com23 7Q Flashcards

1
Q

A family will most likely lose their primary nighttime residence within the next week. Which term best describes their situation in relation to homelessness?

a. Homeless under other federal statutes
b. Literally homeless
c. Imminent risk of homelessness
d. Fleeing/attempting to flee intimate partner violence

A

c. Imminent risk of homelessness

The U.S. Department of Housing and Urban Development has issued regulations that summarized the statutory definitions in four descriptive categories. These four categories with their respective definitions include: Literally homeless: Individuals and families who lack a fixed, regular, and adequate nighttime residence, including a subset for individuals who resided in an emergency shelter or a place not meant for human habitation and who are exiting an institution where he or she temporarily resided; Imminent risk of homeless: Individuals and families who will imminently lose their primary nighttime residence; Homeless under other federal statutes: Unaccompanied youth and families with children and youth who are defined as homeless under other federal statutes who do not otherwise qualify as homeless under this definition; and Fleeing/attempting to flee DV: Individuals and families who are fleeing or are attempting to flee, DV, dating violence, sexual assault, stalking, or other dangerous or life-threatening conditions that relate to violence against the individual or a family member.

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2
Q

Which best describes the recent trends in homelessness?

a. The number of homeless individuals in school is decreasing.
b. The number of homeless individuals is increasing.
c. The number of homeless families is increasing.
d. The number of homeless families is decreasing.

A

d. The number of homeless families is decreasing.

The U.S. Department of Housing and Urban Development reported the following numbers of people in the total population and subpopulations who used shelters or transitional housing between October 1, 2015 and September 30, 2016: 355,212 individuals, a decrease of less than 1% between 2015 and 2016; 194,716 people in families with children, a decrease of 5% between 2015 and 2016.

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2
Q

Which represents the largest group of homeless adults?

a. Minorities
b. Disabled
c. Females
d. Males

A

d. Males

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3
Q

Which best describes the problem with the Section 8 housing program?

a. Direct access to an apartment in a public housing facility is faster and easier.

b. Most renters prefer the program to make direct payment to apartment owners
willing to rent to them.

c. Section 8 housing is essentially slum housing, and no one wants to live there.

d. Supply is vastly less than the demand.

A

d. Supply is vastly less than the demand.

Although these programs are intended to alleviate housing problems for low-income renters, the demand for these assisted housing programs has far exceeded the supply. Section 8 housing does not provide direct access to an apartment in a public housing facility or provide payment directly from the program to apartment owners. Section 8 housing provides affordable housing through the U.S. Department of Housing and Urban Development and is not slum housing.

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4
Q

Which best describes what happens when persons who work full-time and receive the typical minimum wage seek an apartment?

a. Few clean and decent low-rent apartments exist.

b. People do not like to rent to low-income persons.

c. To afford housing, they need a job that pays at least three times minimum wage.

d. There are not many trailer parks near their employment.

A

c. To afford housing, they need a job that pays at least three times minimum wage.

An increasing number of low income people end up paying much more than they can afford for rent. Since 2007, the number of renters who pay more than half of their income for rent has increased dramatically.

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5
Q

Which factor would prevent a homeless person from accepting employment adequate to pay for housing?

a. Could not complete an employment application because of lack of mailing
address

b. Hope for a better position than the service positions available

c. Lack of adequate resources to pay for other necessities

d. Prefer to receive a handout than to have to work ‘

A

c. Lack of adequate resources to pay for other necessities

There are homeless people who are able to function in the workforce. The lack of affordable housing in combination with insufficient income results in people having to spend much of their income on rent and leaves them without adequate resources for other necessities, such as food, clothing, and health care. This situation substantially increases their risk for homelessness.

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5
Q

Which group of people is most likely to experience homelessness?
a. Those who have a supportive family
b. Those who have recently become unemployed
c. Those who have substance abuse problems
d. Those who frequently change jobs

A

c. Those who have substance abuse problems

Some people experiencing homelessness have individual characteristics that, in interaction with the structural conditions of a shortage of affordable housing and insufficient income, perpetuate their homeless conditions. Supportive services for these people are deficient in quality and quantity. Some people need services to work and earn money. They are able to function in the workforce, whereas others need services to maintain their housing status. Included in this latter group are people whose serious chronic mental health and/or substance abuse problems preclude their functioning in the workforce and whose behaviors interfere frequently with their ability to obtain housing stability. People in this group need income assistance and comprehensive and accessible behavioral and physical health care.

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6
Q

Which best describes how health care professionals are involved in the problem of homelessness?

a. Homeless persons make everyone uncomfortable when they beg for handouts.

b. Homeless persons often live in emergency departments and clinics.

c. Poverty leads to crimes, and health care professionals can be attacked and robbed
outside health care facilities.

d. Serious illnesses or disability creates high medical bills, which may lead to
homelessness.

