Deck 9: The Canadian Health Care System

Question 1

In addition to each province and territory in Canada having a health care insurance plan,they are also governed by which of the following?

A)Health Canada
B)Public health
C)The Medical Care Act
D)The Canada Health Act

Answer 1

The Canada Health Act

Question 2

A nurse is interviewing a client at a clinic near a homeless shelter.Understanding the increased risk that a poor physical environment creates for this client,the nurse will focus on which of the following during the intake phase of the interview?

A)Lack of social and financial support
B)Recent history of chills and body aches
C)Inadequate nutrition
D)Few personal resources to draw upon

Answer 2

Recent history of chills and body aches

Question 3

Mr.Petropolis,72,has just been referred to hospice care,and his wife asks the hospice nurse the reason for the change in services.What is the best rationale to give her?

A)Hospice care may improve the quality of life.
B)There is no need for acute care any longer.
C)Caring for him at home is the best option.
D)Hospice care is cheaper than acute care.

Answer 3

Hospice care may improve the quality of life.

Question 4

An experienced RN is especially competent and knowledgeable about pharmacological agents,and gives all medications to all clients on the unit.What nursing delivery method does this reflect?

A)Primary nursing
B)Functional nursing
C)Team nursing
D)Case method

Question 5

Nurses in a small clinic are cross-trained to provide ECG testing,phlebotomy,and some respiratory therapy along with basic nursing care.Which delivery model is in place at this clinic?

A)Primary nursing
B)Case management
C)Patient-focused care
D)Critical pathways

Question 6

A hospital provides mainly what level of health care?

A)Primary
B)Secondary
C)Tertiary
D)Quaternary

Question 7

86-year-old Mrs.Albert has been discharged from hospital with a complex abdominal wound dressing,and decreased mobility due to pain.What would be an appropriate health care service for Mrs.Albert?

A)The community health centre
B)The physician's office
C)Home care services
D)Quaternary health care

Question 8

A client's case manager uses the term critical pathway in an interprofessional meeting.Some student nurses are attending the meeting and ask their instructor what the term critical pathway means.What would be the instructor's best response?

A)It is a plan or tool used by case managers for tracking a client's progress.
B)A critical pathway is used by case managers for clients who are critically ill.
C)Case managers use critical pathways for clients in a mental health facility.
D)It is a care plan used by case managers for people with complex or unusual diseases.

Question 9

Mrs.Svendsen,63,has Stage II Alzheimer's disease.Her husband,who needs to work full-time,tells the nurse that his wife forgets to turn off the stove after preparing food,and tries to drive the car if she finds the keys.The nurse may recommend which of the following?

A)Placement in an extended care facility
B)Her husband should consider retiring
C)Placing Mrs.Svendsen in an adult daycare environment
D)Increasing medication dose to slow the progress of the disease

Question 10

A client has asked the nurse if he may review his chart to help him determine his best course of care for his diabetes.What should the nurse understand regarding this request?

A)It is the patient's right to review his chart,and have it explained to him.
B)The chart is not written in layman's terms,making it difficult for him to understand.
C)A fee-for-service would be required for him to view the chart.
D)The chart is confidential,and may not be viewed by the client.

Question 11

Health care needs can be categorized by need,which affects the speed at which care is provided.Which of the following is a category of health care need?

A)Primary
B)Rehabilitative
C)Elective
D)Life-threatening

Question 12

Which of the following is a purpose of primary health care that would be familiar to a nurse practicing alongside several physicians in a clinic?

A)Acute care
B)Preventive care
C)Rehabilitative care
D)Quaternary care

Question 13

Wei,19,has been recovering after an injury that left him partially paralyzed.He is intent on living independently,as before the injury.The best referral for Wei would be to which of the following?

A)Paramedical technologist
B)Physiotherapist
C)Occupational therapist
D)Case manager

Question 14

Mr.Jung,53,requires a heart transplant.What level of care is appropriate for him?

A)Quaternary
B)Tertiary
C)Secondary
D)Primary

Question 15

Mrs.Buckley is an alert and independent 83-year-old who lives alone and has no family living nearby.She has recently been having increasing difficulty with mobility due to osteoarthritis,is losing weight,and becoming more isolated in her home.What recommendation should the nurse make?

