HEALTH ISSUES 139 D. The client continues to have an unstable residence and was provided with additional suggestions to improve this situation. 28. Refer to a Personal Safety Class ( 28) A. The client was referred to a personal safety class, focusing on self-defense and precautions for safety. B. The client has participated in personal safety classes, and key points from this cl ass were reviewed. C. The client has not used personal safety classes and was redirected to do so. 29. Access Client in Own Environment ( 29) A. Health care services were delivered to the client in his/her own environment. B. The client was provided wit h services through his/her homeless shelter. C. The client was provided with health care services through a mobile health care van. D. The client continues to avoid using health care services, despite these services being provided where he/she is accessi ble, and this was reflected to him/her. 30. Refer to a Physician or Psychiatrist for Physical Evaluation (3 0) A. The client was referred to a physician who is knowledgeable about the client's medical condition for an evaluation for a prescription of psyc hotropic medications. B. The client's psychiatric evaluator was urged to also provide a complete physical evaluation for the client. C. The client was provided with a physical examination in conjunction with his/her psychiatric evaluation. D. The client was reinforced for following through on a referral to a physician for an assessment for a prescription of psychotropic medications, but none were prescribed. E. The client has been prescribed psychotropic medications. F. The client's physical examinatio n was used to compliment his/her psychiatric evaluation. G. The client declined evaluation by a physician for a prescription of psychotropic medications and was redirected to cooperate with this referral. 31. Educate about Psychotropic Medications ( 31) A. The client was taught about the indications for and the expected benefits of psychotropic medications. B. The client was monitored for compliance with, effectiveness of, and the side effects of his/her psychotropic medication regimen. C. The client wa s provided with positive feedback about his/her regular use of psychotropic medications. D. The possible side effects of the client's medications were reviewed with him/her. E. Medical staff were specifically consulted regarding the confounding effects o f poly pharmacy. F. Possible side effects of the client's medication were reviewed, but he/she denied experiencing any side effects. 32. Educate about Sexually Transmitted Diseases (STDs) (32) A. The client was provided with education regarding precauti ons to take to avoid HIV infection and other STDs. 