Deck 22: Indigenous Health

Question 1

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.

A) Take a cultural safety approach
B) Provide meaningful services
C) Respect the traditions of the people
D) Honour inherant strengths of the community
E) None of the above

Answer 1

Take a cultural safety approach
Provide meaningful services
Respect the traditions of the people
Honour inherant strengths of the community

Question 2

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.

A) Use of Indigenous Knowledge requires permission
B) Use of Indigenous Knowledge requires consultation
C) Use of Indigenous Knowledge requires compensation
D) Indigenous Knowledge is never owned
E) None of the above

Answer 2

Use of Indigenous Knowledge requires permission
Use of Indigenous Knowledge requires consultation
Use of Indigenous Knowledge requires compensation
Indigenous Knowledge is never owned

Question 3

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

A) More likely to take health for granted
B) Live north of the 60th parallel
C) It perpetuates stigmas of dependency and weakness
D) Live in a sensitive physical environment

Answer 3

It perpetuates stigmas of dependency and weakness

Question 4

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

A) Childcare and education were the responsibility of the women
B) Elders provided for the community
C) Sharing of resources was expected
D) Transgression was dealt with by the provincial leader

Question 5

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?

A) Aboriginal
B) Colonial
C) First Nations
D) Indigenous

Question 6

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

A) Be an independent care provider needing few networks or contacts
B) Work to reduce fetal alcohol spectrum disorders
C) Work with preventable conditions such as typhoid
D) Combat the effects of a long life expectancy among seniors

Question 7

What was the original stated purpose of residential schools?

A) To promote and preserve Indigenous culture and heritage
B) To provide Indigenous children with a more comfortable living space
C) To ensure Indigenous children had acquired immunity to diseases
D) To assimilate Indigenous children into the general population

Question 8

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

A) Regular visits from her parents
B) Traditional language classes
C) High-quality education
D) Hunger and isolation

Question 9

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?

A) Appropriate use of prescription medications
B) Harsh disclipline and poor health
C) Ability to take care of nutritional needs
D) Smaller social support networks

Question 10

What does it mean to be a status Indian?

A) Consider one's ethnic status to be Inuit
B) Recognized Indian under the federal Indian Act and has a treaty number
C) Has mixed heritage because one parent was Indigenous and the other non-Indigenous
D) Culturally an Indian, but the individual's tribe did not sign a treaty

Question 11

What was the purpose of establishing First Nations health authorities?

A) Force the provincial governments to give up control of First Nations health care
B) Allow regional health authorities to absorb First Nations health care
C) Ensure the federal government would always provide First Nations health care
D) Prepare for the transfer of control of health services to First Nations

Question 12

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

A) Norse Explorers in the 11th century
B) Europeans in the 16th century
C) Americans in the 1700s
D) South Asians in the 1300s

Question 13

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?

A) Ask another nurse to take on this client so that Mathew does not have to compromise his standards of practice
B) Ask the client how he may support them in using traditional medicine
C) Transfer care to a Shaman or herbalist in keeping with the client's belief system
D) Tell the client that Western medicine is needed because the wound is not healing with the traditional approach

Question 14

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

A) Indigenous peoples have the right to their traditional medicines
B) Indigenous peoples have the right to maintain their health practices
C) Indigenous peoples have to right to conserve vital medicinal plants
D) Indigenous peoples must adopt health practices of colonizers

Question 15

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

A) Carry out the terms of the Indian Act
B) Decide who could have a pass to leave the reserve
C) Decide who could grow their own food
D) Decide who could raise livestock
E) None of the above

Question 16

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

A) Health care services are delivered to First Nations and Inuit people the same way they are delivered to non-Indigenous people
B) Health care services are delivered to First Nations and Metis people the same way they are delivered to non-Indigenous people
C) Health care services are delivered to Inuit and Metis people in a different way than they are delivered to non-Indigenous people
D) Health care services are delivered to First Nations and Inuit people in a different way than they are delivered to non-Indigenous people

Question 17

Why were Indigenous people relegated to living on reserves?

A) Because they wanted to live together with people who understood their culture and language
B) Because they did not trust the European settlers and did not want to live with them
C) Because Britain developed the treaty method to claim land that the Indigenous people occupied
D) Because they decided the European settlers might come want to live close by to experience Indigenous culture

Question 18

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

A) Heart disease, tuberculosis, and cancer
B) Smallpox, tuberculosis, and measles
C) Hypertension, rubella, and mumps
D) Syphilis, cancer, and measles

Question 19

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?

A) Obesity
B) Breast cancer
C) Chronic obstructive pulmonary disease (COPD)
D) Respiratory tract infection

Question 20

What disease is currently epidemic among First Nations people?

A) Breast cancer
B) Trauma
C) Diabetes
D) Smallpox

Question 21

Discuss two-eyed seeing.

Question 22

Discuss why decolonization is important to community health nursing practice.

Question 23

In which of the following ways could an Indigenous person lose their status? Select all that apply.

A) Entering the armed forces
B) Obtaining a university education
C) For a woman, marrying a non-status person
D) Becoming a doctor or lawyer
E) None of the above

Question 24

Which of the following statements is true of Indigenous people in Canada?

A) Metis make up 53% of Indigenous people
B) First Nations make up 58% of Indigenous people
C) Inuit make up 15% of Indigenous people
D) First Nations make up 85% of Indigenous people

Question 25

Which province/territory has the highest proportion of Indigenous people in comparison to the total population?

A) British Columbia
B) Manitoba
C) Yukon
D) Nunavut

Question 26

Which of the following statements is true of Inuit people?

A) They are treated in the same manner as registered Indians by the federal government
B) They are treated differently than status Indians by the federal government
C) They are treated in the same manner as non-status Indians by the federal government
D) They are treated in the same manner as Metis by the federal government

Question 27

Discuss how First Nations people access acute health care services in their communities. What is the federal government's role?

Question 28

Discuss three significant changes that occurred in the health of Indigenous people after European contact.

Question 29

Describe the Indigenous determinants of health.

Question 30

The rate of tuberculosis is how many times higher in the Aboriginal population than in the non-Aboriginal population?

A) 10 times higher
B) 4 times higher
C) 6 times higher
D) 12 times higher