ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 39 : Caring for Persons Who Are Homeless and Mentally Ill Questions
Question 1 of 5
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?
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.
Question 2 of 5
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?
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.
Question 3 of 5
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?
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.
Question 4 of 5
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?
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.
Question 5 of 5
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?
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.