You are on page 1of 8

Name

:

Date:

Course: Stamler/Yiu:
Community
Health Nursing:
A Canadian
Perspective,
Third Canadian
Edition

Test: Chapter 22

1.

Why are Aboriginal people in Canada a vulnerable population?
a.
More likely to take health for granted
b.
Live north of the 60th parallel
c.
More likely to have adverse health outcomes
d.
Live in a sensitive physical environment

2.

What was the purpose of the Northwest Coast tribes' traditional potlatch?
a.
Celebration marking the transition from boyhood to manhood
b.
The post-hunt community meal
c.
Ceremonial welcoming of a new life into the tribe
d.
Method of redistributing resources

3.

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 Aboriginal and the other non-Aboriginal
d.
Culturally an Indian, but the individual's tribe did not sign a treaty

4.

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

5.

What disease is currently epidemic among First Nations people?
a.
Breast cancer
b.
Trauma
c.
Diabetes
d.
Smallpox

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

7.

What was the purpose of the White Paper in 1969?
a.
To recognize the Métis Nation of Canada
b.
To set up the current reserve system
c.
To abolish treaties and the Indian Act
d.
To allow women who married non-Aboriginals to apply for status

8.

A nurse is working as a program planner for the federal department responsible for
managing the reserves and treaty Indians. What agency does the nurse work for?
a.
Public Health Agency of Canada
b.
Department of Indian Affairs and Northern Development
c.
First Nations and Inuit Health Branch (FNIHB)
d.
Health Canada

1

Traditional language classes c. Regular visits from her parents b. What health challenge is she most likely trying to manage? a. She is a survivor of the residential school experience. (Refer to Case 1 above. 55 years old. Obesity b.Case 1 Spottedfawn. High school graduate c. High-quality education d.) A nurse is working with Spottedfawn. Chapter 22 .) Spottedfawn lives with her extended family of 10 in a small house.Case 1 Spottedfawn. is an Aboriginal woman living on reserve in a rural northern community. Respiratory tract infection 12. What was she likely to have experienced during this time? a. Grade 7 b. Grade 11 d. Breast cancer c. Using expert nursing knowledge to select appropriate resources for the client 2 . Chapter 22 . Third Canadian Edition Test: Chapter 22 9.Case 1 Spottedfawn. Understanding the community's oral history c. Chapter 22 . Grade 9 11. 55 years old. is an Aboriginal woman living on reserve in a rural northern community. She is a survivor of the residential school experience.) What level of education is Spottedfawn likely to have attained? a. Crowfoot attended a residential school in northern Alberta in the 1960s. Hunger 10. She is a survivor of the residential school experience. (Refer to Case 1 above.Name : Date: Course: Stamler/Yiu: Community Health Nursing: A Canadian Perspective. (Refer to Case 1 above. The adults in the home are all female. How can the nurse enhance Spottedfawn's experience with the health care system? a. Mrs. Affirming the client's personal and cultural identity b. 55 years old. is an Aboriginal woman living on reserve in a rural northern community. Being informed of the values and norms of the community d. Chronic obstructive pulmonary disease (COPD) d.

Use family and community networks to share information 14. Provide the statistics for diabetes in First Nations communities d. Incorporate experiential knowledge into the information session b. Have all pamphlets translated into the local language c. Ask another nurse to take on this client so that Mathew does not have to compromise his standards of practice b. How should Mathew resolve his moral distress? a. Mathew is a nurse working in a remote First Nations community. Tell the client that Western medicine is needed because the wound is not healing with the traditional approach 15. A nurse is planning a presentation on diet and diabetes to a First Nations community. Mathew is experiencing moral distress because he believes that a Western therapy is required to treat the wound. What is the federal government's role? 3 . What dissemination strategy would be most culturally appropriate? a. Contact the Aboriginal Nurses Association of Canada for guidance c.Name : Date: Course: Stamler/Yiu: Community Health Nursing: A Canadian Perspective. Describe with examples three determinants of health that affect the health of First Nations people. Transfer care to a Shaman or herbalist in keeping with the client's belief system d. 17. Third Canadian Edition Test: Chapter 22 13. 16. The client is using traditional medicine to treat a wound. Discuss how First Nations people access acute health care services in their communities. Discuss three significant changes that occurred in the health of Aboriginal people after European contact.

