Community & Public Health Nursing Promoting the Public's Health 8th ed by Allender, Judith
Community & Public Health Nursing Promoting the Public's Health 8th ed by Allender, Judith
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Chapter 29, Issues With Rural, Migrant
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | When describing the term “frontier area,” which of the following would the nurse include as the most common description? | |
| A) | A population density of fewer than 1,000 people per square mile | |
| B) | Population density of 1,000 people or more per square mile | |
| C) | Fewer than 10,000 residents in the community | |
| D) | Fewer than six people per square mile | |
| Ans: | D | |
| Feedback: | ||
| Fewer than six people per square mile is one of the most common descriptions of a “frontier area.” Fewer than 10,000 residents or population density of less than 1,000 people per square mile is the definition of “rural.” A population density of 1,000 or more people per square mile refers to an urbanized area or urban cluster. | ||
| 2. | The nurse educator is aware that the nursing student needs further instruction on the terminology related to rural, frontier, migrant, and urban issues when the nursing students identifies which of the following? | |
| A) | A rural area has six or fewer persons per square mile. | |
| B) | There are many factors that are considered when determining if a community is rural or frontier other than population density. | |
| C) | Urban areas are much more densely populated than urban areas. | |
| D) | An urban area consists of at least 2,500 people per square mile with at least 1,500 of those who reside outside institutional group quarters. | |
| Ans: | A | |
| Feedback: | ||
| If a nursing student would identify that a rural area has six or fewer persons per square mile, the student would need further instruction as it is a frontier area that has six or fewer persons per square mile. There are many factors that are considered when determining if a community is rural or frontier other than population density. Urban areas are much more densely populated than rural areas. Urban areas consist of at least 2,500 people per square mile with at least 1,500 of them living outside institutional group quarters. | ||
| 3. | When attempting to describe the characteristics of a typical rural population to a group of community health nurses, which of the following would the nurse include? | |
| A) | Older, White, with a lower income and less formal education | |
| B) | Young minorities with a lower income and less formal education | |
| C) | Wealthier, more highly educated, older White Americans | |
| D) | A reflection of the population as a whole | |
| Ans: | A | |
| Feedback: | ||
| Population characteristics include older adults as the largest segment of the population, majority as White, with lower educational attainment, and, on the average, a lower income. | ||
| 4. | Which of the following reasons is most likely to force a rural hospital to close? | |
| A) | Rural hospitals have a high risk for financial problems and closures. | |
| B) | Rural hospitals do not have access to high tech equipment and services. | |
| C) | Rural hospitals are able to attract many specialty physicians. | |
| D) | Many rural residents depend heavily on public health department services. | |
| Ans: | A | |
| Feedback: | ||
| Rural hospitals have a high risk for financial problems and closures. Rural hospitals usually have less high-tech health care equipment and services, but this does not directly influence closure of the hospital. Rural hospitals are usually not able to attract many specialty physicians, and indeed physician and nurse and pharmacist shortages in rural areas make it difficult to operate a hospital. Many rural residents depend heavily on public health department services, but this is more likely an effect of lack of access to acute care services than a cause of lack of access to acute care services. | ||
| 5. | Which of the following are barriers to access to health care that may be experienced by rural clients? Select all that apply. | |
| A) | Adequate numbers and types of providers | |
| B) | Unpredictable and hazardous weather conditions | |
| C) | Lack of transportation | |
| D) | Physical distance between the residence and the location of health care services | |
| E) | Less high-tech health care equipment and services available | |
| Ans: | B, C, D, E | |
| Feedback: | ||
| The barriers to access to health care that may be experienced by rural clients include unpredictable and hazardous weather conditions, lack of transportation, physical distance between the residence and the location of health care services, and less high-tech health care equipment and services available. There are often not adequate numbers and types of providers of health care in rural areas. | ||
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