Foundations of Nursing in the Community, 3rd Edition Stanhope, Lancaster
Foundations of Nursing in the Community, 3rd Edition Stanhope, Lancaster
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Chapter 22: Rural Health and Migrant Health
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Areas with inadequate health care facilities for residents |
| b. | Isolated areas of underserved populations within urban regions |
| c. | Regions with insufficient numbers of health care providers |
| d. | Rural regions of the United States with population densities of less than 10,000 |
ANS: C
An HPSA is a geographical area that has insufficient numbers of health professionals according to criteria established by the federal government. Often rural areas have a physician, nurse practitioner, or nurse in community health who provides services to residents who live in several counties.
DIF: Cognitive Level: Knowledge REF: p. 401
| a. | A person who does farmwork 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 farmwork |
| 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 |
ANS: C
The Office of Migrant Health of the U.S. Public Health Service defines a migrant farmworker as a person “whose principal employment is in agriculture on a seasonal basis, who has been so employed within the last 24 months, and who establishes for the purpose of such employment a temporary abode.” The emphasis is on moving (temporary abode), farmwork, and seasonal basis. Not all migrant farmworkers are immigrants.
DIF: Cognitive Level: Knowledge REF: p. 407
| 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 |
ANS: A
Barriers to health care in general affecting all populations include whether services and professionals are available, affordable, or accessible to rural consumers. For migrant workers, a language barrier and cultural differences often exist between them and other area residents, including health care providers.
DIF: Cognitive Level: Knowledge REF: p. 401
| a. | Advanced nurse practitioner |
| b. | Allergist |
| c. | Pediatrician |
| d. | Pulmonologist |
ANS: A
The providers most often seen by rural adults are general practitioners and advanced practice registered nurses (APRNs). In contrast, urban adults are more likely to seek care from a medical specialist.
DIF: Cognitive Level: Knowledge REF: p. 404
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