ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 39 : Caring for Persons Who Are Homeless and Mentally Ill Questions
Question 1 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.
Question 2 of 5
A client who is homeless and mentally ill is being discharged to an Assertive Community Treatment (ACT) program. The nurse interprets this as including which of the following services? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Assertive Community Treatment (ACT) programs provide comprehensive services for mentally ill individuals, including substance abuse management (
A), medication monitoring (
B), counseling (
C), and living skills classes (
D). Shelter for one night (E) is not typically part of ACT, which focuses on long-term support.
Question 3 of 5
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?
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.
Question 4 of 5
A nurse is presenting a talk on homelessness and its effect on individuals. The nurse describes the resiliency of homeless individuals based on which of the following?
Correct Answer: C
Rationale: Resiliency in homeless individuals is often rooted in their ability to cope with extreme stressors (
C), such as lack of shelter, food insecurity, and social stigma. Strong community supports (
A) and family resources (
B) are often limited, and local governmental intervention (
D) is typically inconsistent or insufficient.
Question 5 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.