Question 1

Which of the following groups is the fastest-growing component of the rural population?

Accepted Answer

A)  Disabled adults 
B)  Elderly women 
C)  Hispanic children 
D)  Retirees 
A)  Disabled adults 
B)  Elderly women 
C)  Hispanic children 
D)  Retirees C

Question 2

Which of the following is most likely to provide public health services to Americans residing in a rural community?

Accepted Answer

A)  Public health nurse 
B)  Public health physician 
C)  Epidemiologist 
D)  Nurse practitioner 
A)  Public health nurse 
B)  Public health physician 
C)  Epidemiologist 
D)  Nurse practitioner A

Question 3

Which of the following best describes why for-profit managed care organizations (MCOs) have not begun to move into rural areas to increase the number of persons served? (Select all that apply.)

Accepted Answer

A)  High startup and administrative costs are needed. 
B)  A large number of elderly are on Medicare or Medicaid, which results in low reimbursement. 
C)  Managed care has not yet had time to go beyond major population centers. 
D)  MCOs are waiting until federal reimbursements for underserved rural health areas become higher. 
E)  The population is too small and too spread out.
F) Rural health areas are too geographically unattractive and lack any recreational possibilities for managers to want to work there. 
A)  High startup and administrative costs are needed. 
B)  A large number of elderly are on Medicare or Medicaid, which results in low reimbursement. 
C)  Managed care has not yet had time to go beyond major population centers. 
D)  MCOs are waiting until federal reimbursements for underserved rural health areas become higher. 
E)  The population is too small and too spread out.
F) Rural health areas are too geographically unattractive and lack any recreational possibilities for managers to want to work there. A, B, C, E

Question 4

A woman stumbled into the rural health clinic and explained that she had an incredible headache. She was sweating and began vomiting into the wastebasket by the intake nurse's desk. Which of the following diagnoses should be anticipated by the nurse?

Accepted Answer

A)  Acute adult panic disorder 
B)  Acute alcohol intoxication 
C)  Acute appendicitis 
D)  Acute meningitis 
E)  Acute pesticide poisoning 
A)  Acute adult panic disorder 
B)  Acute alcohol intoxication 
C)  Acute appendicitis 
D)  Acute meningitis 
E)  Acute pesticide poisoning

Question 5

Which of the following would be true for a county to be defined as having persistent poverty?

Accepted Answer

A)  At least 10% of the population has been in poverty for at least the last 10 years. 
B)  At least 10% of the population has been in poverty for at least the last 20 years. 
C)  At least 20% of the population has been in poverty for at least the last 20 years. 
D)  At least 20% of the population has been in poverty for at least the last 30 years. 
A)  At least 10% of the population has been in poverty for at least the last 10 years. 
B)  At least 10% of the population has been in poverty for at least the last 20 years. 
C)  At least 20% of the population has been in poverty for at least the last 20 years. 
D)  At least 20% of the population has been in poverty for at least the last 30 years.

Question 6

Which of the following describes what has been identified by public health experts as the number one priority in rural areas?

Accepted Answer

A)  Access to health care 
B)  Access to education 
C)  Access to telecommunications 
D)  Access to better-paying employment opportunities 
A)  Access to health care 
B)  Access to education 
C)  Access to telecommunications 
D)  Access to better-paying employment opportunities

Question 7

A nurse is explaining why migrant farmworkers experience cultural barriers when trying to receive care. Which of the following would the nurse include in this explanation?

Accepted Answer

A)  "As illegal immigrants, they are not eligible for tax-paid health care." 
B)  "Families who travel in isolation seeking agricultural work do not mix with their employers or other members of the community." 
C)  "Mexicans who speak primarily Spanish and cannot understand English." 
D)  "Usually perceived as outsiders, they are from many countries and cultures." 
A)  "As illegal immigrants, they are not eligible for tax-paid health care." 
B)  "Families who travel in isolation seeking agricultural work do not mix with their employers or other members of the community." 
C)  "Mexicans who speak primarily Spanish and cannot understand English." 
D)  "Usually perceived as outsiders, they are from many countries and cultures."

Question 8

Which of the following compositional factors influences rural health needs?

Accepted Answer

A)  Demographics of the people living in an area 
B)  Local environment 
C)  The geography of the area 
D)  The political and social institutions in the community 
A)  Demographics of the people living in an area 
B)  Local environment 
C)  The geography of the area 
D)  The political and social institutions in the community

Question 9

A public health nurse is working in a rural clinic. On the basis of risk, which of the following would be the priority group for care?

Accepted Answer

A)  African American adults 
B)  Adolescents 
C)  Elderly women who live alone 
D)  Migrant and seasonal farmworkers (MSFW) 
A)  African American adults 
B)  Adolescents 
C)  Elderly women who live alone 
D)  Migrant and seasonal farmworkers (MSFW)

Question 10

Which of the following best describes the practical importance of the classifications of metropolitan, micropolitan, and noncare areas?

