Question 1

What was the purpose of establishing First Nations health authorities?

Accepted Answer

The purpose of establishing First Nations health authorities was to prepare for the transfer of control of health services to First Nations. The creation of these authorities gave First Nations communities more control over the delivery of health care services and allowed for culturally-appropriate care to be provided. It also helped to address the historical inequities and underfunding of health care services for First Nations people.

Question 2

2Which of the following terms is used to describe the power exerted by the dominant culture of settlers over the Indigenous peoples to maintain authority with the intention to replace the original population?

Accepted Answer

Colonialism is the term used to describe the power exerted by the dominant culture of settlers over the Indigenous peoples to maintain authority with the intention to replace the original population. The other terms refer to Indigenous peoples and their cultures.

Question 3

What does it mean to be a status Indian?

Accepted Answer

To be a status Indian means that one is recognized as an Indian under the federal Indian Act and has a treaty number. This status comes with certain rights and benefits, such as access to education, healthcare, and tax exemptions.

Question 4

Spottedfawn, 55 years old, is an Indigenous woman living on reserve in a rural northern community. She is a survivor of the residential school experience. A nurse is working with Spottedfawn. How can the nurse enhance Spottedfawn's experience with the health care system? Select all that apply.

Accepted Answer

The nurse can enhance Spottedfawn's experience by taking a cultural safety approach, providing meaningful services, respecting traditions, and honoring the inherent strengths of the community, all of which are important in delivering culturally competent care.

Question 5

What disease is currently epidemic among First Nations people?

Accepted Answer

Diabetes is currently epidemic among First Nations people, particularly in Canada where rates are three to five times higher than in the general population. Breast cancer and smallpox are not currently epidemic among First Nations people, and while trauma is a significant issue facing this population, it is not considered an epidemic in the same sense as a disease outbreak.

Question 6

When, and with whom, was the first contact made with Indigenous populations on what is now called Canada?

Accepted Answer

The first known contact with Indigenous populations on what is now called Canada was made by Norse explorers in the 11th century, specifically in present-day Newfoundland and Labrador.

Question 7

Mrs. Crowfoot attended a residential school in northern Alberta in the 1960s. What was she likely to have experienced during this time?

Accepted Answer

Residential schools in northern Alberta during the 1960s were known for the harsh living conditions, inadequate food, and feelings of loneliness and isolation experienced by students. Students were often separated from their families for extended periods of time, and their traditional languages and cultures were not typically supported or taught in the schools. The focus was on assimilating Indigenous children into Canadian society through strict rules and regulations, often resulting in trauma and long-term negative impacts on the individuals and their communities.

Question 8

Mathew is a nurse working in a remote First Nations community. The client is using traditional medicine to treat a wound. Mathew is experiencing moral distress because he believes that a Western therapy is required to treat the wound. How should Mathew resolve his moral distress?

Accepted Answer

Mathew should prioritize the client's autonomy and respect their cultural beliefs. It is important for Mathew to offer support and guidance to the client in using traditional medicine, while monitoring the wound for any signs of deterioration. It is not appropriate for Mathew to force Western medicine on the client or transfer care to someone who may not align with the client's beliefs. Additionally, it is not appropriate to avoid caring for the client altogether.

Question 9

Why were Indigenous people relegated to living on reserves?

Accepted Answer

Britain developed the treaty method to claim land that the Indigenous people occupied. Treaties were agreements made between Indigenous peoples and the British Crown that were intended to allow peaceful coexistence and sharing of resources. However, the treaties often resulted in Indigenous people being forced onto reserves, which were often undesirable and in remote areas, as the majority of the land was taken for European settlement and development.

Question 10

Why is it important not to focus on Indigenous people as a vulnerable population?

Accepted Answer

Focusing on Indigenous people as a vulnerable population perpetuates stigmas of dependency and weakness, reinforcing negative stereotypes instead of recognizing their strengths and resilience. It is important to approach Indigenous communities as partners with unique cultural perspectives and knowledge that can contribute to their own health and well-being.

