Question 1

What are issues that CHNs who work in rural and remote settings have to address?

Accepted Answer

-Regardless of practice setting, all rural and remote CHNs are faced with addressing issues in clinical practice, leadership, and the work environment.
-Rural and remote nursing practice is shaped by the context of communities, with their limited transportation, communications, and other resources.
-Within small communities, CHNs provide care to clients who also may be friends and neighbours with a wide range of conditions.
-Rural nurses experience practice as being multifaceted and complex, with considerable decision-making challenges and little backup.
-Rural and remote practice demands significant knowledge and skills to be responsive to community needs

Question 2

List the factors that contribute to quality work environments in rural and remote nursing practice. Provide a community health nursing example for each strategy.

Accepted Answer

-Developing consistent expectations and approaches among managers and nurses to address practice issues at the site level (e.g. up to date policy and procedures manuals)
-Relevant rural practice standards (e.g. travel standards)
-Policies that support rural nurses' scope of practice (e.g. prescribing emergency contraception)
-Practice-driven, rural-focused nursing education programs (e.g. rural practicums for students)
-Rural reality-based preceptorship and mentorship programs (e.g. virtual mentors for rural nurses)
-Development of sustained process for direct rural nursing involvement in local and regional planning ; Learning Outcomes 4 & 5

Question 3

The Standfords are a family considering moving to a rural area based on a job transfer. What is a challenge facing rural communities?

Accepted Answer

A)  Rural areas within commuting distances are decreasing in population 
B)  Inequitable access to technology 
C)  Retail businesses are thriving in rural communities 
D)  More distant rural areas are experiencing an in-migration of all age groups 
A)  Rural areas within commuting distances are decreasing in population 
B)  Inequitable access to technology 
C)  Retail businesses are thriving in rural communities 
D)  More distant rural areas are experiencing an in-migration of all age groups B

Question 4

Why do people who work on medium-sized farms have the highest incidence of injury?

Accepted Answer

A)  Because there is too much turnover in staff 
B)  Because they work long hours with little hired help 
C)  Because they have too many children to look after 
D)  Because they don't prioritize their tasks appropriately 
A)  Because there is too much turnover in staff 
B)  Because they work long hours with little hired help 
C)  Because they have too many children to look after 
D)  Because they don't prioritize their tasks appropriately

Question 5

List and define the five principles of cultural safety as they relate to rural and remote nursing

Accepted Answer

-Protocols - respect for cultural forms

Question 6

What is an example of a social approach to defining a rural area?

Accepted Answer

A)  The community coordinates are 64003'39"N and 139024'39"W 
B)  The individuals are living in the countryside outside a centre with a population of 2500 
C)  The community has one Italian and one Greek restaurant 
D)  Population density per square kilometre is 40.9 
A)  The community coordinates are 64003'39"N and 139024'39"W 
B)  The individuals are living in the countryside outside a centre with a population of 2500 
C)  The community has one Italian and one Greek restaurant 
D)  Population density per square kilometre is 40.9

Question 7

Amar is a community health nurse working in community that is dependent on oil and gas extraction. What would be a priority for Amar?

Accepted Answer

A)  Identifying social support for the young men in the community who work in the industry 
B)  Identify the cardiovascular health promotion initiatives for the seniors 
C)  Acknowledge the religious and political contexts of the community 
D)  Support the community in increasing tourism to the region 
A)  Identifying social support for the young men in the community who work in the industry 
B)  Identify the cardiovascular health promotion initiatives for the seniors 
C)  Acknowledge the religious and political contexts of the community 
D)  Support the community in increasing tourism to the region

Question 8

Which of the following key issues need to be addressed to promote the CHN's involvement in rural and remote health policies? Select all that apply.

Accepted Answer

A)  Canada's history of colonization 
B)  Research support for rural and remote nursing 
C)  CHNs need to recognize the strength of their policy voices 
D)  Have health information readily available for policy discussions 
E)  None of the above 
A)  Canada's history of colonization 
B)  Research support for rural and remote nursing 
C)  CHNs need to recognize the strength of their policy voices 
D)  Have health information readily available for policy discussions 
E)  None of the above

Question 9

Which of the following statements is true of rural and remote nurses?

