Deck 27: Rural, Migrant, and Urban Health Care

Question 1

A community health nurse is conducting a program for a group of community health nurses working in distant locations. When describing the term "frontier and remote area," which information would the nurse most likely include?

A) A population of fewer than 1,000 people per square mile
B) Population of less than 50,000 but more than 2,500
C) Fewer than 10,000 residents in the community
D) Fewer than six people per square mile

Answer 1

Fewer than six people per square mile

Question 2

A community health nurse is conducting a program for local community leaders about rural and urban area needs. The nurse identifies the need for additional teaching based on which statement by the group?

A) A rural area has six or fewer persons per square mile.
B) There are many factors that are considered when determining if a community is rural or frontier other than population density.
C) Urban areas are much more densely populated than rural areas.
D) An urban area consists of at least 50,000 people.

Answer 2

A rural area has six or fewer persons per square mile.

Question 3

When attempting to describe the characteristics of a typical rural population to a group of community health nurses, which characteristic would the nurse include?

A) Older adults with a lower income and less formal education
B) Young minorities with a higher income and less formal education
C) Wealthier, more highly educated, older White Americans
D) A reflection of the population as a whole

Answer 3

Older adults with a lower income and less formal education

Question 4

A community health nurse is reviewing information related to rural hospitals and closures. Which reason would the nurse most likely note as an issue that would force the closure of a rural hospital?

A) Rural hospitals have a high risk for financial problems.
B) Rural hospitals do not have access to high-tech equipment and services.
C) Rural hospitals are able to attract many specialty physicians.
D) Many rural residents depend heavily on public health department services.

Question 5

A community health nurse is working to address barriers to health care for rural clients. Which areas would the nurse most likely identify as a barrier? Select all that apply.

A) Adequate numbers and types of providers
B) Unpredictable and hazardous weather conditions
C) Lack of transportation
D) Physical distance between the residence and the location of health care services
E) Less high-tech health care equipment and services available

Question 6

A community health nurse is planning to switch employment and work at a clinic that provides services to migrant workers and their families. When preparing to work with this population, which information about this population would the nurse need to keep in mind?

A) They are usually paid fairly and treated justly by their employers.
B) Often the men are the only ones who perform the migrant work.
C) They often work 6 days a week from sunrise to sunset.
D) Their earning power is dependent only upon their skill level.

Question 7

When assessing a group of migrant farmworkers, the community health nurse notes that the group leaves their home base for part of the year to travel to the same place along a route during the agricultural season, usually returning on yearly basis. The community health nurse identifies this as which of the following?

A) Restricted circuit migration
B) Eastern stream migration
C) Nomadic migration
D) Migrant stream migration

Question 8

A community health nurse is working to improve the health of children of migrant families. Based on the nurse's understanding health problems of migrant families, the nurse would implement measures to address which conditions? Select all that apply.

A) Vitamin C deficiency
B) Ear infections
C) Lead poisoning
D) Developmental delays
E) HIV infection

Question 9

A community health nurse is working to promote the health of migrant workers. Which factors would the nurse need to address because they have a direct and negative influence on the vulnerability of this population? Select all that apply.

A) Many are undocumented aliens living in fear of deportation.
B) They are often deprived of safe working conditions.
C) Their children are deprived of any education.
D) They often lack adequate sanitation and housing.
E) They often have poor nutrition because of poverty.

Question 10

A community health nurse is conducting a program for a group of nurses working with migrant families. After describing this population and their health issues, the nurse determines that additional teaching is necessary when the group identifies which situation as problematic?

A) Higher rates of tuberculosis
B) Higher rates of childhood nutritional deficiencies
C) Increased access to health care
D) Higher life expectancy than the general population

Question 11

A local community has a significant population of migrant workers. In response, a community health nurse plans to present a program to the local community about this population. As part of the program, the nurse plans to include information about Cesar Chavez, using which description?

A) A Mexican president who worked to keep people from crossing the border illegally
B) A well-known actor who advocates for increasing the number of Latinos in Hollywood
C) The senator who wrote the Children's Health Insurance Program (CHIP) bill
D) Founder of the United Farm Workers who spent his life fighting for social justice

Question 12

When providing care for migrant workers, which of the following would be most appropriate for the community health nurse to do?

A) Maintain existing services.
B) Use standard methods of health care delivery.
C) Employ information tracking systems.
D) Use professionals for community outreach.

Question 13

A community health nurse works to offer increased health care services to meet the needs of a local migrant population. Which ideas would be most effective for the nurse to implement with this population? Select all that apply.

A) Providing a mobile van clinic that comes to the farms during the day
B) Offering a clinic at the migrant camp from 7 to 10 pm
C) Asking local doctors to stay open until 6 pm during the summer
D) Offering school-based health services for the children
E) Providing a breakfast program for the children at school

Question 14

A community health nurse is working to develop programs for a local community health center in an urban area. When dealing with urban populations, which issues would a community health nurse most likely face? Select all that apply.

A) Health disparities in the population
B) Lower levels of homelessness
C) Increased cases of asthma
D) High levels of poverty
E) Major transportation issues

Question 15

After teaching a group of community health nurses about urban sprawl and its effects, the nurse determines that additional teaching is needed when the group identifies which situation as an effect?

