Nokea
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.
You may also like to solve these questions
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 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.
A new graduate nurse is considering taking a job that focuses on meeting the mental health needs of homeless populations. During the graduate nurse?s pre-employment interview, the graduate nurse asks the interviewer what characteristics are common in this population. Which response by the interviewer would be most likely?
- A. Most of them have very little education and, consequently, they work in menial jobs when they can get them.
- B. They come from a variety of backgrounds, and they often experience chronic illness and are unemployed.
- C. They have often squandered their financial resources, and most are from poorer rural and urban backgrounds.
- D. Most are frail elderly people, and many are mentally ill. However, very few are addicts or alcoholics.
Correct Answer: B
Rationale: Homeless populations are diverse, coming from various backgrounds, and often face chronic illness and unemployment (B), reflecting the complexity of their challenges. Option A stereotypes education and job type, option C assumes financial mismanagement, and option D incorrectly limits the population to frail elderly and minimizes addiction issues.
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 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.