Accepted Answer

A)  Classifications are used for congressional policy-making and funding decisions. 
B)  Metropolitan areas gained importance because of their large population. 
C)  Micropolitan areas are now recognized for their crucial role in society. 
D)  The new system emphasizes the extent of rural (noncare) areas. 
A)  Classifications are used for congressional policy-making and funding decisions. 
B)  Metropolitan areas gained importance because of their large population. 
C)  Micropolitan areas are now recognized for their crucial role in society. 
D)  The new system emphasizes the extent of rural (noncare) areas.

Question 11

Which of the following best explains why there are so few hospitals in rural areas?

Accepted Answer

A)  Few nurses and physicians enjoy the rural lifestyle. 
B)  Historically, hospitals began in large urban areas and have slowly expanded outward but have not yet reached all rural areas. 
C)  Rural areas have very low population density. 
D)  Rural residents do not trust hospitals, preferring to receive care from neighbors and friends. 
A)  Few nurses and physicians enjoy the rural lifestyle. 
B)  Historically, hospitals began in large urban areas and have slowly expanded outward but have not yet reached all rural areas. 
C)  Rural areas have very low population density. 
D)  Rural residents do not trust hospitals, preferring to receive care from neighbors and friends.

Question 12

Which of the following employment opportunities are among the most dangerous?

Accepted Answer

A)  Food processing, textiles, and transportation 
B)  Highway construction, ranching, and public utilities 
C)  Large mechanized factory positions 
D)  Mining, forestry, and fishing 
A)  Food processing, textiles, and transportation 
B)  Highway construction, ranching, and public utilities 
C)  Large mechanized factory positions 
D)  Mining, forestry, and fishing

Question 13

Which of the following best explains why companies do not build work places in rural areas where people are anxious to find full-time employment?

Accepted Answer

A)  Employers need highly educated and skilled employees. 
B)  Managers do not want to be transferred into a rural area where they will not fit in and will not be comfortable. 
C)  Rural persons do not work as hard as urban dwellers. 
D)  Smells emanating from farms are unacceptable to persons working inside. 
A)  Employers need highly educated and skilled employees. 
B)  Managers do not want to be transferred into a rural area where they will not fit in and will not be comfortable. 
C)  Rural persons do not work as hard as urban dwellers. 
D)  Smells emanating from farms are unacceptable to persons working inside.

Question 14

In comparison with mental health care in urban areas, which of the following best describes how mental health care in rural areas differs? (Select all that apply.)

Accepted Answer

A)  Access to care is more limited or not available at all locally. 
B)  Cost for treatment is typically reimbursed at a lower rate. 
C)  Depression is frequently not recognized or is not treated. 
D)  Ethnic and racial disparities exist. 
E)  Primary health care professionals accept responsibility for mental health treatment.
F) The suicide rate is notably higher. 
A)  Access to care is more limited or not available at all locally. 
B)  Cost for treatment is typically reimbursed at a lower rate. 
C)  Depression is frequently not recognized or is not treated. 
D)  Ethnic and racial disparities exist. 
E)  Primary health care professionals accept responsibility for mental health treatment.
F) The suicide rate is notably higher.

Question 15

Which of the following statements best describes how working on a farm is different from working in a factory?

Accepted Answer

A)  Factories have more dangerous dust than farming dust. 
B)  Farm chemicals are more immediately fatal than most industrial chemicals. 
C)  The worksite and the home are the same. 
D)  Workers on farms, unlike those in factories, can bring dangerous substances home on their clothing, which expose their families. 
A)  Factories have more dangerous dust than farming dust. 
B)  Farm chemicals are more immediately fatal than most industrial chemicals. 
C)  The worksite and the home are the same. 
D)  Workers on farms, unlike those in factories, can bring dangerous substances home on their clothing, which expose their families.

Question 16

Which of the following facts is noteworthy about adolescent males who are driving without a license in the countryside?

Accepted Answer

A)  Most had driver's education classes but have not yet earned the money to pay for their driver's license test. 
B)  Most were Hispanic or black from a rural area. 
C)  Most were practiced in driving large farm machinery and were just going from one section of the farm to another section. 
D)  Most were practicing their driving skills with their parent in the car. 
A)  Most had driver's education classes but have not yet earned the money to pay for their driver's license test. 
B)  Most were Hispanic or black from a rural area. 
C)  Most were practiced in driving large farm machinery and were just going from one section of the farm to another section. 
D)  Most were practicing their driving skills with their parent in the car.

Question 17

As a concerned citizen and professional, a nurse encourages the local senators and representatives to support expansion of health clinics for the poverty stricken. Which of the following locations is in most desperate need?

Accepted Answer

A)  Rural areas where migrant and seasonal farmworkers (MSFW) labor 
B)  Inner city poverty-stricken neighborhoods 
C)  Near elderly low-income housing units 
D)  Inside high schools in poverty-stricken neighborhoods 
A)  Rural areas where migrant and seasonal farmworkers (MSFW) labor 
B)  Inner city poverty-stricken neighborhoods 
C)  Near elderly low-income housing units 
D)  Inside high schools in poverty-stricken neighborhoods

Question 18

A nurse was trying to decrease the amount of respiratory illness in the community. Which of the following approaches should be used by the nurse?

