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A nurse is presenting a talk on homelessness and its effect on individuals. The nurse describes the resiliency of homeless individuals based on which of the following?
- A. Strong community supports
- B. Available family resources
- C. Coping with extreme stressors
- D. Local governmental intervention
Correct Answer: C
Rationale: Resiliency in homeless individuals is often rooted in their ability to cope with extreme stressors (C), such as lack of shelter, food insecurity, and social stigma. Strong community supports (A) and family resources (B) are often limited, and local governmental intervention (D) is typically inconsistent or insufficient.
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A nurse working in an emergency homeless shelter is interviewing a woman who has just arrived with her two small children. When assessing this client, the nurse would expect the woman to report which of the following as the reason for seeking shelter?
- A. Substance abuse
- B. Domestic violence
- C. Unemployment
- D. Imprisonment
Correct Answer: B
Rationale: Domestic violence (B) is a leading cause of homelessness for women with children, as it often forces them to flee unsafe home environments. Substance abuse (A), unemployment (C), and imprisonment (D) are less common primary reasons for women with children seeking shelter.
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 nursing instructor is preparing a class on individuals who are homeless and mentally ill for a group of nursing students. When describing the characteristics of this population, which of the following would the instructor most likely include? Select all that apply.
- A. Individuals usually receive psychiatric care in outpatient units.
- B. Their physical health is likely to be worse than that of other homeless individuals.
- C. Most have easy access to disability or other types of benefits.
- D. Individuals typically are more often involved with the legal system than other homeless people.
- E. An individual with a mental illness has the greatest risk of becoming homeless than others.
Correct Answer: B,D,E
Rationale: Homeless individuals with mental illness often have worse physical health (B) due to untreated conditions, are more involved with the legal system (D) due to behavioral issues, and have a higher risk of homelessness (E) due to social and economic challenges. Outpatient care (A) is often inaccessible, and benefits (C) are not easily accessed.
The nurse is working in a shelter for homeless men. When planning the care for these clients, the nurse integrates understanding that men who have been homeless for a long period of time often feel a sense of which of the following?
- A. Depersonalization
- B. Strong coping skills
- C. Self-efficacy
- D. Fear of failure
Correct Answer: A
Rationale: Long-term homelessness often leads to depersonalization (A), a sense of disconnection from self or identity, due to chronic social isolation and marginalization. Strong coping skills (B) and self-efficacy (C) are less likely, as prolonged homelessness often erodes these. Fear of failure (D) may be present but is less specific than depersonalization.
A group of nurses is in a discussion about the homeless population in their community as a means for developing appropriate programs for this group. Which statement by one of the members indicates a need for the group to address the nurse?s stereotypical thinking?
- A. Homeless individuals must be creative in figuring out ways to survive.
- B. People who are homeless come from all walks of life.
- C. If the person lives on the street, he will not accept services.
- D. Most people are homeless for a relatively short period of time.
Correct Answer: C
Rationale: The statement that street-living individuals will not accept services (C) reflects a stereotype, assuming unwillingness without evidence. Options A, B, and D are accurate, recognizing creativity, diversity, and the transient nature of homelessness, respectively.