Community/Public health Chapter 22 -
Rural and Migrant Health
A resident in a rural community has been diagnosed with asthma. Which of the following providers will
most likely provide care to this client?
a. Advanced nurse practitioner
b. Allergist
c. Pediatrician
d. Pulmonologist - correct answer ✔✔ANS: A
Advanced nurse practitioner 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. IF: Cognitive Level: Apply (Application) REF: p. 393
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 - correct answer
✔✔ANS: C
A region with insufficient numbers of health care providers 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. DIF: Cognitive Level: Remember (Knowledge) REF: p.
393
A migrant farmworker has been injured while working on the farm. Which of the following would
provide assistance to care for 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 - correct answer ✔✔ANS: A
Emergency department for immediate careFarming and ranching do not often fall under OSHA
guidelines, because they are considered small enterprises. Therefore, safety standards are not
enforceable, nor is Workers' Compensation insurance usually available for the agricultural industry.
Although there are migrant health clinics, they are not always geographically convenient. The only
source the nurse can count on using is sending injured workers to emergency departments for
immediate care.DIF: Cognitive Level: Apply (Application) REF: pp. 394, 398
A nurse is caring for a migrant farm worker who has been working in the agricultural industry for the past
10 years. When questioned about environmental hazards, the client reports regular exposure to
pesticides. Which of the following disorders is the client most at risk to develop?
a. Cancer
b. Memory loss
c. Skin rashes
d. Headaches - correct answer ✔✔ANS: A
CancerChronic exposure to pesticides and chemicals may lead to cancer.DIF: Cognitive Level: Apply
(Application) REF: p. 393
A migrant farmworker presents to the clinic reporting an acute onset of severe abdominal pain, nausea,
vomiting, diarrhea, and headache with difficulty concentrating. Which of the following conditions would
cause such symptoms?
a. Appendicitis
b. Bacterial gastroenteritis
c. Pesticide poisoning
d. Viral illness - correct answer ✔✔ANS: C
Pesticide poisoningAlthough all of these conditions can cause some or all of the symptoms listed,
because a migrant farmworker is employed in agriculture, the most probable cause is pesticide
poisoning. Acute health effects of pesticide exposure include mild psychological and behavioral deficits
such as memory loss, difficulty with concentration, and mood changes, abdominal pain, nausea,
vomiting, diarrhea, headache, malaise, skin rashes, and eye irritation.DIF: Cognitive Level: Analyze
(Analysis) REF: p. 395
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?
Rural and Migrant Health
A resident in a rural community has been diagnosed with asthma. Which of the following providers will
most likely provide care to this client?
a. Advanced nurse practitioner
b. Allergist
c. Pediatrician
d. Pulmonologist - correct answer ✔✔ANS: A
Advanced nurse practitioner 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. IF: Cognitive Level: Apply (Application) REF: p. 393
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 - correct answer
✔✔ANS: C
A region with insufficient numbers of health care providers 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. DIF: Cognitive Level: Remember (Knowledge) REF: p.
393
A migrant farmworker has been injured while working on the farm. Which of the following would
provide assistance to care for 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 - correct answer ✔✔ANS: A
Emergency department for immediate careFarming and ranching do not often fall under OSHA
guidelines, because they are considered small enterprises. Therefore, safety standards are not
enforceable, nor is Workers' Compensation insurance usually available for the agricultural industry.
Although there are migrant health clinics, they are not always geographically convenient. The only
source the nurse can count on using is sending injured workers to emergency departments for
immediate care.DIF: Cognitive Level: Apply (Application) REF: pp. 394, 398
A nurse is caring for a migrant farm worker who has been working in the agricultural industry for the past
10 years. When questioned about environmental hazards, the client reports regular exposure to
pesticides. Which of the following disorders is the client most at risk to develop?
a. Cancer
b. Memory loss
c. Skin rashes
d. Headaches - correct answer ✔✔ANS: A
CancerChronic exposure to pesticides and chemicals may lead to cancer.DIF: Cognitive Level: Apply
(Application) REF: p. 393
A migrant farmworker presents to the clinic reporting an acute onset of severe abdominal pain, nausea,
vomiting, diarrhea, and headache with difficulty concentrating. Which of the following conditions would
cause such symptoms?
a. Appendicitis
b. Bacterial gastroenteritis
c. Pesticide poisoning
d. Viral illness - correct answer ✔✔ANS: C
Pesticide poisoningAlthough all of these conditions can cause some or all of the symptoms listed,
because a migrant farmworker is employed in agriculture, the most probable cause is pesticide
poisoning. Acute health effects of pesticide exposure include mild psychological and behavioral deficits
such as memory loss, difficulty with concentration, and mood changes, abdominal pain, nausea,
vomiting, diarrhea, headache, malaise, skin rashes, and eye irritation.DIF: Cognitive Level: Analyze
(Analysis) REF: p. 395
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?
