Deck 32: Migrant Health Issues

Question 1

Which of the following 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

Answer 1

Welfare Reform legislation of 1996

Question 2

Nurses can be political advocates for the migrant population. This can be achieved by:

A) Upholding immigration laws and deporting illegal aliens
B) Passing laws to improve the living conditions of migrant farm workers
C) Educating communities regarding these individuals and communicating with legislators and other policy makers
D) Learning to speak Spanish for better communication with migrant farm workers

Answer 2

Educating communities regarding these individuals and communicating with legislators and other policy makers

Question 3

To provide culturally effective care to migrant farm workers, nurses need to become more knowledgeable about the cultural backgrounds of these individuals. Which of the following is true about Mexican migrant workers?

A) Nurses can easily communicate with Mexicans if they can speak Spanish.
B) Traditional beliefs and practices are more common in people who are more educated.
C) Nurses should always consult the female head of household about health care matters.
D) Mexico is a multicultural country; therefore the cultural backgrounds of Mexican immigrants vary depending on their place of origin.

Answer 3

Mexico is a multicultural country; therefore the cultural backgrounds of Mexican immigrants vary depending on their place of origin.

Question 4

Alcohol consumption and abuse have been identified with migrant farm workers. Drinking alcohol:

A) Is a form of relaxation and is important for migrant worker well-being
B) Adds additional risks to pesticide exposure
C) Poses safety hazards for farm workers, such as accidents while driving and workplace injuries
D) Allows migrant workers to sleep better thus improving daytime productivity

Question 5

In the Mexican culture, health may be considered a gift from God. There are four common folk illnesses that a nurse may encounter with a Mexican client. When experiencing folk illnesses, 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 6

Which of the following is true about health care services?

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.

Question 7

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

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

Question 8

Which of the following is true of migrant farm workers?

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

Question 9

Migrant and seasonal farm workers are essential to the agricultural industry in the United States. Which of the following is true?

A) The economic status of migrant workers has dramatically improved over the last decade.
B) Nurses need not bother to inform themselves about these people because they come and go seasonally.
C) Most migrant workers speak English and are eager to accept health care.
D) Availability and affordability of food in the United States depends on these individuals.

Question 10

Acute health effects of exposure to pesticides include:

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

Question 11

Nurses are in an ideal position to maximize health by attending to prevention at the primary, secondary, and tertiary levels. 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) Education about prevention of illnesses such as HIV and infectious diseases

Question 12

Which of the following has been identified as an occupational health risk for agricultural workers?

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

Question 13

Exposure to pesticides is common among migrant workers because the vast majority of the North American food supply is treated with pesticides. The migrant farm worker's dwelling near fields or orchards:

A) Provides a plentiful supply of food
B) May contaminate the worker and his/her family
C) Is safe if federal regulations are adhered to
D) Is always provided with information about pesticide exposure in Spanish

Question 14

Migrant farm workers often experience limited access to care. Which of the following is a factor that may limit adequate care?

A) Affordable health care, but unwillingness to seek it
B) Lack of knowledge regarding services
C) Hours of health care service that includes 24 hour care
D) Adequate transportation

Question 15

Which of the following is best defined as a laborer whose principal employment is in agriculture on a seasonal basis, who has been so employed within the past 24 months, and who establishes a temporary abode for the purpose of such employment?

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

Question 16

The Agricultural Work Study showed the migrant population to be at risk for chronic disease, increasing mental health issues, and higher rates of tuberculosis. What other health issues do migrant workers face?

A) Denial of care at Emergency Rooms
B) Health insurance that is affordable and available
C) Work injuries and chemical exposure
D) Violence from farm owners

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 of the following statements is accurate?

A) This is one of three 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 Texas and southern California.

Question 18

A nonprofit organization whose mission is to improve affordable housing in rural areas around the country is:

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

Question 19

A variety of symptoms/diseases in migrant farm workers (including skin rashes, conjunctivitis, and even cancer) are highly correlated with:

A) Crowded living conditions
B) Poor field sanitation
C) Pesticide exposure
D) Automated machinery

Question 20

Chronic exposure to pesticides may lead to:

A) Cancer
B) Eye irritation
C) Skin rashes
D) Headache

Question 21

Which of the following prevention activities 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 22

The way of life for a migrant farm worker is stressful. Some of the challenges of the migrant lifestyle include which of the following? Select all that apply.

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

Question 23

The minimum age that a child can work in agriculture is:

A) 13 years
B) 14 years
C) 15 years
D) 16 years

Question 24

In some migrant camps, migrant women are educated to serve as links between existing health care agencies and the migrant farm worker family. These women are called:

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

Question 25

One of the three leading causes of death for farm worker children is:

A) Pesticide exposure
B) HIV
C) Firearms/explosives
D) Tuberculosis

Question 26

For migrant farm workers, the final decision of whether to secure health care services is most often made by:

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

Question 27

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

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

Question 28

Which of the following prevention activities would be considered secondary prevention?

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

Question 29

Which of the following prevention activities would be considered tertiary prevention?

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

Question 30

Childcare for children of migrant farm workers is usually provided by:

A) The migrant health centers
B) Women or other children either at the camp or in the fields
C) The crew leaders on the farm being planted or harvested
D) Government-funded day care centers