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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.
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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.
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.
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.
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.