Rural & Migrant Flashcards

1
Q

1.Rural residents in the United States compose more than _____% of the nation’s poor.
a. 50
b. 35
c. 20
d. 18

A

a. 50

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1
Q

1.Rural residents in the United States compose more than _____% of the nation’s poor.
a. 50
b. 35
c. 20
d. 18

A

a. 50

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2
Q

2.Which of the following statements best describes the demographics of rural America?
a. Despite the shrinking number of family farms and full-time farmers, agriculture continues to be an important part of the rural and U.S. economy.
b. There has been a shift in the economic base of rural America as more communities are dependent on income generated from mining and
construction.
c. There has been a decline in diversity in rural America, with more Hispanics and youth moving to urban areas rather than rural communities and small towns.
d. There are more positive health behaviors (e.g., less smoking, obesity, and drug use) among residents of rural America when compared with urban America.

A

a. Despite the shrinking number of family farms and full-time farmers, agriculture continues to be an important part of the rural and U.S. economy.

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3
Q

3.The number one health concern identified by the majority of rural health care leaders is:
a. lack of health insurance.
b. limited access to health care.
c. increase in communicable diseases.
d. social isolation of rural dwellers.

A

a. lack of health insurance.

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4
Q

4.Agricultural workers are at high risk for occupational injuries and illnesses. To reduce the most
common cause of fatalities among youth on farms, which of the following is the most important
strategy for the community nurse to implement?
a. Planning a community media campaign advocating the use of helmets
b. Partnering with the county extension agent to offer tractor safety classes
c. Working with local health care providers to encourage use of personal protective
equipment, such as hearing and respiratory protection
d. Offering a class for local

A

b. Partnering with the county extension agent to offer tractor safety classes

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5
Q

5.Based on the common illnesses and risky health behaviors among farmers, the community
health nurse should implement which of the following health promotion activities?
a. Partner with the local health department to offer smoking cessation classes for farmers
and their spouses.
b. Collaborate with health care providers and provide support and education for farmers with respiratory conditions and their families.
c. Collaborate with health care providers to conduct skin assessments at a meeting of local
farmers.
d. Work with mental health consultations to outline a community-based program to address
the high rate of suicide and depression among farmers.
e. Plan, implement, and evaluate an outreach program designed to improve the
cardiovascular status of farmers and their families.

A

b. Collaborate with health care providers and provide support and education for farmers with respiratory conditions and their families.

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6
Q

6.Migrant and seasonal farm workers constitute a high-risk population due to their low income
and migratory status. These workers lack adequate access to preventive services. The most
important role of the rural community health nurse in meeting the health care needs of this
vulnerable population is to:
a. address the multiple communicable diseases of these farm workers.
b. serve as an advocate working to gain health care access for these farm workers.
c. participate in political activities with an emphasis on changing immigration laws.
d. learn to speak Spanish to improve communication with this specific population.

A

b. serve as an advocate working to gain health care access for these farm workers.

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7
Q

7.In contrast to people who live in urban areas, rural residents frequently describe their health by
their ability to:
a. avoid hospitalizations.
b. maintain social connections.
c. perform activities of daily living.
d. work and be productive.

A

d. work and be productive.

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8
Q

8.The greatest promise for improving health outcomes for rural residents is:
a. the increase in health care providers migrating to rural areas.
b. the expansion in Medicare services to rural hospitals and clinics.
c. the increase in distribution of technology, providing more education and health services.
d. the expansion of public transportation, allowing rural residents to travel to tertiary care hospitals for specialty services.

A

c. the increase in distribution of technology, providing more education and health services.

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9
Q

9.Which statement regarding the impact of managed care on rural public health departments is true?
a. Managed care has expanded the safety-net role of many local health departments by funding primary care services.
b. Medicaid’s importance for rural areas is likely to decrease.
c. The role of rural public health departments may increasingly narrow into areas that are currently without any type of reimbursement.
d. Medicaid programs will continue to serve the rural communities on a fee-for-service basis.

A

c. The role of rural public health departments may increasingly narrow into areas that are currently without any type of reimbursement.

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10
Q

9.Which statement regarding the impact of managed care on rural public health departments is true?
a. Managed care has expanded the safety-net role of many local health departments by funding primary care services.
b. Medicaid’s importance for rural areas is likely to decrease.
c. The role of rural public health departments may increasingly narrow into areas that are currently without any type of reimbursement.
d. Medicaid programs will continue to serve the rural communities on a fee-for-service basis.

A

c. The role of rural public health departments may increasingly narrow into areas that are currently without any type of reimbursement.

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