Chapter 14: INDIGENOUS APPLICATIONS IN WORKING WITH SPECIFIC AGGREGATES

Question 1

Which of the following represents a challenge when gathering background statistical population-based information on specific minority aggregates?
a. Cultural bias is always present.
b. There are many social and political impacts of colonization.
c. It is difficult to find comparative health information for small communities.
d. Statistics Canada does not collect data on specific minority aggregates.

Answer 1

C
In the Chapter 18 case scenario regarding the community of “Northern,” the public health manager explained that it was difficult to find comparative health information on small communities. For example, while several First Nations communities across the country have participated in regional health surveys, access to that data is restricted to the participating community. Cultural bias should not be considered in the gathering of data for a background assessment. The social and political impacts of colonization need to be reversed to improve health, but they do not present a challenge in collecting background information. Statistics Canada does collect specific aggregate data, as indicated in the textbook. For example, according to Statistics Canada, the profile of the urban community showed that 10,055, or 8.3% of the population, self-identified as Aboriginal in 2006 in the Community profile and Aboriginal population profile for the Census Metropolitan Area (CMA) and public health unit. This is more than double the proportion of Aboriginal peoples (3.8%) in the Canadian population.

Question 2

Which one of the following groups has the highest life expectancy?
a. Inuit males
b. Inuit females
c. Registered Indian males
d. Registered Indian females

Answer 2

D
The life expectancy for Registered Indian men is 70.4 years, compared with 64.4 years for Inuit men. The life expectancy for Registered Indian women is 75.5 years, compared with 69.8 for Inuit women, and 82 years for non-Aboriginal women and 77 years for non-Aboriginal men.

Question 3

Which of the following demonstrates the second phase of application of the community health nursing process?
a. Assessing the cultural norms
b. Determining the needs of the community
c. Developing a 6-week wellness program
d. Supervising a fitness class at the local YWCA or YMCA

Answer 3

C
Section A of Chapter 18 in your textbook provides some background information on this community and the health issue, which is part of assessment (the first step) of the community health nursing process, followed by planning, action, and evaluation. Assessing cultural norms and determining the needs of the community are parts of the first phase (assessment); actually participating in an intervention for wellness demonstrates the third phase (action).

Question 4

Which of the following demonstrates the first phase of application of the community health nursing process?
a. Participating in a health promotion lecture
b. Determining the needs of the community
c. Developing a 6-week wellness program
d. Supervising a fitness class at the local YWCA or YMCA.

Answer 4

B
Section A of Chapter 18 in your textbook provides some background information on this community and the health issue, which is part of assessment (the first step) of the community health nursing process, followed by planning, action, and evaluation. Determining the needs of the community is part of the first phase (assessment). Development of a program occurs in the second (planning) phase, and actually participating in an intervention for wellness or participating in a health promotion lecture demonstrates the third phase (action).

Question 5

Which of the following demonstrates the third phase of application of the community health nursing process?
a. Assessing the cultural norms
b. Determining the needs of the community
c. Developing a 6-week wellness program
d. Supervising a fitness class at the local YWCA or YMCA

Answer 5

D
Section A of Chapter 18 in your textbook provides some background information on this community and the health issue, which is part of assessment (the first step) of the community health nursing process, followed by planning, action, and evaluation. Actually participating in an intervention for wellness (e.g., supervising a fitness class at the local YWCA or YMCA) demonstrates the third phase (action). Assessing cultural norms and determining the needs of the community demonstrates the first phase (assessment), and development of a wellness program demonstrates the second (planning) phase.

Question 6

Which of the following demonstrates the final phase of application of the community health nursing process?
a. Presenting feedback about a 6-week fitness class
b. Determining the needs of the community
c. Developing a 6-week wellness program
d. Supervising a fitness class at the local YWCA or YMCA

Answer 6

A
Section A of Chapter 18 in your textbook provides some background information on this community and the health issue, which is part of assessment (the first step) of the community health nursing process, followed by planning, action, and evaluation. Presentations related to feedback on actions demonstrate the fourth phase of the application of the community health nursing process, which is evaluation. Actually participating in an intervention for wellness (e.g., supervising a fitness class at the local YWCA or YMCA) demonstrates the third phase (action). Determining the needs of the community demonstrates the first phase (assessment), and developing a wellness program demonstrates the second (planning) phase.

Question 7

Whenever possible, population-based practice focuses on which level of prevention?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Individual prevention

Answer 7

A

Whenever possible, population-based practice focuses on primary prevention.

Question 8

Which one of the following is a feature of community capacity building?
a. Asking why
b. Assessing the status quo
c. Obtaining sustainable financial resources
d. Ensuring government is involved at all levels of planning

Answer 8

A
Asking why is a feature of community capacity building. In the case scenario in Chapter 18 of your textbook, after briefly looking through the rest of the Community Capacity Building Tool, the group gets into a discussion about the feature “Asking Why,” which recommends using a community process to uncover the root causes of community issues.

Question 9

Developing a communication strategy to keep community members informed is an example of which of the following components of community capacity building?
a. Skill development
b. Partnership building
c. Documentation of progress
d. Establishing a planning team group

Answer 9

B

Developing a communication strategy to keep community members informed is an example of partnership building.