Question 11

Traditionally, Indian Agents were assigned to each Indigenous reserve. What was the role of the Indian Agent? Select all that apply.

Accepted Answer

Indian Agents were responsible for enforcing the Indian Act, which included controlling movement off reserves, and regulating agricultural activities like growing food and raising livestock.

Question 12

What would a nurse working in a First Nations community be prepared to do?

Accepted Answer

Fetal alcohol spectrum disorders are a significant health concern within some First Nations communities, and efforts to reduce their incidence would be a priority for healthcare providers working in these areas.

Question 13

Which of the following are some of the diseases that Europeans brought to Canada?

Accepted Answer

Smallpox, tuberculosis, and measles are diseases that Europeans brought to Canada through contact with Indigenous Peoples. These diseases had a devastating impact on Indigenous communities, causing widespread illness and death.

Question 14

Spottedfawn, 55 years old, is an Indigenous woman living on reserve in a rural northern community. She is a survivor of the residential school experience. Which of the following is Spottenfawn most likely to have experienced?

Accepted Answer

Indigenous children who attended residential schools were often subjected to harsh discipline and poor health, which can have long-lasting effects on their physical and mental well-being. Spottedfawn's experience as a survivor of the residential school system suggests that she may have experienced these negative impacts. The other options (appropriate use of prescription medications, ability to take care of nutritional needs, and social support networks) could vary depending on the individual and their specific circumstances.

Question 15

Spottedfawn, 55 years old, is an Indigenous woman living on reserve in a rural northern community. She is a survivor of the residential school experience. Spottedfawn lives with her extended family of 10 in a small house. The adults in the home are all female. What health challenge is she most likely trying to manage?

Accepted Answer

Obesity is a common health challenge in Indigenous communities, often due to factors like limited access to healthy foods, socioeconomic status, and the lingering effects of colonization and residential schools on lifestyle and mental health. Spottedfawn's living conditions, including overcrowding and potential stress from her residential school experience, could contribute to lifestyle factors that increase the risk of obesity.

Question 16

Which of the following statements align with the UN's Declaration of the Rights of Indigenous Peoples? Select all that apply.

Accepted Answer

The UN's Declaration of the Rights of Indigenous Peoples recognizes the rights of indigenous peoples to maintain their own health practices and traditions, including the use of traditional medicines and conservation of medicinal plants. Option D, which suggests that indigenous peoples must adopt health practices of colonizers, is not aligned with the principles of the UN Declaration.

Question 17

Which of the following statements is true of health care delivery and Indigenous people?

Accepted Answer

Health care services are delivered to First Nations and Inuit people in a different way than they are delivered to non-Indigenous people. Indigenous people in Canada have had a history of experiencing systemic discrimination, colonialism, and the impacts of residential schools, which have resulted in significant health disparities. As a result, Indigenous Peoples have unique health needs that require culturally safe and appropriate care. Additionally, there are jurisdictional issues surrounding the delivery of health care to Indigenous peoples, as the federal government is responsible for providing health care to First Nations and Inuit people living on reserve, while the provincial/territorial government is responsible for providing health care to Indigenous people living off reserve.

Question 18

A nurse is planning to incorporate Indigenous Knowledge into a presentation on diet and diabetes for an Indigenous community. Which of the following statements are true? Select all that apply.

Accepted Answer

The answer of A nurse is planning to incorporate Indigenous...

Question 19

Which of the following statements is true of the way of life of Indigenous people before colonization?

Accepted Answer

Indigenous societies often practiced communal living, where resources were shared among members of the community to ensure the well-being of all. This approach to resources is a key aspect of many Indigenous cultures around the world, emphasizing cooperation and mutual aid.

Question 20

What was the original stated purpose of residential schools?

Accepted Answer

The original stated purpose of residential schools was to assimilate Indigenous children into the general population, with the aim of eliminating Indigenous culture and traditions. This was part of the Canadian government's policy of cultural genocide.

Quiz 22: Indigenous Health