Accepted Answer

A)  They have a higher level of education due to the decision-making autonomy 
B)  They have a lower level of education than their urban counterparts 
C)  They are more likely to leave the nursing profession in less than one year 
D)  They are more likley to be males willing to work alone 
A)  They have a higher level of education due to the decision-making autonomy 
B)  They have a lower level of education than their urban counterparts 
C)  They are more likely to leave the nursing profession in less than one year 
D)  They are more likley to be males willing to work alone

Question 10

Lori is a nurse working in a community that has a Hutterite colony with a large farming operation. Lori wants to visit the colony to do some health promotion activities. Lori wants to provide culturally safe health information to the Hutterite community. What health strategy meets this goal?

Accepted Answer

A)  Meet with the men to review farm safety practices 
B)  Invite the women to a local conference on women's health issues 
C)  Develop a YouTube video on heart-healthy diet 
D)  Create a detailed pamphlet on cardiovascular health 
A)  Meet with the men to review farm safety practices 
B)  Invite the women to a local conference on women's health issues 
C)  Develop a YouTube video on heart-healthy diet 
D)  Create a detailed pamphlet on cardiovascular health

Question 11

Hans, a nurse manager with the federal government, is using a rurality index to plan for services in several rural/remote communities. What is an example of a community characteristic that is used in a rurality index? Select all that apply.

Accepted Answer

A)  Number of nurses in a community 
B)  Population under 2500 
C)  Lack of airport in the community 
D)  Availability of physician specialists 
A)  Number of nurses in a community 
B)  Population under 2500 
C)  Lack of airport in the community 
D)  Availability of physician specialists

Question 12

Which industry continues to have one of the highest fatality rates due to injury?

Accepted Answer

A)  Oil and gas 
B)  Farming 
C)  Logging 
D)  Mining 
A)  Oil and gas 
B)  Farming 
C)  Logging 
D)  Mining

Question 13

Which of the following rural industry has the highest reported fatality rate?

Accepted Answer

A)  Logging 
B)  Mining 
C)  Fishing 
D)  Farming 
A)  Logging 
B)  Mining 
C)  Fishing 
D)  Farming

Question 14

Sandi is a registered nurse working in a rural and remote community. What should be a focus for Sandi when working with the community?

Accepted Answer

A)  Understand that all rural people reported higher proportions of people who low income 
B)  Seek to understand the intersection between rural living and what this means for health 
C)  Find out why education is not a priority for people who live in rural and remote communities 
D)  Identify people who can help her understand who is more at risk for cardiovascular disease 
A)  Understand that all rural people reported higher proportions of people who low income 
B)  Seek to understand the intersection between rural living and what this means for health 
C)  Find out why education is not a priority for people who live in rural and remote communities 
D)  Identify people who can help her understand who is more at risk for cardiovascular disease

Question 15

Which of the following statements is true of the socioeconomic status of rural communities?

Accepted Answer

A)  In all natural-resource-dependent areas, industrial camps are set up for the long term 
B)  The global pricing and demands are always high of natural resources that are accessed in rural communities 
C)  Communities may seek alternate economic ventures such as tourism to sustain their social viability 
D)  The global pricing and demands are always low of natural resources that are access in rural communities 
A)  In all natural-resource-dependent areas, industrial camps are set up for the long term 
B)  The global pricing and demands are always high of natural resources that are accessed in rural communities 
C)  Communities may seek alternate economic ventures such as tourism to sustain their social viability 
D)  The global pricing and demands are always low of natural resources that are access in rural communities

Question 16

Why is poverty a significant issue in rural communities?

Accepted Answer

A)  Because of the increasing number of resources in rural communities 
B)  Because they have to pay less for services in their communities 
C)  Because they have to travel long distances for services in communities 
D)  Because of the increasing population in their rural communities 
A)  Because of the increasing number of resources in rural communities 
B)  Because they have to pay less for services in their communities 
C)  Because they have to travel long distances for services in communities 
D)  Because of the increasing population in their rural communities

Question 17

Most health policies in Canada are based upon an urban perspective with little consideration of their applicability in rural environments. What key issues need to be addressed in order to this situation to be changed?

Accepted Answer

-Having a specific individual champion i

Question 18

Which of the following issues are the result of the impacts of shift work in rural areas?

