Chapter 19: Assessing the Homeless Person

Chapter 19: Assessing the Homeless Person

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   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?

1)	Collecting a health history
2)	Performing a complete examination
3)	Assessing the wound
4)	Asking the patient to arrange payment

 

 

____     2.   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?

1)	Days
2)	Weeks
3)	Months
4)	Events

 

 

____     3.   The nurse wants to schedule a follow-up appointment for a homeless patient who requires daily wound care. Which appointment is most appropriate?

1)	1000
2)	1200
3)	1400
4)	1600

 

 

____     4.   The nurse is conducting a physical assessment for a homeless patient. Which action by the nurse is most appropriate?

1)	Donning full personal protective equipment (PPE) before touching the patient
2)	Asking the patient the last time personal hygiene was performed
3)	Gaining permission from the patient before touching
4)	Telling the patient to remove clothing and place in a bag

 

 

____     5.   The nurse is collecting biographical data from a homeless patient. Which question from the nurse is most appropriate?

1)	“Where are you staying?”
2)	“What is your address?”
3)	“What is your telephone number?”
4)	“Where does your family live?”

 

Answer Section

 

MULTIPLE CHOICE

 

1. ANS:  3

Chapter number and title: 19, Assessing the Homeless Person

Chapter learning objective: N/A

Chapter page reference: 502

Integrated Processes: Nursing Process: Assessment

Client Need: Physiological Integrity: Physiological Adaptation

Cognitive level: Analysis [Analyzing]

Concept: Assessment

Difficulty: Moderate

	Feedback
1	Although collecting a health history is important, this is not the priority for this patient.
2	While performing a complete examination is important, this is not the priority for this patient.
3	When providing care to a patient who is homeless, the priority action by the nurse is to focus on the immediate problem.
4	Payment is not the nurse’s priority.

 

 

PTS:   1                    CON:  Assessment

 

2. ANS:  4

Chapter number and title: 19, Assessing the Homeless Person

Chapter learning objective: N/A

Chapter page reference: 502

Integrated Processes: Nursing Process: Assessment

Client Need: Physiological Integrity: Physiological Adaptation

Cognitive level: Knowledge [Remembering]

Concept: Assessment

Difficulty: Easy

	Feedback
1	Days may not be meaningful to the homeless person.
2	Weeks may not be meaningful to the homeless person.
3	Months may not be meaningful to the homeless person.
4	Use event markers for time periods; days, months, and years may not be meaningful to the homeless person.

 

 

PTS:   1                    CON:  Assessment

 

3. ANS:  1

Chapter number and title: 19, Assessing the Homeless Person

Chapter learning objective: N/A

Chapter page reference: 502

Integrated Processes: Nursing Process: Implementation

Client Need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Assessment

Difficulty: Moderate

	Feedback
1	Schedule healthcare appointments early in the day because shelter management requires a person to be present in the afternoon to secure a bed for the night. “Claiming a bed” may take priority over health care.
2	Afternoon appointments may be inappropriate for the homeless patient because of the need to secure a bed in a shelter in the afternoon.
3	Afternoon appointments may be inappropriate for the homeless patient because of the need to secure a bed in a shelter in the afternoon.
4	Afternoon appointments may be inappropriate for the homeless patient because of the need to secure a bed in a shelter in the afternoon.

 

 

PTS:   1                    CON:  Assessment

 

4. ANS:  3

Chapter number and title: 19, Assessing the Homeless Person

Chapter learning objective: N/A

Chapter page reference: 502

Integrated Processes: Nursing Process: Assessment

Client Need: Psychosocial Integrity

Cognitive level: Application [Applying]

Concept: Assessment

Difficulty: Moderate

	Feedback
1	The nurse should don appropriate PPE before assessing a patient. Full PPE may not be required.
2	This action is not the most appropriate by the nurse in the situation.
3	Ask permission to touch the patient. (Physical privacy may be one of the few prerogatives the patient has left.)
4	There is no need to ask the patient to remove clothing and place into a bag.

 

 

PTS:   1                    CON:  Assessment

 

5. ANS:  1

Chapter number and title: 19, Assessing the Homeless Person

Chapter learning objective: N/A

Chapter page reference: 503

Integrated Processes: Nursing Process: Assessment

Client Need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Assessment

Difficulty: Moderate

	Feedback
1	This is less threatening to ask versus “what is your address?” and is the most appropriate by the nurse.
2	This question may be perceived as threatening by the patient.
3	Questions about phone numbers may not be appropriate and may be met with silence.
4	Questions about family members may not be appropriate and may be met with silence.

 

 

PTS:   1                    CON:  Assessment