A nurse is explaining why migrant farmworkers experience cultural barriers when trying to receive care. Which of the following would the nurse include in this explanation?
a. "As illegal immigrants, they are not eligible for tax-paid health care."
b. "Families who travel in isolation seeking agricultural work do not mix with their employers or other members of the community."
c. "Mexicans who speak primarily Spanish and cannot understand English."
d. "Usually perceived as outsiders, they are from many countries and cultures."
ANS: D
Cultural, linguistic, economic, and mobility barriers all contribute to the nature and magnitude of health problems observed in farmworkers. Cultural and linguistic barriers are the most overt because many of the communities where farmworkers work consider them outsiders. A common misconception among U.S. health care providers is that these farmworkers are from Mexico, with Spanish as their primary language. Farmworkers originate from many communities in Mexico, the Caribbean, and Central and South America, and they may speak English, the language of their home country, or several languages.
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