Aboriginal People in North America with Diabetes Mellitus, Type 2: Providing Culturally Competent Care Flashcards
Lifestyle changes can prevent diabetes mellitus, type 2 (DM2) and maintaining optimal glycemic control can prevent DM2-related complications, but preventing and treating DM2 among North American Aboriginal people is challenging due to inability to afford healthcare inaccessibility to healthcare refusal to seek healthcare cultural barriers a), b), and d) all of the above
a)inability to afford healthcare, b)inaccessibility to healthcare, and d)cultural barriers
The prevalence of DM2 is up to ____ times higher among Aboriginals living in urban areas than those living in rural areas.
- 3
- 6
- 1
- 4
5.4
The nurse is educating a female Aboriginal patient who is of the Cree tribe about DM2. The patient refers to her illness as “he.” The nurse should be aware that the patient
does not understand the information that she has been given about DM2
is anthropomorphizing her illness
is in denial about the seriousness of DM2
believes that she developed DM2 from eating too many wild foods
none of the above
is anthropomorphizing her illness
The treating clinician is explaining the prescribed treatment regimen for DM2 to a male Aboriginal patient who has been newly diagnosed with DM2. The nurse who is assisting should not be surprised when the patient states that he
will refuse all treatment
will seek advice from his elders before agreeing to treatment
will enthusiastically start treatment immediately
will need to quarantine himself for several weeks
none of the above
will seek advice from his elders before agreeing to treatment
The nurse is explaining a new treatment to an Aboriginal patient with DM2. The nurse should be aware that choosing a quiet setting for the education session is important because
many Aboriginal patients have profound hearing loss
North American Aboriginal people tend to speak in a low tone of voice
it is considered rude to indicate to an Aboriginal person that one did not hear what he or she is saying
Aboriginal people tend to be particularly sensitive to loud noises
b) and c)
all of the above
b)North American Aboriginal people tend to speak in a low tone of voice and c)it is considered rude to indicate to an Aboriginal person that one did not hear what he or she is saying
Which of the following is a traditional remedy for DM2 that is used by the Micmac Indians of Canada?
A combination of blueberries and huckleberries
Bloodletting using leaches
Tea made from aloe vera and ginger
Bitter melon juice
A combination of blueberries and huckleberries
The highest prevalence of DM2 is found among which of the following Aboriginal tribes? Comanche Pima Navajo Apache a), b), and d) All of the above
a)Comanche, b)Pima, and d)Apache
The nurse who is educating an Aboriginal patient about potential complications of DM2 should explain that DM2 is associated with
less morbidity and mortality in Aboriginal people
higher incidence of lower extremity amputation
higher incidence of neuropathy, nephropathy, and retinopathy
lower incidence of cardiovascular disease
a) and d)
b) and c)
b)higher incidence of lower extremity amputation and c)higher incidence of neuropathy, nephropathy, and retinopathy
A 39-year-old Aboriginal woman has just been diagnosed with DM2. The nurse should explain to her that among North American Aboriginal people, DM2 is more prevalent among women because of their
low incidence of obesity
physically active lifestyle
high incidence of gestational diabetes, which is a risk factor for DM2
typical diet that is low in fat and high in fiber
high incidence of gestational diabetes, which is a risk factor for DM2
The nurse should be aware that Aboriginal people view illness in the context of their Native spirituality and many believe that DM2 is due to
a cultural prohibition that has been violated
spiritual unrest
negative energy
all of the above
all of the above
The nurse is obtaining a patient history from a female Aboriginal patient who has just been diagnosed with DM2. The nurse should ask where the patient lives and if she has transportation to healthcare facilities because Aboriginal people living in rural and remote areas
can easily find transportation to healthcare facilities
might live in a geographic landscape that creates a barrier to accessing healthcare
might experience weather conditions that are a barrier to accessing healthcare
are much more likely than those living in urban areas to have DM2
b) and c)
none of the above
b)might live in a geographic landscape that creates a barrier to accessing healthcare and c)might experience weather conditions that are a barrier to accessing healthcare
Which of the following is not among the factors that can limit the utilization of healthcare by Aboriginals?
Possessing fewer consumer goods such as fuel
Being more likely to have health insurance
Making lower incomes
Having higher rates of unemployment
Being more likely to have health insurance
Genetic predisposition might play a role in the increased incidence of DM2 because a number of genes that are responsible for increased insulin resistance, which is a precursor to DM2, have been identified among Aboriginal people.
True
False
True
The nurse is providing care for a female Aboriginal patient who was recently diagnosed with DM2. The patient mentions that several members of her family have DM2 and asks if genetic factors may have contributed to her developing DM2. The nurse should tell the patient about the “thrifty-gene” hypothesis, which
supports both a genetic and environmental basis for the development of DM2
explains the high prevalence of DM2 in Aboriginals as a result of a genetic predisposition to produce more insulin
suggests that in response to meager food stores and periods of famine, traditional hunter-gatherers developed an enhanced genetic ability to store fat, which predisposes them to develop DM2 when coupled with exposure to Western culture and its plentiful and accessible food stores
posits that Aboriginals are at increased risk of developing DM2 due to an inherited predisposition to pancreatic beta-cell malfunction
a) and b)
a) and c)
a)supports both a genetic and environmental basis for the development of DM2 and c)suggests that in response to meager food stores and periods of famine, traditional hunter-gatherers developed an enhanced genetic ability to store fat, which predisposes them to develop DM2 when coupled with exposure to Western culture and its plentiful and accessible food stores
The nurse should educate an Aboriginal patient with DM2 about self-management skills, which include all of the following except
maintaining a sedentary lifestyle
weight loss if appropriate
regular blood glucose monitoring
use of prescribed antihyperglycemic medication
maintaining a sedentary lifestyle
