Question 1

Which of the following facts is noteworthy about adolescent males who are driving without a license in the countryside?

Accepted Answer

A)   Most had driver's education classes but have not yet earned the money to pay for their driver's license test.
B)   Most were Hispanic or black from a rural area.
C)   Most were practiced in driving large farm machinery and were just going from one section of the farm to another section.
D)   Most were practicing their driving skills with their parent in the car.E) C) and D)
F) All of the above

Question 2

Which of the following would be true for a county to be defined as having persistent poverty?

Accepted Answer

A)   At least 10% of the population has been in poverty for at least the last 10 years.
B)   At least 10% of the population has been in poverty for at least the last 20 years.
C)   At least 20% of the population has been in poverty for at least the last 20 years.
D)   At least 20% of the population has been in poverty for at least the last 30 years.E) None of the above
F) All of the above

Question 3

Which of the following do expert rural nurses report as benefits of their work? (Select all that apply.)

Accepted Answer

A)   Ability to develop close relationships and give holistic care
B)   Being able to practice in the community where one lives
C)   Constant challenges
D)   Continual growth as an expert generalist
E)   Higher salary than in urban areasF)  Intensity of purposeG) A) and E)
H) D) and F)

Question 4

As a concerned citizen and professional, a nurse encourages the local senators and representatives to support expansion of health clinics for the poverty stricken. Which of the following locations is in most desperate need?

Accepted Answer

A)   Rural areas where migrant and seasonal farmworkers (MSFW)  labor
B)   Inner city poverty-stricken neighborhoods
C)   Near elderly low-income housing units
D)   Inside high schools in poverty-stricken neighborhoodsE) None of the above
F) All of the above

Question 5

Which of the following best explains why companies do not build work places in rural areas where people are anxious to find full-time employment?

Accepted Answer

A)   Employers need highly educated and skilled employees.
B)   Managers do not want to be transferred into a rural area where they will not fit in and will not be comfortable.
C)   Rural persons do not work as hard as urban dwellers.
D)   Smells emanating from farms are unacceptable to persons working inside.E) A) and D)
F) A) and C)

Question 6

Which of the following compositional factors influences rural health needs?

Accepted Answer

A)   Demographics of the people living in an area
B)   Local environment
C)   The geography of the area
D)   The political and social institutions in the communityE) None of the above
F) B) and C)

Question 7

A nurse is explaining why migrant farmworkers experience cultural barriers when trying to receive care. Which of the following would the nurse include in this explanation?

Accepted Answer

A)   "As illegal immigrants, they are not eligible for tax-paid health care."
B)   "Families who travel in isolation seeking agricultural work do not mix with their employers or other members of the community."
C)   "Mexicans who speak primarily Spanish and cannot understand English."
D)   "Usually perceived as outsiders, they are from many countries and cultures."E) C) and D)
F) A) and B)

Question 8

Which of the following statements best describes how working on a farm is different from working in a factory?

Accepted Answer

A)   Factories have more dangerous dust than farming dust.
B)   Farm chemicals are more immediately fatal than most industrial chemicals.
C)   The worksite and the home are the same.
D)   Workers on farms, unlike those in factories, can bring dangerous substances home on their clothing, which expose their families.E) None of the above
F) B) and D)

Question 9

Which of the following groups is the fastest-growing component of the rural population?

Accepted Answer

A)   Disabled adults
B)   Elderly women
C)   Hispanic children
D)   RetireesE) A) and B)
F) A) and C) C

Question 10

Which of the following is most likely to provide public health services to Americans residing in a rural community?

Accepted Answer

A)   Public health nurse
B)   Public health physician
C)   Epidemiologist
D)   Nurse practitionerE) All of the above
F) A) and D) A

Question 11

Which of the following best describes how Migrant Health Centers (MHCs)  under the Migrant Health Program are often different from other clinics?

Accepted Answer

A)   Care is restricted to those who can document that they are employed in agriculture.
B)   They are much better funded than typical rural clinics.
C)   Staff are typically bilingual and bicultural.
D)   They welcome illegal immigrants to receive care.E) None of the above
F) A) and D)

Question 12

Which of the following best describes the practical importance of the classifications of metropolitan, micropolitan, and noncare areas?

Accepted Answer

A)   Classifications are used for congressional policy-making and funding decisions.
B)   Metropolitan areas gained importance because of their large population.
C)   Micropolitan areas are now recognized for their crucial role in society.
D)   The new system emphasizes the extent of rural (noncare)  areas.E) B) and D)
F) None of the above

Question 13

A public health nurse is working in a rural clinic. On the basis of risk, which of the following would be the priority group for care?

Accepted Answer

A)   African American adults
B)   Adolescents
C)   Elderly women who live alone
D)   Migrant and seasonal farmworkers (MSFW) E) All of the above
F) None of the above

Question 14

A nurse was trying to decrease the amount of respiratory illness in the community. Which of the following approaches should be used by the nurse?

Accepted Answer

A)   Attend each farmworkers' meeting and listen to how they perceive and discuss their problems
B)   Offer to teach the farmers' spouses how to protect their families, such as having the farmer shower and change clothes before coming into the house
C)   Suggest the community work together to obtain a community college so farmworkers could be educated for other employment opportunities
D)   Teach children in the school system the importance of seeking employment in cities rather than staying on the farmE) B) and C)
F) C) and D)

Question 15

A woman stumbled into the rural health clinic and explained that she had an incredible headache. She was sweating and began vomiting into the wastebasket by the intake nurse's desk. Which of the following diagnoses should be anticipated by the nurse?

