Deck 34: Migrant Health Issues

Question 1

Which statement about migrant and seasonal farm workers is true?

A) The economic status of migrant workers has improved over the last decade.
B) This is a transient population that does not need nursing care.
C) Most migrant workers are eager to accept health care services.
D) Availability of food in the United States depends on these individuals.

Answer 1

Availability of food in the United States depends on these individuals.

Question 2

A nurse is assessing a client who has had an acute exposure to a pesticide.Which symptom is the client most likely to display?

A) Memory loss
B) Musculoskeletal problems
C) Cancer
D) Infertility

Answer 2

Memory loss

Question 3

Which statement is true about health care services for migrant workers?

A) Clinics are usually found within walking distance from work.
B) Undocumented workers fear deportation when using clinics.
C) Health care records are kept by workers to allow for continuation of services.
D) Clinics are most often open on weekends and keep evening hours.

Answer 3

Undocumented workers fear deportation when using clinics.

Question 4

Primary prevention for migrant workers includes activities such as:

A) Caring for persons afflicted with pesticide exposure
B) Setting up clinics for persons with human immunodeficiency virus (HIV)
C) Doing research in the field related to heat stress
D) Educating about prevention of such illnesses as HIV and infectious diseases

Question 5

A nurse plans to collect data about morbidity and mortality among migrant workers in a community.Which barrier is the nurse most likely to encounter?

A) Difficulty securing a stable population
B) Lack of resources
C) Unwilling participants
D) Fear of deportation

Question 6

Which health problem ranks as one of the top five problems for farm workers aged 5 to 19?

A) Dental problems
B) Communicable diseases
C) Gastrointestinal problems
D) Stress

Question 7

Which activity would be considered primary prevention?

A) Urine screening for pesticide exposure
B) TB skin testing
C) Treatment of lead poisoning
D) Reduction of pesticide exposure

Question 8

Which statement about migrant and seasonal farm workers is true?

A) There are more than 10 million working in the United States.
B) The majority are Mexican.
C) Most are employed in the Northeastern states.
D) Thirty-five percent are undocumented workers.

Question 9

A nurse is working with a client whose principal employment is in agriculture on a seasonal basis and has established temporary housing in the area while employed.This laborer is called a:

A) Seasonal farm worker
B) Migrant farm worker
C) Transient worker
D) Share cropper

Question 10

A nurse who is polite and non-confrontational with a migrant worker family demonstrates understanding of the concept of:

A) Simpatía
B) Respeto
C) Dignidad
D) Personalismo

Question 11

In the Mexican culture,when a client experiences a folk illness,the client may:

A) Prefer to seek care with a folk healer.
B) Return to Mexico for care.
C) Rely on Western medicine to cure the ailment.
D) Become isolated and not seek care.

Question 12

Which legislation changed the availability of federal services accessible to certain immigrants to the United States?

A) Migrant Health Act of 1962
B) Supplemental Security Income (SSI)
C) Welfare reform legislation of 1996
D) Food stamps

Question 13

A nurse is assessing the occupational health risks of a migrant farm worker.Which health risk is the nurse most likely to find?

A) Denial of care when going to the emergency room
B) Difficulty obtaining affordable health insurance
C) Increased exposure to chemicals and work-related injuries
D) Episodic violence from farm owners and employers

Question 14

What effect does alcohol consumption have on migrant farm workers?

A) Provides relaxation and is important for migrant workers' well-being
B) Adds additional risks to pesticide exposure
C) Poses safety hazards for farm workers
D) Allows migrant workers to sleep better, thus improving daytime productivity

Question 15

Which disorder has been identified as an occupational health risk for agricultural workers?

A) Stroke
B) Heart disease
C) Diabetes
D) Cancer

Question 16

Which prevention activity would be considered tertiary prevention?

A) Diabetes screening
B) Rehabilitation for musculoskeletal injury
C) Birth control
D) Pregnancy testing

Question 17

The nurse is caring for a migrant family.During the interview,the mother tells the nurse that the family follows an Eastern migratory stream originating in southern Florida.Which statement is accurate?

A) This is one of the migratory streams that migrant farm workers traditionally follow.
B) This is a unique migratory pattern.
C) This is a traditional family-generated migratory pattern.
D) This is an unpredictable pattern that may lead the family through southern California.

Question 18

Which factor may limit access to care for migrant farm workers?

A) Unwillingness to seek affordable health care
B) Lack of knowledge regarding services
C) Availability of 24-hour health care services
D) Adequate transportation

Question 19

Which activity would be considered secondary prevention?

A) Monitoring for prenatal care
B) Treatment for anemia
C) HIV prevention
D) Tetanus immunization

Question 20

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.The nurse recognizes that this client is at increased risk for developing:

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

Question 21

Which strategy should nurses use to provide culturally effective care to Mexican migrant farm workers?

A) Learn how to speak Spanish to improve communication.
B) Understand that traditional beliefs and practices are more common among the well-educated population.
C) Consult the female head of household about health care matters.
D) Recognize that cultural backgrounds of the workers will vary depending on their place of origin.

Question 22

A nurse is providing care for a Mexican client who has sustained a farm injury.If a major decision about the client's treatment needs to be made,who would most likely make that decision?

A) The male head of the family
B) The wife/mother
C) The person needing services
D) The crew leader

Question 23

How can nurses be political advocates for the migrant population?

A) Upholding immigration laws and deporting illegal aliens
B) Passing laws to improve the living conditions of migrant farm workers
C) Educating communities about the health problems of migrant farm workers
D) Learning to speak Spanish for better communication with migrant farm workers

Question 24

When migrant women are educated to serve as links between existing health care agencies and the migrant farm worker family,they are called:

A) Migrant head start workers
B) Outreach care workers
C) Physician assistance
D) Nurses aides

Question 25

Who is a nurse collaborating with when partnering with an organization to improve affordable housing in rural areas of the country?

A) Housing Assistance Council ( HAC )
B) Local housing authority
C) Temporary Assistance for Needy Families ( TANF )
D) Public Housing Development for Families

Question 26

Which factors are challenges of the migrant lifestyle? Select all that apply.

A) Leaving one's home every year
B) Traveling
C) Experiencing uncertainty regarding work and housing
D) Lack of resources
E) None of above