A group of nursing students is reviewing risk and protective factors associated for mental disorders in the older adult population. The students demonstrate understanding of the information when they identify which of the following as a protective factor?

Correct Answer: B

Rationale: The correct answer is B: Education. Education is a protective factor for mental disorders in older adults because higher levels of education are associated with better cognitive functioning and a lower risk of developing mental health issues. Education also provides individuals with better problem-solving skills and access to resources that can help them cope with stressors. A: Poverty is incorrect because it is a risk factor for mental disorders due to increased stress, lack of access to resources, and limited opportunities for mental health care. C: Loss is incorrect as it can be a risk factor for mental disorders in older adults, such as grief and depression following the loss of a loved one. D: Chronic illness is incorrect as it can also be a risk factor for mental disorders due to the physical and emotional burden it places on individuals.

Correct Answer: A

Rationale: The correct answer is A: A lack of bonding as an infant. This response from the child suggests a lack of secure attachment to a caregiver, leading to a sense of insecurity and seeking attachment with anyone present. This behavior is commonly seen in children who have not formed a secure bond with their primary caregiver in early childhood. Choices B, C, and D are incorrect because a healthy confidence in the child, adequate parental bonding, and normal parenting would not typically lead to a child seeking attachment with a stranger in a situation like this.

Correct Answer: D

Rationale: The correct answer is D because in Rogers's person-centered therapy, empathy and positive regard are considered essential. Empathy helps therapists understand clients' perspectives, fostering a trusting therapeutic relationship. Positive regard involves accepting clients unconditionally, promoting self-exploration and growth. Without these qualities, the therapeutic process may lack effectiveness and authenticity. Choices A and B are incorrect because empathy and positive regard are not specific to group or family therapy. Choice C is incorrect because empathy and positive regard are fundamental, not optional, in person-centered therapy.

Correct Answer: C

Rationale: The correct answer is C: Sitting at the patient's eye level. This choice promotes open communication and shows respect to the patient. It helps establish a connection and makes the patient feel valued. Sitting erect (A) shows attentiveness, but not necessarily positive body language. Crossing arms (B) can signal defensiveness or closed-off attitude. Keeping feet flat on the floor with legs crossed (D) may appear relaxed but can be perceived as too casual or disengaged in a healthcare setting.

Correct Answer: D

Rationale: The correct answer is D because reporting suspected abuse to the proper authorities is a legal and ethical requirement for healthcare professionals to protect vulnerable individuals. Reporting ensures that the appropriate agencies can investigate and intervene to safeguard the victim. Choice A is incorrect as it focuses solely on future prevention rather than immediate action. Choice B is incorrect as it may compromise the safety of the victim by alerting the abuser. Choice C is incorrect as counseling is not the primary responsibility when abuse is suspected, reporting is.