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A group of nursing students is reviewing the results of the Behavioral Risk Factor Surveillance System. The students demonstrate understanding of this information when they identify which group as experiencing the greatest number of sad, blue, or depressed days (SBDD)?
- A. Women
- B. Men
- C. Young adults
- D. Older adults
Correct Answer: A
Rationale: Women report higher rates of sad, blue, or depressed days in the Behavioral Risk Factor Surveillance System, likely due to social, hormonal, and caregiving stressors. Men, young adults, and older adults have lower reported rates.
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A psychiatric-mental health nurse is assessing a woman for possible factors related to suicide. Which of the following would the nurse be least likely to identify?
- A. Smoking
- B. Poor self-rated health
- C. Low education
- D. Drug use
Correct Answer: A
Rationale: Smoking is a health risk but less directly linked to suicide compared to poor self-rated health, low education, and drug use, which are strongly associated with increased suicide risk due to their impact on mental health and coping.
A nurse is participating as a speaker in a public workshop on the topic of promoting mental health in young and middle-aged adults. The nurse tells the audience that age, unemployment, and lower education are risk factors associated with mental illness. A woman raises her hand and asks, 'Does that mean because I only have a 10th grade education and am unemployed that I will develop a mental illness?' Which response by the nurse would be most appropriate?
- A. No, not necessarily; it just means that there is an increased chance that you might.
- B. Of course not; we live in a rural area, and these statistics are based on large cities.
- C. Yes, I am afraid so, but with early detection, we can prevent the illness from worsening.
- D. It probably does, but we have developed advanced medications to treat mental illness.
Correct Answer: A
Rationale: The response 'No, not necessarily; it just means that there is an increased chance that you might' accurately clarifies that risk factors increase likelihood, not certainty, of mental illness. Other options are misleading, overly definitive, or dismissive of the woman?s concern.
A nurse is providing an in-service program for a group of nurses who are providing home care to middle-aged adults. When describing the typical caregiver, which characteristics would the nurse include? Select all that apply.
- A. Female gender
- B. Average age of 40 years
- C. Married
- D. Working within the home
- E. Median income of $20,000/year
Correct Answer: A,C
Rationale: Typical caregivers for middle-aged adults are often female (A) and married (C), reflecting societal roles and family structures. The average age is closer to 50, many work outside the home, and median income is higher than $20,000/year, making B, D, and E less accurate.
A 72-year-old woman is participating in a health fair that is being held at a local community center. Basic psychiatric screening will be provided by mental health professionals. Which of the following problems would this screening most likely reveal?
- A. Anxiety Disorder
- B. Psychosocial Impairment
- C. Mood Disorder
- D. Cognitive Impairment
Correct Answer: D
Rationale: Cognitive impairment, such as dementia, is most likely in a 72-year-old due to age-related risks. Anxiety and mood disorders are possible, but cognitive issues are more prevalent in older adults. Psychosocial impairment is too broad and less specific.
A nurse is preparing a presentation for mental health promotion for young and middle-aged adults and is planning to address changes in family structure. Which of the following would the nurse include as reflecting marriage?
- A. The peak marriage age is between 28 to 32 years.
- B. Those marrying in their teens are more likely to get divorced.
- C. Middle-aged adults are most likely to be married.
- D. People who marry between the ages of 23 to 27 years are likely to get divorced.
Correct Answer: B
Rationale: Those marrying in their teens are more likely to divorce due to immaturity and economic stressors, a well-documented trend. Peak marriage age is slightly younger, middle-aged adults may not always be married, and 23?27 is not specifically linked to divorce.