NURS 2000: Questions with Complete Solutions
Chapter 32: Rural Health Correct Answer-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." Correct Answer-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% Correct Answer-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. Correct Answer-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. Correct Answer-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 Correct
Answer-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?" Correct Answer-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."
Chapter 32: Rural Health Correct Answer-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." Correct Answer-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% Correct Answer-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. Correct Answer-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. Correct Answer-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 Correct
Answer-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?" Correct Answer-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."
