Test Generator Questions, Chapter 26, Working With the Homeless

Format: Multiple Choice

Chapter: 26

Client Needs: Safe and Effective Care Environment: Management of Care

Cognitive Level: Analyze

Difficulty: Difficult

Integrated Process: Nursing Process

Objective: 1

Page and Header: 731, Introduction

1. An instructor reviews the definition of homelessness according to the McKinney-Vento Homeless Assistance Act with a group of community health nursing students. The instructor determines that the students need clarification when they include which as homeless?

A) Someone living in a public shelter

B) Someone living in a park

C) Someone who is incarcerated

D) Someone who lives in his or her car

Difficulty: Difficult

Integrated Process: Nursing Process

Objective: 1

Page and Header: 731, Introduction

2. When addressing homeless children and youth, which situations are also considered homeless according to the education subtitle of the McKinney-Vento Homeless Assistance Act? Select all that apply.

A) Children who share housing with others due to economic hardship or loss of housing

B) Children who are abandoned in hospitals

C) Children who are awaiting placement in foster care

D) Children who are living in motels, trailer parks, or camping grounds

E) Children who are living apart from one or more of their parents

Difficulty: Easy

Integrated Process: Nursing Process

Objective: 1

Page and Header: 732, Scope of the Problem

3. Which would the community health nurse most likely assess to report the best estimate of the number of persons who are homeless?

A) Counting the number of homeless people on a particular day

B) Counting the persons who are homeless in a given week

C) Counting the number of persons who are homeless at a specific time on a specific date

D) The number of people who have been homeless over the course of a year

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 1

Page and Header: 732, Scope of the Problem

4. Which are reasons why it is difficult to estimate the number of persons who are homeless? Select all that apply.

A) It is difficult to estimate the number of people who are homeless, since homelessness is a temporary condition.

B) It is difficult to locate and account for people who are homeless.

C) Some people are unable to access shelters where they would be counted as homeless because the shelter is already overcrowded and there is limited capacity.

D) In rural areas, there are fewer housing options and resources for the homeless, and as a result, people may be forced to live temporarily with friends or family.

E) Homelessness is increasing due to poverty and the growing shortage of affordable rental housing.

Difficulty: Easy

Integrated Process: Nursing Process

Objective: 2

Page and Header: 732, Scope of the Problem; 734, Families

5. After reviewing statistics on homelessness, which would a community health nurse identify as the fastest growing segment of the homeless population?

A) Children under age 18 years

B) Families headed by a female single parent

C) Families headed by a male single parent

D) Families with children

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 2

Page and Header: 734, Ethnicity

6. Which subpopulation is most likely to be sheltered homeless?

A) Adult females

B) African Americans

C) Veterans

D) Hispanic

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 3

Page and Header: 735, Contributing Factors

7. Which are reasons for the increase in poverty rates over recent years? Select all that apply.

A) Declining wages

B) Decline in public assistance

C) Loss of jobs that offer security and carry benefits

D) A decline in manufacturing jobs in favor of lower paying service jobs

E) Globalization and outsourcing

F) Homelessness

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 3

Page and Header: 736, Mental Illness

8. Which statement regarding mental illness and homelessness is most accurate?

A) Seventy- five percent of the sheltered homeless report a severe mental illness.

B) Deinstitutionalization or being released from institutions into the community contributes to the number of persons who have a severe mental illness who are homeless.

C) Mental illness only contributes to homelessness because poor mental health adversely affects an individual’s ability to make sound judgments, solve problems, and make wise decisions.

D) Mental illness and substance abuse are not often comorbid conditions that contribute to homelessness.

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 4

Page and Header: 737, Homeless Men

9. Which would a community health nurse expect to assess in the population of homeless men?

A) Marital status

B) Substance abuse

C) Permanent employment

D) Frequent use of shelters

Difficulty: Easy

Integrated Process: Caring

Objective: 4

Page and Header: 737, Homeless Men

10. A community health nurse is preparing a program for a local community group about homelessness. A portion of the program will address homeless men. Which would the nurse include?

A) Homeless men are not looked down upon less than other groups.

B) Homeless men are usually eligible for social services.

C) Homeless men are perceived as blameless for their situation.

D) Single, low-income men only qualify for medical assistance if disabled.

Difficulty: Difficult

Integrated Process: Nursing Process

Objective: 4

Page and Header: 738, Homeless Youth

11. For which reason are homeless youth at higher risk for HIV, hepatitis, and sexually transmitted infections?

A) They are not likely to receive treatment for HIV, hepatitis, and sexually transmitted infections.

B) They lack education or job training skills and may resort to prostitution or survival sex, which increases their risk for HIV, hepatitis, and sexually transmitted infections.

C) Homeless adolescents may have difficulty accessing emergency shelter because of shelter policies that prohibit older youth from the facility.

D) It is not uncommon for homeless youth to be arrested for running away, breaking curfews, or being without supervision.

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 5

Page and Header: 738, Homeless Youth

12. Which statement correlates mental health issues and homeless young people most accurately?

A) Eighty- seven percent of homeless children have suffered emotional disturbances due to the effects of traumatic stress and violence.

B) Homeless youth suffer disproportionately from anxiety, depression, conduct disorders, posttraumatic stress, and low self-esteem.

