Accurate Answers
*Care of Special Populations: Findings of the Homeless Aggregate* (RN QSEN -
Patient-centered Care, RM CH RN 6.0
Chp 5, Active Learning Template - Basic Concept) correct answer The federal
poverty level is used to help determine which individuals can receive financial
assistance (Medicaid, welfare).
● Individuals living in poverty are unable to pay for food, transportation, shelter,
clothes, and medical care.
● Community regions that are characterized by poor housing, low employment
rates, and increased
rates of death and disease can be described as neighborhood poverty.
● Extreme poverty leads to inadequate housing
and homelessness.
● Homeless individuals are those who do not have a regular nighttime residence,
and can include individuals
who temporarily reside in a shelter, institution, or on the street.
● Incidence and prevalence counts can be used to number homeless individuals.
The number is often inaccurate due to difficultly locating homeless individuals
who can be transient, staying with friends, or residing in difficult-to-access
locations.
HOMELESS POPULATION CHARACTERISTICS
● Adults who are unemployed, earn low wages, or are migrant workers
● Female heads of households
● Families with children fastest-growing segment)
,● People who have a mental illness
● Veterans
● substance use disorders
● Unaccompanied youth
● Adolescent runaways (high incidence of lesbian, gay, bisexual, and transgender
[LGBT] adolescents)
● Intimate partner abuse survivors
● People who have HIV or AIDS
● Older adults who have no place to go and no support system
HEALTH ISSUES OF HOMELESS POPULATIONS
● Upper respiratory disorders
● Tuberculosis
● Skin disorders (athlete's foot) and infestations
(scabies, lice)
● Substance use disorders
● HIV/AIDS
● Trauma
● Mental health disorders
● Dental caries
● Hypothermia and heat-related illnesses
● Malnutrition
STRATEGIES FOR PREVENTING HOMELESSNESS AND
ASSISTING INDIVIDUALS WHO ARE HOMELESS
,● Prevent individuals and families from becoming homeless by assisting them i
*Caring for a Client Who Has Gonorrhea:*
Nursing Interventions: correct answer Instruct the client to take all medications as
prescribed.
● Instruct the client to repeat the culture to assess for medication effectiveness.
● Educate client about the possibility of decreasing effectiveness of oral
contraceptives.
● Educate client regarding safe sex practices (e.g.,mutual monogamy and correct,
consistent condom use).
● All states have a reportable diseases list. Gonorrhea is a commonly reported
condition. It is the responsibility of the provider to report cases of these diseases
to the
local health department.
*Caring for a Client Who Has Gonorrhea*:
Related Content correct answer bacterial infection (spread by contact)
● Women frequently asymptomatic. If gonorrhea is left untreated, it can lead to
PID, which can cause infertility.
● CDC recommends yearly screening for all sexually active women < than 25 years
as well as older women who have risk factors (e.g., new or multiple
sex partners). All pregnant women at risk should be screened at the first prenatal
visit and rescreened in the
third trimester if at continued high risk.
Provide education re transmission.
● Identify and treat all sexual partners.
, ● Administer erythromycin to all infants following delivery.
medications: Ceftriaxone IM and azithromycin PO: Broad-spectrum
antibiotic; bactericidal action
*Communicable Diseases, Disasters, and Bioterrorism: Caring for a Client Who
Has Gonorrhea* (RN QSEN - Safety , RM
CH RN 6.0 Chp 6, Active Learning Template - Basic Concept) correct answer
●Direct contact
● nationally notifiable disease
●Health care goal: increase in Sexually active persons who use condoms
PRIMARY PREVENTION
●Prevent the occurrence.Educate public regarding prevention of disease and
ways to eliminate risk factors for exposure, such as hand hygiene, universal
precautions, and use of condoms
SECONDARY PREVENTION
●early detection through screening and case finding.
●Refer suspected cases of communicable disease for diagnostic confirmation and
epidemiologic reporting.
●Use partner notification and contact tracing to identify and screen individuals
who have been exposed to a communicable disease.
TERTIARY PREVENTION
●Decrease complications and disabilities through treatment and rehabilitation.