Deck 9: Health and Illness in the American Indian and Alaska Native Population

Question 1

The nurse is planning care for a Navajo American Indian.How does this patient view the cause of ILLNESS? Select all that apply.
1)Caused by displeasing holy people
2)Caused by annoying the elements
3)Caused by disturbing plant life
4)Caused by disturbing animal life
5)Caused by a parasite

Answer 1

1,2,3,4

Question 2

Which is a characteristic of health insurance usage by the American Indian and Alaska Native population?
1)Less than among the general population
2)Dependent on federal monies
3)Subsidized by tribal income
4)Greater than among the general population

Answer 2

1

Question 3

What purpose does singing and chanting serve during the Navajo American Indian tradition of HEALING?
1)The psychological effects of the singing help the patient feel cared for in a deeply personal way,which aids HEALING.
2)The patient enters a trance,which aids HEALING.
3)The singer accurately predicts the trajectory of the ILLNESS and recovery.
4)The singer brings the family of the affected patient back into harmony with the universe that ultimately heals the patient.

Answer 3

1

Question 4

What is the difference between the modern physician and the medicine man when determining the cause of an illness?
1)The medicine man looks for the spiritual cause of the problem.
2)The medicine man looks for the physical cause of the problem.
3)The medicine man studies the patient's past medical history to determine the cause of the illness.
4)The medicine man studies the dietary practices of the person being seen.

Question 5

In which American Indian tribe are meditation and herbs used to create a trance to provide the vision of the evil that causes an ILLNESS? Select all that apply:
1)Hopi
2)Sioux
3)Navajo
4)Cherokee
5)Shaman

Question 6

During a health history,the nurse asks a patient of American Indian heritage to explain the concept of HEALTH.In this heritage,how is HEALTH defined? Select all that apply.
1)Living in total harmony with nature
2)Survival instinct
3)Treating the body with respect
4)Treating the earth with respect
5)Maintain an independent relationship with nature

Question 7

An American Indian patient tells the nurse about how her family was originally from Northern New England,but ended up in Florida.What would explain the relocation of American Indian tribes in the United States?
1)Forcible relocation as treaties took over much of the native lands
2)Diminished populations from death and disease
3)Moving for better employment opportunities
4)Voluntary relocation for land exchange in other areas of the country

Question 8

A patient of the American Indian heritage tells the nurse that the medicine man is consulted when an ILLNESS develops.How does a person become a medicine man? Select all that apply.
1)Know the interrelationships between people,the earth,and the universe.
2)Understand the ways of plants and animals.
3)Perform special ceremonies.
4)Attend a specific course of study.
5)Training takes 4 years.

Question 9

Which action is considered to be a traditional practice among American Indians to maintain their harmony with nature?
1)Purification
2)Lunar cycle agri-heritage
3)Eating ritual foods
4)Divination

Question 10

In traditional American Indian beliefs,what controls the body's spiritual energy? Select all that apply.
1)Positive energy pole
2)Negative energy pole
3)Purpose and identity
4)Communion with nature
5)Lack of control

Question 11

What is the cause of ILLNESS in the American Indian heritage? Select all that apply.
1)Something that happened in the past
2)Something that will happen in the future
3)Illness is something that must be.
4)Illness is a consequence of mistreating the Earth.
5)Representative of a chain of events

Question 12

Which Navajo American Indian divination method will women practice to diagnose the cause of an ILLNESS?
1)Motion in the hand
2)Listening
3)Singing
4)Stargazing

Question 13

In the American Indian heritage,what is the purpose of herbs and plants when caring for an ILLNESS?
1)Spiritual helpers
2)Diagnostic agents
3)Stimulants
4)Medications

Question 14

The nurse practitioner desires to provide healthcare to American Indians.In what part of the United States would the nurse find the largest concentration of American Indians to provide care?
1)West
2)North
3)South
4)East

Question 15

Prior to the 1860 census,how were American Indians documented?
1)Counted those living in the general states' populations
2)Limited to those living on reservations
3)Separated them into their respective tribal affiliations
4)Differentiated between Alaska Natives and American Indians

Question 16

The diagnostician told a patient of Navajo American Indian heritage that his ILLNESS is minor,and he will recover.What activities does the diagnostician in this heritage perform? Select all that apply.
1)Motion in the hand
2)Stargazing
3)Listening
4)The sweat lodge
5)Perform a chant

Question 17

What might a patient from the American Indian heritage use to prevent disease?
1)Wear certain objects or charms as a preventive measure.
2)Perform specific daily rituals against disease.
3)Deny that disease or ILLNESS can harm a person.
4)Accept that disease is a part of life.

