Nokea
A nursing instructor is preparing a teaching plan for a group of nursing students who will be working with homeless populations. As part of the class, the instructor will be including information about barriers to successful treatment of homeless clients who are mentally ill. Which reason would the instructor include as contributing to lack of compliance with psychotropic medications?
- A. Mistrust of medical personnel
- B. Lack of proper medication storage
- C. Chemical dependence on prescription medications
- D. Lack of motivation and literacy skills
Correct Answer: B
Rationale: Lack of proper medication storage (B) is a significant barrier for homeless individuals, as they often lack secure, stable environments to store psychotropic medications. Mistrust (A), chemical dependence (C), and lack of motivation/literacy (D) may contribute but are less specific to medication compliance than storage issues.
You may also like to solve these questions
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.
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 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.
After describing the various legislative efforts to address the issue of homelessness in the United States, a nursing instructor determines that the teaching was successful when the students identify which of the following as addressing the need for a continuum of care approach?
- A. Bringing Home America Act
- B. Affordable Care Act
- C. American Recovery and Reinvestment Act
- D. McKinney-Vento Homeless Assistance Act
Correct Answer: D
Rationale: The McKinney-Vento Homeless Assistance Act (D) addresses homelessness through a continuum of care approach, funding services like housing, healthcare, and support for homeless individuals. The Bringing Home America Act (A) is not a recognized law, the Affordable Care Act (B) focuses on healthcare access, and the American Recovery Act (C) targets economic recovery.
A nurse has formulated several nursing diagnoses for a homeless client after a thorough nursing assessment. Of these, which of the following would the nurse determine as the priority?
- A. Anxiety
- B. Powerlessness
- C. Imbalanced nutrition
- D. Impaired social interaction
Correct Answer: C
Rationale: Imbalanced nutrition (C) is the priority, as it addresses a basic physiological need critical for survival and health, especially in homeless individuals with limited access to food. Anxiety (A), Powerlessness (B), and Impaired social interaction (D) are important but secondary to addressing nutritional deficits.