C) It is not common for homeless youths to be arrested for running away, breaking curfews, or being without supervision.

D) Homeless youth are persons under age 18 who lack parental, foster, or institutional care.

Difficulty: Easy

Integrated Process: Nursing Process

Objective: 5

Page and Header: 741, Health Care and the Homeless

13. The community health nurse is explaining the reasons for health problems in the homeless population. Which reason would the nurse identify as the most likely?

A) Issues related to storage of medications

B) Lack of transportation to keep appointments

C) Time and energy focus on survival needs

D) Limited access to health care services

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 6

Page and Header: 741, Health Care and the Homeless

14. A community health nurse is working with a community-based organization to develop programs to provide quality accessible health care to the homeless population. Which source would be the most appropriate from which to seek funding for this program?

A) Projects for Assistance in Transition from Homelessness (PATH)

B) Health Care for the Homeless (HCH)

C) The Interagency Council on Homelessness

D) U.S. Department of Housing and Urban Development

Difficulty: Easy

Integrated Process: Nursing Process

Objective: 6

Page and Header: 744, Table 26-3 Private Sector Initiatives to Combat Homelessness

15. After teaching a group of community health students about public and private sector programs and initiatives aimed at combating homelessness, the instructor determines that they need additional teaching when they identify which entity as a private sector organization?

A) National Coalition for the Homeless

B) National Alliance to End Homelessness

C) National Resource Center on Homelessness and Mental Illness

D) National Low Income Housing Coalition

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 8

Page and Header: 743, Role of the C/PHN

16. A community health nurse who will be working with a homeless population is planning care. Which action would the nurse need to take first?

A) Develop trust with the population.

B) Clarify personal values and beliefs.

C) Focus on the issue of homelessness.

D) Visit the local shelter where the clients are.

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 8

Page and Header: 747, Primary Prevention

17. When preparing a plan of care for a group of women who are victims of intimate partner violence, the nurse develops interventions aimed at the primary level of prevention. Which action would be most appropriate for the nurse to include?

A) Assisting them to locate a safe shelter

B) Providing immunizations

C) Screening for sexually transmitted infections

D) Teaching about basic hygiene measures

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 8

Page and Header: 748, Tertiary Prevention

18. A community health nurse is working with a group of homeless clients with substance abuse problems. Which action would be appropriate for the nurse to take at the tertiary level of prevention?

A) Conduct mass screening for common communicable diseases.

B) Institute a mobile van to assist in early diagnosis of common illnesses.

C) Advocate for counseling programs to address high-risk behaviors and abuse.

D) Assist in ensuring participation in substance abuse rehabilitation programs.

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 8

Page and Header: 747, Primary Prevention

19. Which intervention by the community health nurse would be classified solely as a primary prevention measure to combat homelessness?

A) Preventing recurrence of poverty

B) Assisting homeless clients in locating temporary shelter

C) Advocating politically for services for the mentally ill and homeless

D) Referring those with underlying mental illness for therapy

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 8

Page and Header: 747, Secondary Prevention

20. Which intervention by the community health nurse would be classified as a secondary prevention measure to combat homelessness?

A) Assist homeless clients in locating temporary shelter.

B) Provide effort for services for the mentally ill and homeless.

C) Prevent individuals and families from becoming homeless by assisting them with factors that contribute to homelessness.

D) Make referrals for employee assistance programs to allow clients to eliminate factors that contribute to homelessness.

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 8

Page and Header: 748, Tertiary Prevention

21. The community health nurse is assessing and connecting homeless clients at the local community shelter for additional community resources. Which level of prevention is the nurse operating within?

A) Primary

B) Secondary

C) Tertiary

D) Health promotion

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 8

Page and Header: 747, Secondary Prevention

22. The community health nurse is lobbying to increase the accessibility to health care services for mentally ill homeless clients in the community? Which level of prevention is the nurse operating within?

A) Primary

B) Secondary

C) Tertiary

D) Health promotion

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 8

Page and Header: 748, Tertiary Prevention

23. The community health nurse is providing counseling services for the homeless clients at the local community shelter. Which level of prevention is the nurse operating within?

A) Primary

B) Secondary

C) Tertiary

D) Health promotion

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 4

Page and Header: 741, Health Care and the Homeless

24. A nurse who volunteers at a homeless shelter has been asked to design education focusing on the chronic diseases of the homeless population. Which diseases does the nurse need to incorporate in the learning? Select all that apply.

A) Diabetes

B) HIV/AIDS

C) Upper respiratory infections

D) Heart disease

E) Immunizations

F) Asthma

Difficulty: Moderate

Integrated Process: Teaching/Learning

Objective: 3

Page and Header: 739, Figure 26-8

25. A nurse is preparing to teach the staff at a homeless shelter about the specific needs of homeless youth. In ensuring that learning has occurred, the nurse will assess the participants for an understanding of which priority learning objective?

A) Participants will be able to identify and describe the causes of youth homelessness.

B) Participants will be able to provide solutions to home situations for youth homelessness.

C) Participants will be able to offer monetary gifts to aid in the transition from a home to homelessness.

D) Participants will be able to determine goals for the youth experiencing homelessness.