Deck 19: Population-Centered Nursing in Rural and Urban Environments

Question 1

Compared with urban Americans,rural residents:

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

Answer 1

Have a higher rate of chronic illness

Question 2

A nurse is planning care using the case management model.Which intervention would be 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

Answer 2

Providing a client-professional partnership

Question 3

A client is suffering from stress related to the depressed lumber industry in his county.This may be called:

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

Answer 3

Farm stress

Question 4

A nurse is planning to conduct research in a rural setting.Which area 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 5

A nurse who provides care to rural adults recognizes that they are more _____ than urban adults.

A) Likely to have health insurance
B) Likely to have access to health care providers
C) Concerned about their health status
D) Likely to experience mobility limitations

Question 6

The percentage of United States residents living in rural settings is about:

A) 5%
B) 15%
C) 25%
D) 40%

Question 7

A nurse administrator is educating her new nursing staff about the use of health care by rural residents.Which statement is she most likely to include in her presentation?

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

Question 8

A nurse builds a vacation home in a remote area having fewer than six people per square mile so he can "get away from it all." This area is classified as a:

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

Question 9

A nurse visits a client living on a farm residency.Which area did the nurse visit?

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

What is an opportunity that may be experienced by a nurse practicing in a rural environment?

A) Variety/diversity in clinical experiences
B) Faster pace
C) Less independence/autonomy
D) Abundant resources

Question 11

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

A) Fewer rural adults seek medical care than urban adults.
B) There is no access to care in rural areas.
C) Poor adults in urban areas have less access to care.
D) Rural adults do not want to seek care.

Question 12

Which population is a nurse most likely to encounter in a rural area compared to an urban area?

A) Residents under age 18
B) Residents over age 50
C) Residents who are married
D) Residents who have more years of formal education

Question 13

A nurse providing maternal-child care for rural women recognizes that the pregnant women who are particularly at-risk for poor health outcomes are:

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 14

A nurse is providing care to a Native Alaskan client.The nurse recognizes the client may need specialized community nursing care related to:

A) Exposure to petroleum products
B) Farmer's lung
C) Field sanitation
D) Black lung, chronic obstructive pulmonary disease

Question 15

In comparison with urban adults,rural adults:

A) Seek medical care more often
B) Have poorer overall health status
C) Are less likely to identify a usual source of medical care
D) Are usually seen by a specialist rather than a general practitioner

Question 16

Rurality is a subjective concept because:

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 17

A nurse is providing care for at-risk minority groups in rural America.Which 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) None of above

Question 18

A common barrier to care in the rural areas is:

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

Question 19

Which is a characteristic of nursing practice in rural environments?

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

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

When planning interventions that will be used when providing care for a rural client,which characteristic 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