d. b. Incorrect: Any less fortunate members of the band were provided sustenance by the whole group through the potlatch.Activity Name: Chapter 22 1. c. Incorrect: Sharing of resources through the potlatch was expected and ensured the survival of the community. More likely to have adverse health outcomes Learning Objective: Chapter 22 Multiple Choice Questions Feedback: Correct: This has occurred as a result not only of colonization. Correct: This is the purpose of the First Nations health authorities. Prepare for the transfer of control of health services to First Nations Learning Objective: Chapter 22 Multiple Choice Questions Feedback: Incorrect: The federal government is transferring community-based health services to First Nations health authorities. Hints: 4. Hints: 4 . Incorrect: Regional health authorities are not managing community-based health services for First Nations communities. Hints: 3. Recognized Indian under the federal Indian Act and has a treaty number Learning Objective: Chapter 22 Multiple Choice Questions Feedback: Incorrect: This is not the criterion for being a status Indian. d. Incorrect: This statement describes a non-status Indian. Hints: 2. Correct: The individual is recognized under the Indian Act and has a unique registration number. Method of redistributing resources Learning Objective: Chapter 22 Multiple Choice Questions Feedback: Incorrect: The potlatch was to share food resources among community members. Incorrect: There is no evidence that this is true. Incorrect: This is not the reason for establishing First Nations health authorities. Incorrect: Living above the 60th parallel is not the cause of being a vulnerable population. Correct: This was the purpose of the potlatch. Incorrect: This is not a definition of what it means to be a status Indian. Incorrect: This is not the reason for being a vulnerable population. but also of the overwhelming poverty found within many of the communities.

Incorrect: This is not an issue. and public health emergencies. Incorrect: Cancer rates are climbing in Aboriginal populations but it is not an epidemic. Incorrect: The Indian Act of 1876 established the reserve system. Incorrect: FNIHB provides nursing services for home care clients. Incorrect: Typhoid is not the primary issue in First Nations communities. Incorrect: Trauma is high on the list of health issues besetting Aboriginal populations but trauma is not a disease. Incorrect: The nurse would need to network with a variety of health professionals. Correct: Diabetes has reached epidemic proportions in Aboriginal communities. c. Incorrect: Health Canada has a broader mandate that protects the health of all Canadians. b. b. Diabetes Learning Objective: Chapter 22 Multiple Choice Questions Feedback: Incorrect: Smallpox was an issue when Europeans first arrived in Canada. Hints: 5 . Correct: The Department of Indian Affairs and Northern Development is the government department responsible for managing the reserves and the treaty Indians. Correct: The purpose was to abolish the treaties and the Indian Act and disassemble the government departments responsible for reserves and treaty Indians. Hints: 6. Hints: 7.5. To abolish treaties and the Indian Act Learning Objective: Chapter 22 Multiple Choice Questions Feedback: Incorrect: The amendment to the Indian Act in 1985 and passing of Bill C-31 dealt with this issue. Hints: 8. Work to reduce fetal alcohol spectrum disorders Learning Objective: Chapter 22 Multiple Choice Questions Feedback: Correct: Fetal alcohol spectrum disorders are overrepresented among Aboriginal populations. Incorrect: The purpose of the White Paper was to abolish the Indian Act and treaties. Department of Indian Affairs and Northern Development Learning Objective: Chapter 22 Multiple Choice Questions Feedback: Incorrect: This agency protects the health and safety of Canadians through the prevention of chronic disease and injuries. c.

