A nurse is developing a wellness plan for a 52 year old patient during an annual physical exam. Which goals are appropriate for promoting health in middle adulthood? (Select all that apply.)

A. Supporting stress management strategies: Middle adulthood often involves multiple responsibilities, including work, family, and caregiving, which can increase stress. Encouraging coping techniques such as mindfulness, relaxation exercises, or time management helps maintain mental and physical health. B. Encouraging routine screenings such as mammograms or colonoscopies: Preventive care is crucial in middle adulthood, as the risk for chronic diseases and cancer increases. Routine screenings facilitate early detection and improve long-term health outcomes. C. Promoting regular physical activity: Regular exercise supports cardiovascular health, maintains muscle mass and bone density, and helps manage weight. Physical activity is a key component of wellness plans for middle-aged adults to prevent chronic conditions. D. Providing reminiscence therapy: Reminiscence therapy is more commonly used in older adults to enhance cognitive function and emotional well-being. While it can be beneficial, it is not a primary wellness goal for middle adulthood. E. Focusing primarily on end-of-life planning: While planning for the future is important, middle adulthood wellness focuses more on health promotion, disease prevention, and maintaining quality of life rather than primarily on end-of-life considerations.