Deck 2: The Canadian Health Care Delivery System

Question 1

Child immunizations,support groups for adolescent parents,and chlorinated water are examples of which level of health care?

A) Health promotion
B) Disease and injury prevention
C) Supportive care
D) Rehabilitation

Answer 1

B

Question 2

Aboriginal health care is directed by a number of treaties.Which of the following refers to Treaty 6,which includes a provision for health care services?

A) The Indian Act
B) The "medicine chest" clause
C) The Indian band agreements
D) The land and relationship understanding

Answer 2

B

Question 3

For which of the following health care tasks is the federal government responsible?

A) Provide health care insurance plans.
B) Manage and plan insurable health services.
C) Deliver health services for targeted groups.
D) Provide long-term care services.

Answer 3

C

Question 4

Which of the following is one of the four pillars of primary health care,as described by the National Primary Health Care Awareness Strategy (2006)?

A) Teams
B) Universality
C) Health promotion
D) Immediate access to primary care

Question 5

A client comes to the ambulatory care clinic for management of a chronic condition.What does the nurse tell him when he asks for an explanation of the Medicare system?

A) It is Canada's national health insurance system.
B) It is a fee-for-service insurance plan.
C) It is a plan in which monies from provincial taxes are used for nursing homes.
D) It is a social insurance program for low-income earners.

Question 6

The Canadian Patient Safety Institute (CPSI)provides leadership in building and advancing a safer health care system.According to the CPSI,how many clients contract an infection while in hospital?

A) 1 in 20 clients
B) 1 in 9 clients
C) 1 in 4 clients
D) 1 in 50 clients

Question 7

Which of the following best describes primary care?

A) Early detection and routine care, as well as prevention
B) Provision of a specialized medical service
C) Treatment of all clients with a minimum level of health insurance
D) Provision of medical services in a client's home

Question 8

Which of the following factors is contributing to the shortage of nurses in Canada?

A) Increased birth rate creating a greater demand for nursing services
B) New technology replacing nurses at the bedside
C) Fewer people wishing to practice as nurses because health trends are focusing on natural and alternative therapies
D) A large percentage of nurses retiring

Question 9

Which of the following is the fastest growing component of the health care system?

A) Primary care
B) Respite care
C) Home care
D) Palliative care

Question 10

"Residents temporarily absent from their home province are to have their incurred services paid for by the home province,in the same amount that would have been paid by the home province." This statement describes which principle of the Canada Health Act (1984)?

A) Portability
B) Universality
C) Public administration
D) Accessibility

Question 11

Which of the following concepts is discussed in the Kirby Report (The Health of Canadians-The federal role,2002)?

A) The private sector should not be involved in health care delivery.
B) The present Medicare system is sustainable and must be preserved.
C) Accountability is important for services and funding.
D) A National Health Council is required.

Question 12

Mr.Jones is 72 years old.He is ambulatory and is to be discharged from hospital following a total hip replacement,with requirements for daily physiotherapy and respiratory therapy.Which of the following would be the most appropriate facility referral for the nurse to make?

A) A rehabilitation centre
B) An assisted-living facility
C) A community health clinic
D) A home care agency

Question 13

Which of the following is true regarding the Romanow Commission?

A) Roy Romanow recommended making long-term care an essential service.
B) Roy Romanow concluded that Canada's Medicare system is sustainable and must be preserved.
C) The Romanow Commission's top priority was to abolish the National Health Council in order to replace it with provincial regulating bodies.
D) The Romanow Commission saw increased use of telehealth as a key area for change and reduced costs.

Question 14

Nurses use levels of prevention to provide a framework or guide for nursing interventions.Focus is based on the client's needs and the care or service provided.Which of the following is an example of a true health promotion service?

A) An immunization clinic
B) A diabetic support group
C) A prenatal nutrition class
D) A smoking cessation clinic

Question 15

Older adults,who constitute less than 14% of the Canadian population,account for what percentage of health care spending?

A) 24%
B) 34%
C) 44%
D) 54%

Question 16

A mother brings her child to be seen in a nurse-managed setting.She is concerned that her child's rash could be measles.What type of care does this represent?

A) Respite care
B) Primary care
C) Supportive care
D) Secondary care

Question 17

Which of the following is an appropriate referral for an older client who requires some assistance with daily activities within a partially protective environment?

A) Respite care
B) Rehabilitative care
C) Assisted living
D) Extended care