Deck 9: Regional, Rural and Remote Nursing

Question 1

Indigenous health workers provide:

A) support for health care providers in caring for Indigenous peoples.
B) a liaison between the community and health sector.
C) interpretative services for health care consumers.
D) All of the above.

Answer 1

All of the above.

Question 2

When a patient in a rural setting comes to the hospital to have a medical check using a teleconference, this is referred to as:

A) telenursing.
B) telecare.
C) telemedicine.
D) telehealth.

Answer 2

telemedicine.

Question 3

A health service that is focused on the client and community needs, rather than the service provider needs, is defined as a:

A) Conventional Health Service Approach.
B) Primary Health Care Approach.
C) Community Health Service Approach.
D) Customer Service Approach.

Answer 3

Primary Health Care Approach.

Question 4

Which of the following would reflect a Primary Health Care approach to care?

A) Running a specialist clinic tailored to the clinician's availability.
B) Discharging people sooner to free up beds.
C) Undertaking a community needs assessment.
D) Changing access hours to match service needs.

Question 5

Nursing in rural and remote areas can create some challenges not normally found in regional or metropolitan areas. This is because:

A) nurses have to have a very broad knowledge and skills to cover the whole community.
B) nurses have both a professional and community role as residents in the rural area.
C) nurses suffer burnout from geographic isolation and reduced collegial support.
D) All of the above.

Question 6

When providing services for Indigenous people, the nurse needs to remember that a significant barrier is:

A) the lack of health services.
B) not understanding the language.
C) loss of faith in the health service.
D) wanting only Indigenous staff caring for them.

Question 7

Which of the following is not a rural and remote classification system?

A) AIHW.
B) ARIA.
C) ASGC.
D) RRMA.

Question 8

As a solitary nurse in a remote setting, a person may present with an illness you have never before encountered. The best option for you would be:

A) refer the person to another health service.
B) organise a retrieval to another health service.
C) tell the person to come back when the doctor is here.
D) consult with the nearest referral facility specialists.

Question 9

The use of technology to improve access to health care will be particularly relevant in the future because:

A) the rural population will reap psychosocial benefits.
B) the cost of health care is going to rise and needs to be affordable.
C) younger persons understand technology better.
D) most people can afford technology.

Question 10

Hart's Inverse Care Law stated that "those with the worst health needs usually have the worst access to health care services". Evidence to support this includes:

A) AIHW data that overall mortality rate increases with remoteness.
B) most rural and remote people self-treat rather than access services.
C) there are less educated people in the rural area.
D) the higher proportion of men in rural areas.

Question 11

Telehealth is a strategy:

A) to replace existing services currently supplied.
B) to reduce workloads of clinicians and caregivers.
C) to prevent people from accessing hospitals.
D) to improve access and complement existing services.

Question 12

Which of the following is an example of telephone triage?

A) Ringing a client to book an outpatient appointment.
B) Ringing the doctor to tell him about a client.
C) The doctor ringing the ward to request an admission.
D) A mother ringing the ward regarding care for her sick baby.

Question 13

An example of a psychological factor that impacts on the health status of people in rural and remote areas is:

A) the quality of water supply.
B) the risk of farm injuries.
C) the prolonged droughts or floods.
D) reduced access to health care.

Question 14

The Royal Flying Doctor Service (RFDS) provides a health care service to rural and remote areas. This service involves:

A) retrieval of emergency cases.
B) health screening and education.
C) providing advice and support to the clinicians.
D) All of the above.

Question 15

The classification of a rural community is relevant knowledge for nurses because:

A) it informs them of where they want to work.
B) it informs them of the lack of staff available.
C) it influences their workload.
D) it facilitates the delivery of community-specific health care.

Question 16

Burnout and feelings of professional isolation can lead to loss of nursing staff in rural and remote nursing practices. This statement is:

A) true, but only for the rural and remote nurses.
B) false, as rural nurses love what they do.
C) true for all nurses regardless of where they work.
D) true for all nurses, but other factors make it worse for the rural nurses.

Question 17

When a nurse organises for a client to consult with a visiting social worker regarding an imminent operation in a distant location to their home, the action is referred to as:

A) consultation.
B) retrieval.
C) referral.
D) collaboration.

Question 18

Nurses working specifically in rural and remote areas need to have:

A) only general basic nursing skills and abilities.
B) ongoing professional development and education.
C) national registration with the Nursing & Midwifery Board.
D) flexible working hours.

Question 19

The most important role of the nurse when transferring a rural client to a tertiary facility is:

A) ensuring that the client and family are kept fully informed.
B) making sure all the documentation is completed.
C) ensuring they have all their belongings.
D) ensuring that any financial concerns are addressed.