Accepted Answer

A)   Acute adult panic disorder
B)   Acute alcohol intoxication
C)   Acute appendicitis
D)   Acute meningitis
E)   Acute pesticide poisoningF) A) and B)
G) C) and D)

Question 16

Which of the following employment opportunities are among the most dangerous?

Accepted Answer

A)   Food processing, textiles, and transportation
B)   Highway construction, ranching, and public utilities
C)   Large mechanized factory positions
D)   Mining, forestry, and fishingE) A) and B)
F) A) and C)

Question 17

Which of the following describes what has been identified by public health experts as the number one priority in rural areas?

Accepted Answer

A)   Access to health care
B)   Access to education
C)   Access to telecommunications
D)   Access to better-paying employment opportunitiesE) B) and C)
F) A) and C)

Question 18

Which of the following best explains why there are so few hospitals in rural areas?

Accepted Answer

A)   Few nurses and physicians enjoy the rural lifestyle.
B)   Historically, hospitals began in large urban areas and have slowly expanded outward but have not yet reached all rural areas.
C)   Rural areas have very low population density.
D)   Rural residents do not trust hospitals, preferring to receive care from neighbors and friends.E) B) and D)
F) None of the above

Question 19

Which of the following best describes why for-profit managed care organizations (MCOs)  have not begun to move into rural areas to increase the number of persons served? (Select all that apply.)

Accepted Answer

A)   High startup and administrative costs are needed.
B)   A large number of elderly are on Medicare or Medicaid, which results in low reimbursement.
C)   Managed care has not yet had time to go beyond major population centers.
D)   MCOs are waiting until federal reimbursements for underserved rural health areas become higher.
E)   The population is too small and too spread out.F)  Rural health areas are too geographically unattractive and lack any recreational possibilities for managers to want to work there.G) D) and F)
H) A) and B) A, B, C, E

Question 20

In comparison with mental health care in urban areas, which of the following best describes how mental health care in rural areas differs? (Select all that apply.)

Accepted Answer

A)   Access to care is more limited or not available at all locally.
B)   Cost for treatment is typically reimbursed at a lower rate.
C)   Depression is frequently not recognized or is not treated.
D)   Ethnic and racial disparities exist.
E)   Primary health care professionals accept responsibility for mental health treatment.F)  The suicide rate is notably higher.G) D) and E)
H) B) and E)

Exam 23: Rural and Migrant Health

Which of the following facts is noteworthy about adolescent males who are driving without a license in the countryside?

Correct AnswerverifiedShow Answer

Which of the following would be true for a county to be defined as having persistent poverty?

Correct AnswerverifiedShow Answer

Which of the following do expert rural nurses report as benefits of their work? (Select all that apply.)

Correct AnswerverifiedShow Answer

As a concerned citizen and professional, a nurse encourages the local senators and representatives to support expansion of health clinics for the poverty stricken. Which of the following locations is in most desperate need?

Correct AnswerverifiedShow Answer

Which of the following best explains why companies do not build work places in rural areas where people are anxious to find full-time employment?

Correct AnswerverifiedShow Answer

Which of the following compositional factors influences rural health needs?

Correct AnswerverifiedShow Answer

A nurse is explaining why migrant farmworkers experience cultural barriers when trying to receive care. Which of the following would the nurse include in this explanation?

Correct AnswerverifiedShow Answer

Which of the following statements best describes how working on a farm is different from working in a factory?

Correct AnswerverifiedShow Answer

Which of the following groups is the fastest-growing component of the rural population?

Correct AnswerverifiedC

Which of the following is most likely to provide public health services to Americans residing in a rural community?

Correct AnswerverifiedA

Which of the following best describes how Migrant Health Centers (MHCs) under the Migrant Health Program are often different from other clinics?

Correct AnswerverifiedShow Answer

Which of the following best describes the practical importance of the classifications of metropolitan, micropolitan, and noncare areas?

Correct AnswerverifiedShow Answer

A public health nurse is working in a rural clinic. On the basis of risk, which of the following would be the priority group for care?

Correct AnswerverifiedShow Answer

A nurse was trying to decrease the amount of respiratory illness in the community. Which of the following approaches should be used by the nurse?

Correct AnswerverifiedShow Answer

A woman stumbled into the rural health clinic and explained that she had an incredible headache. She was sweating and began vomiting into the wastebasket by the intake nurse's desk. Which of the following diagnoses should be anticipated by the nurse?

Correct AnswerverifiedShow Answer

Which of the following employment opportunities are among the most dangerous?

Correct AnswerverifiedShow Answer

Which of the following describes what has been identified by public health experts as the number one priority in rural areas?

Correct AnswerverifiedShow Answer

Which of the following best explains why there are so few hospitals in rural areas?

Correct AnswerverifiedShow Answer

Which of the following best describes why for-profit managed care organizations (MCOs) have not begun to move into rural areas to increase the number of persons served? (Select all that apply.)

Correct AnswerverifiedA, B, C, E

In comparison with mental health care in urban areas, which of the following best describes how mental health care in rural areas differs? (Select all that apply.)

Correct AnswerverifiedShow Answer

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C

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A

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A, B, C, E

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