Professional Documents
Culture Documents
2
Copyright © 2014 Pearson Canada, Inc.
4) Which of the following has been a factor in hindering health care delivery in rural and
Northern areas?
A) Practitioners who are generalists
B) Ratio of health care staff to population
C) Mobile health services
D) Money being spent on infrastructure
Answer: B
Explanation:
A) Incorrect. Health care providers in rural, remote, and Northern areas must possess a broad
generalized knowledge base to meet the diverse health care needs of the residents. The need to
maintain general practice skills covering all ages and all the conditions that clients or patients
can present with is a major challenge for rural nurses.
B) Correct. A major factor impeding health care delivery is the need to service a population that
is sparsely distributed over a large geographical area, with a limited number of health care
professionals.
C) Incorrect. "New models of interprofessional practice can be developed that are supportive of
the varied strengths of and resources available to rural and remote communities" (MacLeod et
al., 2004).
D) Incorrect. Limited infrastructure, including transportation and communication, hinders
effective care delivery.
Type: MC
CRNE Competency: Health and Wellness
CRNE Taxonomy: Knowledge
Learning Outcome: 15-2
5) Gloria, 18, who lives on a reserve, has been communicating with a mental health counsellor
using a computer in the health centre. What means of technology would be used for this
purpose?
A) Telemedicine
B) Blended-mode
C) Web-casting
D) Telehealth
Answer: D
Explanation:
A) Incorrect. Telemedicine is the use of technology to transmit electronic medical data about
clients to persons at distant locations.
B) Incorrect. Blended-mode learning (a combination of face-to-face, videoconferencing, Internet,
paper-based, and web-casting) has mushroomed with technological advances and increased
access to high-speed Internet connections and videoconferencing capacity (Atack, 2003; Carter,
Rukholm, Mossey, Viverais-Dresler, Bakker, & Sheehan, 2006).
C) Incorrect. Web-casting is a way of broadcasting over the Internet.
D) Correct. Telehealth is the sharing of nursing information by using electronic means, such as a
telephone or the Internet, to answer consumers' questions.
Type: MC
CRNE Competency: Health and Wellness
CRNE Taxonomy: Application
Learning Outcome: 15-7
3
Copyright © 2014 Pearson Canada, Inc.
6) What should a nurse understand about respiratory problems in rural agricultural areas of
Canada?
A) Better air quality in rural agricultural areas decreases the incidence of respiratory illnesses.
B) Healthy lifestyles in rural areas usually allow respiratory illnesses to resolve without
treatment.
C) Incidence of respiratory illnesses in rural areas is significantly higher than in urban areas.
D) Respiratory illnesses in rural areas are usually caused by zoonoses.
Answer: C
Explanation:
A) Incorrect. Exposure to grain dust, wood smoke, and agricultural chemicals have all been
implicated as having immediate or long-term effects on the health of rural Canadians.
B) Incorrect. There is no scientific data to support this claim.
C) Correct. Respiratory disease is a common health problem among agrarian rural dwellers, and
rates of respiratory diseases are significantly higher across the board in rural communities,
compared with urban centres.
D) Incorrect. Zoonoses are diseases that are communicated from animals to humans, but are not
specific to the respiratory system.
Type: MC
CRNE Competency: Health and Wellness
CRNE Taxonomy: Knowledge
Learning Outcome: 15-3
4
Copyright © 2014 Pearson Canada, Inc.
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