Declan is a nursing student enrolled in a public health/community nursing course. As part of Declan’s clinical rotation, he visits a homeless shelter twice a week to provide nursing care to the shelter’s occupants. Declan’s clients experience health issues such as malnutrition, communicable diseases, chronic illnesses, mental health issues, and substance abuse.
1. On Monday, Declan screens the shelter’s children for signs and symptoms of ear infection. The rate of ear infections is ___________ higher among homeless children than the national average.
2. Many of Declan’s clients in the homeless shelter experience mental illness. Declan knows that this subpopulation has a limited chance of escaping homelessness. Why is this? Discuss.
3. When Declan assesses the shelter’s occupants for mental health illness, to what mood disorder should he pay particular attention? Why? Discuss.

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