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
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?
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.
Question 2 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 3 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 4 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 5 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.