A)Mrs.Buckley should see a psychiatrist,as she appears to have depression.
B)Extended care is where she needs to be to have all of her needs met.
C)Mrs.Buckley should explore joint replacement options for the osteoarthritis.
D)Moving to an assisted living facility may be a reasonable option for her.

Question 16

Mrs.Olivier,75,has been experiencing fatigue and difficulty breathing for the past three days and decides to seek out medical attention.What would be the most appropriate care agency for her at this time?

A)Hospice
B)Rehabilitation centre
C)Hospital
D)Primary health care provider

Question 17

Several nurses are looking for an agency with a program that would meet the needs of a community group seeking education around prevention of teen pregnancy.Where should the nurses look for assistance?

A)Telehealth
B)The local public health department
C)The local hospital ambulatory unit
D)Health Canada

Question 18

Although the Canada Health Act was passed in 1984 to ensure universal health care accessibility by outlawing extra-billing,many Canadians pay for supplementary insurance plans.What is one health-related need covered by such plans?

A)Admission to quaternary level centres
B)Prescription drugs
C)Mental health care
D)Emergency room visits

Question 19

Mr.Kindle,59,needs a low-fat,low-salt diet because of his hypertension.To which health care provider should he be referred?

A)Dietician
B)Pharmacist
C)Physician
D)Paramedical technologist

Question 20

Mrs.Agpalo,82,a terminally ill client,is deteriorating rapidly and requests to stay in her own home rather than go to a local hospice centre for care.What would be the best response by the nurse?

A)Tell her that hospice palliative care can be provided in her home
B)Inform her that she is closer to an acute care setting if at the hospice
C)Remind her that her family,and even her pets,may visit her in hospice
D)Suggest seeking her doctor's opinion about the safety of staying at home

Question 21

What is known about present day hospitals in Canada?

A)Canadian hospitals are becoming less specialized.
B)They have been experiencing an increase in beds.
C)Classifications depend upon services provided.
D)Acuity is decreasing in Canadian hospitals.

Question 22

Which of the following concepts are found in the definition of continuum of care?

A)One setting; one primary caregiver
B)Variety of settings; onset to resolution
C)Emergency department; discharge
D)Outpatient; inpatient to discharge

Question 23

Which of the following was a desired outcome of the 2003 First Ministers' Accord on Health Care Renewal?

A)More nurse practitioners
B)Universal health care
C)Reduced wait times
D)Privatization of hospitals

Question 24

Which of the following would be an example of accessibility,one of five criteria that must be met for federal cost sharing according to the Canada Health Act?

A)The requirement to have a hospital in all Canadian cities
B)The abolishment of a user fee for physician's office visits
C)Free dressing supplies for people discharged early from hospital
D)Free eyeglasses for people with failing vision

Question 25

What is one reason cited for an uneven distribution of health services in Canada?

A)Cost of drugs
B)Cultural diversity
C)Family characteristics
D)Specialization of services

Question 26

Mr.Teehan,77,needs to undergo cataract removal.He tells his nurse that he prefers not to be in the hospital because of all the infections reported in the newspaper.How should the nurse address this concern?

A)This is usually an outpatient procedure with community-based follow-up.
B)The surgery will prevent blindness and it is a necessary procedure.
C)The surgery requires only an overnight stay in hospital.
D)There are now medications to take for cataracts and you may not require surgery.

Question 27

Diagnostic tests have revealed that Mr.Shepherd,69,has metastatic cancer which is not amenable to treatment.Mr.Shepherd's longstanding physician states that she is certain that he would prefer not to know his diagnosis.What should the nurse do,given this situation?

A)Ask the physician to write an order on Mr.Shepherd's chart to ensure that he is not told
B)Remind the physician that the consumer rights to health care include the right to be informed
C)Agree with the physician,as Mr.Shepherd is too weak to take such devastating news
D)Tell Mr.Shepherd that he is entitled to get a second opinion regarding his prognosis

Question 28

Following the two World Wars,what was the first universal social program in Canada?

A)Canada Pension Plan
B)Old Age Security
C)Family Allowance Act
D)Municipality Act