Nokea
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 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.
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 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.
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.
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.