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A nurse is developing a plan of care for a male client who is homeless. Which of the following would the nurse do first?
- A. Refer the client to social services to access necessary benefits.
- B. Provide the client with a list of facilities that are safe.
- C. Discuss how the client can maintain his privacy.
- D. Stabilize the client?s physical health status.
Correct Answer: D
Rationale: Stabilizing physical health status (D) is the first priority, addressing immediate health needs that impact survival and well-being in homeless clients. Referrals (A), facility lists (B), and privacy discussions (C) are important but secondary to physical health stabilization.
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A nurse is working for a mobile homeless treatment program. Which method would the nurse most likely use to provide follow-up care to clients?
- A. Seeing them by appointment at a clinic office
- B. Riding a bicycle to wherever the client happens to be
- C. Meeting the client in a public place easily accessible by taxi
- D. Using the telephone to determine how well the clients are doing
Correct Answer: C
Rationale: Meeting in a public place accessible by taxi (C) is practical for a mobile homeless treatment program, balancing accessibility and safety. Clinic appointments (A) are challenging due to transportation issues, riding a bicycle (B) is impractical, and telephone follow-up (D) is unreliable due to limited phone access among homeless clients.
A nurse is assessing a 49-year-old homeless male client. The nurse fashions the assessment process based on the understanding that the client would most likely demonstrate which of the following?
- A. Cooperation and talkativeness to share his ideas
- B. Agreement to allow a complete physical examination
- C. Desire for in-depth discussion of his condition
- D. Resistance and caution about the interaction
Correct Answer: D
Rationale: Homeless individuals often exhibit resistance and caution (D) during assessments due to mistrust from past experiences or stigma. Cooperation (A), agreement to physical exams (B), or desire for in-depth discussion (C) are less likely due to barriers like fear of judgment or lack of trust in healthcare providers.
A client who is homeless and mentally ill is being discharged to an Assertive Community Treatment (ACT) program. The nurse interprets this as including which of the following services? Select all that apply.
- A. Substance abuse management
- B. Medication monitoring
- C. Counseling
- D. Living skills classes
- E. Shelter for one night
Correct Answer: A,B,C,D
Rationale: Assertive Community Treatment (ACT) programs provide comprehensive services for mentally ill individuals, including substance abuse management (A), medication monitoring (B), counseling (C), and living skills classes (D). Shelter for one night (E) is not typically part of ACT, which focuses on long-term support.
A nurse is teaching an in-service education class about caring for homeless populations. When explaining the difference between the care provided by Safe Havens and Shelter Plus Care, which of the following would the nurse include?
- A. Shelter Plus Care offers more services to a larger population than does Safe Havens.
- B. Safe Havens provides shelter for as many as 100 people at a time.
- C. Safe Havens provides traditional support services as well as short-term housing.
- D. Shelter Plus Care offers a variety of supportive services in addition to long-term housing.
Correct Answer: D
Rationale: Shelter Plus Care provides long-term housing with supportive services (D), such as case management and healthcare, for homeless individuals with disabilities. Safe Havens offer smaller-scale, low-barrier transitional housing. Option A is incorrect, as Safe Havens target specific populations. Option B overstates Safe Havens? capacity, and option C misrepresents their focus.
The nurse is caring for a homeless client who has been seen in the mobile clinic every week for the past month because of a foot infection. Which nursing diagnosis would the nurse most likely identify as the priority?
- A. Social Isolation related to homelessness
- B. Ineffective Health Maintenance related to homelessness
- C. Chronic Low Self-Esteem related to foot disorder and homelessness
- D. Imbalanced Nutrition, less than body requirements, related to poor eating
Correct Answer: B
Rationale: A foot infection requiring weekly visits indicates Ineffective Health Maintenance (B) as the priority, as it addresses the immediate need to manage the infection, which poses a health risk. Social Isolation (A), Chronic Low Self-Esteem (C), and Imbalanced Nutrition (D) are relevant but secondary to treating the infection.