What is a nursing care goal for those in middle adulthood? Select all that apply.

A. To promote positive lifestyle choices: Encouraging healthy habits such as balanced nutrition, regular exercise, stress management, and avoiding tobacco or excessive alcohol supports long-term physical and mental health in middle adulthood. B. To provide education on vaccinations: Middle-aged adults benefit from vaccinations like influenza, shingles, Tdap, and COVID-19 boosters. Education helps prevent illness and supports overall wellness, which is a key nursing care goal. C. To identify confusion: Confusion is more common in older adults or those with cognitive impairment. While assessment is important, it is not a primary nursing goal for healthy individuals in middle adulthood. D. To empower patients to make healthy changes: Empowering patients to set realistic goals, make informed choices, and adopt preventive health behaviors fosters autonomy and proactive management of their wellness. E. To provide reminiscence therapy: Reminiscence therapy is primarily used for older adults to support memory, emotional well-being, and life review. It is not a typical focus of care for middle adulthood.