Nokea
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.
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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.
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.
A 72-year-old woman is participating in a health fair that is being held at a local community center. Basic psychiatric screening will be provided by mental health professionals. Which of the following problems would this screening most likely reveal?
- A. Anxiety Disorder
- B. Psychosocial Impairment
- C. Mood Disorder
- D. Cognitive Impairment
Correct Answer: D
Rationale: Cognitive impairment, such as dementia, is most likely in a 72-year-old due to age-related risks. Anxiety and mood disorders are possible, but cognitive issues are more prevalent in older adults. Psychosocial impairment is too broad and less specific.
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 assessing a middle-aged adult for possible biologic risk factor associated with mental illness. Which of the following would the nurse identify as placing this patient at increased risk? Select all that apply.
- A. Changes in skin tone and moisture leading to the development of wrinkles
- B. Enhanced respiratory efficiency leading to preference for less activity
- C. Loss of lens elasticity which can affect a person?s self-esteem
- D. Changes in brain structure leading to changes in cognition
- E. Decreased basal metabolic rate leading to weight gain and low activity
Correct Answer: C,D,E
Rationale: Biologic risk factors for mental illness in middle-aged adults include loss of lens elasticity affecting self-esteem (C), changes in brain structure impacting cognition (D), and decreased metabolic rate leading to weight gain and low activity (E), all linked to depression or anxiety. Skin changes (A) are cosmetic, and enhanced respiratory efficiency (B) is inaccurate.