A newly admitted homeless client diagnosed with schizophrenia states, "I have been living in a cardboard box for 2 weeks. Why did the government let me down?" Which is an appropriate nursing reply?
A. "Your discharge from the state hospital was done prematurely. Had you remained in the state hospital longer, you would not be homeless."
B. "Your premature discharge from the state hospital was not intended for patients diagnosed with chronic schizophrenia."
C. "Your discharge from the state hospital was based on firm principles; however, the resources were not available to make the transition a success."
D. "Your discharge from the state hospital was based on presumed family support, and this was not forthcoming."
ANS: C
The most accurate nursing reply is to explain to the client that the resources were not available for successful transitioning out of a state hospital to the community. There are several factors that are thought to contribute to homelessness among the mentally ill: deinstitutionalization, poverty, lack of affordable housing, lack of affordable health care, domestic violence, and addiction disorders.
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