A nurse is reviewing the medical records of several older adult patients. The nurse determines that which individual would have the least chance of developing mental health problems with aging?

Correct Answer: B

Rationale: The correct answer is B because being married, having a graduate education, eating nutritionally balanced meals, and exercising regularly are all factors associated with better mental health in older adults. Marriage can provide social support, a graduate education indicates cognitive stimulation, balanced nutrition supports brain health, and regular exercise promotes mental well-being. Choice A is incorrect because having a low education level and limited physical activity increase the risk of mental health problems. Choice C is incorrect as consuming mostly fast food can negatively impact brain function. Choice D is incorrect because although watching what she eats is beneficial, the lack of exercise may increase the risk of developing mental health problems.

Correct Answer: C

Rationale: Rationale: Choice C is correct because understanding potential side effects like difficulty sleeping is crucial for the client's adherence to the medication plan. Sertraline can cause sleep disturbances initially. Choices A, B, and D are incorrect. A immediate relief is unlikely with antidepressants, B increased urination is not a common side effect of sertraline, and D sodium intake is not typically a concern with this medication.

Correct Answer: D

Rationale: Erikson defined growth as development in stages with a positive and negative consequence if not met. He introduced the concept of psychosocial development, emphasizing the importance of resolving conflicts at each stage. Peplau focused on interpersonal relations in nursing, Orenstein is known for her work on gender development, and Freud's psychosexual theory is different from Erikson's psychosocial theory. Erikson's stages are distinct for each age group, with specific tasks to be accomplished, making choice D the correct answer.

Correct Answer: C

Rationale: The correct answer is C: Industry. According to Erikson's psychosocial theory, the developmental task for children around the age of 7 involves developing a sense of competence and accomplishment in their activities. The boy's achievement of the most-improved player award in his baseball tournament reflects his engagement in mastering skills and feeling successful in his endeavors, aligning with the concept of industry. Autonomy (A) typically refers to toddlers asserting their independence, while Identity (B) is associated with adolescents' exploration of personal identity. Initiative (D) focuses on preschoolers' curiosity and eagerness to explore the world.

Correct Answer: C

Rationale: The correct answer is C, Running amok, as it is a culture-bound syndrome specific to certain cultures where individuals exhibit sudden outbursts of violence. This behavior is not seen as a mental disorder in those cultures but rather a culturally accepted phenomenon. Epilepsy, schizophrenia, and major depressive disorder are not culture-bound syndromes as they are recognized and diagnosed across various cultures without cultural specificity.

Correct Answer: A

Rationale: The correct answer is A because it reflects active listening and empathy, which can encourage further communication. By acknowledging the client's feelings of loneliness and fear, the nurse shows understanding and creates a safe space for the client to share more. Choice B is incorrect because it implies judgment and may shut down communication. Choice C focuses on the nurse's experience rather than the client's, which is not helpful. Choice D offers false reassurance and minimizes the client's feelings, not addressing the underlying issues.

Correct Answer: C

Rationale: The correct answer is C (Seven or eight). In an inpatient psychiatric setting, a group for trauma survivors should ideally have around 7-8 patients. This number allows for a diverse range of perspectives and experiences to be shared, fostering a supportive and empathetic environment. With fewer patients (choices A and B), there may not be enough variety in experiences to facilitate meaningful discussions. Having too many patients (choice D) can lead to some individuals feeling overlooked or overwhelmed, hindering the therapeutic process. Therefore, having 7-8 patients strikes a balance between creating a supportive group dynamic while ensuring that each individual has the opportunity to actively participate and benefit from the group therapy sessions.

Correct Answer: A

Rationale: The correct answer is A because the statement reflects egocentrism, a characteristic of adolescent cognitive development where they believe they are the center of the world and attribute events to their actions or feelings. In choice A, the boy believes his yelling at his dad caused his death, showing a self-centered view of the situation. Choices B, C, and D do not demonstrate egocentrism as they focus on the boy's feelings, understanding of grief, and emotional attachment to his father without attributing causation to his actions.

Correct Answer: B

Rationale: The correct answer is B because being married, having a graduate education, eating nutritionally balanced meals, and exercising regularly are all factors associated with better mental health in older adults. Marriage can provide social support, a graduate education indicates cognitive stimulation, balanced nutrition supports brain health, and regular exercise promotes mental well-being. Choice A is incorrect because having a low education level and limited physical activity increase the risk of mental health problems. Choice C is incorrect as consuming mostly fast food can negatively impact brain function. Choice D is incorrect because although watching what she eats is beneficial, the lack of exercise may increase the risk of developing mental health problems.