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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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.
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 female patient, who is in her late 30s, is describing her home life to the nurse. The nurse determines that the patient is a member of the sandwich generation based on which of the following?
- A. She has a young adult child at home and an elderly parent to care for at the same time.
- B. She has a young adult child who is married and currently living away from home.
- C. She has a young adult child away at college and without any living parents.
- D. She has no responsibilities associated with her young adult children or her parents.
Correct Answer: A
Rationale: The sandwich generation refers to adults, typically in their 30s or 40s, who are simultaneously caring for young adult children and aging parents, as described in option A. Options B, C, and D do not involve dual caregiving responsibilities.
A nurse is developing a presentation for a local community group of young and middle-aged adults about common psychosocial problems. Which of the following would be least appropriate for the nurse need to integrate into the presentation?
- A. The age range for individuals in this category is from 18 to 65 years of age.
- B. These categories are specific to Western culture secondary to a lengthened lifespan.
- C. Longer periods of development for this group have become the norm throughout the world.
- D. These categories apply primarily in the United States because of superior technologic advances.
Correct Answer: D
Rationale: The statement that categories apply primarily in the U.S. due to superior technologic advances is least appropriate, as psychosocial problems are universal and not tied to U.S.-specific technology. The age range, Western cultural context, and longer developmental periods are relevant.
When describing mental health to a community group ranging in age between 25 and 50 years, the nurse includes information about the developmental concepts that are often readdressed when life stresses occur. Which developmental concept would the nurse be least likely to address?
- A. Identity
- B. Ego integrity
- C. Generativity
- D. Intimacy
Correct Answer: B
Rationale: Ego integrity is a developmental task of older adulthood (Erikson?s stage for ages 65+), not young/middle adulthood (25?50 years), where identity, intimacy, and generativity are more relevant. Life stresses in this age group often prompt revisiting these earlier tasks.
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