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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.
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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.
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 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 assessing a middle-aged adult for possible biologic risk factor associated with mental illness. Which of the following would the nurse identify as placing this patient at increased risk? Select all that apply.
- A. Changes in skin tone and moisture leading to the development of wrinkles
- B. Enhanced respiratory efficiency leading to preference for less activity
- C. Loss of lens elasticity which can affect a person?s self-esteem
- D. Changes in brain structure leading to changes in cognition
- E. Decreased basal metabolic rate leading to weight gain and low activity
Correct Answer: C,D,E
Rationale: Biologic risk factors for mental illness in middle-aged adults include loss of lens elasticity affecting self-esteem (C), changes in brain structure impacting cognition (D), and decreased metabolic rate leading to weight gain and low activity (E), all linked to depression or anxiety. Skin changes (A) are cosmetic, and enhanced respiratory efficiency (B) is inaccurate.
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.