Nokea
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.
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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.
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 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 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 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.