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Which of the following are particularly prevalent in rural areas (more so than in urban areas) of the South?


A) Falls and motor vehicle accidents
B) Less use of seatbelts and more drinking of alcohol
C) Obesity and sedentary lifestyle
D) Suicide and homicide

E) None of the above
F) B) and D)

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Which of the following is the most frequent cause of farm fatalities and nonfatal injuries?


A) Manure pits (methane poison)
B) Power take-off augers
C) Storage silos
D) Tractors
E) Very old and barely functioning trucks

F) B) and D)
G) B) and C)

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Which of the following best describes how the federal government tries to both encourage and support rural health clinics under the Community Health Centers (CHC) program?


A) Allowing tax deductions for charitable contributions to rural health clinics (RHCs)
B) Donating equipment and supplies to establish such clinics
C) Reimbursing both Medicare and Medicaid at a higher rate than otherwise
D) Requiring recipients to serve in a rural health clinic for 3 years in exchange for financial assistance while in school

E) All of the above
F) None of the above

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Which of the following statements best describes how firearm injuries are different in rural areas as compared with urban areas?


A) In rural areas, firearm deaths occur more frequently because of purposeful, rather than accidental, shooting.
B) In rural areas, firearm injuries occur more frequently in the home.
C) In rural areas, firearm injuries occur more frequently during official hunting season, whereas the frequency does not vary in urban areas.
D) In rural areas, firearm injuries are more frequently fatal than in urban areas.

E) A) and B)
F) None of the above

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Which of the following factors results in rural residents having less access to health care than urban dwellers? (Select all that apply.)


A) Employment opportunities may be low paying and seasonal.
B) There are greater distances to travel and limited choice of health care providers.
C) Health care providers prefer to work in higher-paying urban settings.
D) Rural residents are less likely to have health insurance.
E) Rural persons' economic resources are tied up in land, not easily accessible cash.
F) Rural persons believe in self-sufficiency and self-care, not asking others for help.

G) C) and E)
H) B) and F)

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Which of the following best describes a proposed strategy to address the lack of health care professionals in rural communities?


A) Advertise that there are more men than women in many rural areas to attract female nurses who want to be wives and mothers
B) Offer free housing and office space to a professional who will come to live in the community
C) Pay extremely high salaries to professionals willing to relocate
D) Support local students obtaining an education while continuing to live at home

E) A) and D)
F) B) and C)

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A nurse saw there was a need for a hospice facility in a rural area, because so many of the residents were quite elderly and death was common. Which of the following best explains why the community would not immediately see the wisdom of the nurse's suggestion?


A) Change is always difficult; the nurse just needs to keep reinforcing the need for such a facility.
B) The nurse did not tell residents how much their taxes would need to go up to support such a facility.
C) Residents were fearful of confronting death in such an open way.
D) Rural residents prefer to use their informal social support networks when help is needed.

E) A) and C)
F) All of the above

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From which of the following causes are rural residents twice as likely to die from in comparison with urban residents?


A) Chronic diseases, especially cardiac problems and cancers
B) Diabetes from the higher incidence of obesity
C) Respiratory diseases (from pesticides and herbicides)
D) Unintentional injuries

E) B) and D)
F) B) and C)

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Which of the following best describes why there are more long-term consequences (such as death) to a driver injured in a truck accident in a rural area than a driver injured in a truck accident in an urban area? (Select all that apply.)


A) Rural drivers are more likely to speed over long distances than urban drivers.
B) Rural drivers are not as skilled with vehicles as urban drivers, so they are more severely injured in a crash.
C) The urban driver is taken immediately for care, whereas the rural driver might be injured on an isolated field and not found by anyone for hours.
D) Urban drivers are more likely to use their seat belts than rural drivers.
E) Urban drivers are probably rushed to an emergency department, whereas the rural driver lives far away from emergency services, often over bad roads and possibly through severe weather.
F) Urban drivers trade their vehicles in rather frequently, whereas rural drivers keep their vehicles for as long as they can make them run, so the vehicles are much less roadworthy.

G) A) and B)
H) B) and D)

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A nurse was becoming very frustrated at the ongoing stream of farmworkers with respiratory problems each spring. Which of the following actions should be taken by the nurse?


A) Provide community education on herbicides and other chemicals spread each spring with information on self-protective measures, such as respirators.
B) Fight to get farmers to quit spreading chemicals on their fields each spring.
C) Suggest that farmers spray water on the fields immediately after the chemicals are spread to reduce dust in the air.
D) Tell farm workers to obtain different employment.
E) Try to get farmers to reduce the amount of chemicals used on their fields.

F) B) and D)
G) A) and B)

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Which of the following differences is found in parish nursing in a rural area as opposed to parish nursing in an urban area?


A) Rural parish nurses are less likely to be involved in case management or care coordination than their urban counterparts.
B) Rural residents are more grateful for the nurse's assistance because there are so few health resources in rural areas.
C) Rural residents are typically less committed to traditional values or a strong religious faith.
D) Rural residents may discuss health concerns with the nurse wherever they meet, whether in church or the local market.

E) A) and B)
F) A) and C)

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Which of the following best explains why the rural population is growing when young persons from rural areas consistently are moving to urban areas to seek employment?


A) Adults engaged in all the physically demanding farming tasks have longer life spans than people in urban areas.
B) Farm families continue to have a higher birth rate than urban families.
C) Many formerly migrant worker Hispanics are settling in rural counties.
D) Retirees and other urbanites able to conduct business through telecommunication and travel are moving in.

E) A) and D)
F) None of the above

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A nurse was excited about being the only staff member in the public health department in a small rural area. Which of the following problems would the nurse most likely encounter? (Select all that apply.)


A) There is no one with whom to collaborate or exchange ideas.
B) There will be no physician available to tell the nurse what needs to be done.
C) No feedback can be obtained from others.
D) The nurse may only be able to offer services supported by federal funds.
E) The nurse will have to raise local funds to support the department.
F) There will not be any epidemiologists or sanitarians to help.

G) A) and B)
H) B) and D)

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Which of the following factors would cause a geographic area to be called a frontier area?


A) Arbitrary distinction recognizing the Great Plains, Intermountain areas, and Alaska
B) Geographically located in the West, specifically the Great Plains states
C) High death rate from use of guns (homicide or suicide)
D) Population of fewer than six persons per square mile

E) A) and B)
F) B) and C)

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