Chapter 17: Health Planning with Rural and Urban Communities

Chapter 17: Health Planning with Rural and Urban Communities

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A public health nurse (PHN) is creating a team of professionals to address the rising teen pregnancy rate in the community. Which of the following characteristics of successful partnerships is not suggested by the U.S. Department of Education in the Regional Education Network?

A.	There will be new partners as the partnership progresses.
B.	The partners have committed to the process and the goals.
C.	All of the partners must be equally committed financially.
D.	Make sure the members of the partnership are equally representative of the community-at-large in terms of culture, race, and perspective.

 

 

ANS:  C

Objective: 1. Define and implement the concepts of community partnership, community linkage, and community collaboration.

1. 402-404

Heading: Nursing in Partnership with Communities > Importance of Partnerships

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Collaboration; Promoting Health; Pregnancy

Difficulty: Moderate

	Feedback
A	This is incorrect. According to the U.S. Department of Education in the Regional Education Network, there are three characteristics that are indicative of a successful partnership. These include the understanding that there will be new partners as the collaboration progresses, that all of the partners must be equally committed to the process and the goals, and that the partners must make sure that the members of the partnership are equally representative of the community-at-large in terms of culture, race, and perspective.
B	This is incorrect. According to the U.S. Department of Education in the Regional Education Network, there are three characteristics that are indicative of a successful partnership. These include the understanding that there will be new partners as the collaboration progresses, that all of the partners must be equally committed to the process and the goals, and that the partners must make sure that the members of the partnership are equally representative of the community-at-large in terms of culture, race, and perspective.
C	This is correct. According to the U.S. Department of Education in the Regional Education Network, there are three characteristics that are indicative of a successful partnership. These include the understanding that there will be new partners as the collaboration progresses, that all of the partners must be equally committed to the process and the goals, and that the partners must make sure that the members of the partnership are equally representative of the community-at-large in terms of culture, race, and perspective.
D	This is incorrect. According to the U.S. Department of Education in the Regional Education Network, there are three characteristics that are indicative of a successful partnership. These include the understanding that there will be new partners as the collaboration progresses, that all of the partners must be equally committed to the process and the goals, and that the partners must make sure that the members of the partnership are equally representative of the community-at-large in terms of culture, race, and perspective.

 

 

PTS:   1                    CON:  Collaboration | Promoting Health | Pregnancy

 

2. A nurse is moving to a rural area and beginning work at a health clinic there. The nurse is performing a basic community assessment to prepare for treating this new community. The nurse knows that which of the following is not characteristic of the needs of the rural population?

A.	More likely to smoke tobacco and drink alcohol
B.	Have less education and higher rate of poverty
C.	Increased dental problems
D.	Have a higher life expectancy

 

 

ANS:  D

Objective: 3. Identify specific health needs of the rural communities and the urban communities.

1. 404-405

Heading: Rural Communities > Characteristics of Rural Residents

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Assessment; Promoting Health

Difficulty: Moderate

	Feedback
A	This is incorrect. People living in rural populations tend to have increased dental problems, are more likely to drink alcohol and smoke tobacco, and have less education and a higher rate of poverty. They also have a lower life expectancy.
B	This is incorrect. People living in rural populations tend to have increased dental problems, are more likely to drink alcohol and smoke tobacco, and have less education and a higher rate of poverty. They also have a lower life expectancy.
C	This is incorrect. People living in rural populations tend to have increased dental problems, are more likely to drink alcohol and smoke tobacco, and have less education and a higher rate of poverty. They also have a lower life expectancy.
D	This is correct. People living in rural communities tend to live further from health-care facilities and often have lower life expectancies.

 

 

PTS:   1                    CON:  Assessment | Promoting Health

 

3. A nurse is reviewing goals from the Rural Health People 2010 program in anticipation of setting goals for the next decade. Which of the following is not one of the goals identified in Rural Healthy People 2010?

A.	Increasing access to health care
B.	Reducing rates of diabetes
C.	Increasing oral health
D.	Reducing cancer rates

 

 

ANS:  D

Objective: 4. Discuss potential solutions to decrease disparities in the rural areas.

1. 404-405

Heading: Rural Communities > Characteristics of Rural Residents

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Promoting Health

Difficulty: Moderate

	Feedback
A	This is incorrect. According to the Rural Healthy People 2010, the five identified goals were increasing access to health care, reducing heart disease and stroke, reducing rates of diabetes, better care of mental health disorders, and increasing oral health.
B	This is incorrect. According to the Rural Healthy People 2010, the five identified goals were increasing access to health care, reducing heart disease and stroke, reducing rates of diabetes, better care of mental health disorders, and increasing oral health.
C	This is incorrect. According to the Rural Healthy People 2010, the five identified goals were increasing access to health care, reducing heart disease and stroke, reducing rates of diabetes, better care of mental health disorders, and increasing oral health.
D	This is correct. According to the Rural Healthy People 2010, the five identified goals were increasing access to health care, reducing heart disease and stroke, reducing rates of diabetes, better care of mental health disorders, and increasing oral health.

 

 

PTS:   1                    CON:  Promoting Health

 

4. A nurse is working in a community health center in a very rural community and is training a new nurse who will be working part-time. The nurse explains that the biggest health problem facing their community is:

A.	Inability to access health care
B.	Poor nutrition
C.	Lack of health education
D.	Farming accidents

 

 

ANS:  A

Objective: 3. Identify specific health needs of the rural communities and the urban communities.

1. 406-407

Heading: Rural Communities > Specific Health Needs of Rural Communities

Integrated Processes: Teaching/Learning

Client Need: Safe and Effective Care Environment: Management of Care

Cognitive Level: Analysis [Analyzing]

Concept: Promoting Health; Nursing Roles

Difficulty: Difficult

	Feedback
A	This is correct. The biggest health problem facing the rural community is an inability to access health care.
B	This is incorrect. While poor nutrition is certainly an issue facing this community, this is not the biggest health issue. The biggest health problem facing the rural community is an inability to access health care.
C	This is incorrect. While lack of health education is an issue facing the rural community, this is not the biggest health issue. The biggest health problem facing the rural community is an inability to access health care.
D	This is incorrect. While the rural community is at a higher risk of accidents related to farming, this is not the biggest health issue. The biggest health problem facing the rural community is an inability to access health care.

 

 

PTS:   1                    CON:  Promoting Health | Nursing Roles