Deck 4: Nursing Leadership in Indigenous Health

Question 1

In the first study on Indigenous peoples' health care experiences,findings from initial exploratory studies of Indigenous peoples' experiences in urban,inner city,and rural areas revealed:

A) Improved access experience for both the Indigenous client and health care professionals.
B) A critical need to develop culturally safe comprehensive care strategies.
C) Reduced stigmatized and racialized care.
D) Communication barriers.

Answer 1

A critical need to develop culturally safe comprehensive care strategies.

Question 2

Being an effective leader in Indigenous health requires nurses to have which of the following?

A) A high level of emotional intelligence.
B) High expectation of others.
C) Critical self-awareness skill.
D) To be authentic.

Answer 2

A high level of emotional intelligence.

Question 3

In 2005 the Indian Residential School Settlement (IRSSA)was reached.Key components of this settlement include: (Select all that apply.)

A) Financial compensation for students who attended and suffered abuse.
B) A national inquiry established through the Truth and Reconciliation Commission of Canada.
C) Health and Healing Foundation.
D) A commemoration fund.
E) None of above

Answer 3

Financial compensation for students who attended and suffered abuse.
A national inquiry established through the Truth and Reconciliation Commission of Canada.
Health and Healing Foundation.
A commemoration fund.

Question 4

From a decolonizing perspective,it is important to consider a broader understanding of the term "Indigenous" from a leadership perspective? (Select all that apply.)

A) Historical continuity with precolonial and/or presettler societies.
B) Distinct social,economic,or political systems.
C) Distinct language,culture and beliefs,
D) Form nondominant groups of society.
E) None of above

Question 5

What is a process of self-reflection to understand personal and systemic biases and to develop and maintain respectful processes and relationships based on mutual trust termed?

A) Cultural safety.
B) Cultural humility.
C) Cultural well-being.
D) Cultural understanding.

Question 6

What is considered the cornerstone of progress toward improving health,economic,and social conditions?

A) Self-determination.
B) Self-knowledge.
C) Self-reflection.
D) Self-analysis.

Question 7

The second generation (1950-1970)of Indigenous nurses was marked by the nursing profession opening doors to men and married women resulting in an increase of: (Select all that apply.)

A) Licensed practical nurses.
B) Registered nurse aid programs.
C) Registered nurses.
D) Community health representatives.

Question 8

An outcome based on respectful engagement that recognizes and strives to address power imbalances inherent in the health care system results in an environment free of racism and discrimination,where people feel safe when receiving health care.What is this termed?

A) Cultural humility.
B) Cultural safety.
C) Cultural well-being.
D) Cultural understanding.

Question 9

Indigenous populations have an increased chance of: (Select all that apply.)

A) Obesity
B) Human immunodeficiency virus (HIV)
C) Measles
D) Pneumonia

Question 10

An integrated approach to health care service delivery is the All Nations Healing Hospital.A model of health care that is responsive,innovative,collaborative,and inclusive to facilitate a culturally safe and inviting environment.Services include which of the following? (Select all that apply.)

A) Acute care.
B) Mental health counseling.
C) Service gaps.
D) Diagnostic and telehealth services.

Question 11

The Indian Act (1876)is Canadian federal legislation that governs all matters pertaining to Indigenous Peoples.This legal document dictates: (Select all that apply.)

A) How Indigenous Peoples are governed.
B) How Indigenous Peoples are identified.
C) Services will be provided.
D) How to prepare them for higher civilization.

Question 12

Which nursing leadership response is rooted in upholding social justice at the micro level?

A) Community.
B) Interpersonal.
C) Country.
D) System.

Question 13

Traditional wellness and healing practices rooted in ancestral knowledge is handed down from generation to generation and improves Indigenous peoples' sense of wellbeing in: (Select all that apply.)

A) Cultural revitalization.
B) Women's teachings and birthing practices.
C) Water and health revitalization.
D) Land-based pedagogies.

Question 14

Core competencies and indicators outlined in the CINA can,and CASN (ANAC,2009)framework includes which of the following? (Select all that apply.)

A) Postcolonial understanding.
B) Inclusivity.
C) Respect.
D) Indigenous knowledge.
E) None of above

Question 15

Authors characterized the social determinants of health for Indigenous People as distal,intermediate,and proximal determinants.A distal determinate is: (Select all that apply.)

A) Adequate food
B) Political
C) Housing
D) Education

Question 16

The Research Perspective box was a secondary analysis of data sets using a social determinants of health framework specific to Indigenous populations.Based on the overall research program key findings include: (Select all that apply.)

A) Dissatisfaction with emergency care caused by lack of attention to complex needs.
B) Lack of understanding of Indigenous culture and traditional practices.
C) Frustration with waiting time compared to non-Indigenous patients.
D) Racialization of care.
E) None of above

Question 17

Under the Indian Act (1876)who is excluded from federal health benefits? (Select all that apply.)

A) First Nations.
B) Métis.
C) Inuit.
D) Nonstatus First Nations peoples.

Question 18

During the 1980s a significant development in nursing practice was cross-cultural nursing by the third generation in the field of Indigenous nursing.This change includes: (Select all that apply.)

A) Permitted discussion on the impact of cultural difference from the patients' perspective and the health care provider.
B) Found a space in the nursing profession as respected critics and providers of health care services to First Nations,Inuit,and Métis peoples.
C) Developed an Indian nurse identity.
D) Spurred effort to change health professions' attitudes,knowledge,and ability to deliver culturally appropriate and safe health services with Indigenous populations.

Question 19

An interesting trend is that overall,Indigenous nurses are younger than the average non-Indigenous nurses.What is the advantage of this trend?

A) The opportunity for this newest generation to influence change.
B) To increase awareness of Indigenous nursing.
C) To increase the number of Indigenous nurses.
D) For the Canadian Indigenous Nurses Association (CINA)to increase membership.

Question 20

The Gradual Civilization Act (1857),the British North American Act (1867),and the Indian Act (1876)were enforced to regulate every aspect of Indigenous Peoples' lives.This regulation included which of the following? (Select all that apply.)

A) Attendance at residential school was compulsory.
B) Ceremonial items were destroyed.
C) Advanced gender equality.
D) Traditional activities were outlawed.

Question 21

Indigenous nursing leadership integrates which of the following components? (Select all that apply.)

A) Collectivist worldview based on relationships.
B) Liberation from oppression and promotion of equity.
C) Compromise outside of circle.
D) Spiritual leadership through families.

Question 22

What do Indigenous peoples who live in accordance with natural laws learn through? (Select all that apply.)

A) Language
B) Demonstration
C) Humility
D) Politics

Question 23

Relational leadership includes the embodiment of which of the following? (Select all that apply.)

A) Identity and culture
B) Enacting of organizational (industry)goals
C) Ways of being,knowing,and doing
D) Dividing tasks among all