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:
A 78-year-old man with well-controlled hypertension tells the
nurse, “I am old, so there is no point in trying to stay active.” He
lives independently, walks with a cane, and still manages his
own meals and medications. Which nursing response best
reflects a wellness approach to aging?
,A. “At your age, rest is more important than exercise.”
B. “Your age does not determine your ability to improve
strength and function.”
C. “Because you use a cane, physical activity is unsafe for you.”
D. “You should focus only on avoiding illness now.”
Correct Answer: B
Rationale — Correct:
A wellness approach emphasizes remaining abilities, function,
and quality of life rather than age alone. This response supports
self-efficacy and encourages safe activity as part of healthy
aging.
Rationale — Incorrect:
A. This reinforces inactivity and age-based assumptions rather
than promoting wellness.
C. Cane use does not automatically prohibit activity; many older
adults benefit from appropriate exercise.
D. Wellness includes prevention, function, and meaningful
living, not only disease avoidance.
Teaching Point:
Focus on function and strengths, not age alone.
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
,Question:
A 83-year-old woman with osteoarthritis says she “feels fine”
but has stopped attending church because stairs are difficult.
She reports no new pain, but her daughter notes that she has
become less social and less active over the past 6 months. What
is the nurse’s priority interpretation?
A. This is expected aging and requires no further assessment.
B. The patient may be experiencing functional decline affecting
wellness.
C. The patient is likely developing dementia.
D. The daughter is overreporting normal lifestyle changes.
Correct Answer: B
Rationale — Correct:
Reduced participation in valued activities can signal functional
decline even when the patient denies “feeling sick.” A wellness-
focused nurse assesses mobility, safety, mood, and barriers to
activity.
Rationale — Incorrect:
A. Stairs becoming difficult is not something to dismiss without
assessment.
C. Social withdrawal alone does not establish dementia.
D. Family observations are important data and should be
assessed, not minimized.
Teaching Point:
Changes in roles or activity may signal functional loss.
, 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
Question:
During an admission interview, a nurse assumes a 90-year-old
patient will be confused and speaks only to the adult son. The
patient answers questions clearly and asks about her
medication list. Which nursing action is most appropriate?
A. Continue directing questions to the son because he is
younger and more reliable.
B. Speak directly to the patient and include the son with
permission.
C. Ask the son to answer because older adults often forget
details.
D. Avoid too many questions to prevent tiring the patient.
Correct Answer: B
Rationale — Correct:
Older age does not equal cognitive impairment. Direct
communication preserves dignity, supports autonomy, and
avoids ageist assumptions.
Rationale — Incorrect:
A. This excludes the patient from her own care.
C. Forgetfulness should not be assumed based on age.
OLDER ADULTS
9TH EDITION
• AUTHOR(S)CAROL A.
MILLER
TEST BANK
1. Reference: Ch. 1 — Seeing Older Adults Through the Eyes
of Wellness
Question:
A 78-year-old man with well-controlled hypertension tells the
nurse, “I am old, so there is no point in trying to stay active.” He
lives independently, walks with a cane, and still manages his
own meals and medications. Which nursing response best
reflects a wellness approach to aging?
,A. “At your age, rest is more important than exercise.”
B. “Your age does not determine your ability to improve
strength and function.”
C. “Because you use a cane, physical activity is unsafe for you.”
D. “You should focus only on avoiding illness now.”
Correct Answer: B
Rationale — Correct:
A wellness approach emphasizes remaining abilities, function,
and quality of life rather than age alone. This response supports
self-efficacy and encourages safe activity as part of healthy
aging.
Rationale — Incorrect:
A. This reinforces inactivity and age-based assumptions rather
than promoting wellness.
C. Cane use does not automatically prohibit activity; many older
adults benefit from appropriate exercise.
D. Wellness includes prevention, function, and meaningful
living, not only disease avoidance.
Teaching Point:
Focus on function and strengths, not age alone.
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
,Question:
A 83-year-old woman with osteoarthritis says she “feels fine”
but has stopped attending church because stairs are difficult.
She reports no new pain, but her daughter notes that she has
become less social and less active over the past 6 months. What
is the nurse’s priority interpretation?
A. This is expected aging and requires no further assessment.
B. The patient may be experiencing functional decline affecting
wellness.
C. The patient is likely developing dementia.
D. The daughter is overreporting normal lifestyle changes.
Correct Answer: B
Rationale — Correct:
Reduced participation in valued activities can signal functional
decline even when the patient denies “feeling sick.” A wellness-
focused nurse assesses mobility, safety, mood, and barriers to
activity.
Rationale — Incorrect:
A. Stairs becoming difficult is not something to dismiss without
assessment.
C. Social withdrawal alone does not establish dementia.
D. Family observations are important data and should be
assessed, not minimized.
Teaching Point:
Changes in roles or activity may signal functional loss.
, 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
Question:
During an admission interview, a nurse assumes a 90-year-old
patient will be confused and speaks only to the adult son. The
patient answers questions clearly and asks about her
medication list. Which nursing action is most appropriate?
A. Continue directing questions to the son because he is
younger and more reliable.
B. Speak directly to the patient and include the son with
permission.
C. Ask the son to answer because older adults often forget
details.
D. Avoid too many questions to prevent tiring the patient.
Correct Answer: B
Rationale — Correct:
Older age does not equal cognitive impairment. Direct
communication preserves dignity, supports autonomy, and
avoids ageist assumptions.
Rationale — Incorrect:
A. This excludes the patient from her own care.
C. Forgetfulness should not be assumed based on age.
