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
Stem:
A 79-year-old client with osteoarthritis says, “I am old, so pain
and slowing down are just normal.” The nurse notes the client
still manages finances, walks with a cane, and prepares simple
meals independently. Which nursing response best reflects a
wellness-focused approach?
,Options:
A. “Your discomfort is expected, so the goal is simply to adapt
to it.”
B. “Let us assess which symptoms are normal aging and which
may need treatment.”
C. “Older adults usually become dependent, so family should
take over daily care.”
D. “Pain and reduced mobility are unavoidable in everyone over
75.”
Correct Answer: B
Rationale:
B is correct. A wellness approach distinguishes expected age-
related changes from potentially treatable problems. The nurse
uses assessment to identify modifiable issues, preserve
function, and support independence.
A is incorrect. It accepts pain without evaluation and can delay
treatment.
C is incorrect. Dependency is not an inevitable outcome of
aging and ignores current function.
D is incorrect. Pain and reduced mobility are not automatically
normal aging and require assessment.
Teaching Point:
Normal aging does not mean ignoring symptoms; function-
focused assessment guides care.
,Citation:
Miller, C. A. (n.d.). Nursing for Wellness in Older Adults (9th ed.).
Ch. 1.
2. Reference: Ch. 1 — Seeing Older Adults Through the Eyes
of Wellness
Stem:
An 82-year-old client with controlled hypertension and mild
hearing loss arrives for a routine visit. The client lives alone,
shops independently, and volunteers twice a week. Which
nursing finding is most consistent with a wellness perspective?
Options:
A. The client’s age alone indicates frailty.
B. The client’s ability to maintain meaningful roles supports
functional wellness.
C. Hearing loss means the client cannot participate in care
decisions.
D. The presence of hypertension excludes successful aging.
Correct Answer: B
Rationale:
B is correct. Wellness in later life includes function, purpose,
and participation in valued roles, not the absence of disease.
The client demonstrates adaptation and maintained
independence.
A is incorrect. Age alone does not determine frailty.
, C is incorrect. Mild hearing loss requires communication
adaptations, not exclusion from decisions.
D is incorrect. A chronic condition does not prevent wellness or
successful aging.
Teaching Point:
Wellness includes function, purpose, and engagement—not
perfect health.
Citation:
Miller, C. A. (n.d.). Nursing for Wellness in Older Adults (9th ed.).
Ch. 1.
3. Reference: Ch. 1 — Seeing Older Adults Through the Eyes
of Wellness
Stem:
A nurse tells a student, “This client is 88, so memory loss is
expected.” The client has recently become disoriented, forgets
medications, and has a urinary tract infection. Which nursing
interpretation is best?
Options:
A. The changes are likely normal aging and need no follow-up.
B. The symptoms suggest possible delirium and require further
assessment.
C. Memory loss is a normal part of aging in all older adults.
D. The client is experiencing inevitable cognitive decline.
Correct Answer: B
OLDER ADULTS
9TH EDITION
• AUTHOR(S)CAROL A.
MILLER
TEST BANK
1. Reference: Ch. 1 — Seeing Older Adults Through the Eyes
of Wellness
Stem:
A 79-year-old client with osteoarthritis says, “I am old, so pain
and slowing down are just normal.” The nurse notes the client
still manages finances, walks with a cane, and prepares simple
meals independently. Which nursing response best reflects a
wellness-focused approach?
,Options:
A. “Your discomfort is expected, so the goal is simply to adapt
to it.”
B. “Let us assess which symptoms are normal aging and which
may need treatment.”
C. “Older adults usually become dependent, so family should
take over daily care.”
D. “Pain and reduced mobility are unavoidable in everyone over
75.”
Correct Answer: B
Rationale:
B is correct. A wellness approach distinguishes expected age-
related changes from potentially treatable problems. The nurse
uses assessment to identify modifiable issues, preserve
function, and support independence.
A is incorrect. It accepts pain without evaluation and can delay
treatment.
C is incorrect. Dependency is not an inevitable outcome of
aging and ignores current function.
D is incorrect. Pain and reduced mobility are not automatically
normal aging and require assessment.
Teaching Point:
Normal aging does not mean ignoring symptoms; function-
focused assessment guides care.
,Citation:
Miller, C. A. (n.d.). Nursing for Wellness in Older Adults (9th ed.).
Ch. 1.
2. Reference: Ch. 1 — Seeing Older Adults Through the Eyes
of Wellness
Stem:
An 82-year-old client with controlled hypertension and mild
hearing loss arrives for a routine visit. The client lives alone,
shops independently, and volunteers twice a week. Which
nursing finding is most consistent with a wellness perspective?
Options:
A. The client’s age alone indicates frailty.
B. The client’s ability to maintain meaningful roles supports
functional wellness.
C. Hearing loss means the client cannot participate in care
decisions.
D. The presence of hypertension excludes successful aging.
Correct Answer: B
Rationale:
B is correct. Wellness in later life includes function, purpose,
and participation in valued roles, not the absence of disease.
The client demonstrates adaptation and maintained
independence.
A is incorrect. Age alone does not determine frailty.
, C is incorrect. Mild hearing loss requires communication
adaptations, not exclusion from decisions.
D is incorrect. A chronic condition does not prevent wellness or
successful aging.
Teaching Point:
Wellness includes function, purpose, and engagement—not
perfect health.
Citation:
Miller, C. A. (n.d.). Nursing for Wellness in Older Adults (9th ed.).
Ch. 1.
3. Reference: Ch. 1 — Seeing Older Adults Through the Eyes
of Wellness
Stem:
A nurse tells a student, “This client is 88, so memory loss is
expected.” The client has recently become disoriented, forgets
medications, and has a urinary tract infection. Which nursing
interpretation is best?
Options:
A. The changes are likely normal aging and need no follow-up.
B. The symptoms suggest possible delirium and require further
assessment.
C. Memory loss is a normal part of aging in all older adults.
D. The client is experiencing inevitable cognitive decline.
Correct Answer: B
