Deck 32: Rural Health Issues

Question 1

Which of the following considerations should the nurse make when working with the rural population?

A) They are likely to have health insurance.
B) They are likely to have access to health care providers.
C) They are more concerned about their health status.
D) They are likely to experience mobility limitations.

Answer 1

They are likely to experience mobility limitations.

Question 2

A nurse is practicing in a rural environment. Which of the following opportunities exist for in the nurse's practice?

A) Variety/diversity in clinical experiences
B) Slower pace
C) Direct collaborative practice opportunities
D) Abundant resources

Answer 2

Variety/diversity in clinical experiences

Question 3

A nurse is providing care to a Native Alaskan client. Which of the following exposures should the nurse anticipate may require specialized community nursing care?

A) Exposure to toxic substances
B) Farmer's lung
C) Field sanitation
D) Black lung

Answer 3

Exposure to toxic substances

Question 4

Compared with urban Americans, which statement is true of rural residents?

A) They are more likely to engage in preventive health behavior.
B) They are less likely to be exposed to occupational and environmental hazards.
C) They have a higher rate of chronic illness.
D) They rate their overall health status more favorably.

Question 5

A nurse is providing maternal-child care for rural women. The nurse would like to intervene with pregnant women who are at risk for poor health outcomes. Which of the following populations would be the target population for the nurse's care?

A) Latinos who live in urban environments
B) Caucasians who live in remote areas
C) Those who live on or near Indian reservations
D) Those who seek health from general practitioners

Question 6

Why is rurality a subjective concept?

A) Everyone has an idea as to what constitutes a rural setting.
B) The differences between rural and urban areas are very distinct.
C) Rural health has not been very well researched.
D) The demographic and social characteristics of urban people are similar.

Question 7

A nurse is assisting with recruitment of health care providers to a primary care facility. Which of the following facts about the rural population and their patterns of seeking medical care should be considered?

A) Fewer rural adults seek medical care than urban adults.
B) There is a greater population to serve in rural areas.
C) Poor adults in urban areas have less access to care.
D) Rural adults do not want to seek care.

Question 8

Which is a characteristic of nursing practice in rural environments?

A) Anonymity
B) Less autonomy
C) Professional isolation
D) Faster pace

Question 9

A nurse visited a client living on a farm residency. Which of the following best describes the area the nurse visited?

A) A region that has fewer than six persons per square mile.
B) A home outside areas zoned as "city limits."
C) A county in a metro area with fewer than 1 million people.
D) An area adjacent to a highly populated city.

Question 10

A nurse builds a vacation home in a remote area having fewer than six people per square mile, so "I can get away from it all." Which of the following best describes the classification of this area?

A) Standard metropolitan statistical area
B) Metropolitan county
C) Frontier
D) Rural area

Question 11

A nurse is providing care for at-risk minority groups in rural America. Which of the following health care needs are appropriate for the nurse to address? (Select all that apply.)

A) Field sanitation
B) Infectious diseases
C) Maternal care services
D) Oral/dental care
E) Chronic diseases

Question 12

What percentage of U.S. residents live in rural settings?

A) 5%
B) 15%
C) 20%
D) 40%

Question 13

Which of the following describes a barrier to obtaining care in a rural area?

A) Readily available transportation
B) Inadequate provider understanding about rural health needs
C) Short distances to health care facilities
D) Available specialists

Question 14

A nurse is planning care using the case management model. Which of the following interventions would be most appropriate when implementing this model of care?

A) Providing a client-professional partnership
B) Delivering accessible care to medically underserved areas
C) Defining the characteristics of a community
D) Evaluating the outcomes of rural programs

Question 15

In comparison with urban adults, which statement is true of rural adults?

A) They seek medical care more often.
B) They have poorer overall health status.
C) They are less likely to identify a usual source of medical care.
D) They are usually seen by a specialist rather than a general practitioner.

Question 16

A nurse administrator is educating new nursing staff about the use of health care by rural residents. Which statement about rural adults should be included in the presentation?

A) "They are less likely to identify a particular medical provider."
B) "They are more likely to see general practitioners and advanced practice nurses than their urban counterparts."
C) "They are more likely to seek medical treatment from a specialist than those in urban areas."
D) "They usually have to travel an average of 60 minutes to see a provider."

Question 17

A nurse is planning to conduct research in a rural setting. Which of the following areas of research may be of most importance to rural nursing practice?

A) Information about residents living in the intermountain and Midwestern regions
B) Information on the stressors and rewards of rural practice
C) Studies related to moving from rural environments to urban ones
D) Studies about the effects of air pollution

Question 18

A nurse who had been working in an urban area is now employed in a rural area. Which cohort accounts for an increase in the rural population and thus an increased need for nurses?

A) Those under age 18
B) Those over age 50
C) Those who are married
D) Those with years of formal education

Question 19

A client is suffering from stress related to the depressed lumber industry in his county. Which of the following best describes this client's condition?

A) Manic-depression
B) Psychosis
C) Anticipatory grieving
D) Farm stress

Question 20

Which group is over-represented in rural areas when compared with urban areas?

A) African Americans
B) Asian Pacific Islanders
C) Caucasians
D) Native Americans

Question 21

A nurse is planning interventions that will be used when providing care for a rural client. Which of the following characteristics of rural life should the nurse anticipate? (Select all that apply.)

A) Lack of anonymity
B) Higher prevalence of high-risk occupations
C) Churches and schools as socialization centers
D) Preference for interacting with outsiders
E) Increased mobility