Chapter 9 HEALTH and ILLNESS in the American Indian and Alaska Native Population

Chapter 9   HEALTH and ILLNESS in the American Indian and Alaska Native Population

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

1) 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:  1

Explanation:  1. American Indian and Alaska Native populations have less health insurance coverage than the rest of the population.

2. Health insurance for this population is not dependent on federal monies.
3. Health insurance for these populations is not subsidized by tribal income.
4. American Indian and Alaska native populations have less health insurance, not more, than that of the rest of the population.

Cognitive Level:  Remembering

Patient Need:  Health Promotion and Maintenance

Nursing/Integrated Concepts:  Nursing Process: Evaluation

Learning Outcome:  LO01 – Discuss the historical and demographic backgrounds of the American Indian and Alaska Native population.

2) 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

Answer:  1

Explanation:  1. The 1890 census was the first to count American Indians throughout the country. Prior to this census, the counting was limited to those American Indians living in the general population of various states.

2. American Indians living on reservations were not included in census counts.
3. Separation into tribal affiliations is not a part of the census count.
4. Differentiation between American Indians and Alaska Natives did not occur until the 1940 census.

Cognitive Level:  Remembering

Patient Need:  Psychosocial Integrity

Nursing/Integrated Concepts:  Nursing Process: Assessment

Learning Outcome:  LO01 – Discuss the historical and demographic backgrounds of the American Indian and Alaska Native population.

3) 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

Answer:  1

Explanation:  1. The West has the largest American Indian population, as well as the highest proportion of American Indians in its total population.

2. The North has significant numbers of American Indians, but not as many as the West.
3. The South is home to a number of American Indian tribes, but not as many as the western section of the United States.
4. The East has fewer American Indians than the West.

Cognitive Level:  Applying

Patient Need:  Health Promotion and Maintenance

Nursing/Integrated Concepts:  Nursing Process: Planning

Learning Outcome:  LO01 – Discuss the historical and demographic backgrounds of the American Indian and Alaska Native population.

4) 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

Answer:  1

Explanation:  1. Forcible relocation of some Indian tribes, most notably that of the Cherokee nation, occurred when treaties took away native lands and the tribes were relocated to other areas of the country.

2. Exposure to different illnesses brought about by European settlement resulted in increased mortality among Indian tribes, but not to the extent of eradicating Indian presence in areas of the country where they are no longer present.
3. Employment opportunities were not a factor explaining why some tribes are no longer in their ancestral origin area.
4. While some tribes agreed to voluntary relocation, this was not the common practice among Indian tribes.

Cognitive Level:  Analyzing

Patient Need:  Psychosocial Integrity

Nursing/Integrated Concepts:  Nursing Process: Assessment

Learning Outcome:  LO01 – Discuss the historical and demographic backgrounds of the American Indian and Alaska Native population.