Deck 34: Migrant Health Issues

Question 1

A nurse is implementing a primary prevention strategy. Which of the following activities would the nurse most likely implement?

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

Answer 1

Reduction of pesticide exposure

Question 2

A nurse is assessing the occupational health risks of a migrant farmworker. 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

Answer 2

Increased exposure to chemicals and work-related injuries

Question 3

. A nurse is caring for a migrant farmworker 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 is the client at increased risk of developing?

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

Answer 3

Cancer

Question 4

Which statement about migrant and seasonal farmworkers 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 5

A nurse is working with a client who is part of the Mexican culture and is experiencing a folk illness. Which of the following actions by the client should the nurse anticipate?

A) Prefer to seek care with a folk healer.
B) Consult the female leader of the family.
C) Rely on Western medicine to cure the ailment.
D) Become isolated and not seek care.

Question 6

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 7

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 8

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

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

Question 9

A nurse is implementing a primary prevention strategy for migrant workers. Which of the following activities would the nurse most likely implement?

A) Caring for persons afflicted with pesticide exposure
B) Setting up clinics for persons with HIV
C) setting up clinics for persons with HIV
D) Educating about prevention of such illnesses as HIV and infectious diseases

Question 10

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. Which of the following terms best describes this laborer?

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

Question 11

A nurse is implementing a tertiary prevention strategy. Which of the following activities would the nurse most likely implement?

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

Question 12

Which statement about migrant and seasonal farmworkers 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.

Question 13

A nurse is educating migrant women to serve as links between the existing health care agencies and the migrant farmworker family. Which of the following best describes the role of these women?

A) Migrant head start workers
B) Outreach care workers
C) Physician assistants
D) Nurse aides

Question 14

Which factor may limit access to care for migrant farmworkers?

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 15

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

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

Question 16

What effect does alcohol consumption have on migrant farmworkers?

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

Question 17

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.

Question 18

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

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

Question 19

A nurse is polite and non-confrontational when working with the family of a migrant worker. Which of the following concepts is the nurse demonstrating?

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

Question 20

A nurse is implementing a secondary prevention strategy. Which of the following activities would the nurse most likely implement?

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

Question 21

A nurse is a political advocate for the migrant population. Which of the following best describes the action being taken by the nurse?

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

Question 22

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) Middle income wages

Question 23

A nurse is planning to provide culturally effective care to Mexican migrant farmworkers. Which of the following strategies would the nurse use?

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.