Deck 10: Indigenous Health

Question 1

The Truth and Reconciliation Commission issued its final report in 2015.It stated that Canada was guilty of the destruction of those structures and practices that allow a group to continue as a group.Such destruction is known as which of the following?

A)Structural racism.
B)Cultural genocide.
C)Intergenerational trauma.
D)Colonialism.

Answer 1

Cultural genocide.

Question 2

A nurse who is caring for an Indigenous family must be aware of which of the following?

A)All Indigenous peoples practise burning sweetgrass as a cleansing activity.
B)Many Indigenous peoples practise cultural knowledge because of colonization.
C)Not all Indigenous people follow traditional Indigenous faiths.
D)Items placed in the bed or pinned to the patient's gown may be moved as needed.

Answer 2

Not all Indigenous people follow traditional Indigenous faiths.

Question 3

Which of the following groups has a higher rate of diabetes mellitus (type 2 diabetes)?

A)Indigenous people living in an urban setting.
B)Indigenous people living in a rural setting.
C)Non-Indigenous people living in an urban setting.
D)Non-Indigenous people living in a rural setting.

Answer 3

Indigenous people living in a rural setting.

Question 4

Which of the following plays a role in the incarceration rates of Indigenous people?

A)Violence.
B)Fetal alcohol spectrum disorder.
C)Schizophrenia.
D)Depression.

Question 5

Health care for Indigenous children living on reserves is funded through the federal government,but is regulated through provincial/territorial systems and policies.This complex funding system,which results in denial,delay,or disruption of services,is an example of what?

A)Holistic health care.
B)Cultural genocide.
C)Intergenerational trauma.
D)Structural racism.

Question 6

Which of the following are steps to becoming a settler ally? (Select all that apply. )

A)Self-awareness.
B)Self-education.
C)Create an open and supportive environment.
D)Diagnosis.
E)Action.

Question 7

In comparison with non-Indigenous children,Indigenous children are what in the Canadian child welfare system?

A)Overrepresented.
B)Underrepresented.
C)Equally represented.
D)Nonexistent.

Question 8

Which of the following can be defined as the pathways by which trauma is transmitted from one generation to the next?

A)Birth trauma.
B)Post-traumatic stress disorder.
C)Intergenerational trauma.
D)Generational traumatic disorder.

Question 9

Which of the following populations has the highest rate of lung cancer in the world?

A)Indigenous people who live on reserves.
B)Métis who live in Quebec.
C)Indigenous elders.
D)The circumpolar Inuit population.

Question 10

The nurse is caring for an Indigenous woman who describes having been taken away from her family and placed in a non-Indigenous home when she was a child.What is the term for this phenomenon?

A)The Child Care Act.
B)Forced adoption.
C)The "Sixties Scoop."
D)The Protection Act.

Question 11

Which of the following would be considered a distal determinant of health?

A)Effective policing services.
B)Access to walking trails.
C)Eating nutritious meals.
D)Exercising daily.

Question 12

The nurse is aware that historically,Indigenous communities experienced health and well-being through which of the following?

A)A holistic view.
B)A biomedical view.
C)A spiritual view.
D)A physical view.

Question 13

The nurse is documenting an admission history for an Indigenous youth.Which of the following questions might the nurse ask,in order to assess intermediate determinants of health?

A)"What did you eat in the last 24 hours?"
B)"What grade are you in?"
C)"Do you smoke?"
D)"How much physical activity do you do each week?"

Question 14

A process that is reciprocal,in which people are viewed and treated as inherently worthy and equal,is a fundamental aspect of nursing practice known as which of the following?

A)Respect.
B)Dignity.
C)Justice.
D)Acceptance.

Question 15

According to the records kept,it is estimated that at least how many children died from malnourishment,diseases such as tuberculosis (TB),and abuse at residential schools in Canada?

A)150.
B)1500.
C)3200.
D)5000.

Question 16

In comparison with their non-Indigenous counterparts,Indigenous persons with a diagnosis of HIV infection are more likely to be what?

A)Older.
B)Male.
C)Infected through intravenous drug use.
D)Transgender.

Question 17

Indigenous youth who were adopted have shown extremely poor self-esteem as they struggle with reconfiguring their identity.This has been expressed in high rates of which problems?

A)Eating disorders.
B)Suicidal ideation.
C)Schizophrenia.
D)Dissociative identity disorder.

Question 18

The significant educational,income,health,and social disparities between Indigenous people and other Canadians is a reflection of what?

A)The geographical spread of Canada's population.
B)Genetic diseases that are passed through generations.
C)Physical and psychological abuse from the Indian residential school system.
D)Infectious diseases processes.

Question 19

A nurse caring for an Indigenous family is aware that globally,Indigenous peoples have much in common in terms of world views.How is the concept of time considered?

A)It is focused on minutes rather than days.
B)It is focused on years rather than months.
C)It is focused on seasons rather than hours.
D)It is focused on lunar cycles rather than months.

Question 20

Which of the following are intermediate determinants of health that have contributed to health problems in Indigenous communities? (Select all that apply. )

A)Poor environmental stewardship.
B)Disempowerment.
C)Contamination of wildlife,vegetation,and water.
D)Change in diet.
E)Sedentary lifestyle.