1. Which of the following descriptions is the most accurate
example of a rural community?
a. The residents of the community are subject to environmental
hazards.
b. It takes longer than 30 minutes to get from the community to
health care services.
c. The community has less than 20,000 residents.
d. The residents of the community say, "This is smaller than
where I grew up." Correct Answers ANS: B
All of the descriptions could be used in an attempt to define
"rural," but each aspect has problems. A definition of "rural" has
not yet been decided. However, in relation to health care, the
time needed to get to a health care facility has a major influence
on care outcomes.
10. A new female family nurse practitioner employed at the
rural health clinic became very frustrated. What might be cause
for complaint?
a. "I can't survive on this salary with the high cost of living
here!"
b. "I make this incredible salary, but there is nowhere here to
spend it."
c. "The men seem to make all the health decisions."
d. "The clients keep asking me when I'm going to get married."
Correct Answers ANS: D
Salaries are lower, as is the cost of living in rural areas.
Although she is a professional, as a woman she would be
,expected to fulfill female roles, such as wife and mother, and
may be seen primarily in relation to her family relationships.
11. A nurse is employed in a rural area. What might be a
dismaying reality about this setting of nursing practice?
a. Cultural values require clients to refuse pain relief
medications.
b. Farmers have to visit care providers when not busy in the
fields.
c. Rural residents have a tendency to use folk healers instead of
scientific care providers.
d. There is no "off duty" because everyone feels free to request
information or service any time. Correct Answers NS: D
There is no distinction between being the nurse on duty at the
clinic and being a resident of the community. The newcomer's
role will be that of nurse, and everyone will feel free to ask
questions at any time and at any place.
12. The registered nurse came to see many strengths and
resources in the rural area. Among these were that rural
residents are
a. Diverse, both in ethnic groups and in age groups.
b. Politically open to new ideas and approaches.
c. Very resourceful and self-reliant.
d. Willing to spend money to improve safety. Correct Answers
ANS: C
Rural residents are very resourceful and self-reliant. In addition,
they are conservative, often having fewer financial resources
available.
,13. What is the most common definition of health among those
living in rural areas?
a. Balance or homeostasis
b. Capable of fulfilling work requirements
c. Feeling of well-being, not merely the absence of disease
d. Purposive adaptive response to stimuli Correct Answers
ANS: B
Some people living in rural areas define health as "the ability to
work and to do what needs to be done," or "illness is not being
able to do one's usual work." Therefore, rural residents often do
not seek health care until they are too ill to work.
14. Which of the following is part of the first level of social
support for people living in rural communities?
a. Big city charities that rely on agricultural donations to help
feed urban poor persons
b. Church or civic group assistance, to which a person is
expected to contribute when able
c. Professional agencies or people who are paid financially for
their contribution
d. Volunteer assistance by family and friends, which one is
expected to reciprocate as needed Correct Answers ANS: D
Rural residents prefer services from friends, extended family,
and neighbors with the understanding that they will reciprocate
when possible and when other people need assistance.
2. What is the poverty rate in rural areas?
a. 10%
b. 20%
c. 30%
, d. 40% Correct Answers ANS: D
National estimates report that in rural areas, more than 40% of
all families live below the poverty level.
3. Why are children at risk on their own family's farm?
a. Children often help with the work without much regard for
training or safety.
b. It is expected that children fulfill the roles that are assigned to
them.
c. Machinery can injure someone faster than a parent can turn
the machine off.
d. Parents are too busy completing their own tasks to supervise
the children. Correct Answers ANS: A
Farming is one of the four most dangerous industries.
Agricultural work is inherently dangerous but also must be
performed under adverse conditions such as mud or extreme
heat or cold. On family farms, spouses, children, and other
relatives often help without much regard to competency,
training, or safety. Of all industries, agriculture has by far the
highest number of injuries and deaths among children.
4. An adolescent in a rural community has recently committed
suicide. What is the significance of this event in the community?
a. Rural residents are less religious than urban residents and less
capable of coping with the loss.
b. Because of the size of the community, it is likely that no one
will discuss what has happened.
c. There could be a cluster of such deaths in small towns where
everyone knows everyone so well.
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