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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.
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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 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 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.
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.