What are health professional shortage areas (HPSAs)?

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Nursing Care of Vulnerable Populations Questions

Question 1 of 5

What are health professional shortage areas (HPSAs)?

Correct Answer: C

Rationale: The correct answer is C because health professional shortage areas (HPSAs) are regions with insufficient numbers of health care providers. This designation is based on factors like population-to-provider ratio and the availability of primary care services. Choice A is incorrect because HPSAs are not solely defined by the presence of health care facilities but rather the shortage of providers. Choice B is incorrect because HPSAs can exist in both rural and urban areas, not just isolated areas within urban regions. Choice D is incorrect because HPSAs can have varying population densities, not just limited to regions with densities below 10,000.

Question 2 of 5

A Mexican immigrant mother tells the nurse she is concerned that people in the community will give her daughter mal de ojo. To what folk illness is her mother referring?

Correct Answer: A

Rationale: The correct answer is A: Evil eye. The term "mal de ojo" refers to the belief in many cultures, including Mexican, that a person can cause harm to someone else by looking at them with envy or malice, known as giving the evil eye. This belief is deeply rooted in folk traditions and is often associated with feelings of jealousy or ill will towards others. In this scenario, the mother's concern about her daughter being given mal de ojo reflects her fear of someone casting this harmful gaze upon her child. Summary: - B: Fallen fontanel is not related to the belief in the evil eye. It is a medical condition in which an infant's soft spot on the skull closes prematurely. - C: Soul loss is a different cultural belief, often associated with spiritual or emotional distress, but not specifically related to the evil eye. - D: Indigestion is a physical health issue and not relevant to the context of the mother's concern about mal de ojo.

Question 3 of 5

What condition of the rural environment provides increased opportunities for teaching?

Correct Answer: B

Rationale: The correct answer is B because involvement in rural community activities provides more contact with community residents than in urban areas. This is true because rural communities tend to be smaller and more tightly knit, leading to increased opportunities for teaching through interactions with a diverse range of community members. A is incorrect because the frequency of visiting neighbors is not necessarily linked to increased opportunities for teaching. C is incorrect as it refers to nursing responsibilities rather than the condition of the rural environment. D is incorrect as increased illnesses and injuries do not necessarily translate to increased opportunities for teaching, as teaching opportunities are more related to community involvement and interactions.

Question 4 of 5

A migrant farmworker's family seemed to be very stressed, although their employer had given them the day off to visit the clinic and told them to take all the time they needed. In addition to the health issue, what might be the family's fear?

Correct Answer: B

Rationale: 1. The correct answer is B because migrant farmworkers often fear immigration officials due to their undocumented status. 2. Fear of deportation is a significant concern for migrant families, leading to stress and anxiety. 3. This fear is heightened by the current political climate and increased enforcement of immigration laws. 4. Choice A is incorrect as the scenario does not suggest any indication of theft being a primary fear. 5. Choice C is incorrect as there is no evidence in the scenario to suggest bias from clinic personnel. 6. Choice D is incorrect as the scenario states the employer gave them the day off, indicating a level of job security.

Question 5 of 5

A friend who is a nurse tells you that her family is moving from the urban area where you both live to a rural area to be near her spouse's parents, who are becoming less independent. What advice would you give for the nurse in preparing for any possible nursing role changes? Select all that apply.

Correct Answer: B

Rationale: Correct Answer: B Rationale: Moving from an urban to rural area can bring changes in nursing roles. In a small town, healthcare resources may be limited, leading to less autonomy for the nurse compared to a medical center setting. This is because the nurse may need to work closely with limited staff and resources, making decisions collaboratively rather than independently. It is important for the nurse to expect this change and adapt accordingly. Summary: A: Incorrect - Community perception may vary, and it is not a guaranteed outcome. C: Incorrect - Acceptance by the community is subjective and may not necessarily result in isolation. D: Incorrect - Sensitivity to rural lifestyle is important, but it does not directly address the change in autonomy levels for the nurse.

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