Question 1

Rurality is a subjective concept because:

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. A

Question 2

When planning interventions that will be used when providing care for a rural client,which characteristic 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 
A)  Lack of anonymity 
B)  Higher prevalence of high-risk occupations 
C)  Churches and schools as socialization centers 
D)  Preference for interacting with outsiders A,B,C

Question 3

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." This area is classified as a:

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 C

Question 4

The percentage of United States residents living in rural settings is about:

Accepted Answer

A)  5% 
B)  15% 
C)  25% 
D)  40% 
A)  5% 
B)  15% 
C)  25% 
D)  40%

Question 5

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

Accepted Answer

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." 
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."

Question 6

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 7

A common barrier to care in the rural areas is:

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 8

A nurse is providing care for at-risk minority groups in rural America.Which 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)  None of above 
A)  Field sanitation 
B)  Infectious diseases 
C)  Maternal care services 
D)  Oral/dental care 
E)  None of above

Question 9

What is an opportunity that may be experienced by a nurse practicing in a rural environment?

Accepted Answer

A)  Variety/diversity in clinical experiences 
B)  Faster pace 
C)  Less independence/autonomy 
D)  Abundant resources 
A)  Variety/diversity in clinical experiences 
B)  Faster pace 
C)  Less independence/autonomy 
D)  Abundant resources

Question 10

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

Accepted Answer

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 
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

Question 11

A nurse who provides care to rural adults recognizes that they are more _____ than urban adults.

Accepted Answer

A)  Likely to have health insurance 
B)  Likely to have access to health care providers 
C)  Concerned about their health status 
D)  Likely to experience mobility limitations 
A)  Likely to have health insurance 
B)  Likely to have access to health care providers 
C)  Concerned about their health status 
D)  Likely to experience mobility limitations

Question 12

A client is suffering from stress related to the depressed lumber industry in his county.This may be called:

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 13

A nurse visits a client living on a farm residency.Which area did the nurse visit?

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 14

In comparison with urban adults,rural adults:

Accepted Answer

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 
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

Question 15

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 16

A nurse is providing care to a Native Alaskan client.The nurse recognizes the client may need specialized community nursing care related to:

Accepted Answer

A)  Exposure to petroleum products 
B)  Farmer's lung 
C)  Field sanitation 
D)  Black lung, chronic obstructive pulmonary disease 
A)  Exposure to petroleum products 
B)  Farmer's lung 
C)  Field sanitation 
D)  Black lung, chronic obstructive pulmonary disease

Question 17

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

Accepted Answer

A)  Fewer rural adults seek medical care than urban adults. 
B)  There is no access to care 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 no access to care in rural areas. 
C)  Poor adults in urban areas have less access to care. 
D)  Rural adults do not want to seek care.

Question 18

A nurse providing maternal-child care for rural women recognizes that the pregnant women who are particularly at-risk for poor health outcomes are:

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 19

Compared with urban Americans,rural residents:

Accepted Answer

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 
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

Question 20

A nurse is planning to conduct research in a rural setting.Which area 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

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

Rurality is a subjective concept because:

When planning interventions that will be used when providing care for a rural client,which characteristic of rural life should the nurse anticipate? Select all that apply.

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." This area is classified as a:

The percentage of United States residents living in rural settings is about:

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

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

A common barrier to care in the rural areas is:

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

What is an opportunity that may be experienced by a nurse practicing in a rural environment?

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

A nurse who provides care to rural adults recognizes that they are more _____ than urban adults.

A client is suffering from stress related to the depressed lumber industry in his county.This may be called:

A nurse visits a client living on a farm residency.Which area did the nurse visit?

In comparison with urban adults,rural adults:

Which is a characteristic of nursing practice in rural environments?

A nurse is providing care to a Native Alaskan client.The nurse recognizes the client may need specialized community nursing care related to:

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

A nurse providing maternal-child care for rural women recognizes that the pregnant women who are particularly at-risk for poor health outcomes are:

Compared with urban Americans,rural residents:

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

Population-Focused Practice: The Foundation of Specialization in Public Health Nursing

History of Public Health and Community Health Nursing

Public Health and Primary Care Systems and Health Care Transformation

Perspectives in Global Health Care

Economics of Health Care Delivery

Application of Ethics in the Community

Cultural Diversity in the Community

Public Health Policy

Population-Based Public Health Nursing Practice: the Intervention Wheel

Environmental Health

Genomics in Public Health Nursing

Epidemiology

Infectious Disease Prevention and Control

Communicable and Infectious Disease Risks

Evidence-Based Practice

Using Health Education and Groups to Promote Health

Promoting Healthy Communities Using Multilevel Participatory Strategies

Community As Client: Assessment and Analysis

Promoting Health Through Healthy Communities and Cities

The Nursing Center: A Model for Nursing Practice in the Community

Case Management

Public Health Nursing and the Disaster Management Cycle

Public Health Surveillance and Outbreak Investigation

Program Management

Quality Management

Family Development and Family Nursing Assessment

Family Health Risks

Child and Adolescent Health

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

Special Needs Populations

Vulnerability and Vulnerable Populations: an Overview

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 Home Health and Hospice

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 the Local, State, and National Levels

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