Chapter 46: Healthcare in Canada My Nursing Test Banks

Chapter 46: Healthcare in Canada

Multiple Choice

Identify the choice that best completes the statement or answers the question.

____ 1. Which of the following statements best describes the development of the Canadian healthcare system?

1)

The system emerged from careful planning by a group of physicians and politicians from Montreal.

2)

The adoption of the system was unanimous and uneventful because healthcare providers, citizens, and lawmakers understood the need for it.

3)

The system began in Saskatchewan, and over several decades spread through the provinces and territories.

4)

Nurses began the move for national health coverage and smoothly pushed the system through the political process.

____ 2. The largest source of funding for the Canadian healthcare system is:

1)

Out-of-pocket expenses.

2)

Taxes.

3)

Private insurance.

4)

National debt fund.

____ 3. A registered nurse in the Northwest Territory provides care at a clinic serving Aboriginal patients. Which of the following facts will help him plan his care for this population? The Aboriginal peoples have:

1)

Higher rates of diabetes, TB, and smoking and a lower life expectancy than do non-Aboriginal peoples.

2)

Lower rates of heart disease but higher rates of cancer than do non-Aboriginal peoples.

3)

Higher than average educational levels but lower than average health outcomes.

4)

Reduced healthcare needs in the Northwest Territory compared to those in other parts of Canada.

____ 4. Future directions for change in the Canadian healthcare system include which of the following?

1)

As primary care services are being increased, public health services require more integration with the other services.

2)

There will be a significant increase in the number of hospital beds while maintaining the level of primary care services.

3)

Home health services are on the decline, but long-term care services are expected to increase.

4)

There will be a general expansion of all services, with the ratio of money spent in each area remaining constant.

____ 5. Models of care for provision of nursing services in Canada include:

1)

Team, functional, and independent practice for nursing care.

2)

Nurse practitionerled units of care for delivery of complex care.

3)

Culturally congruent teams delivering healthcare.

4)

Primary care using case management and a team nursing approach.

____ 6. A new nurse in Canada wishes to become politically active and join a nursing organization that will address the reform of the system. Which of the following organizations should this nurse join?

1)

Canadian Federation of Nurses Unions

2)

Canadian Labour Congress

3)

Canadian Nurses Association

4)

Nursing Strategy for Canada

____ 7. Which of the following is a key issue that the Canadian healthcare system must improve as it moves into a new era?

1)

Quality of care marked by errors in healthcare

2)

Affordability of healthcare services for low-income and high-risk clients

3)

Appropriateness of services offered to citizens and noncitizens

4)

Ability to fund healthcare services for noncontributing members of the system

____ 8. In order to practice as a registered nurse in British Columbia, a person must have current practicing registration with the College of Registered Nurses of British Columbia. Registration is best described as:

1)

The least restrictive level of regulation, requiring qualified practitioners to register with a professional body.

2)

The most restrictive level of regulation that allows only licensed individuals to perform specific interventions or care.

3)

A level of regulation that is granted only to individuals who meet certain educational and practice requirements.

4)

A higher level designation indicating professional competency and expertise within a specialty practice area.

Multiple Response

Identify one or more choices that best complete the statement or answer the question.

____ 1. The Canadian healthcare system is based on a several principles. Choose all that apply.

1)

Equity of access for all

2)

Nondiscrimination in access for care

3)

National delivery systems of care

4)

Private, nonprofit funding

____ 2. An aboriginal patient who resides in British Columbia develops abdominal pain while vacationing in Ottawa. She is hospitalized for 5 days. Which of the following principles applies when seeking healthcare in a nonresident territory? Choose all that apply.

1)

Portability

2)

Accessibility

3)

Universality

4)

Accountability

____ 3. Which of the following factors affect(s) the delivery of healthcare in Canada? Choose all that apply.

1)

Aging population

2)

Sparse population over large area

3)

Abundance of nurses

4)

Oversupply of physician specialists

____ 4. Identify the statements that best portray the Canadian nursing workforce. Choose all that apply.

1)

Almost 10% of Canadian RNs are male.

2)

The Northwest Territory has the highest number of RNs per population.

3)

The majority of Canadian RNs work in hospitals.

4)

Many provinces require a baccalaureate for entry into practice.

____ 5. Which of the following issues will affect reform of the Canadian healthcare system? Choose all that apply.

1)

Increased interest in self-care

2)

Less emphasis on individual accountability for health

3)

Growing interest in complementary and alternative care

4)

Decreased use of preventative therapies

____ 6. Indicate which of the following factors influence the need for greater educational requirements and specializations for registered nurses in Canada. Choose all that apply.

1)

Changing technology

2)

Client acuity

3)

Clearly defined scope of practice

4)

Increased responsibility and accountability

Chapter 46: Healthcare in Canada

Answer Section

MULTIPLE CHOICE

1. ANS: 3

The Canadian healthcare system began in Saskatchewan in 1947 under the guidance of Tommy Douglas, a Baptist minister. Initially, only hospital services were included, but over the decades physicians services were added. The battle for adoption was not smooth and included a physicians strike. Now all provinces and territories are part of the plan.

PTS: 1 DIF: Moderate

REF: ESG, Chapter 46, Healthcare in CanadaVolume 1 Full Text, p. 2

KEY: Cognitive level: Comprehension

2. ANS: 2

Approximately 70% of the total funding required for healthcare services in Canada comes from taxation.

