Stanhope: Chapter 24 - 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
A
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
C
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
A
,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
A
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
C
6. 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
A
, 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
C
8. An employer provides a migrant farm family the day off to visit the health clinic in a nearby
community and tells them to take all of the time they need. However, the family arrives at the clinic
appearing very stressed. In addition to the health issue, which of 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.
D
9. 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. Which of the following 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.
C
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
A
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
C
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
A
,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
A
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
C
6. 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
A
, 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
C
8. An employer provides a migrant farm family the day off to visit the health clinic in a nearby
community and tells them to take all of the time they need. However, the family arrives at the clinic
appearing very stressed. In addition to the health issue, which of 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.
D
9. 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. Which of the following 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.
C
