A school nurse is teaching a class of adolescents about healthy behaviors. Which of the following activities include as a means for preventing anxiety and depression when they are middle-aged adults?

Correct Answer: C

Rationale: The correct answer is C: Engaging in physical activity and exercise. Regular physical activity has been shown to have numerous benefits for mental health, including reducing the risk of anxiety and depression. Exercise helps release endorphins, which are natural mood lifters. Additionally, staying physically active can improve self-esteem and cognitive function, both of which are important for overall mental well-being. Choices A, B, and D are incorrect because while they are important for overall health, they do not specifically target anxiety and depression prevention in middle-aged adults. Restricting sugar and fat intake, refraining from smoking or doing drugs, and becoming active in local church activities may have their own health benefits, but they are not as directly linked to preventing anxiety and depression as engaging in physical activity and exercise.

Correct Answer: D

Rationale: The correct answer is D because it demonstrates empathy and reflects the client's feelings. It acknowledges the client's emotions without judgment, which can help establish trust. Choice A is incorrect as it can come off as dismissive. Choice B is inappropriate as it diverts attention from the client's feelings. Choice C is also incorrect as it can be perceived as confrontational and may discourage the client from expressing their emotions further. In summary, option D is the most appropriate response as it shows empathy and validates the client's emotions.

Correct Answer: A

Rationale: The correct answer is A because it reflects the cognitive triad, a concept in cognitive therapy. The patient is displaying negative beliefs about themselves (I always mess things up), the world (my whole world is a mess), and the future (my future will be a big mess). This pattern of negative thinking about oneself, the world, and the future is characteristic of the cognitive triad. Choice B is incorrect because it describes someone else (the sister) and does not reflect the patient's negative self-view. Choice C is incorrect as it describes the bosses and not the patient's own thoughts. Choice D is incorrect as it refers to a superstitious belief about bad things happening in threes, which is unrelated to the cognitive triad.

Correct Answer: B

Rationale: Step-by-step rationale: 1. The New Freedom Commission emphasizes consumer and family empowerment in mental health care. 2. Involving consumers and families as driving forces ensures individualized and effective care. 3. This approach aligns with person-centered care principles. 4. Empowering consumers and families promotes collaboration and shared decision-making. 5. This goal enhances mental health outcomes and promotes recovery. Summary: Choice B is correct because it reflects the emphasis on consumer and family involvement in mental health care by the New Freedom Commission. Choices A, C, and D are incorrect as they do not align with the key focus of consumer and family empowerment in the Commission's goals.

Correct Answer: B

Rationale: The correct answer is B: Acetylcholine. Alzheimer's disease is characterized by a decrease in acetylcholine levels in the brain, leading to cognitive decline. Acetylcholine plays a crucial role in memory and learning. Other neurotransmitters like serotonin, dopamine, and norepinephrine are not as directly linked to Alzheimer's pathology. Serotonin is more associated with mood regulation, dopamine with reward and movement, and norepinephrine with arousal and stress response. Therefore, the instructor would emphasize acetylcholine due to its specific involvement in the disease process.