Test Bank Rural and Migrant Health Nies: Community/Public Health Nursing, 7th Edition,100% CORRECT
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EPP 101
Test Bank Rural and Migrant Health Nies: Community/Public Health Nursing, 7th Edition
MULTIPLE CHOICE
1. Which best describes the recent population trend in rural America?
a. The number of residents in rural areas of the United States is at one of its lowest levels ever recorded.
b. Urban...
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Community Public Health Nursing 7th Edition Nies Test Bank
Test Bank Rural and Migrant Health Nies: Community/Public Health
Nursing, 7th Edition
MULTIPLE
CHOICE
1. Which best describes the recent population trend in rural America?
a. The number of residents in rural areas of the United States is at one
of its lowest levels ever recorded.
b. Urban population rates increased from 2010 to 2015 as agricultural
opportunities diminished.
c. Nonmetro population rates have been steadily increasing because of
increasing job growth.
d. Population growth or loss in rural areas varies widely depending
on available economic opportunities.
ANS: D
Although the urban growth rate has been steadily climbing since 1890, with
numbers of urban dwellers surpassing those in rural areas around 1920, the
number of rural residents is the highest in the country’s history (U.S.
Department of Agriculture [USDA], 2016). In 2010 to 2015 population loss in
nonmetro areas occurred in the United States as a whole. In 2014 nonmetro
populations stabilized after 4 years of decline, likely related to improved rural
employment growth (USDA, 2016). Opportunities for population growth and
economic expansion vary widely from one nonmetro county to the next, and
new regional patterns of growth and decline have emerged in recent years.
DIF: Cognitive Level: UndersNtandR(CoImpG reheB
ns.ioCn) M
U S N T O
2. Which best explains why there are so few hospitals in rural areas?
a. Few nurses and physicians enjoy the rural lifestyle.
b. Historically, hospitals began in large urban areas and have
slowly expanded outward but have not yet reached all rural
areas.
c. Rural areas have very low population density.
d. Rural residents do not trust hospitals, preferring to receive care from
neighbors and friends.
ANS: C
Although 75% of U.S. counties are classified as rural, they contain only 20% of
the U.S. population. The population density is too low to support a large
hospital. There are providers available to serve the population and residents are
accepting of health care services, but not as many services are needed because of
the lower population density.
DIF: Cognitive Level: Remember (Knowledge)
NURSINGTB.COM
, Community Public Health Nursing 7th Edition Nies Test Bank
3. From which causes are rural residents twice as likely to die from in
comparison with urban residents?
a. Chronic diseases, especially cardiac problems and cancers
b. Diabetes from the higher incidence of obesity
c. Respiratory diseases (from pesticides and herbicides)
d. Unintentional injuries
NURSINGTB.COM
, Community Public Health Nursing 7th Edition Nies Test Bank
ANS: D
Residents of rural areas are nearly twice as likely to die of unintentional
injuries, including motor vehicle accidents, when compared with their urban
counterparts. The rates of chronic diseases, diabetes, and respiratory diseases
are more similar to that of urban residents.
DIF: Cognitive Level: Remember (Knowledge)
4. Which factor would cause a geographic area to be called a frontier area?
a. Arbitrary distinction recognizing the Great Plains, Intermountain areas, and
Alaska
b. Geographically located in the West, specifically the Great Plains states
c. High death rate from use of guns (homicide or suicide)
d. Population of fewer than six persons per square mile
ANS: D
Areas are classified as rural for populations with fewer than 45 persons per
square mile and as frontier for geographic areas with fewer than six people per
square mile. Many counties of the Great Plains, Intermountain West, and Alaska
are designated frontier. Not all mountain areas are rural (the Appalachian
mountain area is not), and geographic location alone does not make an area rural.
DIF: Cognitive Level: Understand (Comprehension)
5. Which best describes the purpose of the core-based statistical areas (CBSA)
system?
a. To reflect trends in population distribution across the county
b. To differentiate between urban and metropolitan areas
c. To emphasize the importance of noncare areas
d. To report the demographic characteristics of those living in the area
NURSINGTB.COM
ANS:
A
In June 2003, the Office of Management and Budget (OMB) released a new
classification scheme to better reflect trends in population distribution across
the nation (OMB, 2016). The MSA designation has been replaced by county-
level core-based statistical areas (CBSAs) to simplify the multilevel
designations. Within CBSAs, metropolitan areas are those counties that contain
at least one urbanized area of 50,000 or more people. A micropolitan area
contains a cluster of 10,000 to 50,000 persons. Counties that are neither
metropolitan nor
micropolitan are called “outside CBSAs,” also known as noncare areas (U.S.
Census, 2013).
DIF: Cognitive Level: Understand (Comprehension)
6. Which compositional factor influences rural health needs?
a.Demographics of the people living in an area
b.Local environment
NURSINGTB.COM
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