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.
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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 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 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 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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