Deck 24: Rural and Remote Health

Question 1

Which of the following statements is true of the socioeconomic status of rural communities?

A) In all natural-resource-dependent areas, industrial camps are set up for the long term
B) The global pricing and demands are always high of natural resources that are accessed in rural communities
C) Communities may seek alternate economic ventures such as tourism to sustain their social viability
D) The global pricing and demands are always low of natural resources that are access in rural communities

Answer 1

Communities may seek alternate economic ventures such as tourism to sustain their social viability

Question 2

Which of the following statements is true of rural Canada?

A) The communities in rural Canada are homogenous
B) The economies in rural Canada are only farming and fishing
C) People who live in rural Canada have the same health profile
D) The rural base of the community will influence the health status of the people

Answer 2

The rural base of the community will influence the health status of the people

Question 3

Which industry continues to have one of the highest fatality rates due to injury?

A) Oil and gas
B) Farming
C) Logging
D) Mining

Answer 3

Farming

Question 4

What is an example of a social approach to defining a rural area?

A) The community coordinates are 64003'39"N and 139024'39"W
B) The individuals are living in the countryside outside a centre with a population of 2500
C) The community has one Italian and one Greek restaurant
D) Population density per square kilometre is 40.9

Question 5

Hans, a nurse manager with the federal government, is using a rurality index to plan for services in several rural/remote communities. What is an example of a community characteristic that is used in a rurality index? Select all that apply.

A) Number of nurses in a community
B) Population under 2500
C) Lack of airport in the community
D) Availability of physician specialists

Question 6

The Standfords are a family considering moving to a rural area based on a job transfer. What is a challenge facing rural communities?

A) Rural areas within commuting distances are decreasing in population
B) Inequitable access to technology
C) Retail businesses are thriving in rural communities
D) More distant rural areas are experiencing an in-migration of all age groups

Question 7

Which of the following issues are the result of the impacts of shift work in rural areas?

A) Obesity and emotional distress
B) Bi-polar disorder and emotional distress
C) Alcohol abuse and fractures
D) Fractures and substance abuse

Question 8

Why do people who work on medium-sized farms have the highest incidence of injury?

A) Because there is too much turnover in staff
B) Because they work long hours with little hired help
C) Because they have too many children to look after
D) Because they don't prioritize their tasks appropriately

Question 9

Nylah is a nurse who is working in a Northern rural community. Which of the following pieces of information does Nylah need to be particularly aware of?

A) People who live in northern regions have a higher prevalence of hypertension
B) Women who live in northern regions have a lower incidence of mental health concerns
C) Men who live in northern regions have a higher incidence of prostate cancer
D) People who live in northern regions have a lower prevalence of respiratory diseases

Question 10

Lori is a nurse working in a community that has a Hutterite colony. Lori wants to visit the colony to do some health promotion activities. What type of health behaviour is a concern for Loir?

A) Not accessing immunization services
B) Engaging in activities leading to traumatic amputation
C) Ensuring that family members get adequate nutrition
D) Not getting enough exercise during the day

Question 11

Which of the following is included in the definition of a semi-isolated community?

A) A community with road access of less than 75 km to physician services
B) A community with road access greater than 90 km to physician services
C) A community with good telephone service, good air transport, but no roads
D) A community with no telephone service, good air transport, and accessible roads

Question 12

Sandi is a registered nurse working in a rural and remote community. What should be a focus for Sandi when working with the community?

A) Understand that all rural people reported higher proportions of people who low income
B) Seek to understand the intersection between rural living and what this means for health
C) Find out why education is not a priority for people who live in rural and remote communities
D) Identify people who can help her understand who is more at risk for cardiovascular disease

Question 13

Jerry is a rural nurse working in a community that has a high incidence of domestic abuse. What is the reason why this is likely an issue in this rural community?

