A nurse is drafting an interdisciplinary plan of care for a ...

[c0205847]

A nurse is drafting an interdisciplinary plan of care for a client who is homeless and who has mental illness. Which of the following represents the most realistic goal when planning care for a homeless client with mental illness?
 
  A) The client will resume a socially acceptable level of functioning.
  B) The client will use available community resources.
  C) The client will gain insight into the root causes of his mental illness.
  D) The client will maintain a clean home in a subsidized housing facility.

Question 2

Which of the following solutions best facilitates access to health care for the homeless?
 
  A) Shelter-based clinics specific to the needs of the homeless
  B) Socialized medicine that is affordable
  C) Educational programs to help the homeless navigate the health care system
  D) A decrease in the documentation required for the medical records of the homeless

[Sierray]

Answer to Question 1

Ans: B
Feedback:
Treatment goals for a homeless mentally ill person may include the following: The client will satisfy physical needs and remain safe; the client will understand the symptoms of his or her mental illness; the client will build a therapeutic alliance with providers; and the client will identify and use psychosocial supports. Socially acceptable functioning is not a goal, and many clients are unable to maintain a clean, stable home. Determining root causes of mental illness is not a priority.

Answer to Question 2

Ans: A
Feedback:
The traditional health care delivery system usually does not reach the homeless population. Services that can improve access include shelter-based clinics, clinical day programs, freestanding clinics specific to the needs of homeless people, respite care services, mobile outreach units, and street outreach teams.