Lecture 16- Issues with Rural and
Migrant Health
•Struggle with helping clients gain access to quality
•Transportation issues - correct answer ✔✔Main issues that PHN nurse face with rural areas
•Homelessness
•Bioterrorism threats
•Violent crime - correct answer ✔✔Main issues that PHN nurse face with urban areas
Population > 50,000 - correct answer ✔✔Amount of people that are in an area for it to be considered
urbanized
under 50,000 but more than 2,500 - correct answer ✔✔Amount of people that are in an area for it to be
considered urban cluster
communities with fewer than 10,000 residents and a county population density of <1,000 persons per
square mile. - correct answer ✔✔Amount of people that are in an area for it to be considered rural
Frontier area - correct answer ✔✔Sparsely populated rural places that are isolated from population
centers and services
- shortage of PCP
- high infant mortality
- high % of pop living in poverty
- high proportion of residents over 65 - correct answer ✔✔Things that medically underserved areas
(MUAs) are defined by
,larger; communicable disease, poverty, inadequate housing, and unemployment - correct answer
✔✔Public health problems are intensified with (smaller/ larger) population areas; such as...
chronic shortages of medical, dental, or mental health professionals. - correct answer ✔✔Health issues
of concern to rural areas
75; - correct answer ✔✔About ___% of the total population can be found in urban areas
children leaving home for larger cities with better employment opportunities - correct answer ✔✔The
primary cause of the percentage of people in rural areas to be dropping
rural (more people in rural areas live below the poverty line and per capita average is lower in rural
areas) - correct answer ✔✔Poverty and joblessness are common among (urban/ rural) Americans.
agriculture, fishing, and forestry declining; at the same time, government, manufacturing, and service
jobs are increasing - correct answer ✔✔How are jobs in rural areas changing?
true - correct answer ✔✔T/F Rural residents are more likely to work for small companies that pay lower
wages and don't offer health insurance; there are also more unemployed workers
- lots of people uninsured
- more chronic illnesses
- less preventive care
- more elderly residents
- less specialized medical care
- Higher rates of contractures and lower staffing levels in nursing homes - correct answer ✔✔How is the
rates for the following in rural health?
Insurance
Chronic Illness
Preventive care
, Elderly residents
Specialized medical care
Nursing homes
critical access hospitals (25 beds or fewer, MD or nurse on site, with MD on call and able to arrive within
30 minute) - correct answer ✔✔The destination of most rural health hospitals
a slightly higher fertility rate than urban areas - correct answer ✔✔How is fertility in rural areas
compared to urban?
growth related to births (termed natural increase) is offset by the loss of rural youth moving to more
urban areas for education, jobs, and marriage that leaves older adults or those with less education and
income remaining. - correct answer ✔✔What is the brian drain experiences in rural areas?
1. increase through births
2. outmigration (from rural to urban) - correct answer ✔✔Population changes in rural areas are usually
related to these two factors
out - correct answer ✔✔Since the beginning of the 21st century, more rural counties have experienced
(in/out)-migration
rural; urban - correct answer ✔✔Those females below age 18 and above age 65 comprise the largest
percentages in (urban/rural) areas, but (urban/rural) areas have more females in the 18- to 34-year
range
elderly (above 65) - correct answer ✔✔The fastest growing population in the United States in every
location, including rural America.
true!! - correct answer ✔✔T/f Population trends have a direct relationship to the kinds of health services
that are needed in rural communities.
Rural areas have historically had less racial diversity than urban areas - correct answer ✔✔How has racial
diversity in rural areas been historically?
Migrant Health
•Struggle with helping clients gain access to quality
•Transportation issues - correct answer ✔✔Main issues that PHN nurse face with rural areas
•Homelessness
•Bioterrorism threats
•Violent crime - correct answer ✔✔Main issues that PHN nurse face with urban areas
Population > 50,000 - correct answer ✔✔Amount of people that are in an area for it to be considered
urbanized
under 50,000 but more than 2,500 - correct answer ✔✔Amount of people that are in an area for it to be
considered urban cluster
communities with fewer than 10,000 residents and a county population density of <1,000 persons per
square mile. - correct answer ✔✔Amount of people that are in an area for it to be considered rural
Frontier area - correct answer ✔✔Sparsely populated rural places that are isolated from population
centers and services
- shortage of PCP
- high infant mortality
- high % of pop living in poverty
- high proportion of residents over 65 - correct answer ✔✔Things that medically underserved areas
(MUAs) are defined by
,larger; communicable disease, poverty, inadequate housing, and unemployment - correct answer
✔✔Public health problems are intensified with (smaller/ larger) population areas; such as...
chronic shortages of medical, dental, or mental health professionals. - correct answer ✔✔Health issues
of concern to rural areas
75; - correct answer ✔✔About ___% of the total population can be found in urban areas
children leaving home for larger cities with better employment opportunities - correct answer ✔✔The
primary cause of the percentage of people in rural areas to be dropping
rural (more people in rural areas live below the poverty line and per capita average is lower in rural
areas) - correct answer ✔✔Poverty and joblessness are common among (urban/ rural) Americans.
agriculture, fishing, and forestry declining; at the same time, government, manufacturing, and service
jobs are increasing - correct answer ✔✔How are jobs in rural areas changing?
true - correct answer ✔✔T/F Rural residents are more likely to work for small companies that pay lower
wages and don't offer health insurance; there are also more unemployed workers
- lots of people uninsured
- more chronic illnesses
- less preventive care
- more elderly residents
- less specialized medical care
- Higher rates of contractures and lower staffing levels in nursing homes - correct answer ✔✔How is the
rates for the following in rural health?
Insurance
Chronic Illness
Preventive care
, Elderly residents
Specialized medical care
Nursing homes
critical access hospitals (25 beds or fewer, MD or nurse on site, with MD on call and able to arrive within
30 minute) - correct answer ✔✔The destination of most rural health hospitals
a slightly higher fertility rate than urban areas - correct answer ✔✔How is fertility in rural areas
compared to urban?
growth related to births (termed natural increase) is offset by the loss of rural youth moving to more
urban areas for education, jobs, and marriage that leaves older adults or those with less education and
income remaining. - correct answer ✔✔What is the brian drain experiences in rural areas?
1. increase through births
2. outmigration (from rural to urban) - correct answer ✔✔Population changes in rural areas are usually
related to these two factors
out - correct answer ✔✔Since the beginning of the 21st century, more rural counties have experienced
(in/out)-migration
rural; urban - correct answer ✔✔Those females below age 18 and above age 65 comprise the largest
percentages in (urban/rural) areas, but (urban/rural) areas have more females in the 18- to 34-year
range
elderly (above 65) - correct answer ✔✔The fastest growing population in the United States in every
location, including rural America.
true!! - correct answer ✔✔T/f Population trends have a direct relationship to the kinds of health services
that are needed in rural communities.
Rural areas have historically had less racial diversity than urban areas - correct answer ✔✔How has racial
diversity in rural areas been historically?