A) Water pollution
B) Heat islands
C) Reduced exposure to pesticides
D) Decreased air quality

Question 16

A community health nurse is reading a journal article about the Partnership for Sustainability Communities. Which situations would the nurse expect to find as being addressed? Select all that apply.

A) Planning for appropriate land use
B) Providing affordable housing
C) Promoting community development
D) Providing appropriate methods of transportation
E) Restricting planning decisions to those in charge

Question 17

A public health nurse is conducting a program on social justice and public health for a group of community health nurses. After teaching the group about this topic, the nurse determines that the program was successful when the group identifies which concept as a component?

A) Decreased burden borne by all
B) Increased benefits obtained for all
C) Narrow isolated view of health
D) Impartiality as the goal

Question 18

A community health nurse is working with urban populations. Which behavior demonstrates that the nurse integrating the concept of social justice into practice?

A) Impartiality
B) Paternalism
C) Self-interest
D) Inflexibility

Question 19

A rural community health nurse is a guest speaker at a local community health center. The nurse is describing how rural community health nursing compares with community health nursing in urban and suburban areas. Which statement would the nurse include about rural community health nurses?

A) "Nurses rarely have the opportunity to make autonomous decisions."
B) "It is often more difficulty in initiating planned change."
C) "Nurses are viewed as active, highly respected community members."
D) "There is less physical isolation from professional opportunities."

Question 20

A community health nurse implements the use of promotoras to promote health in migrant communities. Which person would the nurse be using?

A) Nonprofessional community outreach worker
B) Trained childbirth assistant
C) Retired nurses knowledgeable of the area
D) Language translators

Question 21

A community health nurse is working in a rural area providing care to families. The nurse sets up a connection between one of the families with a social service agency providing meals to homebound persons. The nurse is acting in which role?

A) Advocate
B) Coordinator/case manager
C) Health teacher
D) Mentor

Question 22

A public health nurse is teaching a group of community health nurses about urban health. The nurse determines that the teaching was successful when the group describes urban health by which statement?

A) The provision of care to those individuals who are living in ghettos
B) Addressing of the needs of immigrants living in large cities
C) Consideration of the effects of environment on the health of large cities
D) The appropriate planning of attractive and equitable places

Question 23

A rural community health nurse is acting in the role of a mentor. Which activity would the nurse most likely be doing?

A) Providing childbirth classes
B) Contacting a specialist for a client
C) Collecting immunization data for program development
D) Orienting a new rural health nurse to the community

Question 24

A community health nurse is trying to decide where to work, an urban or rural setting. Which factors would the nurse identify as characteristic of an urban setting? Select all that apply.

A) Higher salaries
B) Greater advancement opportunities
C) Limited access for additional education
D) Limited resources
E) Physical isolation

Question 25

A public health nurse is visiting a rural area and notes that there is a critical access hospital. The nurse would expect to find that this hospital has which characteristics? Select all that apply.

A) Maximum of 25 hospital beds
B) Location more than 35 miles from next hospital
C) Provision of emergency care for 18 hours/day
D) One medical physician available as on call
E) A registered nurse on site

Question 26

A community health nurse is working with community leaders to address health issues in the community related to urban sprawl. The nurse identifies several new areas where parking lots have been built, replacing large open fields. Which term would the nurse use to identify this change?

A) Heat islands
B) Built environment
C) Urbanized area
D) Frontier area

Question 27

A community health nurse is working to address issues associated with a local migrant population. When developing plans for this population, which characteristic would the nurse need to address? Select all that apply.

A) Most are over the age of 45 years.
B) The majority are of Mexican descent.
C) Most have a fifth-grade education or less.
D) The majority receive low hourly pay.
E) Most if not all, do not have safe working conditions.

Question 28

A community health nurse is working with several rural areas to improve access to health care for the residents. Which suggestions might the nurse provide? Select all that apply.

A) Faith-based nursing
B) Mobile clinics
C) School-based clinics
D) Telehealth
E) Critical access hospitals

Question 29

A community health nurse in a small countryside community is caring for a client who has been trying to treat an upper respiratory infection with herbal supplements. The nurse suspects pneumonia and has consulted with a telemedicine physician who is planning to provide treatment. Which of the following statements would be relevant for the nurse to include in the client's medical record?

A) The client lives in a rural area of the county.
B) The client does not have health insurance.
C) The client understands that religion is helpful to cure all ailments.
D) The client is at risk for kidney failure related to the herbal treatment.

Question 30

A community health nurse is conducting a presentation on migration patterns and the impact on the community. Within the presentation, the nurse references the U.S. Census infographic. Which statements best summarize the U.S. Census infographics about the U.S. population comparing rural and urban communities from 1910 to 2020? Select all that apply.

A) There has been an increase in the urban population growth.
B) There is a lower poverty rate in urban communities.
C) The median household income is greater in the rural communities.
D) Home ownership rate is higher in the rural community.
E) Bachelor's degrees or higher are more prevalent in urban communities.
F) The median home value is higher in urban communities.

Question 31

The community health nurse is providing statistics to the local government on poverty rates in the community. In providing comparison data, the nurse includes information across the United States and Puerto Rico. Which statement best summarizes the percentage of people living in poverty in the United States and Puerto Rico in 2017?

A) There are five states that have a poverty rate of 18% or more.
B) The majority of the states (greater than 50%) have less than 11% of poverty reported.
C) There are less than 10 states that have 16% to 17.9% of poverty.
D) The United States has an average poverty rate of 20%.