week 1: chapter 2

Question 1

Where was Canada’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

Answer 1

d. saskatchewan in 1947

Question 2

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 access to care based on ability to pay

Answer 2

b. Ban extra billing and user fees

Question 3

What Act has as its cornerstones publicly administered, comprehensive, universal, portable, and accessible?
a. Hospital Insurances and Diagnostic Services Act
b. Constitution Act
c. Canada Health Act
d. American Medicare Act

Answer 3

c. Canada Health act

Question 4

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 the residents of Canada

Answer 4

d. Protect, promote, and restore the physical and mental well-being of the residents of Canada

Question 5

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 of funds 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 conditions and
criteria of the Act

Answer 5

b. Establishing criteria and conditions for insured health care services that must be met before
federal transfer of funds are made

Question 6

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

Answer 6

c. biomedical model

Question 7

Which document was considered revolutionary by the global community and led to a reconceptualization of health promotion?
a. The Lalonde Report
b. The Declaration of Alma Ata
c. The Ottawa Charter
d. The Social Determinants of Health

Answer 7

a. The Lalonde Report

Question 8

Who said, “The practice of healthcare has evolved. And despite efforts to keep pace, medicare has not.”
a. Monique Begin, former Minister of Health
b. Ralph Klein, former Premier of Alberta
c. Justin Trudeau, Prime Minister of Canada
d. Ray Romanow, Commissioner on the Future of Health Care

Answer 8

d. Ray Romanow, Commissioner on the Future of Health Care

Question 9

How does Canada rank in the world with respect to healthcare?
a. Canada has the lowest infant mortality rate in the world
b. Canada’s universal coverage is more costly and less effective than the privatized U.S. health
care system
c. Canada’s life expectancy at birth ranks among the highest in the world
d. Canada spends less than one-half as much per capita on healthcare than Japan

Answer 9

c. Canada’s life expectancy at birth ranks among the highest in the world

Question 10

what are the 4 determinants of health identified in 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 healthcare system

Answer 10

d. Environment, lifestyle, human biology, and healthcare system

Question 11

What provided the basis for the Ottawa Charter?
a. Epp Report
b. Alma Ata Declaration
c. Canada Health Act
d. British North America Act

Answer 11

a. Epp report

Question 12

what is involved in a 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. Health protection, health promotion, and disease prevention
d. Accessible, affordable, and acceptable health care

Answer 12

a. People accessing health care services at the first point of contact

Question 13

In which province do Family Health Teams deliver primary health care?
a. Quebec
b. Nova Scotia
c. Ontario
d. British Columbia

Answer 13

c. Ontario

Question 14

Who funds public health in Canada?
a. Provinces and municipalities
b. Municipalities
c. Federal government
d. Provincial and federal government

Answer 14

a. provinces and municipalities

Question 15

Which of the following is a challenge of public health in Canada?
a. There is decreased complexity and increased funding
b. While funding is decreasing, it is still adequate
c. Public health infrastructure was constructed
d. There is disparity in human resources among provinces

Answer 15

d. There is disparity in human resources among provinces

Question 16

Which services have been steadily growing in Canada over the past 35 years?
a. Public health
b. Acute care
c. Home care
d. Long term care

Answer 16

c. home care

Question 17

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

Answer 17

c. Agency contracted by the Local Health Integration Network

Question 18

Role clarity has been identified as an issue for community health nurses. What is a component of role clarity?
a. Understanding the role of other health care professionals
b. Sharing a common language to describe the role
c. Leadership development
d. Access to specialized expertise

Answer 18

b. Sharing a common language to describe the role

Question 19

What would help community health nurses to be valued more by other health care professionals?
a. To be able to describe their role with confidence
b. Quality supervision and management
c. Access to ongoing education and training
d. Stronger leadership in the area

Answer 19

a. To be able to describe their role with confidence

Question 20

which of the following is identified as attributes of nurse leaders that contribute to effectiveness:
a. Avoiding risk taking
b. Organizational ability
c. Social awareness
d. Comfort with routines

Answer 20

c. social awareness

Question 21

Within a context of community health nursing practice, which organizational supports positively influence practice?
a. A work environment that disestablishes leadership
b. A work environment that devalues unique contribution of staff
c. A work environment that has unstable funding
d. A work environment that has access to resources

Answer 21

d. A work environment that has access to resources

Question 22

Transformational leadership practices include which of the following?
a. Building relationships and trust
b. Creating disempowering work environments
c. Creating a culture that supports knowledge stasis
d. Avoiding taking any risks

Answer 22

a. Building relationships and trust

Question 23

professionals working in health service organizations with strong leadership demonstrate which of the following?
a. Lower levels of organizational effectiveness
b. Decreased organizational commitment
c. Increased ability to lead a stagnant workforce
d. Greater sense of affiliation with organizational goals

Answer 23

d. Greater sense of affiliation with organizational goals

Question 23

Which of the following personal resources are necessary for developing and sustaining leadership?
a. Personal identity
b. Leadership expertise
c. Community attributes
d. Family supports

Answer 23

b. leadership expertise

Question 24

What is one way to strengthen collaborative leadership at the national level?
a. Promoting community health solutions across sectors
b. Creating an empowering work environment
c. Cultivating personal supports
d. Willingness to be risk averse

Answer 24

a. promoting community health solutions across sectors