Nokea
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.
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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 teaching a class at a community health center on the topic of attributes that influence good health in the adult population. Which of the following would the nurse correlated with being married?
- A. Engaging in more health risking behaviors
- B. Having more serious psychological stress if a married middle-aged woman
- C. Consuming more alcohol and smoking more cigarettes
- D. Having a higher incidence of being overweight or obese if a middle-aged man
Correct Answer: D
Rationale: Marriage, particularly for middle-aged men, is associated with a higher incidence of being overweight or obese due to lifestyle changes like shared meals or reduced physical activity. Marriage is generally linked to fewer health-risking behaviors, less alcohol/smoking, and stress varies by individual, not universally by gender.
A psychiatric-mental health nurse is responsible for performing admission assessments of a population that primarily involves young and middle-aged adults. When performing these assessments, which area would be a priority?
- A. Coping skills
- B. Cognition
- C. Self-esteem
- D. Suicide risk
Correct Answer: D
Rationale: Suicide risk is the priority in psychiatric assessments for young and middle-aged adults due to high rates of suicide in these groups and the need for immediate intervention. Coping skills, cognition, and self-esteem are important but secondary to life-threatening risks.
A nurse is participating in a neighborhood health fair and is screening participants for depression. Which individual would the nurse anticipate as being at increased risk for depression?
- A. A middle-aged man who is providing care for his disabled mother who has paraplegia
- B. A middle-aged man who is a single parent of a teenage boy who is still living at home
- C. A woman who is single and has no children of her own
- D. A young adult who is living at home with his parents and is unable to find work
Correct Answer: D
Rationale: A young adult living at home, unable to find work, faces significant stressors (unemployment, lack of independence), increasing depression risk. Caregiving, single parenting, or being childless may pose risks, but unemployment in young adulthood is a stronger risk factor.
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.