PTS: 1 DIF: Moderate

REF: ESG, Chapter 46, Healthcare in CanadaVolume 1 Full Text, p. 10 | ESG, Chapter 46, Healthcare in CanadaVolume 2 Full Text, p. 1

KEY: Client need: SECE | Cognitive level: Recall

3. ANS: 1

The Aboriginal peoples of Canada have higher rates of diabetes, TB, infectious and parasitic diseases, suicides, deaths from motor vehicle accidents, homicides, hospitalizations, pregnancy complications, poisonings, and smoking than do non-Aboriginal peoples. Their life expectancy is less than non-Aboriginal peoples.

PTS: 1 DIF: Moderate

REF: ESG, Chapter 46, Healthcare in CanadaVolume 1 Full Text, pp. 11-12

KEY: Nursing process: Planning | Cognitive level: Comprehension

4. ANS: 1

Primary care services are expected to increase, and efforts are being made to integrate public health services into the existing healthcare system. Hospital beds are on the decline as more services are delivered on an outpatient basis. Home health services are being targeted for an increase, whereas the status of long-term care is unclear because many of these services are not currently covered.

PTS: 1 DIF: Difficult

REF: ESG, Chapter 46, Healthcare in CanadaVolume 2 Full Text, p. 1

KEY: Cognitive level: Analysis

5. ANS: 4

Models of care for provision of nursing services in Canada include team, primary, and functional nursing as well as case management.

PTS: 1 DIF: Moderate

REF: ESG, Chapter 46, Healthcare in CanadaVolume 1 Full Text, p. 20

KEY: Cognitive level: Comprehension

6. ANS: 3

The Canadian Nurses Association is a strong voice for nurses and the public. The Canadian Federation of Nurses Unions represents nurses unions and is the affiliating body for nurses to the Canadian Labour Congress. The Nursing Strategy for Canada is a national agenda for the profession.

PTS: 1 DIF: Difficult

REF: ESG, Chapter 46, Healthcare in CanadaVolume 1 Full Text, p. 22

KEY: Cognitive level: Comprehension

7. ANS: 1

Quality of care and reduction of errors are key issues for the evolving Canadian healthcare system. Healthcare is accessible to all citizens, including low-income, unemployed, and high-risk clients.

PTS: 1 DIF: Moderate

REF: ESG, Chapter 46, Healthcare in CanadaVolume 1 Full Text, p. 25

KEY: Cognitive level: Comprehension

8. ANS: 1

Registration is described as the least restrictive of the regulatory forms that requires practitioners in a certain profession to register with a professional body. The register of practitioner names is public record. Certification indicates expertise within a specialty practice area.

PTS: 1 DIF: Moderate

REF: ESG, Chapter 46, Healthcare in CanadaVolume 1 Full Text, p. 8

KEY: Cognitive level: Recall

MULTIPLE RESPONSE

1. ANS: 1, 2

The Canadian healthcare system is based on the principles of equal access for all, nondiscrimination in access for care, public administration and funding, and local delivery of care.

PTS: 1 DIF: Moderate

REF: ESG, Chapter 46, Healthcare in CanadaVolume 1 Full Text, p. 2

KEY: Cognitive level: Recall

2. ANS: 1, 2, 3, 4

When a patients care is medically necessary, healthcare can be accessed under the national healthcare plan, regardless of ethnicity or residence. Hospital and physician services will be covered. Portability means that Canadians living in one province or territory can obtain healthcare services in another province or territory without cost or penalty. Universality negates discrimination based on race, gender, income, ethnicity, or religion, and requires uniform terms and conditions for all residents of the jurisdiction. Healthcare providers are accountable for rendering reasonable and prudent care, based on standard practices, regardless of the province where the care is provided.

PTS: 1 DIF: Moderate

REF: ESG, Chapter 46, Healthcare in CanadaVolume 1 Full Text, pp. 3, 4

KEY: Cognitive level: Application

3. ANS: 1, 2

An aging population as well as the distribution of the population over a large area affects delivery of care. There is no abundance of nurses. In fact, the number of nurses has not kept pace with the population increase. Approximately 50% of physicians are specialists. Some may consider this an oversupply; however, this is far less specialization than occurs in the United States.

PTS: 1 DIF: Moderate

REF: ESG, Chapter 46, Healthcare in CanadaVolume 1 Full Text, pp. 11-13

KEY: Cognitive level: Analysis

4. ANS: 2, 3, 4

Ninety-five percent of Canadian RNs are female. The majority of them work in a hospital setting. The Northwest Territory has the highest number of RNs per population. Seven provincial/territory regulatory bodies have implemented the baccalaureate for entry into practice. Diploma education is the minimum requirement in the other regions.

PTS: 1 DIF: Moderate

REF: ESG, Chapter 46, Healthcare in CanadaVolume 1 Full Text, pp. 13, 14, 15

KEY: Cognitive level: Comprehension

5. ANS: 1, 3

There is increased emphasis on self-care and complementary and alternative healthcare in Canada.

PTS: 1 DIF: Moderate

REF: ESG, Chapter 46, Healthcare in CanadaVolume 1 Full Text, pp. 23, 27

KEY: Cognitive level: Recall

6. ANS: 1, 2, 4

Nurses providing healthcare today are challenged with changing technology, including electronic documentation via EHR, new diagnostics and monitoring devices, and treatment regimens. With increasing demands on the healthcare system (e.g., sicker patients and fewer providers), nurses roles involve more responsibility and accountability for the care they provide.

PTS: 1 DIF: Moderate

REF: ESG, Chapter 46, Healthcare in CanadaVolume 1 Full Text, p. 14

KEY: Cognitive level: Recall

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