A

d. Serious illnesses or disability creates high medical bills, which may lead to
homelessness.

In 2013, of households with an annual income less than $25,000, 21.6% had no health insurance. Lack of health insurance is a significant factor in creating homelessness. A serious illness or disability can lead to a downward spiral as a result of job loss, use of savings to pay for care, and inability to pay rent.

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7
Q

Which factors are most likely to contribute to homelessness?
a. Intimate partner violence and substance abuse
b. Scarcity of support systems and recent job loss
c. Shortage of affordable housing and insufficient income
d. Substance abuse and serious mental illness

A

c. Shortage of affordable housing and insufficient income

The text addresses three broad factors:

(1) shortage of affordable housing,

(2) insufficient income, and (

3) scarcity of supportive services as societal conditions that contribute to homelessness rather than cause homelessness. Intimate partner violence, substance abuse, and serious mental illness are not identified as the broad factor contributing to homelessness.

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8
Q

Which underlying factor most likely contributes to homelessness?
a. Substance abuse
b. Unemployment
c. Posttraumatic stress syndrome (PTSD)
d. Depression

A

a. Substance abuse

The text states that persons as active agents do make decisions that result in homelessness. These choices result in a shortage of affordable housing, insufficient income, and scarcity of supportive services as societal conditions that contribute to homelessness rather than cause homelessness. However, these decisions are made in highly contextualized conditions, frequently in the midst of mental illness or addiction to alcohol and/or other substances. Substance abuse may in turn lead to unemployment which causes insufficient income. Additionally, PTSD and severe mental illness can cause substance abuse to occur.

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9
Q

Which individual would be described as being “doubled up”?
a. An individual who has two chronic conditions
b. An individual who has recently been released from prison
c. An individual who maintains two jobs to avoid being homeless
d. An individual who is forced to live with friends

A

d. An individual who is forced to live with friends

An individual may be considered to be homeless if that person is “doubled up,” a term that refers to a situation where individuals are unable to maintain their housing situation and are forced to stay with a series of friends and/or extended family members. The other responses do not accurately describe being “doubled up.”

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10
Q

Which person will have the most difficulty in obtaining adequate support services to find a long-term home?

a. An alcoholic homeless person

b. A homeless person who has a limited support system and is unemployed

c. A homeless person who has a mental illness and is an alcoholic

d. A mentally ill homeless person

A

c. A homeless person who has a mental illness and is an alcoholic

For a sizable proportion of the homeless, severe mental illness exists along with the problems of alcohol or other types of substance use. Like physical health problems, serious mental illnesses and minor emotional problems occur more frequently among the homeless population than in the general population. High rates of alcohol and drug use exacerbate the existing acute and chronic physical and mental health problems. These coexisting problems can make it harder to assist the homeless person.

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11
Q

Which best describes a major difference between women who have always had shelter and women who have been homeless?

a. Educational opportunities and attainment
b. History of gender relationships (marriages, divorces)
c. Level of involvement with physical and/or sexual abuse
d. Skills necessary for paid employment

A

c. Level of involvement with physical and/or sexual abuse

Research has revealed the extraordinary histories involving substance abuse, criminal activity, serious mental health concerns, marital dissolution, escape from intimate partner violence, housing accidents, limited employment options or job loss, and poor physical health that prevented gainful employment, among women experiencing homelessness. High numbers of homeless women report histories of foster placement as children and exposure to violence as both children and adults. This research has not documented the differences in educational opportunities, gender relationships, and skills necessary for paid employment.

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12
Q

The male home health nurse parked his marked car in preparation for visiting the next client when a young female walked over to the car and asked him if he would like to have some fun. Which provides the best explanation for this behavior?

a. The girl was skipping school and wanted money for entertainment.

b. The male nurse was extremely young and attractive and looked like he had
money.

c. The girl may have hoped a nurse would give her enough money to eat.

d. Young girls often engage in thrilling, if high-risk, behaviors.

A

c. The girl may have hoped a nurse would give her enough money to eat.

Homeless youth experience sexually transmitted diseases, physical and sexual abuse, skin disorders, anemia, drug and alcohol abuse, and unintentional injuries at higher rates than in the general population. Depression, suicidal ideation, and disorders of behavior, personality, or thought also occur at higher rates among homeless. Family disruption, school failures, prostitution or “survival sex,” and involvement with the legal system indicate that homeless social health is severely compromised. Thus, it is most likely that the girl is hoping that the nurse would provide her enough money to eat.

