Nokea
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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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.
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 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 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 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.