Chapter 24

Test

A 13-year-old resident in a rural community has been diagnosed with asthma. Which of the following providers will most likely provide care to this client?

Advanced nurse practitioner

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

A region with insufficient numbers of health care providers

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

Emergency department for immediate care

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?

Cancer

A migrant farmworker presents to the clinic reporting an acute onset dizziness, intense thirst, vomiting, fatigue, and headache with difficulty concentrating. Which of the following conditions would cause such symptoms?

Pesticide poisoning

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?

Absence of culturally competent care

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

A person who moves from place to place to earn money performing seasonal agricultural work

An employer provides a migrant farm family a day off to visit the health clinic in a nearby community and tells them to take all 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?

They weren’t getting paid for that day, and continued employment is never certain.

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?

Children may work on small farms because the family may need the additional income.

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

Calling the client by name, socializing before addressing the problem, and being very respectful

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?

Evil eye

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

Involvement in rural community activities provides more contact with community residents than in urban areas

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

Treat a client who has pesticide exposure to prevent complications.

Which of the following best describes why health professionals would be particularly concerned about the health needs of residents in rural areas? (Select all that apply.)

40% of rural children live in poverty.
The cost of healthcare is strain on rural families.
Accessibility to healthcare is limited.

A nurse is caring for Mexican migrant farmworkers. Which of the following conditions are of greatest importance for the nurse to assess? (Select all that apply.)

Hepatitis
High blood level of lead
Diabetes

A nurse tells her nursing supervisor that her family is moving from the urban area where they both live in 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? (Select all that apply.)

“Community members will probably hold you in higher regard and will look up to you.”
“You may feel like an isolated outsider, because the community may not immediately accept you.”
“You will have to be very sensitive about the differences in the rural lifestyle.”

“The church and school will be the centers for socialization.”

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? (Select all that apply.)

It is very difficult to obtain continuing education, except for online programs.

Neighbors seem to expect the nurse to know everything about all health care and illness conditions.

Neighbors ask questions about health concerns any time they see the nurse, regardless of where they are.
Boundaries between personal and professional lives are blurred.