Deck 19: Assessing the Homeless Person

Question 1

Which culture has an increased risk for poverty, which can lead to homelessness?

A) African American
B) Hispanic American
C) Asian American
D) Native American

Answer 1

Hispanic American

Question 2

The nurse is assessing a homeless patient who is diagnosed with anemia. Which is the most likely reason for this diagnosis?

A) Poor nutrition
B) Genetic predisposition
C) Homeless shelter residence
D) History of tuberculosis

Answer 2

Poor nutrition

Question 3

The nurse is assessing sexuality patterns for a homeless person. Which question is most appropriate to determine whether a screening for sexually transmitted infection (STI) is needed?

A) "Are you sexually active?"
B) "Are you sexually active with men?"
C) "Are you sexually active with women?"
D) "Are you experiencing itching or burning?"

Answer 3

"Are you experiencing itching or burning?"

Question 4

The nurse is conducting a physical assessment for a homeless patient who presents with a leg wound. Which is the priority action for this nurse?

A) Collecting a health history
B) Performing a complete examination
C) Assessing the wound
D) Asking the patient to arrange payment

Question 5

The nurse is conducting a health history interview for a homeless patient. Which statement by the nurse would best facilitate a therapeutic relationship with this patient?

A) "I see you haven't seen a doctor for many years."
B) "You really need to have your blood glucose monitored more frequently."
C) "It is great that you are keeping a log of when you are able to monitor your blood sugar."
D) "There is no excuse for not taking care of yourself."

Question 6

The nurse wants to schedule a follow-up appointment for a homeless patient who requires daily wound care. Which appointment is most appropriate?

A) 1000
B) 1200
C) 1400
D) 1600

Question 7

The nurse is conducting an assessment for a homeless patient and wants to determine when the patient was diagnosed with diabetes mellitus (DM). Which will the nurse use to determine how long the patient has known about the diagnosis?

A) Days
B) Weeks
C) Months
D) Events

Question 8

The nurse is collecting biographical data from a homeless patient. Which question from the nurse is most appropriate?

A) "Where are you staying?"
B) "What is your address?"
C) "What is your telephone number?"
D) "Where does your family live?"

Question 9

The nurse is conducting a current health survey for a homeless patient. Which is the priority question by the nurse?

A) "Do you have any skin lesions?"
B) "Have you experienced any injuries?"
C) "Do you have a chronic cough?"
D) "Have you been tested for tuberculosis?"

Question 10

The nurse is conducting a health history for a homeless patient. Which endocrine disorder is the homeless person at an increased risk for experiencing?

A) Hypothyroidism
B) Hyperthyroidism
C) Diabetes insipidus
D) Diabetes mellitus

Question 11

During the health history interview for a homeless patient, the patient states, "I have a problem with alcohol." Based on this data which does the nurse suspect may also be an issue for this patient?

A) Incontinence
B) Hypertension
C) Poor nutrition
D) Poor hygiene

Question 12

The nurse is conducting a psychosocial health history for a patient who is homeless. Which diagnosis is the patient at an increased risk for based on the current status?

A) Obsessive compulsive disorder (OCD)
B) Borderline personality disorder (BPD)
C) Attention deficit and hyperactivity disorder (ADHD)
D) Depression

Question 13

Which action by the nurse when conducting a physical assessment for a homeless person is most appropriate?

A) Donning full PPE when entering the patient's room
B) Washing hands after touching the patient each time
C) Having close face-to-face contact upon entering the patient's room
D) Working from toe to head when examining the patient

Question 14

The nurse is assessing a homeless patient. Which question is most appropriate when assessing the patient's socioeconomic status and possible available resources?

A) "Do you smoke, drink alcohol, or use drugs?"
B) "Do you have a job?"
C) "Do you have health insurance?"
D) "Do you have a history of military service?"

Question 15

Which percentage of homeless women with children have been victims of domestic abuse?

A) 15%
B) 25%
C) 50%
D) 75%

Question 16

Which topic is assessed during the past health history portion of the health history interview?

A) Current medications
B) Dermatologic infestations
C) Skin lesions
D) Substance abuse

Question 17

The nurse is conducting a physical assessment for a homeless patient. Which action by the nurse is most appropriate?

A) Donning full personal protective equipment (PPE) before touching the patient
B) Asking the patient the last time personal hygiene was performed
C) Gaining permission from the patient before touching
D) Telling the patient to remove clothing and place in a bag

Question 18

The nurse is providing care for a homeless patient at a free clinic. Which is the reason for the nurse administering a TB test to this patient?

A) The patient has a history of pneumonia.
B) The patient has no documented TB test in the medical record.
C) The patient often sleeps in homeless shelters.
D) The patient has a history of asthma.

Question 19

The nurse is conducting a physical assessment for a homeless person. Which will often require special attention for this patient?

A) The cardiovascular system
B) The endocrine system
C) The patient's feet
D) The patient's neck

Question 20

The nurse is assessing a homeless patient diagnosed with diabetes mellitus. Which resource will facilitate a healthy diet for this patient?

A) A contact person at the public health department
B) A list of shelters in the area
C) A list of soup kitchens in the area
D) A contact person at the local YMCA

Question 21

The nurse is assessing a homeless patient who states, "The voices in my head tell me to live on the streets." Based on this data, which psychiatric disorder does the nurse anticipate for this patient?

A) Depression
B) Obsessive compulsive disorder
C) Anxiety disorder
D) Schizophrenia

Question 22

The nurse is assessing a homeless patient and notes ascites. Which question is most appropriate for the nurse to ask this patient?

A) "Do you have a history of kidney problems?"
B) "Is there any chance you are pregnant?"
C) "How much alcohol do you consume on a daily basis?"
D) "Do you have hypertension?"

Question 23

The nurse is assessing a homeless patient who presents in the emergency department (ED) after suffering a seizure. Which is a common cause for seizure activity for many homeless persons?

A) Epilepsy
B) Hypothermia
C) Hypertension
D) Trauma

Question 24

The nurse is assessing the homeless person's vital signs. Which will the nurse monitor this patient closely for based on homeless status?

A) Hyperthermia
B) Tachypnea
C) Hypotension
D) Bradycardia

Question 25

The nurse is assessing a homeless person who presents with hyperthermia, a productive cough, and hemoptysis. Which assessment is most appropriate for this patient?

A) CT scan
B) MRI
C) TB test
D) Pregnancy test

Question 26

The nurse is assessing a homeless person who admits to intravenous drug use. Which will the nurse monitor the patient for based on this data?

A) Scabies
B) Lice
C) Hepatitis B
D) Tuberculosis

Question 27

The nurse is conducting a physical assessment for a homeless person. Which action by the nurse is appropriate?

A) Asking the patient to perform personal hygiene before beginning the assessment
B) Donning full PPE when entering the patient's room
C) Documenting that a full assessment is not possible because of patient circumstances
D) Allowing the patient to retain possession of clothing

Question 28

The nurse is conducting a physical assessment for a homeless person. Which is the patient at an increased risk for based on being on their feet most of the day?

A) Hypertension (HTN)
B) Peripheral-vascular disease (PVD)
C) Diabetes mellitus (DM)
D) Tuberculosis (TB)

Question 29

Which is the reason why many homeless persons exhibit symptoms of injury?

A) Physical inability to care for self
B) Psychological inability to care for self
C) Acts of violence
D) Lack of resources

Question 30

While conducting a physical assessment for a homeless person, the nurse notices body odor. Which is a common reason for body odor?

A) Hyperglycemia
B) Poor hygiene
C) Drug use
D) Hypoglycemia