but the nurse must provide individualized care appropriate for Spottedfawn. Incorrect: Cultural degradation practices occurred.9. Incorrect: This is an excellent strategy for getting to know the community as a whole. Incorrect: Although cancer rates are on the rise in First Nations communities. Hints: 6 . Incorrect: Spottedfawn may not hold the same values and norms as the community. Hunger Learning Objective: Chapter 22 Multiple Choice Questions Feedback: Incorrect: There was intentional separation from visiting parents. Correct: Children often went hungry and some report being forced to steal food from the kitchens. Hints: 12. a. Obesity Learning Objective: Chapter 22 Multiple Choice Questions Feedback: Incorrect: Living in crowded housing contributes to the spread of respiratory diseases but it is the children who are at greatest risk for this health challenge Incorrect: Research has shown that of First Nations women living on reserves. Incorrect: The effects of the residential school legacy are that many Aboriginals have less than a grade 9 education. Incorrect: The teaching staff at the schools had no professional training and the education was substandard. d. leading to other health problems such as diabetes and hypertension. Spottedfawn is more likely to be dealing with obesity. including physical and emotional abuse for speaking a traditional language. Correct: First Nations women are more likely to be obese or morbidly obese. 56% live in smoke-free homes. Incorrect: This is unlikely as 44% of older Aboriginals who went to residential schools have less than a grade 9 education. Affirming the client's personal and cultural identity Learning Objective: Chapter 22 Multiple Choice Questions Feedback: Correct: Positive encounters with the health care system were situations where the women received affirmation of personal and cultural identity. Hints: 11. a. Grade 7 Learning Objective: Chapter 22 Multiple Choice Questions Feedback: Correct: About 44% of older adult Aboriginals (50-64 years) have less than a grade 9 education. Incorrect: Positive encounters were situations where the women were active participants in health care decisions. Hints: 10. Incorrect: This is too high. a.

e. and language in messages is important.education: lower education levels and access to culturally appropriate education . Incorrect: In a remote community there may not be another nurse and this is not an effective way for Mathew to resolve his moral distress. hunting .physical environments: substandard housing . Correct: This is the most important mode of information sharing in Aboriginal communities. d.13. it is unlikely that the whole community can read or understand the traditional language.social support networks: residential schools left many families without parenting role models . Incorrect: The nurse may want to consult with other resources but this will not resolve the issue of moral distress for Mathew. Incorrect: This is a Western-based strategy. b.gender: high percentage of women-headed single families . . symbols.healthy childhood development: high rates of fetal alcohol spectrum disorders .income and social status: most people live in poverty and are discriminated against within the larger Canadian society . Hints: 14. Hints: 15. Use family and community networks to share information Learning Objective: Chapter 22 Multiple Choice Questions Feedback: Incorrect: Although using culturally appropriate icons. Correct: The Aboriginal Nurses Association provides support to nurses practising in First Nations communities and will have resources to assist Mathew.culture: loss of cultural practices and language Learning Objective: Chapter 22 Essay Questions Feedback: Hints: 7 . Incorrect: The most important mode of information sharing is through family and community networks.biology and genetics: genetic predisposition to alcoholism and diabetes .working conditions: high unemployment and potentially dangerous traditional work. Contact the Aboriginal Nurses Association of Canada for guidance Learning Objective: Chapter 22 Multiple Choice Questions Feedback: Incorrect: This is imposing the nurse's will on to the client and is inappropriate.g..

16.FNIHB has regional branches in each province with policy planned in Ottawa. primarily because hospitals are a provincial responsibility.Alcohol was introduced. .They were relegated to living on reserves. . with only a few surviving. . .The more remote and isolated communities will have more comprehensive health care. leading to starvation and malnutrition. .Communicable diseases decimated the population. .FNIHB funds and/or provides any health services for First Nations people living on reserve.Churches took children away to residential schools filled with sexual abuse and violence. adding to the misery. . often with poor-quality land and resources. Learning Objective: Chapter 22 Essay Questions Feedback: Hints: 8 . Learning Objective: Chapter 22 Essay Questions Feedback: Hints: 17.Aboriginal cultures and languages were nearly destroyed. . . . .They became dependent on Indian agents for all aspects of their livelihood. .First Nations people who live off reserve access services through the local health regions and the province then asks the federal government for reimbursement. including short-term acute care.There are few Indian hospitals still run by the federal government.First Nations people access acute health care through the greater Canadian health care system.Resources became scarce. .