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Fundamentals of Canadian Nursing. Concepts, Process, and Practice

Kozier, B. et al.

Chapter 15

Rural and Remote Health Care - all with Video Answers

Educators

Chapter Questions

Problem 1

Which term best describes a significant challenge confronting delivery of rural health care in Canada?
a. Universality
b. Portability
c. Public administration
d. Equitability

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Problem 2

A nurse lives and works in a rural community. While grocery shopping, the nurse is approached by a neighbour who asks, "How's old Bob doing? I hear he has cancer and is in hospital." What is the nurse's best response?
a. "I suggest you call Bob's wife and ask her how he's doing."
b. "I know you are concerned about Bob, but I can't share that information with you."
c. "Call the hospital, and ask for the nurse on duty."
d. "Bob's doing okay, but that's all I can tell you."

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03:14

Problem 3

What is the primary reason for the decline in rural populations compared with urban populations in the past century?
a. Few new immigrants choose to live in rural areas.
b. Rural Aboriginal populations are not increasing.
c. Urban residents have a higher birth rate than rural residents.
d. An increase in farming technology means there is less rural opportunity.

Kadry Samuels
Kadry Samuels
Numerade Educator
00:36

Problem 4

Which community best exemplifies one defined as being remote? (Select all that apply.)
a. A community on the West Coast of British Columbia with water access (float plane or boat) only and a population of approximately 1000 people
b. Prairic town with a population of about 20000 people
c. Residential township where most of the population commutes to work to a larger community
d. Northern Canadian community with a sparse population, where travel is often weather dependent and on ice roads

Ritika Shakkerwal
Ritika Shakkerwal
Numerade Educator

Problem 5

A nurse is working in a rural First Nations community in Northern Ontario. Lately, there have been a number of serious motor vehicle collisions, including one that killed four local teenagers. Problematic substance use was part of the causes of the accidents. What should be the nurse's next step?
a. Approach the local high school about doing a lecture on the dangers of alcohol and substance use
b. Approach the local high school and invite students to participate in a "stop drinking and driving" contest you have designed
c. Meet with a group of local teenagers and community elders and work with them to develop a video game on stopping drinking and driving
d. Meet with the high school principal to tell him or her about the dangers of substance use, drinking, and fatal accidents

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Problem 6

A nurse working in a rural and remote community in Saskatchewan is aware that farm injuries are a major health issue. Preschool children are at particularly high risk of fatal injuries. The wife of a local farmer approaches the nurse requesting help to organize a safe play area for preschool children. What should be the nurse's next step?
a. Arrange to meet with the farmers at a local fall fair to talk with them about the hazards of farming
b. Post signs in the community about farm hazards
c. Talk to the town mayor, the school principal, and other civic leaders, as well as parents, and tell them they must recognize farm hazards for children
d. Invite parents, teachers, the school principal, the mayor, and other civic leaders to a meeting to talk about safe play areas for preschool children

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Problem 7

After suffering a detached retina, Mr. Boucher, 78 years old and a retired farmer, must adapt to his blindness while continuing to live in the rural area with his wife. What is the most important factor that the nurse should consider to help them rearrange the inside of their house?
a. The distance separating the couple from their neighbours
b. The family's beliefs
c. The availability of resources
d. Mrs. Boucher's level of literacy

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03:31

Problem 8

What has research shown about the health practices of individuals living in Canadian rural communities in comparison with those in urban communities?
a. A lower incidence of smoking
b. Better eating habits
c. A higher rate of physical activity
d. A higher incidence of obesity

Dennis Howard
Dennis Howard
Numerade Educator

Problem 9

Why is providing health care to inhabitants of rural and remote communities experiencing motor vehicle collisions particularly challenging?
a. Many new immigrants live in rural communities.
b. The primary industries are fishing, farming, mining, and forestry.
c. The population is sparsely distributed over a wide geographical area.
d. The nurse must be flexible and friendly with local inhabitants.

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Problem 10

Children in northern Aboriginal communities are at increased risk for type 2 diabetes. The nurse in the community wants to raise awareness about this health risk. What should be the nurse's next step?
a. Talk with the teenagers in the community because they may have younger siblings
b. Meet with the school principal and launch a poster contest featuring student-drawn pictures of healthy foods
c. Ask the children to draw pictures of their healthy community and post these on the walls
d. Ask the children to draw and post pictures of healthy foods that come from their community

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