Chapter 22 Rural Health and Migrant
Health
Farm Residency - correct answer ✔✔residency outside the area zoned as "city limits"; usually infers
involvement in agriculture.
Health Professional Shortage Areas (HPSAs) - correct answer ✔✔Geographic areas that have insufficient
numbers of health professionals according to criteria established by the federal government. It often
consists of rural areas in which a physician, nurse practitioner, or nurse in community health provides
services to residents who live in several counties.
Migrant Farmworker - correct answer ✔✔Person whose primary employment is in agriculture on a
seasonal basis, who has been employed in that work within the past 2 years, and who has a temporary
abode.
Migrant Health Act - correct answer ✔✔Legislation passed in the US in 1962 that provides support for
clinics serving agricultural workers. Grants were given to community-based and state organizations in the
US and its territories to enable them to provide culturally sensitive, comprehensive medical services to
migrant and seasonal farmworkers and their families. In 2002, 670,000 people received services from the
funds from the Migrant Health Act.
Migrant Health Centers - correct answer ✔✔Federally funded primary care centers to serve migrant
populations.
Nonfarm Residency - correct answer ✔✔Residence within an area zoned as "city limits"
Pesticide Exposure - correct answer ✔✔Health risk to farmworkers who work in fields that have been
treated with pesticides. Residue from pesticides also enters farmworkers' homes and their food. Risks
include mild psychological and behavioral deficits and acute severe poisoning that can result in death.
Rural - correct answer ✔✔Communities having fewer than 20,000 residents or fewer than 99 persons
per square mile.
, Suburbs - correct answer ✔✔Areas adjacent to a highly populated city.
Urban - correct answer ✔✔Geographic areas described as non rural and having a higher population
density, more than 99 persons per square mile; cities with a population of at least 20,000 but fewer than
50,000.
Rural residents appear to have a more persistent, endemic level of depression. The factors that may
contribute to this level of depression may be related to which of the following?
Select all that apply.
A. Crisis intervention
B. Gaps in continuum of mental health services
C. Sufficient number of mental health services
D. Tolerance for destructive coping behaviors
E. Trust in the health care professionals - correct answer ✔✔B. Gaps in continuum of mental health
services
D. Tolerance for destructive coping behaviors
There appears to be a more persistent, endemic level of depression among rural residents. Factors that
relate to this level of depression are high rate of poverty, economic difficulties, economic recession,
geographic isolation, insufficient number of mental health professionals, delays in seeking treatment,
tolerance of destructive coping behaviors, lack of trust in mental health professionals, and gaps in the
continuum of mental health services.DIF: Cognitive Level: KnowledgeREF: Page 394
A school nurse is asked to assess a 13-year-old child because of excessive drowsiness and inattention in
class. The nurse determines that this is a child of migrant workers on a local produce farm. Based on the
nurse's knowledge of migrant worker families, the nurse should first explore the child's potential
involvement in:
A. delinquent behavior.
B. drug use.
C. field work.
Health
Farm Residency - correct answer ✔✔residency outside the area zoned as "city limits"; usually infers
involvement in agriculture.
Health Professional Shortage Areas (HPSAs) - correct answer ✔✔Geographic areas that have insufficient
numbers of health professionals according to criteria established by the federal government. It often
consists of rural areas in which a physician, nurse practitioner, or nurse in community health provides
services to residents who live in several counties.
Migrant Farmworker - correct answer ✔✔Person whose primary employment is in agriculture on a
seasonal basis, who has been employed in that work within the past 2 years, and who has a temporary
abode.
Migrant Health Act - correct answer ✔✔Legislation passed in the US in 1962 that provides support for
clinics serving agricultural workers. Grants were given to community-based and state organizations in the
US and its territories to enable them to provide culturally sensitive, comprehensive medical services to
migrant and seasonal farmworkers and their families. In 2002, 670,000 people received services from the
funds from the Migrant Health Act.
Migrant Health Centers - correct answer ✔✔Federally funded primary care centers to serve migrant
populations.
Nonfarm Residency - correct answer ✔✔Residence within an area zoned as "city limits"
Pesticide Exposure - correct answer ✔✔Health risk to farmworkers who work in fields that have been
treated with pesticides. Residue from pesticides also enters farmworkers' homes and their food. Risks
include mild psychological and behavioral deficits and acute severe poisoning that can result in death.
Rural - correct answer ✔✔Communities having fewer than 20,000 residents or fewer than 99 persons
per square mile.
, Suburbs - correct answer ✔✔Areas adjacent to a highly populated city.
Urban - correct answer ✔✔Geographic areas described as non rural and having a higher population
density, more than 99 persons per square mile; cities with a population of at least 20,000 but fewer than
50,000.
Rural residents appear to have a more persistent, endemic level of depression. The factors that may
contribute to this level of depression may be related to which of the following?
Select all that apply.
A. Crisis intervention
B. Gaps in continuum of mental health services
C. Sufficient number of mental health services
D. Tolerance for destructive coping behaviors
E. Trust in the health care professionals - correct answer ✔✔B. Gaps in continuum of mental health
services
D. Tolerance for destructive coping behaviors
There appears to be a more persistent, endemic level of depression among rural residents. Factors that
relate to this level of depression are high rate of poverty, economic difficulties, economic recession,
geographic isolation, insufficient number of mental health professionals, delays in seeking treatment,
tolerance of destructive coping behaviors, lack of trust in mental health professionals, and gaps in the
continuum of mental health services.DIF: Cognitive Level: KnowledgeREF: Page 394
A school nurse is asked to assess a 13-year-old child because of excessive drowsiness and inattention in
class. The nurse determines that this is a child of migrant workers on a local produce farm. Based on the
nurse's knowledge of migrant worker families, the nurse should first explore the child's potential
involvement in:
A. delinquent behavior.
B. drug use.
C. field work.
