Author Question: Sandra is a 42-year-old homeless individual who has mental illness and who wants to join a community ... (Read 18 times)

armygirl · **on:** Jul 19, 2018

Sandra is a 42-year-old homeless individual who has mental illness and who wants to join a community mental health program. When Sandra went to an admission meeting, she was denied access to the program.

Why are some homeless mentally individuals excluded from these types of programs?
A) Because they lack an address
B) Because they must meet specific age criteria
C) Because they need to be referred by a psychiatrist
D) Because they do not need this type of service

Question 2

An adult man who is homeless has presented to a shelter for the first time during a summer heat wave.

The nurse who works in conjunction with the shelter observes that the man is showing clear signs of delusions and paranoid thinking. What variable will have the greatest effect on whether the nurse is able to meet this client's mental health needs?
A) The evidence base that underlies the nurse's chosen interventions
B) The amount of peer support that the client is able to mobilize
C) The quality of the relationship that the nurse is able to establish with the client
D) The systems that are in place at the shelter to facilitate education

kswal303 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Ans: A
Feedback:
Some community mental health programs may exclude homeless mentally ill people because they cannot meet admission criteria or they lack an address. Fragmented services with limited coordination of care do not address the complex co-occurrence of physical illness, mental illness, and substance abuse that characterizes many homeless people.

Answer to Question 2

Ans: C
Feedback:
The establishment of a therapeutic alliance is vital to the success of nursing interventions. This factor is of greater importance than peer support, educational systems, or the presence of an evidence base.