Rural Public Health Policy Chapter 22 Full Test Bank

Chapter 22: Rural Public Health Policy

Multiple Choice

1. All the following are part of fundamental parts to public policy making except:

A) problems.

B) solutions.

C) stakeholders.

D) policies.

E) problems and stakeholders.

2. The finalized course of action that can be decided upon by the government is known as:

A) problem.

B) solutions.

C) stakeholder.

D) policy.

E) problem and stakeholder.

3. The core function of public health that involves the delineation of health problems, their nature, and the means of dealing with them is known as:

A) assessment.

B) research.

C) assurance.

D) policy development.

E) None of these is correct.

4. A system government where two or more levels have certain powers and authority is known as which of the following?

A) Nationalism

B) Socialism

C) Federalism

D) Capitalism

E) Oligarchy

5. The issues facing rural health communities on the healthcare delivery side include all the following except:

A) high patient volume.

B) challenging payer mix.

C) geographic isolation.

D) workforce shortages.

E) limited access to essential health services.

6. Which of the following is true about opioids?

I. They are particularly known to be habit-forming.

II. Their abuse can lead to a host of physical, social, mental, and legal issues.

III. They can be natural or synthetic.

A) I and II only

B) I and III only

C) II and III only

D) I only

E) I, II, and III

7. Opioids have been known to lead to physical dependence within as little as:

A) 1-2 weeks.

B) 3 -5 weeks.

C) 4- 8 weeks.

D) 3-4 months.

E) 6 months to a year.

8. Many farms in rural areas draw from which of the following labor pools?

A) Skilled labor

B) Immigrant labor

C) Rural inhabitants

D) Native Americans

E) African Americans

9. Which of the following is true about migrant farm workers?

I. They live the typical American life.

II. They generally have poor health.

III. They have lots of farm injuries.

A) I and II

B) I and III

C) II and III

D) III only

E) I, II, and III

10. Which of the following are reasons why immigrant farm workers fail to report injuries?

A) Fears of deportation

B) Job loss

C) Cultural norms related to being hardworking

D) Fears of deportation and job loss only

E) All of these are correct.

11. All of the following are true about the Hoosier state except:

A) poor access to transport.

B) access to high speed internet.

C) restriction of economic and social activities.

D) poor access to transport and restriction of economic and social activities.

E) None of these is correct.

12. In rural southern Indiana, children account for approximately what percent of the population?

A) 20%

B) 25%

C) 33%

D) 70%

E) 90%

13. Hoosiers are most likely to die from which of the following?

A) Alcohol abuse

B) Tobacco use

C) Accidents

D) Cardiovascular diseases

E) None of these is correct.

14. Which of the following counties in Indiana received attention due to an HIV epidemic in 2015?

A) Davies county

B) Blackford county

C) Warrick county

D) Scott county

E) Hamilton county

15. Which of the following is a limitation to reporting domestic violence in rural Indiana?

A) Lack of access to phone

B) Good internet connectivity

C) Poor transportation

D) Lack of access to phone and good internet connectivity only

E) Lack of access to phone and poor transportation only

True/False

1. True or False? One of the core functions of public health agencies is policy development.

2. True or False? Policies can only be interpreted by governmental agencies.

3. True or False? The infusion of politics into policies can affect its life cycle and subject to modifications when opinions change.

4. True or False? Local health departments are more important in urban areas compared to rural areas.

5. True or False? Issues with rural access to health is highlighted by the increasing rate of rural hospitals over the past decade.

6. True or False? Medicaid expansion was accepted by all and seen as very politically expedient for most people.

7. True or False? There is no relationship between Medicaid expansion and hospital financial performance.

8. True or False? Many farm workers in the United States originate from Mexico and central American countries and reside above the federal poverty levels.

9. True or False? One’s legal immigration status is a determinant of their access to health.

10. True or False? The baby boomer generation, comparative low birth rates, and rising life expectancy has led to a dwindling and aging population within the Hoosier state.

11. True or False? Secondary students in southern Indiana’s rural communities graduate from high schools at rates comparable to the state and the nation.

12. True or False? The Hoosier state is popularly known to be flat and heterogenous and populated mostly by soybean fields.

13. True or False? Public policy hardly influences public health.

14. True or False? Researchers of premature death in rural America have begun calling mortality due to self-destructive health behaviors “despair deaths.”

15. True or False? In rural Indiana, needle exchange has been found to reduce HIV incidence, yet this action is against the state’s law.

Essay

1. State and explain the three (3) core functions of public health.

2. Explain two programs hosted by the federal government to support rural hospitals and rural health research and policy programs.

3. Briefly describe from a policy standpoint, what the federal government is doing to improve the health needs of immigrant farm workers.

4. From the expert’s opinion, how do you think state public health officials can interface with policy makers to address rural health challenges?

5. How does rural geography influence opioid abuse?

6. Explain how rural Indiana is dealing with the issue of domestic violence.