Question 1

What percentage of U.S. residents live in rural settings?

Accepted Answer

A)  5% 
B)  15% 
C)  20% 
D)  40% 
A)  5% 
B)  15% 
C)  20% 
D)  40% C

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.)

Accepted Answer

A)  Field sanitation 
B)  Infectious diseases 
C)  Maternal care services 
D)  Oral/dental care 
E)  Chronic diseases 
A)  Field sanitation 
B)  Infectious diseases 
C)  Maternal care services 
D)  Oral/dental care 
E)  Chronic diseases A, B, C, D

Question 3

In comparison with urban adults, which statement is true of rural adults?

Accepted Answer

A)  They seek medical care more often. 
B)  They have poorer overall health status. 
C)  They are less likely to identify a usual source of medical care. 
D)  They are usually seen by a specialist rather than a general practitioner. 
A)  They seek medical care more often. 
B)  They have poorer overall health status. 
C)  They are less likely to identify a usual source of medical care. 
D)  They are usually seen by a specialist rather than a general practitioner. B

Question 4

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?

Accepted Answer

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. 
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.

Question 5

A nurse administrator is educating new nursing staff about the use of health care by rural residents. Which statement about rural adults should be included in the presentation?

Accepted Answer

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

Question 6

A nurse builds a vacation home in a remote area having fewer than six people per square mile, so "I can get away from it all." Which of the following best describes the classification of this area?

Accepted Answer

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

Question 7

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?

Accepted Answer

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 
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 8

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

Accepted Answer

A)  Variety/diversity in clinical experiences 
B)  Slower pace 
C)  Direct collaborative practice opportunities 
D)  Abundant resources 
A)  Variety/diversity in clinical experiences 
B)  Slower pace 
C)  Direct collaborative practice opportunities 
D)  Abundant resources

Question 9

Compared with urban Americans, which statement is true of rural residents?

Accepted Answer

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

Question 10

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?

Accepted Answer

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

Question 11

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?

Accepted Answer

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 
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 12

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

Accepted Answer

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

Question 13

Which of the following considerations should the nurse make when working with the rural population?

Accepted Answer

A)  They are likely to have health insurance. 
B)  They are likely to have access to health care providers. 
C)  They are more concerned about their health status. 
D)  They are likely to experience mobility limitations. 
A)  They are likely to have health insurance. 
B)  They are likely to have access to health care providers. 
C)  They are more concerned about their health status. 
D)  They are likely to experience mobility limitations.

Question 14

A nurse is planning interventions that will be used when providing care for a rural client. Which of the following characteristics of rural life should the nurse anticipate? (Select all that apply.)

Accepted Answer

A)  Lack of anonymity 
B)  Higher prevalence of high-risk occupations 
C)  Churches and schools as socialization centers 
D)  Preference for interacting with outsiders 
E)  Increased mobility 
A)  Lack of anonymity 
B)  Higher prevalence of high-risk occupations 
C)  Churches and schools as socialization centers 
D)  Preference for interacting with outsiders 
E)  Increased mobility

Question 15

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

Accepted Answer

A)  African Americans 
B)  Asian Pacific Islanders 
C)  Caucasians 
D)  Native Americans 
A)  African Americans 
B)  Asian Pacific Islanders 
C)  Caucasians 
D)  Native Americans

Question 16

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

Accepted Answer

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. 
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 17

Why is rurality a subjective concept?

Accepted Answer

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. 
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 18

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?

Accepted Answer

A)  Exposure to toxic substances 
B)  Farmer's lung 
C)  Field sanitation 
D)  Black lung 
A)  Exposure to toxic substances 
B)  Farmer's lung 
C)  Field sanitation 
D)  Black lung

Question 19

Which is a characteristic of nursing practice in rural environments?

Accepted Answer

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

Question 20

A nurse who had been working in an urban area is now employed in a rural area. Which cohort accounts for an increase in the rural population and thus an increased need for nurses?

Accepted Answer

A)  Those under age 18 
B)  Those over age 50 
C)  Those who are married 
D)  Those with years of formal education 
A)  Those under age 18 
B)  Those over age 50 
C)  Those who are married 
D)  Those with years of formal education

Exam 32: Rural Health Issues

What percentage of U.S. residents live in rural settings?

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.)

In comparison with urban adults, which statement is true of rural adults?

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 nurse administrator is educating new nursing staff about the use of health care by rural residents. Which statement about rural adults should be included in the presentation?

A nurse builds a vacation home in a remote area having fewer than six people per square mile, so "I can get away from it all." Which of the following best describes the classification of this area?

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

Compared with urban Americans, which statement is true of rural residents?

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 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?

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

Which of the following considerations should the nurse make when working with the rural population?

A nurse is planning interventions that will be used when providing care for a rural client. Which of the following characteristics of rural life should the nurse anticipate? (Select all that apply.)

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

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

Why is rurality a subjective concept?

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 is a characteristic of nursing practice in rural environments?

A nurse who had been working in an urban area is now employed in a rural area. Which cohort accounts for an increase in the rural population and thus an increased need for nurses?

Public Health Foundations and Population Health

History of Public Health and Public and Community Health Nursing

Public Health, Primary Care, and Primary Health

Perspectives in Global Health Care

Economics of Health Care Delivery

Environmental Health

Application of Ethics in the Community

Achieving Cultural Competence in Community Health Nursing

Public Health Policy

Evidence-Based Practice

Population-Based Public Health Nursing Practice: the Intervention Wheel

Genomics in Public Health Nursing

Epidemiology

Infectious Disease Prevention and Control

Communicable and Infectious Disease Risks

Promoting Healthy Communities

Community As Client: Assessment and Analysis

Building a Culture of Health to Influence Health Equity Within Communities

Health Education Principles Applied in Communities, Groups, Families, and Individuals for Healthy Change

The Nurse Managed Health Center: a Model for Public Health Nursing Practice

Public Health Nursing Practice and the Disaster Management Cycle

Public Health Surveillance and Outbreak Investigation

Program Management

Quality Management

Case Management

Working With Families in the Community for Healthy Outcomes

Family Health Risks

Child and Adolescent Health

Major Health Issues and Chronic Disease Management of Adults Across the Life Span

Disability Health Care Across the Lifespan

Vulnerability and Vulnerable Populations

Poverty and Homelessness

Migrant Health Issues

Teen Pregnancy

Mental Health Issues

Alcohol, Tobacco and Other Drug Problems

Violence and Human Abuse

The Advanced Practice Nurse in the Community

The Nurse Leader in the Community

The Nurse in Public Health, Home Health, Hospice, and Palliative Care

The Nurse in the Schools

The Nurse in Occupational Health

Forensic Nursing in the Community

The Nurse in the Faith Community

Public Health Nursing at Local, State, and National Levels

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