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 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.
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.
Question 2 of 5
After describing the various legislative efforts to address the issue of homelessness in the United States, a nursing instructor determines that the teaching was successful when the students identify which of the following as addressing the need for a continuum of care approach?
Correct Answer: D
Rationale: The McKinney-Vento Homeless Assistance Act (
D) addresses homelessness through a continuum of care approach, funding services like housing, healthcare, and support for homeless individuals. The Bringing Home America Act (
A) is not a recognized law, the Affordable Care Act (
B) focuses on healthcare access, and the American Recovery Act (
C) targets economic recovery.
Question 3 of 5
A nurse working in an emergency homeless shelter is interviewing a woman who has just arrived with her two small children. When assessing this client, the nurse would expect the woman to report which of the following as the reason for seeking shelter?
Correct Answer: B
Rationale: Domestic violence (
B) is a leading cause of homelessness for women with children, as it often forces them to flee unsafe home environments. Substance abuse (
A), unemployment (
C), and imprisonment (
D) are less common primary reasons for women with children seeking shelter.
Question 4 of 5
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?
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.
Question 5 of 5
A nurse is developing a plan of care for a male client who is homeless. Which of the following would the nurse do first?
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.