A) People are too focused on trying to increase their income levels
B) The importance of gender equity is valued by people in rural areas
C) People feel comfortable reaching out to their registered nurse
D) Domestic issues are impacts of shift work for rural people

Question 14

Which of the following key issues need to be addressed to promote the CHN's involvement in rural and remote health policies? Select all that apply.

A) Canada's history of colonization
B) Research support for rural and remote nursing
C) CHNs need to recognize the strength of their policy voices
D) Have health information readily available for policy discussions
E) None of the above

Question 15

What is an example of a secondary prevention intervention that a rural and remote nurse can implement?

A) Health education for individuals to maintain their higher incidence of cause specific cancers
B) Developing a diabetes screening program for rural women
C) Monitoring the effectiveness of treatment for circulatory conditions
D) Identifying treatment plans for respiratory conditions

Question 16

Why is poverty a significant issue in rural communities?

A) Because of the increasing number of resources in rural communities
B) Because they have to pay less for services in their communities
C) Because they have to travel long distances for services in communities
D) Because of the increasing population in their rural communities

Question 17

Which of the following rural industry has the highest reported fatality rate?

A) Logging
B) Mining
C) Fishing
D) Farming

Question 18

What percentage of Canada's land mass consists of rural and remote areas?

A) 85%
B) 95%
C) 75%
D) 65%

Question 19

Lori is a nurse working in a community that has a Hutterite colony with a large farming operation. Lori wants to visit the colony to do some health promotion activities. Lori wants to provide culturally safe health information to the Hutterite community. What health strategy meets this goal?

A) Meet with the men to review farm safety practices
B) Invite the women to a local conference on women's health issues
C) Develop a YouTube video on heart-healthy diet
D) Create a detailed pamphlet on cardiovascular health

Question 20

Amar is a community health nurse working in community that is dependent on oil and gas extraction. What would be a priority for Amar?

A) Identifying social support for the young men in the community who work in the industry
B) Identify the cardiovascular health promotion initiatives for the seniors
C) Acknowledge the religious and political contexts of the community
D) Support the community in increasing tourism to the region

Question 21

List and define the five principles of cultural safety as they relate to rural and remote nursing

Question 22

What are issues that CHNs who work in rural and remote settings have to address?

Question 23

Which of the following are examples of leadership issues in rural and remote nursing?

A) Working through a clear list of priorities
B) Coping with having leaders at a distance
C) Working in environments with sufficient resources
D) Working in environments with sufficient support networks

Question 24

List the factors that contribute to quality work environments in rural and remote nursing practice. Provide a community health nursing example for each strategy.

Question 25

Most health policies in Canada are based upon an urban perspective with little consideration of their applicability in rural environments. What key issues need to be addressed in order to this situation to be changed?

Question 26

Which of the following statements is true of rural and remote nurses?

A) They have a higher level of education due to the decision-making autonomy
B) They have a lower level of education than their urban counterparts
C) They are more likely to leave the nursing profession in less than one year
D) They are more likley to be males willing to work alone

Question 27

Discuss how the geography and the economy of rural communities influence the services available. Give a community health nursing practice example to illustrate the above influences.

Question 28

Who has a higher risk of dying from diabetes?

A) Mr. Oppenheimer from Halifax, Nova Scotia
B) Madame Blanc, who works in retail in Montreal
C) Ms. Mantla, who lives in Inuvik, Northwest Territories
D) Mr. Geier, who works on a farm in rural Alberta

Question 29

What is the most common reason nurses reported their intent of leaving their positions in rural and remote nursing?

A) To settle down and raise children in urban parts of the country
B) To find a less stressful job with more available resources
C) To find another career outside of the health care arena
D) To undertake further nursing education to develop more skills

Question 30

How does the First Nations and Inuit Health Branch of Health Canada define an isolated community?

A) Good telephone service, scheduled air transportation flights, but no roads
B) Road access greater than 90 kilometres to physician services
C) No scheduled air flights, minimal telephone or radio access, and no roads
D) Road access less than 90 kilometres to physician services