Chapter 17: Global Rural Nursing Practice

Chapter 17: Global Rural Nursing Practice

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The nursing instructor explains that defining “rural” is often difficult because

ANS:  A

Many governmental agencies use different definitions of “rural.” In this country, there are more than 15 “official” definitions of rural.

Although people may have different ideas of what the word “rural” means, this is not the reason defining it is difficult.

There is a need and an interest in defining the rural population.

DIF:    Cognitive Level: Understand            REF:   307

TOP:   Integrated Process: Teaching/Learning

MSC:  NCLEX Client Needs: Health Promotion and Maintenance

2. A community nurse working in a rural area is planning programming to meet community needs. Which program option should the nurse develop?

ANS:  D

Rural areas tend to have high numbers of the very old and very young, and often the older population has chronic illnesses with which to contend. A program for this demographic would be very beneficial.

Rural areas tend to have large populations of older adults and the very young, not adolescents.

Rural areas tend to have large populations of older adults and the very young, not necessarily children of all ages.

Rural families are often slightly larger than city families, but the very old and very young are the largest segments of their populations.

DIF:    Cognitive Level: Apply                   TOP:   Nursing Process: Planning

MSC:  NCLEX Client Needs: Health Promotion and Maintenance

3. A nurse works in a rural community. Concerning the minority population in rural regions, the best action by the nurse is to

ANS:  C

Rural areas have increasing minority populations, especially Hispanics. From 2000 to 2010, more than half of all rural population growth was in Hispanic populations, followed by African American populations increasing by 2.9%, and the Native American population by 7.5%. The nurse would do the most good by learning some Spanish and some Hispanic cultural beliefs and practices that are important when delivering health care.

Although all of these options are good actions to take, rural communities are the sites of the most rapidly growing Hispanic populations, and the best action by the nurse would be to learn some Spanish and Hispanic cultural beliefs and practices that are relevant to health care.

DIF:    Cognitive Level: Apply                   TOP:   Nursing Process: Implementation

MSC:  NCLEX Client Needs: Health Promotion and Maintenance

4. The nurse knows that the Rural Healthy People (RHP) 2020 project identified the top priority health care need as

ANS:  A

RHP 2020 identified access to quality health care as the overwhelming priority health care need in rural areas.

Emergency department care is a needed health care service in rural areas but was not identified as the top priority need.

More inpatient beds are indeed needed in some rural areas, but this was not identified as the top priority in the RHP 2020 document.

Female doctors are needed in higher numbers in rural areas, but this was not the identified top priority need according to the RHP 2020 report.

DIF:    Cognitive Level: Remember            REF:   314

TOP:   Integrated Process: Teaching/Learning

MSC:   NCLEX Client Needs: Health Promotion and Maintenance