Nokea
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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The nurse is helping a 56-year-old homeless woman develop a plan for after discharge. Which of the following would be most appropriate to include?
- A. Contacting the woman?s daughter as a possible source of support after the client?s discharge
- B. Contacting the woman?s parents as a possible source of support after the client?s discharge
- C. Providing the woman with a three-ring binder full of resources that will promote independent living
- D. Providing the woman with telephone numbers of various local health care insurance companies
Correct Answer: A
Rationale: Contacting the woman?s daughter (A) is most appropriate, as it leverages potential family support to aid post-discharge stability. Contacting parents (B) is less likely, given the client?s age. A binder of resources (C) may be overwhelming without guidance, and insurance company numbers (D) are less immediate for a homeless individual.
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 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 developing a plan of care for a client who has been admitted to the inpatient unit after being brought to the emergency department by law enforcement. Assessment in the emergency department revealed that the client is homeless and has been diagnosed with posttraumatic stress syndrome. The client also has a history of substance abuse. When reviewing the client?s medical record, which of the following would the nurse identify as contributing to the client?s homelessness? Select all that apply.
- A. Diagnosis of posttraumatic stress syndrome
- B. Involved participation of family members
- C. Part-time employment as a custodian
- D. History of substance abuse
- E. Recent loss of public assistance support
Correct Answer: A,D,E
Rationale: Posttraumatic stress syndrome (A), substance abuse (D), and loss of public assistance (E) are significant contributors to homelessness due to their impact on mental health, stability, and resources. Family involvement (B) typically mitigates homelessness, and part-time employment (C) is less directly causative.
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.