Nurs 2000 Exam questions Solved 100% Correct
Chapter 32: Rural Health
Test bank
1. Which of the following descriptions is the most accurate example of a rural community?
a. The residents of the community are subject to environmental hazards.
b. It takes longer than 30 minutes to get from the community to health care services.
c. The community has less than 20,000 residents.
d. The residents of the community say, "This is smaller than where I grew up."
ANS: B
All of the descriptions could be used in an attempt to define "rural," but each aspect has
problems. A definition of "rural" has not yet been decided. However, in relation to health care,
the time needed to get to a health care facility has a major influence on care outcomes.
2. What is the poverty rate in rural areas?
a. 10%
b. 20%
c. 30%
d. 40%
ANS: D
National estimates report that in rural areas, more than 40% of all families live below the poverty
level.
,3. Why are children at risk on their own family's farm?
a. Children often help with the work without much regard for training or safety.
b. It is expected that children fulfill the roles that are assigned to them.
c. Machinery can injure someone faster than a parent can turn the machine off.
d. Parents are too busy completing their own tasks to supervise the children.
ANS: A
Farming is one of the four most dangerous industries. Agricultural work is inherently dangerous
but also must be performed under adverse conditions such as mud or extreme heat or cold. On
family farms, spouses, children, and other relatives often help without much regard to
competency, training, or safety. Of all industries, agriculture has by far the highest number of
injuries and deaths among children.
4. An adolescent in a rural community has recently committed suicide. What is the
significance of this event in the community?
a. Rural residents are less religious than urban residents and less capable of coping with
the loss.
b. Because of the size of the community, it is likely that no one will discuss what has
happened.
c. There could be a cluster of such deaths in small towns where everyone knows everyone
so well.
d. Without the adolescent to work, the family may have increased economic difficulties.
ANS: C
Because of the cluster or "copycat" phenomenon related to self-inflicted death, in several towns
,the suicide rate has reached epidemic proportions, with three or more suicide incidents occurring
in a very short time (after one suicide, there is an increased incidence of additional suicides in a
community). In small towns or rural areas, where most people are fairly well acquainted, a
sudden death can be devastating to students and to the community as a whole.
5. What was one purpose of Rural Health Clinic (RHC) Public Law 95-210?
a. To define rural areas as underserved and therefore eligible for many tax reductions
b. To encourage utilization of advanced practice nurses by providing reimbursement for
their services under Medicare and Medicaid
c. To fund structures (building, equipment, supplies) for rural health care providers
d. To pay for physicians to serve in rural underserved areas
ANS: B
RHC Public Law 95-210 was originally passed by Congress in 1977. The law defined core
primary care, created reimbursement mechanisms, and encouraged utilization of midwives and
nurse practitioners, among others, by providing reimbursement even without a full-time
physician available. Reimbursement is based on cost so that additional revenues to eligible rural
practices can be generated.
6. A program to recruit advanced-practice nurses to practice in a rural community is being
developed. The program developers have applied to receive federal training monies to help
fund the costs of the program. Which of the following questions must be addressed when
, they apply for these funds?
a. "Does the health of the clients improve as a result of interventions?"
b. "Have professional schools increased enrollment?"
c. "Are advanced-practice nurses taught to embrace rural cultural values?"
d. "Should improvements be made to the buildings and equipment at the agency?"
ANS: A
Federal training dollars have been linked to program outcomes. The question of whether the
clients' health improves as a result of interventions is the only question that addresses outcomes.
For example, the goal is not simply to educate professionals but to prepare providers who are
capable and willing to increase access to care for underserved and minority populations.
7. A family nurse practitioner is employed in a rural health clinic. What generalization
would the practitioner most likely be able to make about the local clients?
a. "They carefully budget their money in order to afford health insurance."
b. "They define health as self-actualization of potential."
c. "They are fatalistic and oriented to the land, nature, and the seasons."
d. "They are open to sharing their problems and accepting my advice."
ANS: C
Rural families are often fatalistic because both their work and their recreation are dependent on
the land throughout the seasons. They usually know everyone in the community, keep their
problems within the family, define health as the ability to fulfill their work requirements, and are
too poor for health insurance. These are, of course, generalizations, to which there are many
exceptions.
