Deck 15: Rural and Remote Health Care

Question 1

What should a nurse understand about respiratory problems in rural agricultural areas of Canada?

A)Better air quality in rural agricultural areas decreases the incidence of respiratory illnesses.
B)Healthy lifestyles in rural areas usually allow respiratory illnesses to resolve without treatment.
C)Incidence of respiratory illnesses in rural areas is significantly higher than in urban areas.
D)Respiratory illnesses in rural areas are usually caused by zoonoses.

Answer 1

Incidence of respiratory illnesses in rural areas is significantly higher than in urban areas.

Question 2

Working in a rural community gives nurses a high visibility and a lack of anonymity.In addition to providing nurses with a greater knowledge of clients' home and family situations,what is another effect?

A)Tension is created between nurses and other health professionals.
B)It means that the nurse is never completely off duty.
C)It creates social situations whereby the nurse breaches confidentiality.
D)Health promoting changes are more difficult to achieve.

Answer 2

It means that the nurse is never completely off duty.

Question 3

Which of the following has been a factor in hindering health care delivery in rural and Northern areas?

A)Practitioners who are generalists
B)Ratio of health care staff to population
C)Mobile health services
D)Money being spent on infrastructure

Answer 3

Ratio of health care staff to population

Question 4

A nurse in a remote area of Northern British Columbia is caring for a client with an abnormal heart rhythm,and is transmitting electronic medical data about his heart to a specialist in Vancouver.What is this method of remote practice called?

A)Videoconferencing
B)Distance learning
C)Telehealth
D)Telemedicine

Question 5

Which of the following has been cited as a reason for the increase in cancers in rural Manitoba?

A)Blastomycosis
B)Chemicals
C)Contaminated water
D)Zoonotic illnesses

Question 6

Which of the following describes an accurate demographic difference between rural and urban Canadian populations?

A)Most rural communities have small populations of children and youth (0 to 19 years).
B)There is a trend for urban populations to attract more retirees.
C)Rural communities have older populations than do urban.
D)Both populations have similar age-related demographics.

Question 7

What was the purpose of the Canadian government in setting up residential schools in the early nineteenth century?

A)Educating black Canadian children
B)Supporting First Nations language and culture
C)Providing homes for children to be adopted
D)Implementing its First Nations assimilation policy

Question 8

A nurse is caring for a client in a small rural Saskatchewan community situated within a 30 minute drive to a larger urban centre.What should the nurse understand about the health of Canadians who live in rural versus urban areas?

A)Rural areas have a lower incidence of respiratory diseases.
B)Hearing loss is more common among urban populations.
C)Urban populations have a higher incidence of motor vehicle fatalities.
D)Populations in urban areas are healthier than those of rural areas.

Question 9

According to Statistics Canada (2008)what is a characteristic of population growth in Canada?

A)Rural Canada has the highest proportion of immigrants.
B)Populations are decreasing in areas around lakes and mountains.
C)Rural areas have larger populations of children and youth and seniors than do urban areas.
D)The Aboriginal population has the fastest-growing natural increase.

Question 10

Which of the following best describes a blended-mode of curriculum delivery?

A)Classes are offered both face-to-face and on the Internet.
B)Classes include cultural aspects of nursing in Aboriginal and farm communities.
C)The program is open to registered nurses,physiotherapists,and nutritionists.
D)The graduates of the program complete both a baccalaureate degree and a master's degree.

Question 11

A nurse-researcher is examining demographics and socioeconomics of rural farming communities in Canada.Which of the following facts is true?

A)Rural areas that are reliant on commodities like mineral extraction or forestry are the most secure.
B)The rural incidence of low income is similar to that of those living in urban areas.
C)Only in rural Saskatchewan,Ontario,and Nova Scotia is agriculture a major employment sector.
D)Between 17% and 18% of the population of Canada live on farms.

Question 12

Which of the following factors is true regarding nurses working in rural or remote areas compared to their urban counterparts?

A)Rural nurses have a more prominent role in health care planning than do urban nurses.
B)Urban nurses suffer more musculoskeletal injuries than do rural nurses.
C)Urban nurses have higher workloads overall than do rural nurses.
D)Rural nurses are at a higher risk of contracting blood-borne pathogens than are urban nurses.

Question 13

Which of the following client situations most accurately describes problematic substance use?

A)Mr.Creele,56,who chronically over-consumes alcohol
B)Keegan,19,who regularly uses cannabis and hallucinogens
C)Lucas,15,who inhales gasoline fumes,glues,and aerosols
D)Mr.Mohle,33,who misuses prescription,nonprescription,and illicit drugs

Question 14

What are the four main causative factors of mortality in Canada's rural areas?

