Deck 2: Financing, Policy, and Politics of Healthcare Delivery

Question 1

What nursing sector is currently the fastest-growing area in Canada?

A) Public health
B) Acute care
C) Home care
D) Long-term care

Answer 1

Home care

Question 2

What statement is true about community health nurses in Canada?

A) They are slightly younger than hospital nurses.
B) The proportion in leadership positions is increasing.
C) They are more likely to have a university degree.
D) About 75% work full time in the community.

Answer 2

They are more likely to have a university degree.

Question 3

Who was assigned the responsibility for health care in the 1867 Constitution Act (British North America Act)?

A) The provinces were responsible for public health care
B) First Nations communities were responsible for Aboriginal health care
C) The federal government was responsible for military health care
D) The provinces were responsible for health policy

Answer 3

The federal government was responsible for military health care

Question 4

Where was North America's first universal health insurance program implemented?

A) Manitoba in 1957
B) Canada in 1967
C) Prince Edward Island in 1867
D) Saskatchewan in 1947

Question 5

What are the four determinants of health identified by the Lalonde Report (1974)?

A) Socio-environmental,biomedical,disease prevention,and health promotion
B) Gender,culture,working conditions,and education
C) Biological,emotional,spiritual,and psychological
D) Environment,lifestyle,human biology,and the health care system

Question 6

What is one of the primary objectives of Canadian health care policy according to the Canada Health Act (1984)?

A) Facilitate reasonable access to hospital care
B) Protect the health care system from privatization
C) Restore stable health care funding to the provinces
D) Protect,promote,and restore the physical and mental well-being of Canadians

Question 7

What is a common argument for the discontinuation of publicly funded,not-for-profit health care?

A) Shortage of health care workers
B) The aging Canadian population will escalate health care costs
C) Emerging diseases
D) Pressure from for-profit centres for federal funding

Question 8

How does Canada rank in the world with respect to health care?

A) Canadian men and women outlive Americans.
B) Canada spent 16% of the gross national product on health care in 2008.
C) The Canadian infant mortality rate is one of the best in the world.
D) Canada has the highest cost per capita in health care expenditures.

Question 9

How has the Canada Health Act (1984)been successful in ensuring all Canadians have access to the health care they need?

A) Creating specific mechanisms to ensure accountability and transparency
B) Establishing criteria and conditions for insured health care services that must be met before federal transfer payments are made
C) Penalizing provinces that do not comply with the public health aspects of the Act
D) Determining the extent to which each province and territory has satisfied the criteria and conditions of the Act

Question 10

Recently,Family Health Teams have been set up to provide primary health care.Where have these been established?

A) Ontario
B) Quebec
C) Nova Scotia
D) British Columbia

Question 11

In 2002,Romanow recommended a shift to health promotion and disease prevention.What is a barrier to achieving this goal?

A) Competing care challenges
B) Lack of stable long-term funding
C) Number of people requiring home care
D) Shortage of health care professionals

Question 12

What is involved in a health care system that focuses on primary care?

A) People accessing health care services at the first point of contact
B) Health education,proper nutrition,and disease prevention
C) Disease prevention,health protection,and health promotion
D) Accessible,acceptable,and affordable health care

Question 13

Mr.Jones lives in Ontario and requires home care nursing and support services.Who would deliver these services?

A) Social services branch of the department of health
B) Local public health units
C) Agency contracted by the Local Health Integration Network
D) Local health authority

Question 14

Who said,"The practice of health care has evolved.And despite efforts to keep pace,Medicare has not"?

A) Monique Begin,Minister of Health
B) Ralph Klein,Premier of Alberta
C) Brian Mulroney,Prime Minister of Canada
D) Ray Romanow,Commissioner on the Future of Health Care

Question 15

What is the origin of Medicare?

A) The American health care system
B) Traditional Aboriginal healing practices
C) The religious orders that first provided health care
D) Canada's federal government

Question 16

Which model dominated public and political thinking about health during the time that the Canadian Medicare system was created in 1957?

A) Healthy lifestyle model
B) Socio-environmental model
C) Biomedical model
D) Health promotion model

Question 17

What was the purpose of the Canada Health Act (1984)?

A) Provide the provinces with more legal authority
B) Ban extra billing and user fees
C) Establish a national drug plan
D) Increase Canadians' access to health care based on ability to pay

Question 18

What Act has as its cornerstones publicly administrated,comprehensive,universal,portable,and accessible?

A) Hospital Insurance and Diagnostic Services Act
B) Constitution Act
C) Canada Health Act
D) American Medicare Act

Question 19

What provided the basis for the Ottawa Charter?

A) Alma Ata Declaration
B) Canada Health Act
C) National Forum on Health
D) Epp Framework

Question 20

Who funds public health in Canada?

A) Provincial and/or municipal tax dollars
B) Municipalities
C) Federal government
D) Provinces and federal government

Question 21

Role clarity has been identified as an issue for community health nurses in the 2010 Synthesis of Canadian Community Health Nursing Reports.What is a component of role clarity?

A) Understanding the role of other health care professionals
B) Common language to describe the role
C) Access to specialized expertise
D) Leadership development

Question 22

Give an example of where the Canada Health Act (1984)has been successful.Provide a rationale and an example of where its success has been more limited.

Question 23

Summarize two federal initiatives in the development of health promotion and give one rationale for each that illustrates their importance on an international level.

Question 24

What organizational supports would encourage the professional development of community health nurses?

A) Regular performance feedback
B) Formalized communication mechanisms
C) Formalized student preceptor programs
D) Articulation of the vision

Question 25

Name three of the five principles of the Canada Health Act (1984)and give an example for each.

Question 26

The Best Practice Guidelines on Nursing Leadership (RNAO,2006)outlined attributes for effective nurse leaders.What is one of those attributes?

A) Avoiding risk taking
B) Organizational ability
C) Social awareness
D) Comfort with routines

Question 27

Contrast the terms primary care and primary health care and give an example for each related to community health nursing practice.

Question 28

What health care service accounts for the smallest percentage of health care dollars?

A) Physicians
B) Hospitals
C) Drugs
D) Home care

Question 29

Discuss three Canadian values that are reflected in the current Medicare system.

Question 30

What factor has the greatest impact on community health nurses' ability to practice to their full scope?

A) Staffing shortages
B) Funding
C) Leadership
D) Being valued for their services

Question 31

In 1989 the Treasury Board approved the transfer of Indian health services.Which statement is true about this transfer?

A) Transferred responsibility to the provinces
B) Unspent monies were to be returned
C) Requires certain programs to be offered
D) Optional to all First Nation and Inuit communities