Pacific + Maori

Question 1

In the Fonofale model, in addition to the Other pole, what are the three other poles?

Answer 1

Physical, Mental, Spiritual

Question 2

Population of PI in NZ?

Answer 2

8.1% in 2018 census

Question 3

How to say hello in Tongan?

Answer 3

Malo e lelei

Question 4

Fonofale model was originally for which context?
a. Obstetrics/ Maternal health
b. Communicable Disease
c. Mental Health
d. Nutrition
e. Child

Answer 4

Mental Health

Question 5

Niue and Cook Islanders are:
a. NZ citizens with full access to NZ public healthcare
b. NZ citizens with reciprocal health-care deals
c. NZ citizens with partial access to NZ healthcare
d. NZ residents with full access to NZ healthcare
f. NZ residents with partial access to NZ healthcare

Answer 5

NZ citizens with full access to NZ public healthcare

Question 6

Girl who moved to auckland for Uni (still sad/low mood/depressed). She tells you she is struggling financially and has to work but struggling to fit this around uni. What parts of the meihana model have you already learnt about her?
a. Migration, marginalisation, and hinengaro
b. Migration, taiao and hinengaro
c. Migration, racism, tinana
d. Migration, colonisation and hinengaro
e. Migration, wairua, tinana

Answer 6

Migration, colonisation and hinengaro

Question 7

Maori lady with CKD. What is the best thing to incorporate into a management plan to reduce inequities?
Best practice guidelines
Maori reasons for non-attendance
Mortality data for Maori on dialysis
Barriers to healthy food choices for Maori

Answer 7

Best practice guidelines

Question 8

Maori woman with bad kidneys has returned with her whanau. Upon discussing the possibility of a transplant, the family mention that they would like any organ removed from said woman to be returned to her. What should you do?
· Explain that we can’t do that
· Look up tikanga guidelines and DHB protocols
· Contact path department about protocols

Answer 8

Look up tikanga guidelines and DHB protocols

Question 9

Guy who went to kura kaupapa. You are wanting to know about his ratonga hauora. What should you ask him about?
Previous access to healthcare services
Current prescriptions
Locations of supports

Answer 9

Previous access to healthcare services

Question 10

Talking to Māori guy about something, what is wairua
· Connectedness to people, world, or item
· Support networks
· Something else
· Mental health

Answer 10

Connectedness to people, world, or item

Question 11

Registrar who managed acute asthma exacerbation ensures Maori patient has asthma management plan and SMART inhaler before going out to community because the GP only gave patient salbutamol. What is the registrar doing? (repeat q)
a. Whakatere
b. Ratonga Hauora
c. Tinana
d. Racism
e. Colonisation
f. Marginalisation

Answer 11

Whakatere

Question 12

Maori patient with COPD or some shit. How to build best engagement? (repeat q)
a. Whakawhanaungatanga +30
b. pronounce name correctly +1
c. make his family go away if they show up because confidentiality
d. sympathize with difficulty of his illness

Answer 12

a. Whakawhanaungatanga

Question 13

Maori dude dies of pneumonia or something quickly than would be expected. It is indicated to do an autopsy. Need to talk to family first though. What might family think before you talk to them?
a. They might presume the pathology services don’t know tikanga, and don’t care about it
b. They would like to know the cause of the death
c. They won’t be present at the hospital while autopsy is undertaken
d. They don’t want to know details of autopsy because tapu nature of the tūpāpaku
e. They would prefer not to know if body parts were removed
f. That they will wait for your call before coming to collect the tupapaku

Answer 13

They might presume the pathology services don’t know tikanga, and don’t care about it

Question 14

Something about a Maori patient with a family history of cardiac disease. What info best considers marginalisation for this (or informs whakatere or something similar)
a. Less likely to receive medical interventions relative to need
b. More likely to smoke
c. Genetic predisposition
d. Maori die younger
e. Something else

Answer 14

Less likely to receive medical interventions relative to need

Question 15

Using Kūmarahou (kawakawa) as well as asthma inhaler (repeat question)
a.

Answer 15

Acknowledge rongoa +20

Question 16

Patient in dialysis unit says her journey with ?diabetes was hōhā. Doctor using/acknowledging te reo too. Why should doctor use te reo? How should dr best engage her?
a. To help understand patient presenting complaint
b. Emphasises how important te reo is in this context +
c. To demonstrate an understanding about Te Ao Māori and Māori perspectives
d. To prove you’re not racist
e. Model good behaviour to other staff
f. Increase how comfortable patient felt in the dialysis unit

Answer 16

To demonstrate an understanding about Te Ao Māori and Māori perspectives

Question 17

3. Māori guy has a heart attack. Why should you ask about whānau (repeat q)
   a. Connectedness to person, object place
   b. Assess support networks
   c. Assess access to transport
   d. Learn about experience in healthcare

Answer 17

Assess support networks

Question 18

Something about a Māori woman who is maybe depressed and marginalisation stuff.

a. Māori score higher on Kessler scoring tool but get diagnosed less often with depression
b. Kessler depression scoring tool doesn’t work/ isn’t culturally appropriate for Māori
c. Māori don’t get depressed
d. Māori don’t want medication

Answer 18

Māori score higher on Kessler scoring tool but get diagnosed less often with depression