A homeless client with bipolar disorder states that he sometimes ...

[ssal]

A homeless client with bipolar disorder states that he sometimes feels normal but does not know how to possibly begin to put his life back together. Which of the following nursing diagnoses would provide the best direction for intervention?
 
  A) Social Isolation related to chronic homelessness
  B) Chronic Low Self-Esteem related to social stigma associated with mental illness
  C) Powerlessness related to history of minimal functioning
  D) Ineffective Coping related to mental illness

Question 2

A nurse is planning a teaching program for homeless people in the shelters in the community. Which of the following topics will be most useful to the target population?
 
  A) Dietary control of hypertension
  B) Prevention of hypothermia
  C) Importance of regular blood glucose screening
  D) The benefits of an exercise program

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Answer to Question 1

Ans: C
Feedback:
This client is feeling Powerlessness related to lack of personal control over environment. Other possible nursing diagnoses for a homeless mentally ill client include Interrupted Family Processes related to recent displacement; Social Isolation related to new onset of homelessness; Ineffective Coping related to family disruption; Chronic Low Self-Esteem related to onset of psychotic illness; Social Isolation related to mistrust of others and lack of social support system; Risk for Infection related to congested environment and poorly ventilated shelter setting; and Risk for Injury related to inability to maintain personal boundaries.

Answer to Question 2

Ans: B
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. Clients who are homeless are less likely to focus on less immediate health care needs, such as exercise, screening, or blood pressure control.

[ssal]

Gracias!

[atrochim]

TYSM