Question 1

A nurse is caring for Mexican migrant farmworkers.Which of the following conditions are of greatest importance for the nurse to assess?

Accepted Answer

A)  Cholera 
B)  Hepatitis 
C)  High blood level of lead 
D)  Malaria 
A)  Cholera 
B)  Hepatitis 
C)  High blood level of lead 
D)  Malaria B,C

Question 2

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?

Accepted Answer

A)  Appendicitis 
B)  Bacterial gastroenteritis 
C)  Pesticide poisoning 
D)  Viral illness 
A)  Appendicitis 
B)  Bacterial gastroenteritis 
C)  Pesticide poisoning 
D)  Viral illness C

Question 3

Which of the following is the most accurate description of a migrant farmworker?

Accepted Answer

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 
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

Question 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?

Accepted Answer

A)  Cancer 
B)  Memory loss 
C)  Skin rashes 
D)  Headaches 
A)  Cancer 
B)  Memory loss 
C)  Skin rashes 
D)  Headaches

Question 5

A migrant farmworker has been injured while working on the farm.Which of the following would provide assistance to care for this injury?

Accepted Answer

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)  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

Question 6

A migrant farmworker brings his daughter to 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?

Accepted Answer

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. 
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.

Question 7

A nurse is implementing a tertiary prevention strategy related to pesticide exposure.Which of the following activities would the nurse complete?

Accepted Answer

A)  Observe farmworkers for evidence of unsafe handling of pesticides. 
B)  Provide teaching on how to handle pesticides to avoid or decrease exposure. 
C)  Teach farmworkers how to recognize signs and symptoms of pesticide poisoning. 
D)  Treat a client who has pesticide exposure to prevent complications. 
A)  Observe farmworkers for evidence of unsafe handling of pesticides. 
B)  Provide teaching on how to handle pesticides to avoid or decrease exposure. 
C)  Teach farmworkers how to recognize signs and symptoms of pesticide poisoning. 
D)  Treat a client who has pesticide exposure to prevent complications.

Question 8

Which of the following conditions of the rural environment provides increased opportunities for teaching?

Accepted Answer

A)  Increased interaction among residents due to neighbors visiting neighbors on the family farms 
B)  Involvement in rural community activities provides more contact with community residents than in urban areas 
C)  Nursing responsibilities in these areas stress the importance of primary, secondary, and tertiary prevention 
D)  Increased illnesses and injuries of rural residents require that they see nurses more often 
A)  Increased interaction among residents due to neighbors visiting neighbors on the family farms 
B)  Involvement in rural community activities provides more contact with community residents than in urban areas 
C)  Nursing responsibilities in these areas stress the importance of primary, secondary, and tertiary prevention 
D)  Increased illnesses and injuries of rural residents require that they see nurses more often

Question 9

A nurse's family has moved to a rural area to be near her spouse's aging parents.Which of the following would the nurse most likely notice about the family's new environment?

Accepted Answer

A)  It is very difficult to obtain continuing education, except for online programs. 
B)  Neighbors seem to expect the nurse to know everything about all health care and illness conditions. 
C)  Neighbors ask questions about health concerns any time they see the nurse, regardless of where they are. 
D)  People come to the health clinic before their situation becomes relatively serious. 
A)  It is very difficult to obtain continuing education, except for online programs. 
B)  Neighbors seem to expect the nurse to know everything about all health care and illness conditions. 
C)  Neighbors ask questions about health concerns any time they see the nurse, regardless of where they are. 
D)  People come to the health clinic before their situation becomes relatively serious.

Question 10

A Mexican immigrant mother tells the nurse she is concerned that people in the community will give her daughter mal de ojo.To which of the following folk illnesses is the nurse referring?

Accepted Answer

A)  Evil eye 
B)  Fallen fontanel 
C)  Fright 
D)  Indigestion 
A)  Evil eye 
B)  Fallen fontanel 
C)  Fright 
D)  Indigestion

Question 11

A nurse tells her nursing supervisor that her family is moving from the urban area where they both live to a rural area to be near her spouse's parents,who are becoming less independent.Which of the following suggestions would the nursing supervisor provide to the nurse?

Accepted Answer

A)  "Community members will probably hold you in higher regard and will look up to you." 
B)  "Expect to have less autonomy in a small town than you have working as a nurse in a medical center." 
C)  "You may feel like an isolated outsider, because the community may not immediately accept you." 
D)  "You will have to be very sensitive about the differences in the rural lifestyle." 
A)  "Community members will probably hold you in higher regard and will look up to you." 
B)  "Expect to have less autonomy in a small town than you have working as a nurse in a medical center." 
C)  "You may feel like an isolated outsider, because the community may not immediately accept you." 
D)  "You will have to be very sensitive about the differences in the rural lifestyle."

