Question 1

A nurse has designed a hospital-based wellness program in a rural community that has been very successful with consistently high rates of attendance.An accrediting agency would most likely conclude that the:

A) nurse is skilled at designing and implementing programs.
B) nurse used community leaders to design the program.
C) program meets an unusual need in the rural area.
D) residents of the community realize they have this need.

Accepted Answer

Community members are more likely to participate in programs they have helped develop.In fact, providing services without community input may not be beneficial at all.The high attendance and success rates of this program point to the nurse involving members of the community in designing it.The nurse may well be skilled in these activities, but this is not the best answer; community buy-in and help from community leaders are vital when planning rural programs.The program might be meeting a unique need, but this is not the best answer; community buy-in and help from community leaders are vital when planning rural programs.The residents of the area might be aware of this need, but this is not the best answer; community buy-in and help from community leaders are vital when planning rural programs.

Question 2

A nurse who is conducting research on treatment outcomes with patients diagnosed with depression sees a trend toward improved quality of life and satisfaction.Understanding rural health care conditions and needs, this nurse might conclude:

A) fewer people are diagnosed with depression and medications are better.
B) more psychiatrists and psychologists are coming to the area to treat patients.
C) primary care providers are receiving education on mental health issues.
D) transportation to larger communities has been arranged with grant funds.

Accepted Answer

Mental health providers are absent in 40% of rural communities, leaving a large share of mental health treatment to primary care physicians and other providers.Although medications may be improving, no data are available to suggest fewer people are being diagnosed with depression.Mental health providers are not coming to rural areas in higher numbers and are actually absent from about 40% of rural locations.Transportation is a problem for many rural residents.

Question 3

A nurse plans to work in a rural hospital and commute from her suburban home.What response by the nursing manager is best?&#10;A) &#34;Are you sure that long commute won't be too much for you?&#34;&#10;B) &#34;Living that far away won't work with being on call on your days off.&#34;&#10;C) &#34;That arrangement will give you the best of both worlds.&#34;&#10;D) &#34;You should seriously consider moving into this community.&#34;

Accepted Answer

&#34;You should seriously consider moving into this community.&#34;

Question 4

The nurse employed in a rural area works to enhance the social determinants of health, which include: (Select all that apply.)&#10;A) access to health care.&#10;B) economic factors.&#10;C) employment.&#10;D) physical environment.&#10;E) rural culture.

Accepted Answer

Seven social determinants of health care are important in rural communities; these are access to health care, economic factors, the physical environment, rural culture, education, personal characteristics, and social support.

Question 5

A rural nurse is planning a community health event and explains to the sponsors that the focus needs to be the most common health problems faced in the area, which include:&#10;A) diabetes and premature birth.&#10;B) heart failure and stroke.&#10;C) lung disease and stroke.&#10;D) liver disease and cancer.

Accepted Answer

Rates for chronic medical conditions such as hypertension, vascular disease (including stroke), diabetes, and some cancers are higher in many rural regions compared with urban areas.The nurse needs to focus efforts on combating these diseases.Diabetes is a common health problem in rural areas, but with a majority older population, obstetrical problems are not as pressing.Stroke is a pressing health problem in rural areas, but lung disease is not one of the highest ranking problems.Some cancers are seen at a high rate in rural areas, but liver disease is not a common problem.

Question 6

A nurse working in a rural hospital explains to a friend in another location that one aspect of rural nursing that differs markedly from urban practice is that the rural nurse:&#10;A) has to use critical thinking on a daily basis in order to practice.&#10;B) may know some of his or her patients personally, leading to stress.&#10;C) might have to handle situations on her or his own until help arrives.&#10;D) will see a variety of patients with a variety of medical problems.

Accepted Answer

In rural facilities, there may be no medical staff available during off times, and the nurse may be one of a very few number of employees present when a medical emergency strikes.The nurse must be able to intervene appropriately and manage the situation alone until other help arrives.This is markedly different than in metropolitan hospitals with onsite medical staff and larger nursing staffs.All nurses should use critical thinking skills on a daily basis.The rural nurse is probably more prone to knowing the patients personally, but this can happen anywhere.Although the rural nurse probably does see a great variety of patients, this can also be true of nurses working in general medical or surgical units or in tertiary care centers that have an influx of unusual referral cases.

