Question 1

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." Which of the following best describes the classification of this area?
A) Standard metropolitan statistical area
B) Metropolitan county
C) Frontier
D) Rural area

Accepted Answer

A frontier region has fewer than six people per square mile.A standard metropolitan statistical area is a region with a central city of at least 50,000 residents.A metropolitan county describes regions with a central city of at least 50,000 residents.Rural describes communities having less than 20,000 residents or fewer than 99 persons per square mile.

Question 2

A nurse is providing care for at-risk minority groups in rural America.Which of the following 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) Chronic diseases

Accepted Answer

Field sanitation,infectious diseases,maternal care,and oral/dental concerns are major health care needs for at-risk minority groups in rural America.Chronic diseases are a problem for all Americans,not just the at-risk minority groups in the rural areas.

Question 3

A nurse is providing maternal-child care for rural women.The nurse would like to intervene with pregnant women who are at risk for poor health outcomes.Which of the following populations would be the target population for the nurse's care?
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

Accepted Answer

As per the National Center for Farmworker Health,pregnant women who are particularly at risk are those who live on or near Indian reservations,migrant workers,and African American women who live in the deep South.Latinos living in urban environments,Caucasians living in remote areas,and those receiving health care from general practitioners are not as much of a concern in comparison to the Indian population.

Question 4

A nurse who had been working in an urban area is now employed in a rural area.Which of the following differences between the populations is the nurse most likely to notice?
A) Increased number of residents under age 18
B) Increased number of residents over age 50
C) Increased number of residents who are married
D) Increased number of residents who have more years of formal education

Accepted Answer

Rural communities have a higher-than-average number of residents under 18 years of age and over 65 years of age compared with an urban setting.Rural residents 18 years of age and older are more likely to be,or have been,married than their urban counterparts.As a group,rural adults are more likely to be widowed and have fewer years of formal education than urban adults.

Question 5

A nurse is assisting with recruitment of health care providers to a primary care facility.Which of the following facts about the rural population and their patterns of seeking medical care should be considered?
A) Fewer rural adults seek medical care than urban adults.
B) There is a greater population to serve in rural areas.
C) Poor adults in urban areas have less access to care.
D) Rural adults do not want to seek care.

Accepted Answer

Despite their overall poorer health status and higher incidence of chronic health conditions,rural adults seek medical care less often than urban adults.There are resources for care in rural areas,but in some cases this may be scarce.The lack of providers or other resources in some rural areas may make it difficult for residents to obtain care.In most rural areas,the population is smaller than in an urban area.

Question 6

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.

Accepted Answer

Poorer overall health status is attributed to impaired access to health care providers and services coupled with other rural factors.Rural residents seek medical care less often,are usually seen by a general practitioner,and are more likely to identify a usual source of medical care.

Question 7

A nurse is providing care to a Native Alaskan client.Which of the following exposures should the nurse anticipate may require specialized community nursing care?
A) Exposure to toxic substances
B) Farmer's lung
C) Field sanitation
D) Black lung

Accepted Answer

Native Alaskans have special care needs related to exposure to toxic substances/contaminants,hypothermia,interpersonal/domestic violence,infectious diseases,dental caries/loss,and diabetes.Farmer's lung is associated with farmers/ranchers.Field sanitation is associated with migrant farmworkers.Black lung is associated with coal miners.

Question 8

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

Accepted Answer

In general,there are a higher proportion of whites in rural area than in urban areas.

Question 9

A client is suffering from stress related to the depressed lumber industry in his county.Which of the following best describes this client's condition?
A) Manic-depression
B) Psychosis
C) Anticipatory grieving
D) Farm stress

Accepted Answer

Stress related to the depressed lumber industry can be classified as farm stress.Manic-depression is alternating abnormal highs and lows of feelings and behaviors.Psychosis is a mental illness in which connection with reality is lost.Anticipatory grief refers to grief before an impending loss.

Question 10

A nurse is planning to conduct research in a rural setting.Which of the following areas 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

Accepted Answer

Research on the stressors and rewards of rural practice,in particular public and community health nursing,is needed.Other priority areas of research include rural nursing practice,empirical data on the particular nursing needs of rural-client systems,international perspective on the health of rural populations,the use of technology and communication,and rural-urban disparities in health status.

Question 11

The percentage of U.S.residents living in rural settings is about:
A) 5%.
B) 15%.
C) 20%.
D) 40%.

Accepted Answer

According to the Bureau of the Census estimates,almost 20% of all U.S.residents live in rural settings.

Question 12

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.

Accepted Answer

Rural residents in America have a higher rate of chronic illness than urban residents.Nearly half of all rural adults have been diagnosed with at least one of the following: heart disease,chronic obstructive pulmonary disease,hypertension,arthritis and rheumatism,diabetes,cardiovascular disease,or cancer,compared with about one fourth of non-rural adults.In general,people in rural areas have a poorer perception of their overall health and functional status than their urban counterparts.Rural residents are less likely to engage in preventive health behavior and are more likely to be exposed to occupational and environmental hazards.

