Exam Questions Ch.42 Homeless And Women’S Shelters nan

Chapter 42: Homeless and Women’s Shelters

Multiple Choice

1. When working with children who are homeless, you recognize that their unstable living environment often interferes with their ability to regularly attend school and limits their access to play activities and social interactions necessary for life skills development. These psychosocial issues, along with their potential exposure to violence, put them at higher risk for which of the following developmental problems?

a. Language and fine or gross motor skill delays

b. Posttraumatic stress disorder

c. Depression

d. Issues with sexual orientation

Topic: Who Are the Homeless?

LO: 42.1 & 42.2

2. Which of the following best reflects the purpose of a transitional housing program?

a. Provide temporary housing for up to 30 days

b. Provide temporary housing for up to 2 years

c. Provide long-term independent living accommodations

d. Provide long-term residential care

Topic: Mission and Goals of Homeless Shelters and Transitional Housing Environments

LO: 42.5

3. Identify the statement that most accurately reflects staffing patterns in homeless shelters.

a. They are staffed by social workers.

b. Volunteers often oversee daily functions.

c. There is limited staff turnover.

d. Staff qualifications are well defined with oversight by local governmental agencies.

Topic: Team Members

LO: 42.6

4. The administrator at one of your local homeless shelters wants to include occupational therapy services in their program. However, they do not have the funding to support an occupational therapy practitioner. Which of the following would you recommend for the administrator to explore to obtain these services at no or low cost?

a. Advocate with the U.S. Department of Housing and Urban Development for specialized funding

b. Explore increased funding through the Substance Abuse and Mental Health Services Administration

c. Explore partnering with an academic occupational therapy department

d. Explore funding through expanded Medicaid services

Topic: Funding Sources

LO: 42.7

5. You are an occupational therapy practitioner working in a transitional living program. Your responsibilities include supporting individuals to locate and obtain housing, connecting individuals with other community resources such as food pantries, and facilitating their application for government entitlements. In addition, you are working with them to develop independent living skills needed to be successful in community living. Which of the following best describes your role in this situation?

a. Case manager

b. Direct service provider

c. Consultant

d. Program manager

Topic: Role of Occupational Therapy

LO: 42.8

6. A single mother who has been at the domestic violence shelter for the past month where you work is preparing for discharge. You are working with her on the functional living skills she will need to live successfully in the environment. You are concerned about possible cognitive impairments that may interfere with her successful community reintegration. You want to employ an assessment where your client will complete four instrumental activities of daily living tasks to assess the level of assistance she will require for functional tasks. Which assessment would you choose?

a. Assessment of Motor and Process Skills

b. Model of Human Occupation Screening Tool

c. Allen Cognitive Level Screen

d. Executive Function Performance Test

Topic: Assessment

LO: 42.9

7. While working in a homeless shelter, you have become aware of the multiple challenges faced by the individuals you work with on a daily basis. While exploring approaches to treatment, you decide to adopt an approach that conveys a more accepting attitude and sets realistic expectations. You want to respect and accept the individuals’ choices even if they are not eliminating maladaptive behaviors. Which intervention approach does this scenario best reflect?

a. Trauma-informed care

b. Situated learning

c. Harm reduction

d. Person environment occupation

Topic: Intervention Models and Techniques

LO: 42.10

8. You are working with a client on increasing community living skills, specifically grocery shopping. You initiated this treatment by setting up a mock grocery store in your clinic. However, you realized this is not the best way for the individual to develop these skills. You modify the activity and start doing the intervention at the individual’s preferred neighborhood grocery store. This allows the individual to practice and you to role model the activity as well as identify barriers and supports needed for the individual to be successful. Which intervention approach does this scenario best reflect?

a. Trauma-informed care

b. Situated learning

c. Harm reduction

d. Person environment occupation

Topic: Intervention Models and Techniques

LO: 42.10

9. Martha has been homeless for several months and is receiving her disability check at the day center. She is overweight and has limited mobility, type 2 diabetes, and chronic pain that she managed with opiates to which she became addicted. When you evaluate her she asks for help with obtaining food. After reviewing her food management and budgeting skills, it becomes clear that she is spending 90% of her check on pain medication. With verbal cues, she is able to create a budget with half of her check for buying fruits and vegetables each month to supplement the availability of soup kitchens and free meals. Which aspect of this treatment plan is an example of harm reduction?

a. She will be eating more fruits and vegetables.

b. She will have a schedule of soup kitchens to attend.

c. She will go to rehab and end her addiction.

d. She will have no more than 50% of her check to spend on her opioid addiction.

Topic: Intervention Models and Techniques

10. When an individual who is homeless is evaluated and treated by occupational therapy, which skill area is most likely to be intact?

a. Vocational skills

b. Instrumental activities of daily living skills

c. Social interaction skills

d. Activities of daily living skills

Topic: Homelessness and Functional Impairment

11. Which condition is included in the definition of being chronically homeless?

a. Having a disability

b. Having a mental illness

c. Being homeless for at least 6 months

d. Living in a mobile home

Topic: Who Are the Homeless?

12. Which of the following is an important consideration for an occupational therapist providing assessments to residents living in a shelter?

a. The occupational therapist should practice trauma-informed care by being sensitive to the nature of the questions asked so they are not perceived as intrusive or mandatory for anyone who is being interviewed.

b. The occupational therapist can interview the client wherever there is space because shelter clients are used to not having any privacy.

c. The occupational therapist should write thorough and detailed notes and summaries because there will be a wide range of trained medical providers who will be familiar with occupational therapy language and rely on the assessment findings in the shelter.

d. The occupational therapist should begin with specific assessments for cognition because there is a high incidence of traumatic brain injuries among homeless people.

Topic: Intervention Models and Techniques

13. An occupational therapist is beginning to provide services to residents within a homeless shelter. The occupational therapist wants to start a program focusing on skills to transition from living in a shelter to independent housing; however, the shelter already offers a program focusing on transitions. What other providers may also be working with individuals regarding their transition into housing?

a. Recreational therapist

b. Social worker

c. Intake staff

d. Nurse

Topic: Funding Sources