A client with severe and persistent mental illness is homeless. He tells the nurse at the mental health outpatient clinic that he had to leave his mother's house because she "picked at me all the time."
He now stays in the park, eats at a soup kitchen, and washes in a gas station bathroom. He states he isn't hearing voices but he needs more "pills." The nurse can assess that his homelessness is primarily related to:
1. Lack of family support
2. Failure to perform ADLs
3. Medication noncompliance
4. Exacerbation of psychotic symptoms
ANS: 1
Lack of family support is evident in the client's perception that his mother "picked" at him. Hos-tile overinvolvement is as much lack of support as not having any family or interested individu-als. The other options are not reasons for homelessness because he is performing ADLs to the best of his ability, he is taking medication, and his symptoms seem under control.
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