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 teaching an in-service education class about caring for homeless populations. When explaining the difference between the care provided by Safe Havens and Shelter Plus Care, which of the following would the nurse include?
Correct Answer: D
Rationale: Shelter Plus Care provides long-term housing with supportive services (
D), such as case management and healthcare, for homeless individuals with disabilities. Safe Havens offer smaller-scale, low-barrier transitional housing. Option A is incorrect, as Safe Havens target specific populations. Option B overstates Safe Havens? capacity, and option C misrepresents their focus.
Question 2 of 5
A nursing instructor is preparing a class on individuals who are homeless and mentally ill for a group of nursing students. When describing the characteristics of this population, which of the following would the instructor most likely include? Select all that apply.
Correct Answer: B,D,E
Rationale: Homeless individuals with mental illness often have worse physical health (
B) due to untreated conditions, are more involved with the legal system (
D) due to behavioral issues, and have a higher risk of homelessness (E) due to social and economic challenges. Outpatient care (
A) is often inaccessible, and benefits (
C) are not easily accessed.
Question 3 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 4 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 5 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.