Question 1

Which of the following is a category of homelessness?&#10;A) Person who lives in a dormitory&#10;B) Person who ran away from home&#10;C) Person who lives with extended family&#10;D) Person who lacks regular nighttime housing

Accepted Answer

According to the Homeless Emergency and Rapid Transition to Housing (HEARTH) Act, a person is homeless when he or she lacks regular nighttime housing. Living in a dormitory is not homeless. A person who ran away from home is not necessarily homeless. A person who is living with extended family is not homeless.

Question 2

In which type of facility would a homeless person be least likely to receive health care?&#10;A) Urgent care center&#10;B) Family practice office&#10;C) Emergency department&#10;D) Public health department

Accepted Answer

Traditional health promotion often happens in the primary-care setting, through preventive health-care visits, or through community screening efforts. These methods provide limited access to people experiencing homelessness. Most homeless persons receive health care through urgent care centers, emergency departments, and public health departments.

Question 3

Why might a homeless person receive different health care in different states?&#10;A) Each state controls Medicaid benefits.&#10;B) Locations for health-care services differ.&#10;C) The states want to support only their residents.&#10;D) Health care would be limited without a permanent address.

Accepted Answer

Medicaid is a state-run health-care program. Because of this, a homeless person could receive different health care in different states. It is not because the locations for health-care services differ. It is unlikely that the states want to support only their own residents or limit health care without a permanent address.

Question 4

Why might a homeless person not be able to receive Medicaid?&#10;A) Inability to prove homelessness&#10;B) Inability to prove lack of income&#10;C) Inability to complete the paperwork&#10;D) Inability to meet predetermined criteria

Accepted Answer

Persons must qualify for Medicaid by low-income criteria and by meeting predetermined criteria: children, pregnant women, parents of dependent children, seniors, and those with severe disabilities. Because of this, a homeless adult may not meet eligibility criteria and may not have access to affordable health care, further increasing the risk for preventable disease or illness. The inability to prove homelessness, lack of income, or completing the paperwork are not identified as reasons for a homeless person to be ineligible to receive Medicaid.

Question 5

Which of the following should a nurse identify as the largest barrier to receiving health promotion and health care for a homeless person?&#10;A) Cost&#10;B) Hygiene&#10;C) Health literacy&#10;D) Mistrust of the system

Accepted Answer

The largest barrier identified to seeking timely appropriate health care is cost. Other barriers include hygiene, health literacy, and mistrust of the system.

Question 6

Which of the following would help a homeless person to engage in oral hygiene?&#10;A) Providing written information about oral hygiene&#10;B) Explaining the risks when oral hygiene is not completed&#10;C) Supplying a toothbrush and toothpaste with the teaching material&#10;D) Providing a list of local dentists who provide care to indigent people

Accepted Answer

The delivery of health promotion education should be written at appropriate health literacy levels and should be accompanied by practical assistance. Encouragement of oral hygiene optimally should be delivered with provision of oral hygiene products such as toothpaste and a toothbrush. More than written information should be provided. Explaining the risks would not be sufficient. Providing a list of local dentists who provide care to indigent people would not help the homeless person perform daily oral hygiene.

Question 7

Which aspect of the nurse-patient relationship is most important when caring for a homeless person?&#10;A) Establishing trust&#10;B) Answering the person's questions&#10;C) Completing a physical examination&#10;D) Obtaining a thorough health history

Accepted Answer

Trust is a key component of the nurse-patient relationship. Many people experiencing homelessness have often been mistreated and misunderstood due to their social and personal life circumstances. As a result, they often have a deep-rooted feeling of mistrust toward health-care systems and providers. Answering questions, completing a physical examination, and obtaining a thorough health history are not the most important aspects of the nurse-patient relationship when caring for a person who is homeless.

Question 8

Which care approach should be considered when caring for persons who are homeless?&#10;A) Tertiary care&#10;B) Primary care&#10;C) Secondary care&#10;D) Trauma-informed care

Accepted Answer

Health-care systems and organizations who serve the homeless should consider adopting concepts of trauma-informed care (TIC) in their organizations. Primary, secondary, and tertiary care would be difficult to achieve when caring for persons who are homeless.

Question 9

Which of the following tools would a nurse use to assess for substance abuse in a person who is homeless?&#10;A) PHQ-9&#10;B) GAD-7&#10;C) DAST-10&#10;D) AUDIT-10

Accepted Answer

The Drug Abuse Screening Tool (DAST-10) is used to screen for drug use. The Patient Health Questionnaire (PHQ-9) is the most common tool used to screen for depression. The General Anxiety Disorder (GAD-7) tool is used to assess for generalized anxiety. The Alcohol Use Disorders Identification Test (AUDIT-10) is used to assess for hazardous or harmful alcohol consumption.

Question 10

A nurse would use the MDQ assessment tool for which of the following health problems?&#10;A) Depression&#10;B) Alcohol abuse&#10;C) Bipolar disorder&#10;D) Domestic violence

Accepted Answer

The Mood Disorder Questionnaire (MDQ) is used to assess for bipolar disorder. The Patient Health Questionnaire (PHQ-9) is used to assess for depression. The Alcohol Use Disorders Identification Test (AUDIT-10) is used to assess for hazardous or harmful alcohol consumption. The Hurt-Insult-Threaten-Scream (HITS) tool screens for risk of intimate partner violence.

Deck 19: Patients Experiencing Homelessness