Question 12

Which of the following best describes a health professional shortage area (HPSA)?

Accepted Answer

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 
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

Question 13

A nurse is working with Mexican immigrants.Which of the following behaviors would most likely lead to a positive interaction for the nurse?

Accepted Answer

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 non-confrontational relationship by avoiding any disagreement even if the nurse does disagree with what the client is saying 
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 non-confrontational relationship by avoiding any disagreement even if the nurse does disagree with what the client is saying

Question 14

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?

Accepted Answer

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. 
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.

Question 15

Which of the following best describes why health professionals would be particularly concerned about the health needs of residents in rural areas?

Accepted Answer

A)  About 25% of all US residents live in rural settings. 
B)  People in rural areas are especially susceptible to acute illnesses rather than chronic diseases. 
C)  Diagnoses in rural areas are usually for physical injuries, not mental health concerns. 
D)  A high prevalence of poverty exists among rural families. 
A)  About 25% of all US residents live in rural settings. 
B)  People in rural areas are especially susceptible to acute illnesses rather than chronic diseases. 
C)  Diagnoses in rural areas are usually for physical injuries, not mental health concerns. 
D)  A high prevalence of poverty exists among rural families.

Question 16

A resident in a rural community has been diagnosed with asthma.Which of the following providers will most likely provide care to this client?

Accepted Answer

A)  Advanced nurse practitioner 
B)  Allergist 
C)  Pediatrician 
D)  Pulmonologist 
A)  Advanced nurse practitioner 
B)  Allergist 
C)  Pediatrician 
D)  Pulmonologist

Question 17

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?

Accepted Answer

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)  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

Exam 22: Rural Health and Migrant Health

A nurse is caring for Mexican migrant farmworkers.Which of the following conditions are of greatest importance for the nurse to assess?

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?

Which of the following is the most accurate description of a migrant farmworker?

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 migrant farmworker has been injured while working on the farm.Which of the following would provide assistance to care for this injury?

A nurse is implementing a tertiary prevention strategy related to pesticide exposure.Which of the following activities would the nurse complete?

Which of the following conditions of the rural environment provides increased opportunities for teaching?

A nurse's family has moved to a rural area to be near her spouse's aging parents.Which of the following would the nurse most likely notice about the family's new environment?

A Mexican immigrant mother tells the nurse she is concerned that people in the community will give her daughter mal de ojo.To which of the following folk illnesses is the nurse referring?

A nurse tells her nursing supervisor that her family is moving from the urban area where they both live to a rural area to be near her spouse's parents,who are becoming less independent.Which of the following suggestions would the nursing supervisor provide to the nurse?

Which of the following best describes a health professional shortage area (HPSA)?

A nurse is working with Mexican immigrants.Which of the following behaviors would most likely lead to a positive interaction for the nurse?

Which of the following best describes why health professionals would be particularly concerned about the health needs of residents in rural areas?

A resident in a rural community has been diagnosed with asthma.Which of the following providers will most likely provide care to this client?

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?

Community- and Prevention-Oriented Practice to Improve Population Health

The History of Public Health and Public and Community Health Nursing

The Changing Ushealth and Public Health Care Systems

Ethics in Public and Community Health Nursing Practice

Cultural Influences in Nursing in Community Health

Environmental Health

Government, The Law, and Policy Activism

Economic Influences

Epidemiological Applications

Evidence-Based Practice

Using Health Education and Groups in the Community

Community Assessment and Evaluation

Case Management

Disaster Management

Surveillance and Outbreak Investigation

Program Management

Managing Quality and Safety

Family Development and Family Nursing Assessment

Family Health Risks

Health Risks Across the Life Span

Vulnerability and Vulnerable Populations: An Overview

Poverty, Homelessness, Teen Pregnancy, and Mental Illness

Alcohol, Tobacco, and Other Drug Problems in the Community

Violence and Human Abuse

Infectious Disease Prevention and Control

HIV Infection, Hepatitis, Tuberculosis, and Sexually Transmitted Diseases

Nursing Practice at the Local, State, and National Levels in Public Health

The Faith Community Nurse

The Nurse in Home Health and Hospice

The Nurse in the Schools

The Nurse in Occupational Health

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