Bonus: Answer the following for up to five bonus points.  You must show your work to receive bonus points.  Points will be added when the test is graded. 

A clinician notes that a homeless patient is reluctant to trust providers. Which factor most strongly contributes to this mistrust?

A PMHNP recognizes that polypharmacy is common in older adults. What is the most important clinical implication?

A homeless patient presents with depressive symptoms and expresses that “nothing will change because the system is broken.” What is the most accurate clinical interpretation?

An older adult with dementia becomes increasingly agitated in the evening. What is this phenomenon called?

A PMHNP is evaluating a homeless patient with frequent emergency department visits and inconsistent outpatient follow-up. Which intervention is most likely to reduce healthcare utilization?

A clinician is designing a program for homeless individuals with severe mental illness. Which element is most critical for long-term success?

A PMHNP recognizes that traditional clinic-based care models may not effectively reach homeless populations. Which approach is most effective?

A clinician evaluates a refugee who expresses distress primarily through headaches and gastrointestinal complaints. What is the best next step?

A clinician is developing a care plan for a homeless patient with severe mental illness. Which intervention is most likely to improve long-term outcomes?