The nurse in the emergency department is caring for a client with a long history of schizophrenia
whose chief complaint is sores on her legs.
As the nurse takes the history, the client gives vague
answers to questions about eating and sleeping habits and activities of daily living. The nurse notes
that the client's personal hygiene is poor and that she has a large canvas duffle bag with her. The
nurse wonders if the client is a homeless person. The nurse should
a. ask if the client has someone with her that the nurse might speak to.
b. ask the client during the mental status examination to state her address.
c. avoid mentioning the topic because it is not relevant to treatment of a physical
problem.
d. ask the client directly about her living arrangements.
D
The topic of homelessness should be approached directly. Homelessness affects planning for
aftercare because the client's ability to carry out prescribed measures may be severely compromised.
The individual living on the street will find it difficult to obtain even minimal resources for the care
of the leg ulcers.
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