Question 18

What is the purpose of sand paintings when diagnosing ILLNESS in the Navajo American Indian heritage?
1)Determines the cause and treatment of the ILLNESS
2)Ensures appropriate payment is made by the family
3)Provides an atmosphere of calm for the medicine man
4)Creates symbolic representations of the patient and family

Question 19

Which American Indian tribe associates illness with evil spirits?
1)Hopi
2)Passamaquoddy
3)Sioux
4)Cherokee

Question 20

The nurse is observing a HEALING ceremony performed by people of the American Indian heritage.What is a characteristic of this ceremony?
1)Sound
2)Quiet
3)Herbal teas
4)Hallucinogenic plants

Question 21

A patient of the American Indian heritage is waiting to be seen in a non-Indian Health Service facility.What concern might this patient have about receiving health care through this route?
1)Conflict between his or her perception of the illness and what the physician diagnoses
2)Easier to receive medical care through emergency departments rather than private physicians
3)Receive better healthcare from mainstream medical services
4)Concern that medical insurance won't cover all the medical costs

Question 22

Why would a patient from the American Indian heritage be prone to developing diseases of the poor,such as tuberculosis and malnutrition?
1)Living in abject poverty
2)Living in areas not accessible to the general population
3)Genetic predisposition to these illnesses and conditions
4)Health practices are conducive to these conditions

Question 23

The nurse is conducting a medication history with a patient from the Oneida American Indian heritage who has clinical cold like symptoms and complains of a sore throat.Which remedies would the nurse expect to see in the patient's history? Select all that apply.
1)Witch hazel
2)Comfrey
3)Skunk oil
4)Dried raspberry leaves
5)Sage

Question 24

How does the Indian Health Service plan to raise the health of the American Indian people?
1)Partnering and assisting tribes in planning the best delivery of care
2)Allotting health resources based on population numbers
3)Having one master health guideline blueprint for consistency of care
4)Following prescribed federal guidelines and procedures

Question 25

A patient of the American Indian heritage is diagnosed with liver cirrhosis caused by chronic alcoholism.For which problems would the nurse focus when discussing the patient's care with the spouse? Select all that apply.
1)Domestic violence
2)Sexual abuse
3)Battering of women
4)Unplanned pregnancy
5)Mental health problems

Question 26

Which action would the nurse take when assessing a patient of American Indian heritage? Select all that apply.
1)Remaining quiet and recognizing the importance of nonverbal communication to seek information
2)Asking detailed questions regarding the presenting symptoms
3)Asking indirect questions about the reason for seeking health care
4)Ensuring no one beyond the medical provider and the patient discuss what has brought the patient to seek care
5)Take detailed notes during interaction

Question 27

Even though the Indian Health Service (IHS)provides care to a wide area of the population,what is an issue with this health service?
1)Services are predominantly given in the western part of the United States.
2)Health services can only be provided through IHS facilities.
3)Any American Indian or Alaska Native can demand care from the IHS.
4)There is a redundancy of services in all its facilities.

Question 28

The nurse is obtaining a health history from a patient of the American Indian heritage.Which problems would cause the nurse to be concerned about the patient's health? Select all that apply.
1)Heart disease
2)Diabetes mellitus
3)Cancer of the prostate
4)Gastric ulcers
5)Pneumonia

Question 29

The nurse is completing a health history for a patient of the American Indian heritage.What activity would the nurse perform while conducting this assessment?
1)Remembering what is being said to be recorded at a later date
2)Encouraging free conversation by the American Indian patient
3)Repeating back everything that is said
4)Tape-recording the responses given

Question 30

What is a goal of the Indian Health Service?
1)Ensure that comprehensive,culturally acceptable personal care is available and accessible to all American Indian people
2)Provide healthcare to the American Indian and Alaska Native
3)Provide American Indian medical providers to deliver medical care to the American Indian and Alaska Native population
4)Educate the American Indian and Alaska Native in preventive health care practices