A community mental health nurse is interviewing a man who is homeless and has been brought in for services by a local outreach program. The man has been previously diagnosed with schizophrenia and has a history of active alcoholism
What is the nurse's first priority?
1. Explore options for community housing.
2. Provide referrals for housing rental agents.
3. Require symptom control as the first step in providing assistance.
4. Refer the patient for an inpatient detoxification and recovery program.
Answer: 1
Explanation: The nationwide emphasis now is on housing first programs that house people first and build in supports for treatment and recovery in stages as the person demonstrates the readiness to engage. It is essential to include treatment options in any treatment planning. It is important for nurses to note that it is not necessary for an individual to have good control of the specific symptoms of mental illness to get basic needs met for safety, food, shelter, and income. The patient has not indicated motivation for a recovery program at this time. A housing rental agent will not be able to offer supportive services.
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