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Dementia in American Indian and Alaska Native Communities

1. Cognition involves making the most of the brain’s capacity and helping to reduce some risks to the brain that occur with aging and refers to the ability to draw on the strengths of the brain to remember, learn, play, concentrate, and maintain a clear, active mind.

A. True

B. False


2. Dementia is part of normal aging.

A. True

B. False


3. What is the most common cause of dementia?

A. Aging

B. Alzheimer’s disease

C. Traumatic brain injury

D. Diabetes


4. Not every person with mild cognitive impairment develops dementia.

A. True

B. False


5. With Alzheimer’s disease, dementia is the point during the disease process when:

A. Cognitive difficulties interfere with daily life and activities.

B. There is decreased or poor judgment.

C. The person withdrawals from work or social activities.

D. New problems with words in speaking or writing appear.


6. On average, a person with Alzheimer’s lives _____ years after diagnosis.

A. 2 to 3

B. 3 to 6

C. 4 to 8

D. 8 to 12


7. For a small group of people with dementia symptoms, further testing may reveal which reversible or treatment cause?

A. Depression

B. Obstructive sleep apnea

C. Vitamin B12 deficiency

D. For a small group of people, testing may reveal depression, obstructive sleep apnea, or a vitamin B12 deficiency as the cause of dementia


8. Which of the following is often one of the earliest signs of Alzheimer’s or another dementia?

A. Difficulty completing familiar tasks at home, work, or at leisure

B. Confusion with time and place

C. Difficulty with thinking or memory

D. Trouble understanding visual images and spatial relations


9. All of the following conditions are the most frequent co-occurring chronic conditions among persons living with Alzheimer’s or another dementia, except for:

A. Diabetes

B. High blood pressure

C. Heart disease

D. Thyroid disorders


10. Most experts agree that the higher burden of Alzheimer’s in AI/AN communities is due to a unique genetic predisposition.

A. True

B. False


11. All of the following contributing risk factors for heart disease are more common among AI/AN adults than white adults, except for:

A. Obesity

B. High blood pressure

C. Current cigarette smoking

D. Diabetes


12. There is growing scientific evidence that healthy behaviors, those shown to prevent cancer, diabetes, and cardiovascular disease, may reduce the risk for cognitive decline and possible dementia.

A. True

B. False


13. All of the following are protective factors that may reduce the risk of cognitive decline, except for:

A. Eating a healthy diet

B. Getting a full eight hours of sleep each night

C. Exercising the body and the mind

D. Staying socially engaged and active


14. High levels of social engagement with family and community, which are values deeply embedded in AI/AN traditions, are associated with reduced risk of cognitive decline.

A. True

B. False


15. Having more years of formal education reduces the risk of cognitive decline and dementia.

A. True

B. False


16. When might family caregivers within the AI/AN community be reluctant to seek a diagnosis for parents or other relatives because of fear, denial, or stigma for seeking assistance outside of the family network?

A. If Alzheimer’s is viewed as potentially embarrassing or shameful.

B. If the family does not have the financial resources to pay for outside care.

C. If the relative needing care is a healer within the community.

D. If the family member does not speak English well enough to communicate with healthcare providers.


17. Leaders describe AI/AN families as embracing a “we take care of our own” philosophy, which discourages use of other available care options.

A. True

B. False


18. Fluency in the community’s native language is more important than awareness of and adherence to specific tribal protocols and values.

A. True

B. False


19. The path to success of education, health services, and other community interventions relies on:

A. Coverage by Medicare

B. Involvement of tribal leaders

C. Buy-in from community members

D. Healthcare professionals providing services on tribal grounds


20. Appropriate and meaningful _____ within the educational materials about dementia can reduce cultural barriers between healthcare providers and their patients and increase knowledge and understanding.

A. Language

B. Graphics

C. Photos

D. Appropriate and meaningful language, graphics, and photos can reduce cultural barriers


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