Deck 10: Hybridisation of Healthcare and the Way Forwards for Indigenous Health

Question 1

The Indian Residential Schools Truth and Reconciliation Commission was created to

A) pay for loss of income caused by Indian Residential Schools in Canada.
B) to uncover the truth about Residential Schools.
C) to find a pathway for reconciliation between Indigenous peoples and Canada.
D) b and c

Answer 1

D

Question 2

The Truth and Reconciliation Commission shocked many in Canada and internationally when it referred to the Residential Schools as part of a program of

A) social re-education.
B) cultural genocide.
C) moral realignment.
D) economic development.

Answer 2

B

Question 3

The legacy of the residential schools includes

A) cultural and economic integration of Indigenous peoples into the Canadian population.
B) poor Indigenous health outcomes.
C) economic development.
D) political apathy in the Indigenous population.

Answer 3

B

Question 4

Idle No More was started by

A) four women, three Indigenous and one non-Indigenous supporter.
B) a group representing unemployed Indigenous men.
C) the Canadian government.
D) the Canadian Public Health Association.

Question 5

Idle No More is a

A) branch of the federal government.
B) a provincial non-profit organisation located in Saskatchewan
C) a decentralised grass-roots feminist organisation.
D) a traditional First Nations secret society.

Question 6

A common tactic used to raise public awareness of Indigenous issues used by Idle No More is

A) press conferences.
B) road blockades.
C) flash mobs.
D) radio and television ads.

Question 7

Idle No More was started in response to

A) Bill C-45's changes to environmental protections to Canadian waterways.
B) Chief Theresa Spence's hunger strike in Ottawa.
C) resource development on Indigenous lands.
D) all of the above.

Question 8

Indigenous women have odds of being murdered that are roughly

A) 16 times higher than non-Indigenous women.
B) double that of non-Indigenous women.
C) half that of non-Indigenous women.
D) a quarter of what they were 30 years ago.

Question 9

The Missing and Murdered Indigenous Women and Girls Inquiry found that Indigenous women were more vulnerable to

A) intimate partner violence.
B) family violence.
C) stranger violence.
D) all of the above.

Question 10

The highway between Prince George, BC and Prince Rupert, BC is known as

A) the Highway of Tears.
B) the North Pacific Highway.
C) the Spirit Bear Highway.
D) all of the above.

Question 11

The report of the Missing and Murdered Indigenous Women and Girls inquiry described violence facing Indigenous Women and Girls as a product of

A) cultural genocide.
B) systematic neglect.
C) racism.
D) all of the above.

Question 12

What are the implications of universal healthcare for the Canadian heath care system?

A) There are no implications.
B) Everyone is treated for illness when they get sick.
C) Tertiary care services are very important.
D) If the health of a part of the population is allowed to suffer, the burden falls on everyone.

Question 13

What has changed in the healthcare environment in the last 25 years?

A) Increased non-Western immigration to industrialized countries
B) Increased population diversity
C) More assertive populations, including ethnic minorities
D) All of the above

Question 14

What concept is cultural safety based on?

A) Sharps safety
B) Patient-centred care
C) Public health
D) Homeopathy
E) None of the above

Question 15

How does epistemological accommodation apply to the Canadian nursing context?

A) It doesn't apply at all.
B) It allows both practitioners and patients to retain their own values while accommodating each other in the clinical setting.
C) It explicitly gives practitioners permission to compromise professional standards in order to provide patient-oriented care.
D) None of the above

Question 16

What are the disadvantages of cultural sensitivity?

A) It is very hard to put into practice.
B) It is not useful in the clinical setting.
C) It is not very well defined.
D) It is very hard to teach to students.

Question 17

The Kahnawake Schools Diabetes Prevention Project is an example of

A) cultural imperialism.
B) cultural assimilation through education.
C) culturally safe health promotion.
D) application of cultural competency to diabetes education.

Question 18

Non-modern epistemology is defined as

A) combining a pre-modern world view with the use of the tools and techniques of modern science, technology and biomedicine.
B) a religion that rejects all aspects of modern science and medicine in favour of returning to pre-modern life.
C) the philosophy that underlay the 1970's Back to the Land movement.
D) refusal to receive blood transfusions on religious grounds.

Question 19

A culturally sensitive nurse would recognise that First Nations

A) cry and mourn loudly with the death of a community member.
B) wear copper bracelets as a preventative measure for arthritis.
C) value assertiveness as a communication style.
D) none of the above.

Question 20

Biomedical ethics assumes that patients' bodies are

A) machines to be repaired.
B) situated in their social and cultural matrix.
C) vulnerable to psychological disturbances.
D) none of the above.

Question 21

Discuss how epistemological accommodation can create a space for communities and healthcare professionals to address the underlying causes that have contributed to poor health in Indigenous communities as discussed in class to date in at least three of the following areas:
Loss of identity/culture
Remote locations/isolation
Personal life skills
Stress
Culture
Social relationships
Education
Sense of control