Deck 22: Nursing and Aging in Rural and Frontier Settings

Question 1

What is true regarding the health status of rural-dwelling older adults? They are:

A) a population at risk for disease and disability.
B) less likely to have mental illness.
C) able to access health care due to federal farm pension programs.
D) automatically eligible for government assistance for home care programs regardless of specific needs.

Answer 1

a population at risk for disease and disability.

Question 2

Your older adult client lives in a designated rural area.She owns her own home,where she has lived for most of her life,is recently widowed,and at age 84 has difficulty getting to a grocery store for food.With this information,your best description of her is that:

A) she is atypical of a rural-dwelling older adult due to the common availability of food delivery in rural areas.
B) she is atypical of a rural-dwelling older adult because she is widowed; most rural-dwelling older adults are married.
C) she is typical of an older rural woman,except she owns her own home.
D) she is atypical of an older rural woman because she has lived in the same home for most of her life.

Answer 2

she is atypical of a rural-dwelling older adult because she is widowed; most rural-dwelling older adults are married.

Question 3

A 76-year-old patient is hospitalized after falling and fracturing her hip while visiting her daughter in a large city.She lives in a small farming community about 3 hours away from the nearest urban area.She is found to have hypertension.When questioned about her preventive health care practices,she reports that she does not have a primary care physician,that the nearest physician is a 3-hour drive,and that she takes garlic for her hypertension.In analyzing her health care maintenance practices,the nurse knows that:

A) the patient is typical of rural older adults in that primary care in rural areas is scarce and rural older adults tend to use self-care strategies.
B) the patient is typical of rural older adults in that most rural older adults have hypertension due to the large amount of physical activity.
C) the patient is atypical of rural-dwelling older adults in that most do seek out primary care,but not specialty care.
D) the patient is atypical of rural-dwelling older adults in that most do not use alternative medicine or "home remedies."

Answer 3

the patient is typical of rural older adults in that primary care in rural areas is scarce and rural older adults tend to use self-care strategies.

Question 4

You are interviewing an older adult at a community health care center in a rural farm community.What typically reflects his lifelong residency in a rural farming community?

A) He requests information about long-term care due to an inability to work on his farm like he did a few years ago.
B) He states that he is getting too old to live on his own and should consider moving in with his grandson in the city.
C) He does not believe that severe arthritis in his hands and knees will cause his life to be altered.
D) He is requesting Meals on Wheels because both he and his wife have severe arthritis.

Question 5

An older adult lives in a community of 4800 people.The nearest city is 90 minutes away.The prominent features of a rural area are:

A) easy access to urban facilities,industrialized,and densely populated.
B) low population size and density,physical remoteness,and in an ecologically natural area.
C) physical remoteness,moderate population,and some industry presence.
D) in an ecologically natural area,culturally diverse population,and access to full health services.

Question 6

The following are true about "swing beds" in rural hospitals except:

A) they are acute care hospital beds that are used to provide nursing home level care in rural hospitals.
B) the Omnibus Budget Reconciliation Act of 1980 legislation allowed for the development of this program in rural hospitals with less than 50 beds.
C) they provide for continuity of care for individuals who are awaiting a nursing home bed or in areas where there are no nursing homes close by.
D) they permit a hospital to receive the same reimbursement rate for nursing home care as they do for acute care.