ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 39 : Caring for Persons Who Are Homeless and Mentally Ill Questions
Question 1 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 2 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 3 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 4 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 5 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.