Question 7

A nurse works in a rural community.Concerning the minority population in rural regions, the best action by the nurse is to:&#10;A) determine which American Indian tribes are most populous in this area.&#10;B) invest in a telephone translation service for different languages.&#10;C) learn Spanish and aspects of Hispanic cultural beliefs and practices pertinent to health care.&#10;D) investigate specific health care concerns of African Americans in the Midwest.

Accepted Answer

Rural areas have increasing minority populations, especially Hispanics.From 2000 to 2010, more than half of all rural population growth was in Hispanic populations, followed by African-American populations increasing by 2.9%, and the Native American population by 7.5%.The nurse would do the most good by learning some Spanish and some Hispanic cultural beliefs and practices that are important when delivering health care.Although all of these options are good actions to take, rural communities are the sites of the most rapidly growing Hispanic populations, and the best action by the nurse would be to learn some Spanish and Hispanic cultural beliefs and practices that are relevant to health care.

Question 8

A community nurse working in a rural area is planning programming to meet community needs.Which program option should the nurse develop?&#10;A) Adolescents who need after-school activities&#10;B) Free or reduced cost immunizations for children&#10;C) Mother-parent classes for expectant families&#10;D) Older residents who have chronic illnesses

Accepted Answer

Rural areas tend to have high numbers of the very old and very young, and often the older population has chronic illnesses with which to contend.A program for this demographic would be very beneficial.Rural areas tend to have large populations of older adults and the very young, not adolescents.Rural areas tend to have large populations of older adults and the very young, not necessarily children of all ages.Rural families are often slightly larger than city families, but the very old and very young are the largest segments of their populations.

Question 9

A nurse from an urban area has moved into a rural location and is now working at the small local hospital.The nurse is concerned about doing many tasks that at the former place of employment were done by ancillary personnel or by physicians.The nurse's mentor explains that the best way to determine whether the nurse is still practicing appropriately would be to:

A) ask the manager for further advice.
B) check the state nurse practice act.
C) consult other nurses at that facility.
D) search professional nursing websites.

Accepted Answer

A nurse should always refer to the state nurse practice act for legalities regarding scope of practice within specific states.This nurse should be directed to this document.The manager may not be a good source of information on this legal issue, especially if the manager is used to practicing in this fashion.Other nurses working at the same facility may not be good sources of information about this legal topic.Professional organizational websites would not have information regarding scope of practice in a specific state, unless of course the website searched was the state board of nursing website for that particular state.

Question 10

The nurse working in a rural community understands that the 8 Millennium Development Goals (MDGs)include: (Select all that apply.)&#10;A) achieve universal primary education.&#10;B) create employment opportunities.&#10;C) improve maternal health.&#10;D) promote gender equality and empower women.&#10;E) reduce child mortality.

Accepted Answer

The 8 Millennium Development Goals are eradicate extreme poverty and hunger; achieve universal primary education; promote gender equality and empower women; reduce child mortality; improve maternal health; combat HIV/AIDS, malaria, and other diseases; ensure environmental sustainability; and global partnership for development.Creating employment opportunities is not a specific goal.

Question 11

The nursing instructor explains that defining &#34;rural&#34; is often difficult because:&#10;A) agencies use multiple different definitions.&#10;B) everyone's ideas of &#34;rural&#34; are different.&#10;C) there has been no need to define this population.&#10;D) there is no interest in defining this population.

Accepted Answer

The answer of The nursing instructor explains that defining &#34;rural&#34;...

Question 12

The nurse knows that the Rural Healthy People (RHP)2020 project identified the top priority health care need as:&#10;A) access to quality health care.&#10;B) emergency department care.&#10;C) more inpatient hospital beds.&#10;D) the need for female doctors.

Accepted Answer

The answer of The nurse knows that the Rural Healthy...

Question 13

A rural nurse is explaining to a friend who works in an urban area that the most important ethical issue for rural patients is probably:&#10;A) beneficence.&#10;B) confidentiality.&#10;C) justice.&#10;D) veracity.

Accepted Answer

The answer of A rural nurse is explaining to a...

Question 14

The nurse studying rural health trends knows that which of the following is true regarding motor vehicle crashes (MVCs)in rural communities?&#10;A) A large number of deaths from MVCs occur in rural areas.&#10;B) Rural children have a much lower death rate from MVCs.&#10;C) Speeds are lower in rural locations, so death rates are also lower.&#10;D) Rural roads are much less traveled, so they tend to be safer.

Accepted Answer

The answer of The nurse studying rural health trends knows...

Deck 17: Global Rural Nursing Practice