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Chapter 24 Rural Health and Migrant Health
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Chapter 24 Rural Health and Migrant Health
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lOMoAR cP SD |12827 373Chapter 24: Rural Health and Migrant Health
Stanhope: Foundations for Population Health in Community/Public Health Nursing,
MULTIPLE CHOICE
1. A 13-year-old resident in a rural community has been diagnosed with asthma. Which of the following
likely provide care to this client?
a. Advanced nurse practitioner
b. Allergist
c. Pediatrician
d. Pulmonologist
ANS: A
The providers most often seen by rural adults are general practitioners and advanced practice registere
urban adults are more likely to seek care from a medical specialist (allergist or pulmonologist). A pedi
care specific to children which may or may not be appropriate depending on the age of the resident.
2. Which of the following best describes a health professional shortage area (HPSA)?
a. An area with inadequate health care facilities for residents
b. An isolated area of underserved populations within an urban region
c. A region with insufficient numbers of health care providers
d. A rural region of the United States with a population density of less than 10,000
ANS: C
An HPSA is a geographical area that has insufficient numbers of health professionals according to crit
federal government. Often, rural areas have a physician, nurse practitioner, or nurse in community hea
residents who live in several counties. The incorrect responses do not fit the definition of a HPSA.
3. A migrant farmworker has been injured while working on the farm. Which of the following would pro
this injury?
a. Emergency department for immediate care
b. Migrant Health Act clinics
c. OSHA, because the man was injured by farm machinery
d. Workers’ Compensation, because injury was at work
ANS: A
The only source the nurse can count on using is sending injured workers to emergency departments for
and ranching do not often fall under OSHA guidelines, because they are considered small enterprises.
standards are not enforceable, nor is Workers’ Compensation insurance usually available for the agricu
there are migrant health clinics, they are not always geographically convenient.
4. A nurse is caring for a migrant farm worker who has been working in the agricultural industry for the p
questioned about environmental hazards, the client reports regular exposure to pesticides. Which of the
client most at risk to develop?
a. Cancer
b. Memory loss
c. Skin rashes
d. Headaches
ANS: A
Chronic exposure to pesticides and chemicals may lead to cancer. Memory loss, skin rashes, and heada
effects of short-term exposure to pesticides and chemicals.
5. A migrant farmworker presents to the clinic reporting an acute onset dizziness, intense thirst, vomiting
difficulty concentrating. Which of the following conditions would cause such symptoms?
a. Appendicitis
b. Bacterial gastroenteritis
c. Pesticide poisoning
d. Viral illness
, lOMoAR cP SD |12827 373
7. Which of the following is the most accurate description of a migrant farmworker?
a. A person who does farm work 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 farm work
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
ANS: C
The Office of Migrant Health of the US Public Health Service defines a migrant farmworker as a perso
employment is in agriculture on a seasonal basis, who has been so employed within the last 24 months
purpose of such employment a temporary abode.” The emphasis in the definition of migrant farmwork
abode), farm work, and seasonal basis. Not all migrant farmworkers are immigrants.
8. An employer provides a migrant farm family the day off to visit the health clinic in a nearby communi
of the time they need. However, the family arrives at the clinic appearing very stressed. In addition to
the following would most likely be a fear experienced by the family?
a. Their personal belongings may be stolen while they are at the clinic.
b. Immigration officials will send them back to their home country.
c. The clinic personnel will look down on them and be biased against them.
d. They weren’t getting paid for that day, and continued employment is never
certain.
ANS: D
Migrant farmworkers often have an unpredictable and difficult lifestyle. Many must leave home each y
locations to work. They may be uncertain about their work and housing as they go from one possible jo
telling them to “take all the time they want” could be interpreted as meaning they may no longer be ne
may be very uncertain. Most migrant farmworkers are legal residents or US citizens, not illegal immig
provide culturally competent care, they should not be biased or look down on this family when providi
at any greater risk to have their belongings be stolen than on any other day when they leave their home
9. A migrant farmworker brings his daughter to the clinic with severe heat stroke from being out in the su
danger signs and stresses staying cool and drinking lots of water. The man seems to know this already.
best describes the most likely reason that 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 the child was outside so long.
ANS: C
Children 12 to 13 years of age can work on a farm with the parents’ consent or if the parent works on t
younger than 12 years can work on a farm with fewer than 7 full-time workers. Children may need to w
economic survival. This child may be at risk for this occurring again because the family needs the inco
child’s employment. The child is most likely working and not going outside to play. In order for this c
also were working on the same farm with them but again need this child’s income for survival.
10. A nurse is working with Mexican immigrants. Which of the following behaviors would most likely lea
the nurse?
a. Avoiding touching the client except when necessary as part of the physical
examination
b. Calling the client by name, socializing before addressing the problem, and being
very respectful
c. Keeping all interactions direct, to the point, and targeted on the reason for
presentation
d. Maintaining a nonconfrontational relationship by avoiding any disagreement even
if the nurse does disagree with what the client is saying
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