Ch.24 Services To Support Rural Health Verified Test Bank

Chapter 24: Services to Support Rural Health

Multiple Choice

1. Types of transportation in rural communities can include:

A) demand-response public transportation.

B) fixed bus routes.

C) vanpool.

D) shuttles.

E) All of these are correct.

2. Barriers to transportation in rural communities can result in all of the following except:

A) delays in seeking medical care.

B) missed appointments.

C) increased health seeking behavior.

D) lack of medication compliance.

E) None of these is correct.

3. Outcomes resulting from barriers to transportation in rural communities include all of the following except:

A) increased chance of morbidity.

B) increased chance of preventing illnesses.

C) new diseases and conditions.

D) lessened health status.

E) None of these is correct.

4. Limited resources in rural communities used to support disaster response include which of the following?

A) Manpower

B) Communication systems

C) Finances

D) All of these are correct.

E) None of these is correct.

5. The phases of a disaster include:

A) prevention.

B) preparedness.

C) response.

D) recovery.

E) All of these are correct.

6. Professional and volunteer staff in rural communities may have limited experience with:

A) major disasters.

B) emergency preparedness.

C) outbreak monitoring.

D) major disasters and outbreak monitoring only.

E) All of these are correct.

7. Disaster protocol includes:

A) decontamination.

B) isolation.

C) quarantine.

D) All of these are correct.

E) None of these is correct.

8. Health professionals should modify emergency preparedness plans so that it fits:

A) scope.

B) resources.

C) surroundings.

D) All of these are correct.

E) None of these is correct.

9. Examples of incident command systems include all of the following except:

A) strategies for patient evacuation.

B) where to relocate patients.

C) medications needed to go with patients.

D) drilling patients on how to answer questions.

E) medications to be received by patients at relocation center.

10. Technologies used to support and promote long distance clinical (patient-professional) health care include:

A) video conferencing.

B) wireless communication.

C) store and forward imaging.

D) video conferencing and wireless communication only.

E) All of these are correct.

11. Benefits of telehealth to patients include all of the following except:

A) access to specialist without the need for travel.

B) early detection of diseases.

C) increased morbidity.

D) reduced cost in travel fees and medical care.

E) None of these is correct.

12. Barriers faced by rural residents in accessing medical care include all of the following except:

A) lower income.

B) lower supply of primary care providers.

C) lower rates of taxes.

D) lower rates of private health insurance coverage.

E) None of these is correct.

13. In combination with rural residence, which of the following characteristics may place a rural person at a heightened risk of not receiving adequate preventive screenings?

A) Ethnic minority status

B) Poverty

C) Race

D) All of these are correct.

E) None of these is correct.

14. Factors that generate healthcare disparities in rural communities include all of the following except:

A) economic factors.

B) educational barriers.

C) isolated living.

D) social differences.

E) lack of self-care.

15. Health Recovery Solutions (HRS) is a platform designed for which of the following?

A) Self-assessment

B) Medication compliance

C) Educational video clips

D) Self-assessment and medication compliance only

E) All of these are correct.

16. At the local level, the authority granted to the emergency manager is defined by:

A) local laws or ordinances.

B) the governor.

C) the director of the State emergency management office.

D) The authority of the emergency manager is not defined.

17. Telehealth services can be used to deliver care to rural patients in which of the following situations?

A) Emergency care

B) Specialty consultation

C) Trauma care

D) None of these is correct.

18. Which of the following is a health behavior that increases the risk for morbidity in rural populations?

A) Vigorous exercise

B) Routine physicals

C) Cigarette smoking

D) Limited alcohol consumption

19. An example of a barrier to accessing care includes:

A) reliable transportation.

B) health insurance.

C) available providers.

D) All of these are correct.

True/False

1. True or False? Rural public transportation systems vary in type, access, management, and need.

2. True or False? Access to transportation in rural communities is essential, particularly for older adults, low-income, and persons with disabilities.

3. True or False? The APTA reported that from 2000 to 2005, 9 percent of public transportation trips in areas with a population over 200,000 were for medical purposes.

4. True or False? For healthcare providers, missed appointments mean that updates to patient’s health history cannot be addressed.

5. True or False? Compared to urban regions, disaster managers face different challenges when handling emergency preparedness in rural regions.

6. True or False? Disaster preparedness plans should include actions that will only protect citizens, responders, and facilities during the event.

7. True or False? In rural communities, emergency first responders are often volunteer-based, therefore have less training on emergency preparedness, equipment, and protocol.

8. True or False? In telehealth, another name for the collaborating distant site is the hub site.

9. True or False? Communication during disasters should not include multiple modalities.

10. True or False? The challenges faced by rural communities can impact their ability to both prepare and react to emergencies and disasters.

11. True or False? An essential part of disaster preparedness is conducting routine drills.

12. True or False? In telehealth, another name for the originating site is the leak site.

13. True or False? Federal agencies have targeted rural residents as a priority population.

14. True or False? Use of mobile vans to reduce geographic distance between rural areas is promising in the work toward overcoming the challenges to medical care access.

15. True or False? Telehealth is transformative, as it can be used to educate and engage with patients.

16. True or False? Preparedness and response activities always occur at the same time.

17. True or False? Community Health Workers and Care Coordinators are the same position within health care organizations.

18. True or False? Medicare will pay for all medical transportation for beneficiaries living in rural communities.

19. True or False? Telehealth allows patients to connect with specialists from their own home.

20. True or False? Rural residents face many barriers to accessing appropriate medical care, including lower income, lower rates of private health insurance coverage, and lower supply of primary and specialty medical care providers.

Essay

1. There has been news of a major pipe burst, the only source supplying water to a small rural community. Recently, environmental analysts suspect that there is increased lead content in the soil in this community. How would you address this emergency?

2. What other innovative services can help to improve medical care access in rural communities?

3. Be imaginative and think of a major disaster that can occur in a rural community. Draw up an emergency preparedness outline for this disaster.

4. Based on the disaster imagined in question 3, draw up a routine drill that the health department close to this rural community can follow.