Clients with severe mental illness often have great difficulty ...

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Clients with severe mental illness often have great difficulty escaping homelessness. The most common reason for this cycle of homelessness is which of the following?
 
  A) People with mental illness have less of a support system and difficulty obtaining employment.
  B) Families experience severe stress and eventually abandon the role of caring for the mentally ill family member.
  C) There is not enough security and supervision provided in institutional housing.
  D) Caring for the homeless with mental illness depletes the resources of the health care system.

Question 2

A community-based clinic is offering education classes at a local shelter. The nurse performs a needs assessment on which topics might be most important for the clients at the shelter.
 
  After analyzing the data, the nurse would likely plan a session on which of the following topics?
  A) Eating a balanced diet
  B) How to file insurance claims
  C) Signs of developing diabetes
  D) Effectively accessing emergency services

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Answer to Question 1

Ans: A
Feedback:
Clients with serious mental illness have great difficulty escaping homelessness. Compared with those who are mentally healthy, people with psychiatric problems often are homeless for longer periods, have less contact with family, encounter more barriers to obtaining employment, display poorer physical health, and have more encounters with the legal system (National Coalition for the Homeless, 2006b).

Answer to Question 2

Ans: D
Feedback:
Homeless clients need information to promote health and to use pertinent health care resources. Client education may include topics such as personal hygiene, recognizing and treating infestation, thermoregulatory disorders, tuberculosis screening, respiratory problems, sexually transmitted infections, signs of domestic violence, emergency services, and substance abuse issues. The nurse also educates clients about the nature of mental illness; symptoms to expect; side effects, risks, and benefits of prescribed medications; and ways to negotiate the complexities of the mental health system.