Student Evaluation: Post Test

1. The unique relationship of American Indian older adults to the federal government includes:

A. American Indian lands were colonized by Europeans

B. May differ even among members of the same family

C. American Indian have given up 500 million acres of land

D. Health care, education, and social programs were paid for with ceded land by some 800 treaties with the US Government.

2. There are 558 federally recognized tribes, each with their own traditions, history, and perceptions of the sacred. Therefore, the American Indian population is extremely heterogeneous, and which may affect health care utilization and acceptability.

3. Tribal sovereignty, independent nation status, and tribal self-determination continue to be a major priority of American Indian tribes/nations in the 21st century.

4. Tribal affiliation and ethnocentrism is a strong force in American Indian communities.

5. “Pan-Indianism” refers to inter-tribal gatherings and community activities designed to preserve Indian culture in mostly urban areas.

6. Appreciation of the historical context of the American Indian is important because:

A. Myth of “discovery” is often taught in educational institutions

B. Indians throughout the 20th century were told that their culture religion, and way of life was without value

C. Entire American Indian families, villages, tribes and cultures were wiped out by measles, smallpox, influenza, and tuberculosis during the late 1800’s and first half of the 1900’s

D. The illegal taking of land, rights, and religion has produced intergenerational anger and grief.

7. Which of the following are NOT significant American Indian cohort life influences?

A. Intergenerational grief

B. Boarding schools

C. Military service

D. Federal relocation programs

E. Indian self-determination

F. Spirituality and religion

G. Discrimination and racial Oppression

H. Acceptance and survival

8. Health care is guaranteed for all American Indian by treaty rights, no matter where they live.

9. Which of the following are major sources of data collection for American Indian epidemiology?

A. Indian Health Service

B. US Census Bureau

C. Mortality data and death certificates

D. Researchers

E. Private Hospitals

10. Issues with American Indian data collection include: Census undercount, utilization-based data by the Indian Health Service, errors of racial misidentification of decedents, and large regional variation in prevalence rates.

11. The top 5 causes of death of older American Indian (in order) are:

12. Indicators of potential conflicting values may include the following: time orientation, conversational pace, emotional expression, expression of physical pain/discomfort, group decision-making, avoidance of direct confrontation.

13. Cohort analysis is an examination of historical events that may have impacted the lives of age mates of a particular group of people. A cohort analysis may be useful in which of the following ways?

A. Provides a framework for history taking in the clinical setting.

B. Provides clues to intergenerational differences and perceptions.

C. Lists significant events that may have been experienced during specific developmental stages.

D. Should be used only as a starting point for the gathering of information concerning a particular individual.