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

Question 1

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." Which of the following best describes the classification of this area?

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

Answer 1

Frontier

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.)

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

Answer 2

Field sanitation
Infectious diseases
Maternal care services
Oral/dental care

Question 3

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?

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

Answer 3

Those who live on or near Indian reservations

Question 4

A nurse who had been working in an urban area is now employed in a rural area.Which of the following differences between the populations is the nurse most likely to notice?

A) Increased number of residents under age 18
B) Increased number of residents over age 50
C) Increased number of residents who are married
D) Increased number of residents who have more years of formal education

Question 5

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) 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 6

In comparison with urban adults,rural adults:

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 7

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?

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

Question 8

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

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

Question 9

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

Question 10

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) 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 11

The percentage of U.S.residents living in rural settings is about:

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

Question 12

Compared with urban Americans,rural residents:

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 13

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

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

Question 14

Rurality is a subjective concept because:

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 15

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

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 16

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

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

Question 17

Which is a characteristic of nursing practice in rural environments?

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

Question 18

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

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 19

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

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 20

A nurse provides care to rural adults after working in an urban clinic for many years.Which of the following considerations should the nurse make when working with this population?

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

Question 21

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.)

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