Accepted Answer

A)  Obesity and emotional distress 
B)  Bi-polar disorder and emotional distress 
C)  Alcohol abuse and fractures 
D)  Fractures and substance abuse 
A)  Obesity and emotional distress 
B)  Bi-polar disorder and emotional distress 
C)  Alcohol abuse and fractures 
D)  Fractures and substance abuse

Question 19

Jerry is a rural nurse working in a community that has a high incidence of domestic abuse. What is the reason why this is likely an issue in this rural community?

Accepted Answer

A)  People are too focused on trying to increase their income levels 
B)  The importance of gender equity is valued by people in rural areas 
C)  People feel comfortable reaching out to their registered nurse 
D)  Domestic issues are impacts of shift work for rural people 
A)  People are too focused on trying to increase their income levels 
B)  The importance of gender equity is valued by people in rural areas 
C)  People feel comfortable reaching out to their registered nurse 
D)  Domestic issues are impacts of shift work for rural people

Question 20

Which of the following are examples of leadership issues in rural and remote nursing?

Accepted Answer

A)  Working through a clear list of priorities 
B)  Coping with having leaders at a distance 
C)  Working in environments with sufficient resources 
D)  Working in environments with sufficient support networks 
A)  Working through a clear list of priorities 
B)  Coping with having leaders at a distance 
C)  Working in environments with sufficient resources 
D)  Working in environments with sufficient support networks

Exam 24: Rural and Remote Health

What are issues that CHNs who work in rural and remote settings have to address?

List the factors that contribute to quality work environments in rural and remote nursing practice. Provide a community health nursing example for each strategy.

The Standfords are a family considering moving to a rural area based on a job transfer. What is a challenge facing rural communities?

Why do people who work on medium-sized farms have the highest incidence of injury?

List and define the five principles of cultural safety as they relate to rural and remote nursing

What is an example of a social approach to defining a rural area?

Amar is a community health nurse working in community that is dependent on oil and gas extraction. What would be a priority for Amar?

Which of the following key issues need to be addressed to promote the CHN's involvement in rural and remote health policies? Select all that apply.

Which of the following statements is true of rural and remote nurses?

Lori is a nurse working in a community that has a Hutterite colony with a large farming operation. Lori wants to visit the colony to do some health promotion activities. Lori wants to provide culturally safe health information to the Hutterite community. What health strategy meets this goal?

Hans, a nurse manager with the federal government, is using a rurality index to plan for services in several rural/remote communities. What is an example of a community characteristic that is used in a rurality index? Select all that apply.

Which industry continues to have one of the highest fatality rates due to injury?

Which of the following rural industry has the highest reported fatality rate?

Sandi is a registered nurse working in a rural and remote community. What should be a focus for Sandi when working with the community?

Which of the following statements is true of the socioeconomic status of rural communities?

Why is poverty a significant issue in rural communities?

Most health policies in Canada are based upon an urban perspective with little consideration of their applicability in rural environments. What key issues need to be addressed in order to this situation to be changed?

Which of the following issues are the result of the impacts of shift work in rural areas?

Jerry is a rural nurse working in a community that has a high incidence of domestic abuse. What is the reason why this is likely an issue in this rural community?

Which of the following are examples of leadership issues in rural and remote nursing?

The History of Community Health Nursing in Canada

Policy, Politics, and Power in Health Care

Nursing Roles, Functions, and Practice Settings

Public Health Nursing

Home Health Nursing in Canada

Advocacy, Ethical, and Legal Considerations

Theoretical Foundations of Community Health Nursing

Health Promotion

Race, Culture, and Health

Research

Epidemiology

Communicable Diseases

Community Nursing Process

Community Health Planning, Monitoring, and Evaluation

Digital Health

Maternal, Newborn, and Child Health

School Health

Family Nursing

Gender and Community Health

Lesbian, Gay, Bisexual, Transgender, Queer, and Two Spirit Clients

Older Adult Health

Indigenous Health

Community Mental Health

Chronic Care, Long-Term Care, and Palliative Care

Correctional Health

Ecological Determinants of Health and Environmental Health Inequities

Violence and Health

Poverty, Homelessness, and Food Insecurity

Substance Use

Sexually Transmitted and Blood-Borne Infections

Emergency Preparedness and Disaster Nursing

Global Health

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