”
C. “Tell me what activities are most important for you to
regain.”
D. “Your family should decide what happens next.”
Correct Answer: C
Rationale:
C is correct. This response is person-centered and supports a
wellness focus by linking care to the client’s priorities and
functional goals.
A is incorrect. It reflects ageism and assumes dependency.
B is incorrect. Recovery varies widely and should not be
predicted only by age.
D is incorrect. The client should participate in decisions if
capable.
Teaching Point: Ask what matters most to the older adult.
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 community nurse is teaching a group of older adults about
wellness. Which statement by the nurse is most accurate?
, A. “Wellness means being free of all chronic disease.”
B. “Wellness includes adapting to changes while maintaining
function and meaning.”
C. “Wellness is mainly determined by genetics.”
D. “Wellness is the same as physical fitness.”
Correct Answer: B
Rationale:
B is correct. Wellness in later life includes adaptation, function,
purpose, and quality of life, even when chronic conditions are
present.
A is incorrect. Many older adults live well with chronic illness.
C is incorrect. Genetics matter, but wellness is shaped by
behavior, environment, and support.
D is incorrect. Physical fitness is only one part of wellness.
Teaching Point: Wellness means living well with or without
chronic illness.
Citation: Miller, C. A. (2023). Nursing for Wellness in Older
Adults (9th ed.). Ch. 1.
4. Reference: Ch. 1 — Seeing Older Adults Through the Eyes
of Wellness
Question:
An 85-year-old client lives alone, cooks meals, pays bills, and
uses a cane for community mobility. The client reports, “I am
doing fine.” Which finding best supports a wellness-oriented
OLDER ADULTS
9TH EDITION
• AUTHOR(S)CAROL A.
MILLER
TEST BANK
1. Reference: Ch. 1 — Seeing Older Adults Through the Eyes
of Wellness
Question:
An 82-year-old client with controlled hypertension says, “I am
slower now, but I still garden, walk daily, and manage my own
medicines.” The nurse is planning care using a wellness
perspective rather than an illness perspective. Which action
best reflects that approach?
A. Focus assessment only on the client’s chronic disease burden
,B. Identify strengths, goals, and supports that maintain
independence
C. Assume reduced activity is an expected sign of aging
D. Encourage the family to make all health decisions
Correct Answer: B
Rationale:
B is correct. A wellness perspective emphasizes strengths,
function, resilience, and patient-defined goals. The nurse
supports independence by identifying what the client can do,
what matters to the client, and what resources sustain health.
A is incorrect. Chronic disease is important, but a wellness
model does not limit care to pathology.
C is incorrect. Slowing down is not enough to explain all
changes; the nurse should avoid age-based assumptions.
D is incorrect. Family involvement may help, but older adults
with decision-making capacity should direct their own care.
Teaching Point: Wellness care starts with strengths, not deficits.
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:
A 76-year-old client is hospitalized after a fall but states, “I do
not want to be treated like I am fragile just because I am old.”
,Which nursing response is most appropriate?
A. “Older adults always need help after a fall.”
B. “Your age means recovery will be slow.”
C. “Tell me what activities are most important for you to
regain.”
D. “Your family should decide what happens next.”
Correct Answer: C
Rationale:
C is correct. This response is person-centered and supports a
wellness focus by linking care to the client’s priorities and
functional goals.
A is incorrect. It reflects ageism and assumes dependency.
B is incorrect. Recovery varies widely and should not be
predicted only by age.
D is incorrect. The client should participate in decisions if
capable.
Teaching Point: Ask what matters most to the older adult.
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 community nurse is teaching a group of older adults about
wellness. Which statement by the nurse is most accurate?
, A. “Wellness means being free of all chronic disease.”
B. “Wellness includes adapting to changes while maintaining
function and meaning.”
C. “Wellness is mainly determined by genetics.”
D. “Wellness is the same as physical fitness.”
Correct Answer: B
Rationale:
B is correct. Wellness in later life includes adaptation, function,
purpose, and quality of life, even when chronic conditions are
present.
A is incorrect. Many older adults live well with chronic illness.
C is incorrect. Genetics matter, but wellness is shaped by
behavior, environment, and support.
D is incorrect. Physical fitness is only one part of wellness.
Teaching Point: Wellness means living well with or without
chronic illness.
Citation: Miller, C. A. (2023). Nursing for Wellness in Older
Adults (9th ed.). Ch. 1.
4. Reference: Ch. 1 — Seeing Older Adults Through the Eyes
of Wellness
Question:
An 85-year-old client lives alone, cooks meals, pays bills, and
uses a cane for community mobility. The client reports, “I am
doing fine.” Which finding best supports a wellness-oriented
