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community migrant NCLEX questionsMULTIPLE CHOICE
1. What are health professional shortage areas (HPSAs)?
a. Areas with inadequate health care facilities for residents
b. Isolated areas of underserved populations within urban regions
c. Regions with insufficient numbers of health care providers
d. Rural regions of the United States with population densities of less than 10,000 - correct answer ✔✔:
C
An HPSA is a geographical area that has insufficient numbers of health professionals according to criteria
established by the federal government. Often rural areas have a physician, nurse practitioner, or nurse in
community health who provides services to residents who live in several counties.
: Cognitive Level: Knowledge REF: p. 401
2. What is the most accurate description of a migrant farmworker?
a. A person who does farmwork as the primary means of employment, although other work may be
done when the seasonal work ends
b. A person who immigrates to the United States to "follow the crops" in performing seasonal farmwork
c. A person who moves from place to place to earn money performing seasonal agricultural work
d. A person who specializes in the development of rural land for the purpose of farming - correct answer
✔✔: C
The Office of Migrant Health of the U.S. Public Health Service defines a migrant farmworker as a person
"whose principal employment is in agriculture on a seasonal basis, who has been so employed within the
last 24 months, and who establishes for the purpose of such employment a temporary abode." The
emphasis is on moving (temporary abode), farmwork, and seasonal basis. Not all migrant farmworkers
are immigrants.
: Cognitive Level: Knowledge REF: p. 407
, 3. In addition to those barriers faced by many residents in rural areas, what additional barrier to health
care is a Hispanic migrant farmworker likely to encounter?
a. Absence of culturally competent care
b. Availability of specialists
c. Distance of health care facilities from the place of residence
d. High cost of health care - correct answer ✔✔: A
Barriers to health care in general affecting all populations include whether services and professionals are
available, affordable, or accessible to rural consumers. For migrant workers, a language barrier and
cultural differences often exist between them and other area residents, including health care providers.
: Cognitive Level: Knowledge REF: p. 401
4. From whom is a rural resident with asthma most likely to receive health care services?
a. Advanced nurse practitioner
b. Allergist
c. Pediatrician
d. Pulmonologist - correct answer ✔✔: A
The providers most often seen by rural adults are general practitioners and advanced practice registered
nurses (APRNs). In contrast, urban adults are more likely to seek care from a medical specialist.
: Cognitive Level: Knowledge REF: p. 404
5. A migrant farmworker brings his daughter into the clinic with severe heat stroke from being out in the
sun. The nurse explains the danger signs and stresses staying cool and drinking lots of water. The man
seems to know this already. So what is the most likely reason this happened?
a. It was a rare occurrence, which probably won't be repeated
b. The daughter either disobeyed her father and went out to play in the sun or just did not realize how
hot she was.
c. Children may work on small farms because the family may need the additional income.
d. The parents were busy working and didn't realize child was outside so long. - correct answer ✔✔: C
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