Accepted Answer

A)  Attend each farmworkers' meeting and listen to how they perceive and discuss their problems 
B)  Offer to teach the farmers' spouses how to protect their families, such as having the farmer shower and change clothes before coming into the house 
C)  Suggest the community work together to obtain a community college so farmworkers could be educated for other employment opportunities 
D)  Teach children in the school system the importance of seeking employment in cities rather than staying on the farm 
A)  Attend each farmworkers' meeting and listen to how they perceive and discuss their problems 
B)  Offer to teach the farmers' spouses how to protect their families, such as having the farmer shower and change clothes before coming into the house 
C)  Suggest the community work together to obtain a community college so farmworkers could be educated for other employment opportunities 
D)  Teach children in the school system the importance of seeking employment in cities rather than staying on the farm

Question 19

Which of the following do expert rural nurses report as benefits of their work? (Select all that apply.)

Accepted Answer

A)  Ability to develop close relationships and give holistic care 
B)  Being able to practice in the community where one lives 
C)  Constant challenges 
D)  Continual growth as an expert generalist 
E)  Higher salary than in urban areas
F) Intensity of purpose 
A)  Ability to develop close relationships and give holistic care 
B)  Being able to practice in the community where one lives 
C)  Constant challenges 
D)  Continual growth as an expert generalist 
E)  Higher salary than in urban areas
F) Intensity of purpose

Question 20

Which of the following best describes how Migrant Health Centers (MHCs) under the Migrant Health Program are often different from other clinics?

Accepted Answer

A)  Care is restricted to those who can document that they are employed in agriculture. 
B)  They are much better funded than typical rural clinics. 
C)  Staff are typically bilingual and bicultural. 
D)  They welcome illegal immigrants to receive care. 
A)  Care is restricted to those who can document that they are employed in agriculture. 
B)  They are much better funded than typical rural clinics. 
C)  Staff are typically bilingual and bicultural. 
D)  They welcome illegal immigrants to receive care.

Exam 23: Rural and Migrant Health

Which of the following groups is the fastest-growing component of the rural population?

Which of the following is most likely to provide public health services to Americans residing in a rural community?

Which of the following best describes why for-profit managed care organizations (MCOs) have not begun to move into rural areas to increase the number of persons served? (Select all that apply.)

A woman stumbled into the rural health clinic and explained that she had an incredible headache. She was sweating and began vomiting into the wastebasket by the intake nurse's desk. Which of the following diagnoses should be anticipated by the nurse?

Which of the following would be true for a county to be defined as having persistent poverty?

Which of the following describes what has been identified by public health experts as the number one priority in rural areas?

A nurse is explaining why migrant farmworkers experience cultural barriers when trying to receive care. Which of the following would the nurse include in this explanation?

Which of the following compositional factors influences rural health needs?

A public health nurse is working in a rural clinic. On the basis of risk, which of the following would be the priority group for care?

Which of the following best describes the practical importance of the classifications of metropolitan, micropolitan, and noncare areas?

Which of the following best explains why there are so few hospitals in rural areas?

Which of the following employment opportunities are among the most dangerous?

Which of the following best explains why companies do not build work places in rural areas where people are anxious to find full-time employment?

In comparison with mental health care in urban areas, which of the following best describes how mental health care in rural areas differs? (Select all that apply.)

Which of the following statements best describes how working on a farm is different from working in a factory?

Which of the following facts is noteworthy about adolescent males who are driving without a license in the countryside?

As a concerned citizen and professional, a nurse encourages the local senators and representatives to support expansion of health clinics for the poverty stricken. Which of the following locations is in most desperate need?

A nurse was trying to decrease the amount of respiratory illness in the community. Which of the following approaches should be used by the nurse?

Which of the following do expert rural nurses report as benefits of their work? (Select all that apply.)

Which of the following best describes how Migrant Health Centers (MHCs) under the Migrant Health Program are often different from other clinics?

Health: A Community View

Historical Factors: Community Health Nursing in Context

Thinking Upstream: Nursing Theories and Population-Focused Nursing Practice

Health Promotion and Risk Reduction

Epidemiology

Community Assessment

Community Health Planning, Implementation, and Evaluation

Community Health Education

Case Management

Policy, Politics, Legislation, and Community Health Nursing

The Health Care System

Economics of Health Care

Cultural Diversity and Community Health Nursing

Environmental Health

Health in the Global Community

Child and Adolescent Health

Women’s Health

Men’s Health

Senior Health

Family Health

Populations Affected by Disabilities

Homeless Populations

Populations Affected by Mental Illness

Communicable Disease

Substance Abuse

Violence

Natural and Man-Made Disasters

School Health

Occupational Health

Forensic and Correctional Nursing

Faith Community Nursing

Home Health and Hospice

Filters