Nokea
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.
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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.
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.
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 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.