Question 13

Which of the following describes a barrier to obtaining care in a rural area?
A) Readily available transportation
B) Inadequate provider understanding about rural health needs
C) Short distances to health care facilities
D) Available specialists

Accepted Answer

One common barrier to health care is inadequate provider attitudes and understanding about rural populations.The barriers to health care among the rural population are associated with one of the following characteristics: whether services and professionals are available,affordable,accessible,or acceptable to rural consumers.

Question 14

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.

Accepted Answer

Everyone has an idea as to what constitutes rural as opposed to urban residence.With the increased degree of urban influence on rural communities,the differences are no longer as distinct as they may have been in the past.There has been research done on rural health.

Question 15

A nurse is planning care using the case management model.Which of the following interventions would be most 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

Accepted Answer

The case management model provides a client-professional partnership that can be used to arrange a continuum of care for rural clients,with the case manager tailoring and blending formal and informal resources.Collaborative efforts between a client and the case manager allow clients to participate in their plan of care in an acceptable and appropriate way,especially when local resources are few and far between.The case management model does not define the characteristics of the community or evaluate the outcomes of rural programs.

Question 16

A nurse is practicing in a rural environment.Which of the following opportunities exist for in the nurse's practice?
A) Variety/diversity in clinical experiences
B) Slower pace
C) Direct collaborative practice opportunities
D) Abundant resources

Accepted Answer

Rural nursing offers a great variety and diversity of clinical experiences because care is often given across the life span.Typically in nursing practice in rural areas,it is a faster pace,has greater independence/autonomy,and sparse resources.In rural areas there are typically less providers,so there may be more indirect collaborative practice opportunities but more limited direct collaborative practice.

Question 17

Which is a characteristic of nursing practice in rural environments?
A) Anonymity
B) Less autonomy
C) Professional isolation
D) Faster pace

Accepted Answer

Concerns with professional isolation are often noted in rural practice environments.However,technology continues to improve the problems with isolation.A nurse working in a rural environment has no anonymity,has greater autonomy,and works at a slower pace.

Question 18

A nurse visited a client living on a farm residency.Which of the following best describes the area the nurse visited?
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

Accepted Answer

Farm residency usually refers to residency outside areas zoned as "city limits," usually implying involvement in agriculture.A frontier is a region having fewer than six persons per square mile.The term small describes counties in a metro area with fewer than 1 million people.Suburban is an area adjacent to a highly populated city.

Question 19

A nurse administrator is educating her new nursing staff about the use of health care by rural residents.Which of the following statements 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."

Accepted Answer

General practitioners and advanced practice nurses are seen more often by rural adults; urban adults are more likely to get specialized care.Rural adults are more likely to identify a particular medical provider.Rural adults are less likely to seek medical treatment from a specialist than those in urban areas.Rural adults are more likely to travel more than 30 minutes to reach their usual source of care.

Question 20

A nurse provides care to rural adults after working in an urban clinic for many years.Which of the following considerations should the nurse make when working with this population?
A) Rural adults are more likely to have health insurance.
B) Rural adults are more likely to have access to health care providers.
C) Rural adults are more concerned about their health status.
D) Rural adults are more likely to experience mobility limitations.

Accepted Answer

More rural adults experience at least three of the limitations of walking one block,walking uphill or climbing stairs,bending,lifting,stooping,feeding,dressing,bathing,and toileting.In general,rural residents are less concerned about their health status,less likely to have access to health care providers,and less likely to have health insurance.

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

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." Which of the following best describes the classification of this area?

A nurse is providing care for at-risk minority groups in rural America.Which of the following health care needs are appropriate for the nurse to address? (Select all that apply.)

A nurse is providing maternal-child care for rural women.The nurse would like to intervene with pregnant women who are at risk for poor health outcomes.Which of the following populations would be the target population for the nurse's care?

A nurse who had been working in an urban area is now employed in a rural area.Which of the following differences between the populations is the nurse most likely to notice?

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

In comparison with urban adults,rural adults:

A nurse is providing care to a Native Alaskan client.Which of the following exposures should the nurse anticipate may require specialized community nursing care?

Which group is over-represented in rural areas when compared with urban areas?

A client is suffering from stress related to the depressed lumber industry in his county.Which of the following best describes this client's condition?

A nurse is planning to conduct research in a rural setting.Which of the following areas of research may be of most importance to rural nursing practice?

The percentage of U.S.residents living in rural settings is about:

Compared with urban Americans,rural residents:

Which of the following describes a barrier to obtaining care in a rural area?

Rurality is a subjective concept because:

A nurse is planning care using the case management model.Which of the following interventions would be most appropriate when implementing this model of care?

A nurse is practicing in a rural environment.Which of the following opportunities exist for in the nurse's practice?

Which is a characteristic of nursing practice in rural environments?

A nurse visited a client living on a farm residency.Which of the following best describes the area the nurse visited?

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

A nurse provides care to rural adults after working in an urban clinic for many years.Which of the following considerations should the nurse make when working with this population?