A nurse is caring for a client who is homeless. What should be the nurse’s initial action?

Discuss the risks of being homeless with the client.

Determine the client’s understanding of their living situation.

Assist the client to develop goals for obtaining shelter.

Develop client teaching using a variety of strategies.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Discussing the risks of being homeless with the client is an important part of understanding their situation, but it is not the nurse’s initial action when caring for a client who is homeless. The nurse’s initial action should be to establish trust and understand the client’s perspective.

Choice B rationale

This is the correct answer. Determining the client’s understanding of their living situation is the nurse’s initial action when caring for a client who is homeless. This helps the nurse to understand the client’s perspective and to tailor care to meet the client’s unique needs.

Choice C rationale

Assisting the client to develop goals for obtaining shelter is an important part of the care plan for a client who is homeless, but it is not the nurse’s initial action. The nurse’s initial action should be to establish trust and understand the client’s perspective.

Choice D rationale

Developing client teaching using a variety of strategies is an important part of nursing care, but it is not the nurse’s initial action when caring for a client who is homeless. The nurse’s initial action should be to establish trust and understand the client’s perspective.

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Correct Answer is D

Explanation

Choice A rationale

A consultant provides expert advice professionally. While a nurse case manager may provide advice as part of their role, arranging for the delivery of medical equipment to a patient’s home as part of discharge planning is not typically considered a consulting role19.

Choice B rationale

An advocate supports or recommends a particular cause or policy. While advocacy can be a part of a nurse case manager’s role, it is not the primary role being described in this scenario19.

Choice C rationale

A systems allocator distributes or spreads out something over a system. While a nurse case manager may allocate resources as part of their role, it is not the primary role being described in this scenario19.

Choice D rationale

This is the correct answer. A coordinator brings the different elements of a complex activity or organization into a relationship that will ensure efficiency or harmony. Arranging for the delivery of medical equipment to a patient’s home as part of discharge planning falls under this role19.

A. Provide a smoking cessation class. B. Refer a client who is recovering from a substance use disorder to a social service program. C. Encourage a pregnant client to participate in prenatal care. D. Advocate for laws that prohibit texting while driving.

Correct Answer is C

Explanation

Choice A rationale: Primary prevention: smoking cessation reduces risk before disease onset through behavior modification, nicotine dependence treatment, and health education. It does not involve screening or early detection characteristic of secondary prevention.

Choice B rationale: Tertiary prevention: referral aids rehabilitation, relapse prevention, and functional recovery after established disorder. Emphasizes reducing complications and improving life quality, not early detection or screening characteristic of secondary prevention measures.

Choice C rationale: Secondary prevention: prenatal care conducts screening and early detection of maternal–fetal complications, enabling interventions to limit progression and improve outcomes. This focuses on detection, not education typical of primary prevention.

Choice D rationale: Primary prevention: advocating anti-texting laws targets upstream determinants to prevent injuries before occurrence by reducing distracted driving risk. This is policy, not screening or early detection characteristic of secondary prevention.

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A nurse is caring for a client who is homeless. What should be the nurse’s initial action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse case manager is arranging for the delivery of medical equipment to a patient’s home as part of discharge planning.In which of the following roles is the nurse functioning?

Correct Answer is D

Explanation

A nurse manager at a clinic is reviewing the preventative services offered to clients. Which of the following activities should the nurse identify as a secondary prevention activity?

Correct Answer is C

Explanation

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A first-response team is working at the location of a bombing incident.A nurse triaging a group of clients should give treatment priority to which client?

A nurse is caring for a client who is homeless. What should be the nurse’s initial action?

A community health nurse is planning care for a group of migrant workers.What activity should the nurse plan to engage in when assessing the clients’ culture?