Question 1

The public health nurse is evaluating the community in the effort to determine the underserved members with the goal of decreasing their risk for health problems. Which factors should the nurse evaluate to determine who belongs to this group? (Select all that apply.)

Accepted Answer

A, B, C

Question 2

The Healthy People 2020 initiatives strive to improve the health of all individuals. Which group is the focus of special attention and creative solutions to counter the health disparities and social injustice against them?

Accepted Answer

The Healthy People 2020 initiatives emphasize addressing health disparities and social injustices, particularly focusing on vulnerable groups like mentally ill people, who often face significant barriers to accessing care and achieving optimal health outcomes.

Question 3

The nursing instructor has presented the basic information that is utilized to define the different types of populations. Which factors should the students now point out are utilized to define a rural population? (Select all that apply.)

Accepted Answer

Rural populations are often defined by factors such as administrative boundaries (which can determine the services and resources available to a population), land use (which distinguishes rural areas by their agricultural, forested, or undeveloped lands as opposed to urban areas), and economic characteristics (which can include the types of industries present, levels of wealth or poverty, and employment opportunities). These factors help in understanding the unique aspects of rural populations compared to urban or suburban ones.

Question 4

The public health nurse is relocating to an area that is currently classified as a medically underserved region. Which situation will the nurse most likely encounter in this new position?

Accepted Answer

The answer of The public health nurse is relocating to...

Question 5

The nurse visits a community health clinic in a remote rural area, at which emergency care is not provided because the facility lacks the medical staff necessary to offer such services. Which category will be most appropriate for this clinic?

Accepted Answer

The clinic is located in a remote rural area and lacks the medical staff necessary to offer emergency care, which makes it a health professional shortage area.

Question 6

The public health nurse supervises a clinic in a rural area. Which factor can this nurse point out is a common concern?

Accepted Answer

The answer of The public health nurse supervises a clinic...

Question 7

The nursing student is creating a poster which will depict the top rural health priorities to meet the goals of Healthy People 2020. Which order should the student list the goals on this poster?

Accepted Answer

The answer of The nursing student is creating a poster...

Question 8

When speaking with an older man in a rural community about his lifelong smoking habit, the nurse is alarmed to learn that he has never heard that cigarette smoking is the major cause of lung cancer. Which of the seven A's of challenges to elders in rural areas would the nurse point out is represented in this situation?

Accepted Answer

The correct answer is D) Awareness. This is because the older man's lack of knowledge about the health risks associated with smoking, specifically its link to lung cancer, highlights a gap in awareness. This situation underscores the challenge of ensuring that individuals in rural areas are informed about important health information.

Question 9

While visiting the home of an 89-year-old woman out in the country, the nurse learns that her primary care provider's office is one hour's drive away. The client states, "I've just stopped going in for appointments in the past few years. It's just too far for me to drive by myself." This situation exemplifies which of the seven A's of challenges to elders in rural areas?

Accepted Answer

Accessibility is the correct answer because it refers to the ease with which healthcare services can be reached or accessed by the patient. In this scenario, the significant distance to the primary care provider's office makes it difficult for the elderly woman to access healthcare services, highlighting an issue with accessibility.

Question 10

The Children's Defense Fund supports initiatives at the individual, family, community, organizational, and government levels. Which strategy should the nurse point out is at the family level?

Accepted Answer

Creating daily homework routines and limiting television viewing are strategies that can be implemented at the family level to support children's development and well-being.

Question 11

The Children's Defense Fund supports initiatives at the individual, family, community, organizational, and government levels. Encouraging families to spend quality time together by hosting a movie or game night at a local church is an example of a strategy at which level?

Accepted Answer

Encouraging families to spend quality time together by hosting a movie or game night at a local church is an example of a community-level strategy, as it involves bringing together various families within a community setting to engage in activities.

Question 12

The Children's Defense Fund supports initiatives at the individual, family, community, organizational, and government levels. Which strategies are prioritized at the government level? (Select all that apply.)

Accepted Answer

The answer of The Children's Defense Fund supports initiatives at...

Question 13

In the United States, detention centers, jails, and prisons are places that provide safety to the public by incarcerating people who have committed crimes and who are deemed a threat to society. Which demographics would the nurse predict to find is true of the majority of inmates? (Select all that apply.)

Accepted Answer

The answer of In the United States, detention centers, jails,...

Question 14

A nurse is assessing a client who was recently released from prison. Which crime would the nurse most suspect that the client may have committed?

Accepted Answer

Drug-related offenses, including possession and trafficking, are among the most common reasons for incarceration in many countries, including the United States. This is due to strict drug laws and the war on drugs, leading to a high number of incarcerations for drug-related crimes.

Question 15

The nurse works at a clinic in Arizona that provides bilingual (English and Spanish) care to low-income immigrant workers from Mexico. Which designation most accurately describes the area or the population this nurse serves?

Accepted Answer

Medically underserved populations (MUPs) include groups of people who face economic, cultural, or linguistic barriers to health care. The scenario describes low-income immigrant workers from Mexico who likely face such barriers, making them a medically underserved population.

Question 16

The state public health department is comparing the latest census with the designation of state communities. Which communities would qualify as an urbanized area according to the U.S. Census Bureau? (Select all that apply.)

Accepted Answer

The answer of The state public health department is comparing...

Question 17

An older woman in a rural health clinic tells the nurse that this is the first time she's been in a medical facility for more than 10 years. She shows signs of advanced diabetes, including significant necrosis in her feet. When asked why she didn't come in sooner, she says, "I don't drive, myself, and I hate asking my son to bring me---I feel like such a burden." This situation exemplifies which of the seven A's of challenges to elders in rural areas?

Accepted Answer

The situation exemplifies "Acceptability," which refers to the older woman's feelings and perceptions about seeking medical help and the social or psychological barriers she faces, such as feeling like a burden to her family. This impacts her willingness to access healthcare services.

Question 18

The public health nurse is meeting with the school nurses from the county to discuss the various health concerns. When addressing the various issues for families living in poverty, what percentage of rural children will this group find meet this criterion?

Accepted Answer

24% of rural children are typically found to be living in poverty, which is a significant concern for public health and school nurses addressing health issues in these communities.

Question 19

A nurse has relocated from a rural hospital to a larger urban hospital and is noting some differences in the care being provided to the clients. Which most accurately characterizes the difference the Medicare clients with acute myocardial infarctions (AMIs) who were treated in rural hospital where the nurse used to work? (Select all that apply.)

Accepted Answer

Medicare clients with AMIs in rural hospitals are often less likely to receive recommended treatments and have higher adjusted 30-day post-AMI death rates compared to those in urban hospitals, due to factors like limited resources and access to specialized care.

Question 20

The nurse has contacted the Children's Defense Fund for support hosting a health fair to ensure all children who are eligible for Medicaid or state children's health insurance program are enrolled. Which level is the nurse utilizing?

Accepted Answer

The nurse is utilizing the organizational level by contacting the Children's Defense Fund, which is an organization that can provide support and resources for hosting a health fair.

Quiz 18: Underserved Populations