Which best explains why there are so few hospitals in rural areas?

Correct Answer: B

Rationale: The correct answer is B because rural areas typically have lower population densities compared to urban areas, resulting in fewer healthcare providers being needed. This is due to the lower demand for healthcare services in sparsely populated regions. Choice A is incorrect because lack of trust is not the primary reason for the scarcity of hospitals. Choice C is incorrect as advancements in transportation and telemedicine have helped overcome isolation challenges. Choice D is also incorrect as rural areas are known for their open spaces and lower population densities, making overcrowding unlikely.

Correct Answer: A

Rationale: The correct answer is A because demographics and individual characteristics play a crucial role in determining rural health needs. Factors such as age, gender, income level, education, and cultural background directly impact healthcare access and utilization. Understanding these characteristics helps tailor healthcare services to meet specific needs. Choice B, geography, and local environment can influence health outcomes but are not the primary determinant of health needs. Choice C, access to resources, is important but is a result of demographic factors. Choice D, political structure, may indirectly impact healthcare provision but is not a direct influencer of health needs in rural areas.

Correct Answer: D

Rationale: The correct answer is D because persistent poverty refers to a prolonged period of poverty. A county would be defined as having persistent poverty if its population has been in poverty for over 30 years. This timeframe demonstrates a long-standing issue of poverty that has persisted for a significant duration. Choices A, B, and C do not meet the threshold for persistent poverty as they represent shorter durations. Choice A (10 years) and B (20 years) may indicate some level of sustained poverty but do not fully capture the concept of persistent poverty. Choice C (25 years) is closer but still falls short of the extended timeframe required to be considered persistent poverty. Thus, the correct answer is D as it aligns with the definition of persistent poverty as a prolonged period of poverty lasting over 30 years.

Correct Answer: A

Rationale: The correct answer is A: Obesity and sedentary lifestyle. In rural areas of the South, access to healthy food options and recreational facilities may be limited, leading to higher rates of obesity and sedentary lifestyles. Furthermore, agricultural work in rural areas can be physically demanding, but it may not provide adequate exercise to combat sedentary behaviors. Choice B (Homicide and motor vehicle accidents) is less prevalent in rural areas due to lower population density and less traffic congestion. Choice C (Mental health issues and suicide) may be influenced by various factors, not specifically tied to rural areas. Choice D (Increased smoking and alcohol use) is not necessarily more prevalent in rural areas compared to urban areas.

Correct Answer: D

Rationale: The correct answer is D: Migrant and seasonal farmworkers (MSFW). 1. They are a vulnerable population due to limited access to healthcare. 2. They face occupational hazards and environmental exposures. 3. They often lack health insurance and have language barriers. 4. By focusing on this group, the nurse can address high-risk factors, preventive care, and health education. Summary: A: Elderly women may need care, but MSFW have higher risk factors. B: Disabled adults require care, but MSFW face unique challenges. C: Hispanic children are important, but MSFW may have immediate health risks.