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 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.
After teaching a group of students about protective factors for mental illness, the instructor determines that the teaching was successful when the students identify which of the following?
- A. Unemployment
- B. Younger age
- C. Single status
- D. Social support
Correct Answer: D
Rationale: Social support is a key protective factor against mental illness, buffering stress and enhancing resilience. Unemployment, younger age, and single status are risk factors, not protective.
A nurse is providing teaching to a young adult about measures to promote mental health. Which statement by the patient would indicate a need for additional teaching?
- A. I will make sure that I eat foods that are nutritious.
- B. I need to allow some time for relaxation every day.
- C. I will make sure I have the support of two really good friends.
- D. I have to work to make sure that I get enough sleep every night.
Correct Answer: C
Rationale: Limiting social support to 'two really good friends' suggests a misunderstanding of the broader social connections needed for mental health, indicating a need for further teaching. Nutrition, relaxation, and sleep are all appropriate strategies.
A school nurse is teaching a class of adolescents about healthy behaviors. Which of the following activities include as a means for preventing anxiety and depression when they are middle-aged adults?
- A. Restricting their sugar and fat intake
- B. Refraining from smoking or doing drugs
- C. Engaging in physical activity and exercise
- D. Becoming active in local church activities
Correct Answer: C
Rationale: Engaging in physical activity and exercise is strongly linked to preventing anxiety and depression by improving mood and reducing stress. Restricting diet helps physical health, refraining from substances reduces risk but is less direct, and church activities may help socially but lack strong evidence for prevention.
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.
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