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13
Q

Which person would be called chronically homeless?

a. A person has been homeless for more than a year

b. A person who lives with a roommate when between jobs

c. A person who has been staying with friends or family for an extended period of
time

d. A person has been residing each night in a homeless shelter for almost 3 months

A

a. A person has been homeless for more than a year

The chronically homeless individual is defined as an unaccompanied adult who has been homeless for an extended or numerous periods and has one or more disabling conditions.

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14
Q

Which are the most frequent problems suffered by the chronically homeless?

a. Chronic conditions such as hypertension, bronchitis, and emphysema
b. HIV/AIDS and other sexually transmitted diseases, tuberculosis, and hepatitis C
c. Respiratory infections, trauma, and skin disorders
d. Severe mental illness and substance abuse disorders

A

d. Severe mental illness and substance abuse disorders

Chronically homeless people may well have many physical conditions, but the primary problems that lead to their homelessness are severe mental illness and substance use disorders

15
Q

Which statement best reflects the model of justice U.S. health care is based on?

a. All people are entitled to minimum standards of care.

b. All people are responsible to help their neighbors.

c. All people have a right to whatever their own efforts allow them to purchase.

d. Like firefighting, police protection, libraries, and roads and highways, health care
must be supported by tax money for the good of all who need such services.

A

c. All people have a right to whatever their own efforts allow them to purchase.

16
Q

Which describes a dimension of the social determinants of health (SDH) defined within Healthy People 2020?

a. Employment
b. Education
c. Gender
d. Income

A

b. Education

17
Q

Which best describes a downstream intervention to solve the problem of homelessness

a. Improved use of community resources
b. Increased employment opportunities
c. Increased affordable housing
d. Improved treatment of mental illness

A

d. Improved treatment of mental

18
Q

A nurse is using an upstream intervention when working with the homeless population. Which public health intervention will the nurse most likely use?
a. Case management
b. Outreach
c. Surveillance
d. Community organizing

A

d. Community organizing

Although nurses may use all interventions at all three levels, community/public health nurses working more upstream, at the system level, employ collaboration, coalition building, community organizing, advocacy, social marketing, and policy development and enforcement. In contrast, community/public health nurses—working downstream with individuals, families, or groups—use surveillance, disease and other health event investigation, outreach, screening, case finding referral and follow-up, case management, delegated functions, health teaching, counseling, and consultation.

19
Q

Which best describes the term “literally homeless”? (Select all that apply.).

a. Lacking a fixed, regular, and adequate nighttime residence
b. Lacking a family residence
c. Living in a place not typically used for human sleeping
d. Living in a temporary living accommodation such as a hotel
e. Living full-time in a recreational vehicle
f. Sleeping in an extended-care facility or hospital

A

A,C
Literally homeless is described as individuals and families who lack a fixed, regular, and adequate nighttime residence and includes a subset for an individual who resided in an emergency shelter or a place not meant for human habitation and who is exiting an institution where he or she temporarily resided. The term “literally homeless” is not used to describe those lacking a family residence, living in a temporary living accommodation such as a hotel or recreational vehicle, or sleeping in an extended care facility or hospital.

20
Q

Literally Homeless: Individuals and families who lack a fixed, regular, and adequate nighttime residence meaning:

 Has a primary nighttime residence that is public or private and not met for human habitation

 Living in a publicly or privately operated shelter designated to provide temporary living arrangements (including shelters, transitional housing, and hotels and motels paid for by charitable organizations or by federal, state, and local programs)

 Exiting an institution where he or she has resided for 90 days or less and resided in an emergency shelter or place not meant for human habitation immediately before entering the institution

A

Category 1

21
Q

Imminent Risk of Homelessness:

Individuals and families who will imminently lose their primary nighttime residence

A

Category 2

22
Q

Homeless Under Other Federal Statutes:

Unaccompanied youth and families with children and youth who are defined as homeless under other federal statues who do not otherwise qualify as homeless under this definition

A

Category 3

23
Q

Fleeing/Attempting to Flee Domestic Violence (DV):

Individuals and families who are fleeing or attempting to flee domestic violence, dating violence, sexual assault, stalking, or other dangerous or life-threatening conditions that relate to violence

A

Category 4

24
Q
  1. Shortage of affordable housing
     Considered affordable if it costs no more than 30% of income
     HUD operates programs that provides financial housing assistance to low-income families –
    the demand for these programs has far exceeded the supply

2.Income insufficiency
 With the lack of affordable housing and insufficient income, people have to spend much of
their income on rent, leaving them without adequate resources for other necessities, such as
food, clothing, and health care

  1. Inadequacy and scarcity of supportive services

These factors contribute to homelessness rather than cause homelessness.

A

Factors that contribute to homelessness