Chapter 9

Question 1

Which of the following is a key function associated with the Canadian health care system?
Implementation of insurance programs.
Financing.
Universality.
Accessibility.

Answer 1

Financing.

Question 2

An example of additional health care services is:
Annual Papanicolaou (Pap) smear.
Childhood immunizations.
Dental cleaning and checkup.
Hospital room costs.

Answer 2

Dental cleaning and checkup.

Question 3

Which province or territory spends the highest percentage of its federal budget on health care?
New Brunswick.
Quebec.
Ontario.
British Columbia.

Answer 3

Quebec.

Question 4

Implementing electronic health records (EHRs) and other health information technology as widely as possible in Canada is to ensure: (Select all that apply.)
Delivery of better quality of care.
Reducing health care costs.
Delivery of more efficient health services.
Reducing errors

Answer 4

Delivery of better quality of care.
Delivery of more efficient health services.
Reducing errors

Question 5

The Office of Nursing Policy is an advisory body for:
Provincial and territorial ministries of health.
The Canadian Nurses Association.
Health Canada.
The Canada Health Act Implementation Committee

Answer 5

Health Canada.

Question 6

Instituting similarities in services across health care regions among provinces and territories is considerably complex because of:
Minimal diversity in provincial health care needs.
A lack of knowledge and skill in their associated use.
An inability to accurately reflect exact cost per service provided.
The vast geographic areas present in the Canadian landscape.

Answer 6

The vast geographic areas present in the Canadian landscape.

Question 7

Which of the following has placed considerable strain on the Canadian health care system?
A stable economy.
Increase in elderly population.
Status quo health care services.
Decreasing costs

Answer 7

Increase in elderly population.

Question 8

In Canada, which of the following has the most authority over the management and delivery of health care?
Federal government.
Regional health boards.
Provincial government.
Hospital board of directors.

Answer 8

Provincial government.

Question 9

Which of the following recommendations are included in the First Ministers’ A 10-Year Plan to Strengthen Health Care (2004)? (Select all that apply.)
Develop primary care.
Introduce the use of electronic records.
Increase funds for the supply of health care professionals.
Implement primary health care

Answer 9

Develop primary care.
Introduce the use of electronic records.
Increase funds for the supply of health care professionals.

Question 10

What was the main purpose of the establishment of the Health Council of Canada in 2011?
Monitor the progress of health care reform.
Integrate technology in acute care institutions.
Assess health and human resource allocation.
Evaluate the duplication in current scopes of practice.

Answer 10

Monitor the progress of health care reform.

Question 11

Canada’s regulated nursing workforce was the slowest in 10 years in 2017 at 0.7% compared to 1.3% to 2.8% over the past decade. This decline is related to which of the following factors? (Select all that apply.)
Growing number leaving the profession late in their careers.
Increase in part-time and casual positions.
Declining number of new nursing graduates.
Increase in application to nursing degree programs.

Answer 11

Growing number leaving the profession late in their careers.
Increase in part-time and casual positions.
Declining number of new nursing graduates.

Question 12

Who is responsible for providing health care funding for recent immigrants?
Federal Government.
Canada’s Immigrant Council.
Local institutions.
Provincial Government

Answer 12

Federal Government.

Question 13

Samuel, a 4-year-old boy, has just received a diagnosis in the clinic of an extremely rare medical condition. The family is counselled that Samuel will be referred to which type of care?
Quaternary.
Secondary.
Tertiary.
Primary

Answer 13

Quaternary.

Question 14

The Canada Health Act (1985) establishes the criteria for:
Hospital accreditation standards.
Nurse-to-patient ratios.
Federal financial support of a national health care insurance system.
Provincial health care funding priorities.

Answer 14

Federal financial support of a national health care insurance system.

Question 15

An academic teaching hospital that provides care for patients who require inpatient and ambulatory care for addictions, through a spectrum of wellness and illness services and providers, would be considered:
A tertiary care institution.
Long-term care.
A health care network.
Rehabilitative.

Answer 15

A tertiary care institution.

Question 16

A nurse manager at a home health care service has resigned to take a position at a local ambulatory care centre. To initiate current changes, the nurse manager has to be knowledgeable about the differences between a home health care institution and an ambulatory care centre, which is a primary care institution. Primary care institutions are facilities that provide:
First access to care.
Rehabilitative or long-term care.
Only outpatient services.
Disease-restorative care.

Answer 16

First access to care.

Question 17

Which province or territory was projected to spend the most, per person, on health care in 2016?
Saskatchewan.
Northwest Territories.
Prince Edward Island.
British Columbia

Answer 17

Northwest Territories.

Question 18

The Canadian Classification of Health Interventions database was created for:
Registered nurses.
All health provider groups.
Unregulated health care providers.
Physicians

Answer 18

All health provider groups

Question 19

The largest percentage of health care costs is spent on
Hospitals.
Medications.
Unregulated health care workers.
Physicians.

Answer 19

Hospitals.

Question 20

Expanding the scope of practice for nurses is expected to? (Select all that apply.)
Alleviate the costs of delivering care.
Reduce the number of unregulated care workers.
Increase work efficiency.
Improve access to care.

Answer 20

Alleviate the costs of delivering care.
Increase work efficiency.
Improve access to care.

Question 21

Which criterion of the Canada Health Act prohibits user charges or extra billing?
Universality.
Accessibility.
Universality.
Public administration

Answer 21

Accessibility.

Question 22

Which response is not a tenet of Strengths-Based Nursing Leadership?
Values self-determination.
Understands the significance of subjective reality and created meaning.
Recognizes the uniqueness of staff, nurse leaders, and the organization.
Resides within the organization.

Answer 22

Resides within the organization.

Question 23

A social determinant of health:
Is biologic and genetic endowment.
Has little impact on health status.
Is related mainly to the psychological environment.
Is predictable of acuity.

Answer 23

Is biologic and genetic endowment.

Question 24

According to the World Health Organization’s (1978) definition, primary health care is considered:
To focus mainly on acute care treatment.
To empower people to be responsible for their own health.
The entry point into the health care system.
An institution-based health care service.

Answer 24

To empower people to be responsible for their own health.