Ch 22: Rural Health and Migrant Health
1. 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.
DIF: Cognitive Level: Apply (Application) REF: p. 393
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 - 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
3. 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 care
Farming 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
4. 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 Cancer
Chronic exposure to pesticides and chemicals may lead to cancer.
DIF: Cognitive Level: Apply (Application) REF: p. 393
5. 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 poisoning
Although 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,
1. 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.
DIF: Cognitive Level: Apply (Application) REF: p. 393
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 - 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
3. 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 care
Farming 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
4. 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 Cancer
Chronic exposure to pesticides and chemicals may lead to cancer.
DIF: Cognitive Level: Apply (Application) REF: p. 393
5. 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 poisoning
Although 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,