A)Neurological and gastrointestinal diseases,homicide,and malnutrition
B)Problematic substance use,circulatory and neurological diseases,and injuries
C)Circulatory and respiratory diseases,injuries,and suicide
D)Gastrointestinal and respiratory diseases,problematic substance use,and suicide

Question 15

What is known about the health of Canada's First Nations populations?

A)Infant mortality rates for First Nations people are similar to those in the general population.
B)The most common causes of death for First Nations people aged 1 to 44 years were drownings.
C)The prevalence of diabetes is more than three times higher than in other communities.
D)First Nations peoples have longer life expectancies,in spite of social issues.

Question 16

Gloria,18,who lives on a reserve,has been communicating with a mental health counsellor using a computer in the health centre.What means of technology would be used for this purpose?

A)Telemedicine
B)Blended-mode
C)Web-casting
D)Telehealth

Question 17

Nurses studying in a rural nursing program read statistics describing the health of Canadians living in rural-urban fringe zones.What do the statistics show regarding people living in these zones?

A)Rural-urban fringe zones populations are healthier than people living in more remote regions.
B)Mental health issues are more frequently under-reported in urban,compared to rural,populations.
C)Rural-urban fringe zones populations are more likely to have contaminated water supplies.
D)People living in more remote regions are healthier than those in the rural-urban fringe zones.

Question 18

A community health nurse in a Northern Aboriginal community is assessing Cory,who is 4 years old.Besides being overweight,he is subjected to second-hand smoke in his home.What should the nurse be thinking about in relation to this assessment data?

A)Dermatitis
B)Gastric ulcers
C)Otitis media
D)Asthma

Question 19

An outpost nurse is assessing a client with symptoms of abdominal discomfort,nausea,and diarrhea.The nurse,suspicious that the client may have trichinosis,inquires if he has eaten any wild game recently.In what classification is this illness?

A)Zoonotic
B)Viral
C)Bacterial
D)Autoimmune

Question 20

How is the term rural defined by Statistics Canada?

A)It means size,density,and labour market.
B)It is defined by the travelling distance to the closest town.
C)It means located outside of a commuting area having at least 10 000 people.
D)It is defined by the number of hectares covered.

Question 21

What is known about rural nursing in Canada?

A)Personal and professional roles are distinctly separated in rural nursing.
B)New rural nursing programs are now meeting the recruitment needs for Northern nurses.
C)Rural nursing should be regarded as a distinct specialty in Canadian nursing practice.
D)Because of the isolation,interprofessional practice is unrealistic for rural nursing.

Question 22

What is a major contributing factor to the difficulty in attracting new nursing graduates to work in rural areas of Canada?

A)Decreased autonomy because of strict scope of practice restrictions
B)Lack of educational preparation in nursing programs to work in remote settings
C)Isolation and little interaction with other health care professionals
D)Limited availability of technology to support nursing practice

Question 23

The Epp family,who have two children under 5 years of age,have recently moved into a small farming community.What could a home health nurse teach this family about farm safety and preschoolers?

A)Fatal injuries for preschoolers in urban centres are more common than for those on farms.
B)Preschoolers have a natural curiosity which must be expressed by freely exploring the farm.
C)There must be a designated play area in the community for the preschool group.
D)Fatal injuries for preschoolers on farms are more common than for those in urban centres.

Question 24

Zoonoses,diseases that are communicated from animals to humans,include which of the following?

A)Blastomyces dermatitidis
B)Undulant fever
C)Escherichia syndrome
D)Papanicolaou disease

Question 25

Peter,18,tells the community health nurse that he needs to take part in a restorative justice program because of a bicycle theft that he committed with a group of friends.What should the nurse understand about this program?

A)Each provincial justice department imposes jail time through this program.
B)Restorative justice is a recent term used to indicate house arrest.
C)Community Services manages restorative justice programs for young offenders.
D)Restorative justice uses reconciliation to compensate victims of crime.

Question 26

In First Nations communities,which of the following health problems is 3.5 times more prevalent than in the general population?

A)Suicide
B)Diabetes
C)Cancer
D)Infant mortality

Question 27

Which of the following information related to Canada's population is accurate?

A)The Northwest Territories and Nunavut have the slowest-growing rural populations.
B)Canada is the tenth-largest country in the world in size of landmass.
C)Canada's Aboriginal population had the slowest-growing natural increase.
D)Most of Canada's population is concentrated close to the Canada-United States border.

Question 28

What is the most common cause of accidental injury and death in Northern areas of Canada?

A)Wild animal attacks
B)Snowmobiles
C)Farm equipment
D)Firearms