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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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After teaching a group of students about protective factors for mental illness, the instructor determines that the teaching was successful when the students identify which of the following?
- A. Unemployment
- B. Younger age
- C. Single status
- D. Social support
Correct Answer: D
Rationale: Social support is a key protective factor against mental illness, buffering stress and enhancing resilience. Unemployment, younger age, and single status are risk factors, not protective.
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 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 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.