Chapter 17: Mental Health Promotion for Young and Middle-Aged Adults

Format: Multiple Choice

Client Needs: Psychosocial Integrity

Cognitive Level: Analyze

Integrated Process: Nursing Process

Objective: 1

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1. A 30-year-old client describes home life to the nurse. The nurse determines that the client is a member of the sandwich generation based on what assessment data?

A) A young adult child at home and an elderly parent to care for at the same time

B) A young adult child who is married and currently living away from home

C) A young adult child away at college and without any living parents

D) No responsibilities associated with young adult children or parents

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2. 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 information would the nurse correlate with being married?

A) Engaging in more health risk behaviors

B) Having more serious psychological stress if married and a middle-aged woman

C) Consuming more alcohol and smoking more cigarettes

D) Having a higher incidence of being overweight or obese if married and a middle-aged man

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3. 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 young adult woman who is single and has no children of her own

D) A young adult male in between jobs living at home with his parents

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4. A school nurse is educating a class of adolescents on healthy behaviors. Which activities should the nurse include as a means for preventing anxiety and depression when these students become middle-aged adults?

A) Restricting their sugar and fat intake

B) Refraining from smoking or doing drugs

C) Engaging in physical activity and exercise

D) Becoming active in local church activities

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5. A psychiatric–mental health nurse is responsible for performing admission assessments of a population that primarily involves young adults 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

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6. A nurse is developing a presentation for a local community group of young and middle-aged adults about common psychosocial problems. After teaching the group, the nurse determines that additional teaching is needed when the group identifies which information?

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.

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7. A nurse is participating as a speaker in a public workshop on the topic of promoting mental health in young and middle-aged adults. The nurse tells the audience that age, unemployment, and lower education are risk factors associated with mental illness. A woman raises her hand and asks, “Does that mean because I only have a 10th grade education and am unemployed that I will develop a mental illness?” Which response by the nurse would be most appropriate?

A) “No, not necessarily; it just means that there is an increased chance that you might.”

B) “Of course not; we live in a rural area, and these statistics are based on large cities.”

C) “Yes, I am afraid so, but with early detection, we can prevent the illness from worsening.”

D) “It probably does, but we have developed advanced medications to treat mental illness.”

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8. 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. What would the nurse include as reflecting marriage?

A) The peak marriage age is between 28 and 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 and 27 years are likely to get divorced.

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9. A nurse is providing education to a young adult about measures to promote mental health. Which statement by the client would indicate a need for additional education?

A) “I will make sure that I eat foods that are nutritious.”

B) “I need to allow some time for relaxation every day.”

C) “I will make sure I have the support of two really good friends.”

D) “I have to work to make sure that I get enough sleep every night.”

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10. After educating a group of students on protective factors for mental illness, the instructor determines that the education was successful when the students identify what factor?

A) Unemployment

B) Younger age

C) Single status

D) Social support

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11. When describing mental health to a community group of individuals between 25 and 50 years of age, the nurse includes information about the developmental concepts that are often readdressed when life stresses occur. The nurse determines that additional teaching is needed when the group identifies which developmental concept as being involved?

A) Identity

B) Ego integrity

C) Generativity

D) Intimacy

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12. The parents of young adult with a chronic illness are meeting with the health-care team to discuss the client’s care. When developing the plan of care, which intervention would the nurse most likely implement as a priority to promote mental health?

A) Emphasizing the client’s vulnerability

B) Encouraging client’s view as being different

C) Encouraging activity within limits of the condition

D) Referring the client and family to a family therapist

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13. Assessment of a family reveals the following: 59-year-old father, 54-year-old mother, a 30-year-old son and 30-year-old daughter-in-law who live nearby, and a 25-year-old daughter who lives at home with the parents. The son has two daughters, ages 3 and 1. The parents currently are taking care of the mother’s 80-year-old father and 77-year-old mother. Which term would the nurse most likely use to identify the 59-year-old father and 54-year-old mother?

A) Empty nest

B) Sandwich generation

C) Formal caregiver

D) Extended adulthood

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14. A nurse is reviewing epidemiological data about married young and middle-aged adults. Which problem would the nurse most likely find as a major problem for married middle-aged men?

A) Cigarette smoking

B) Obesity

C) Depression

D) Alcohol consumption

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15. A client comes to the clinic for an evaluation. During the visit, the nurse determines that the client has specific risk factors for developing depression. When describing these risk factors, which statement by the nurse would be most appropriate?

A) “You have certain characteristics that are known causes of depression.”

B) “Because of these factors, you will most likely develop depression in a few years.”

C) “Your chances of developing depression are greater than someone without these factors.”

D) “These factors are basically the symptoms often seen with depression.”

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16. A nurse is conducting a review class for a group of nurses working at a local community health center. The center serves a large young and middle-aged adult population. When describing the various aspects of this population, which information would the nurse most likely include as reflecting current thought? Select all that apply.

A) Psychological changes in this group occur rather swiftly.

B) Development during this stage is considered dynamic.

C) Chronological age is an important social determinant.

D) Age continues to define the many life roles assumed by adults.

E) The timing of important life events is becoming less regular.

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17. A nurse is developing a support program for a group of middle-aged adults who are informal caregivers to their aging parents. When deciding on the information to include in the program, which information would be most important for the nurse to keep in mind? Select all that apply.

A) The majority of informal caregivers are female.

B) Most caregivers typically are single.

C) The average length of care provided is about a year.

D) Men are being called upon more to fulfill the caregiver role.

E) Informal caregivers frequently work outside of the home.