Chapter 32: Rural Health
Test bank
1. Which of the following descriptions is the most accurate example of a rural community?
a. The residents of the community are subject to environmental hazards.
b. It takes longer than 30 minutes to get from the community to health care services.
c. The community has less than 20,000 residents.
d. The residents of the community say, "This is smaller than where I grew up."
ANS: B
All of the descriptions could be used in an attempt to define "rural," but each aspect has
problems. A definition of "rural" has not yet been decided. However, in relation to health care,
the time needed to get to a health care facility has a major influence on care outcomes.
2. What is the poverty rate in rural areas?
a. 10%
b. 20%
c. 30%
d. 40%
ANS: D
National estimates report that in rural areas, more than 40% of all families live below the poverty
level.
,3. Why are children at risk on their own family's farm?
a. Children often help with the work without much regard for training or safety.
b. It is expected that children fulfill the roles that are assigned to them.
c. Machinery can injure someone faster than a parent can turn the machine off.
d. Parents are too busy completing their own tasks to supervise the children.
ANS: A
Farming is one of the four most dangerous industries. Agricultural work is inherently dangerous
but also must be performed under adverse conditions such as mud or extreme heat or cold. On
family farms, spouses, children, and other relatives often help without much regard to
competency, training, or safety. Of all industries, agriculture has by far the highest number of
injuries and deaths among children.
4. An adolescent in a rural community has recently committed suicide. What is the
significance of this event in the community?
a. Rural residents are less religious than urban residents and less capable of coping with
the loss.
b. Because of the size of the community, it is likely that no one will discuss what has
happened.
c. There could be a cluster of such deaths in small towns where everyone knows everyone
so well.
d. Without the adolescent to work, the family may have increased economic difficulties.
ANS: C
Because of the cluster or "copycat" phenomenon related to self-inflicted death, in several towns
,the suicide rate has reached epidemic proportions, with three or more suicide incidents occurring
in a very short time (after one suicide, there is an increased incidence of additional suicides in a
community). In small towns or rural areas, where most people are fairly well acquainted, a
sudden death can be devastating to students and to the community as a whole.
5. What was one purpose of Rural Health Clinic (RHC) Public Law 95-210?
a. To define rural areas as underserved and therefore eligible for many tax reductions
b. To encourage utilization of advanced practice nurses by providing reimbursement for
their services under Medicare and Medicaid
c. To fund structures (building, equipment, supplies) for rural health care providers
d. To pay for physicians to serve in rural underserved areas
ANS: B
RHC Public Law 95-210 was originally passed by Congress in 1977. The law defined core
primary care, created reimbursement mechanisms, and encouraged utilization of midwives and
nurse practitioners, among others, by providing reimbursement even without a full-time
physician available. Reimbursement is based on cost so that additional revenues to eligible rural
practices can be generated.
6. A program to recruit advanced-practice nurses to practice in a rural community is being
developed. The program developers have applied to receive federal training monies to help
fund the costs of the program. Which of the following questions must be addressed when
, they apply for these funds?
a. "Does the health of the clients improve as a result of interventions?"
b. "Have professional schools increased enrollment?"
c. "Are advanced-practice nurses taught to embrace rural cultural values?"
d. "Should improvements be made to the buildings and equipment at the agency?"
ANS: A
Federal training dollars have been linked to program outcomes. The question of whether the
clients' health improves as a result of interventions is the only question that addresses outcomes.
For example, the goal is not simply to educate professionals but to prepare providers who are
capable and willing to increase access to care for underserved and minority populations.
7. A family nurse practitioner is employed in a rural health clinic. What generalization
would the practitioner most likely be able to make about the local clients?
a. "They carefully budget their money in order to afford health insurance."
b. "They define health as self-actualization of potential."
c. "They are fatalistic and oriented to the land, nature, and the seasons."
d. "They are open to sharing their problems and accepting my advice."
ANS: C
Rural families are often fatalistic because both their work and their recreation are dependent on
the land throughout the seasons. They usually know everyone in the community, keep their
problems within the family, define health as the ability to fulfill their work requirements, and are
too poor for health insurance. These are, of course, generalizations, to which there are many
exceptions.
