Canadian Health Care System
Exam Materials
Course Introduction
This course provides a comprehensive overview of the Canadian health care system, examining its historical development, foundational principles, and organizational structure. Students will explore the roles of federal and provincial governments, the delivery of hospital and primary care services, public funding mechanisms, and key legislation such as the Canada Health Act. The course also addresses current issues including accessibility, equity, Indigenous health, and the impacts of policy reform while comparing the Canadian system to international health care models. Through critical analysis and case studies, students gain insights into the challenges and future directions of health care in Canada.
Recommended Textbook
Community Health Nursing in Canada 3rd Edition by Marcia
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18 Chapters
276 Verified Questions
276 Flashcards
Source URL: https://quizplus.com/study-set/1863
Page 2
Chapter 1: Community Health Nursing
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/37190
Sample Questions
Q1) Which of the following best describes community health nursing?
A) Giving care with a focus on the aggregate's needs
B) Giving care with a focus on the group's needs
C) Focusing on the health care of individual clients in the community
D) Working with an approach of unique client care
Answer: C
Q2) A registered nurse (RN), has just been employed as a CHN. Which question would be most relevant to her practice as she begins her position?
A) "Which community groups are at greatest risk for problems?"
B) "Which patients should I see first as I begin my day?"
C) "With which physicians will I be collaborating most closely?"
D) "Who is the nursing assistant to whom I can refer patients?"
Answer: A
Q3) Which activity is an example of the "advocate" role of the CHN?
A) Organizing home care support for a newly discharged older adult client
B) Acting as a member of a community action group for provision of accessible transit choices
C) Doing prenatal assessments
D) Facilitating a self-help group for smoking cessation
Answer: B
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Chapter 2: The Evolution of Community Health Nursing in Canada
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/37191
Sample Questions
Q1) In which practice area were the first PHNs in Canada employed?
A) Healthy baby clinics
B) Outpost nursing
C) School health programs
D) Tuberculosis education, prevention, and treatment
Answer: D
Q2) Following the release of the Romanow Report in 2002, which type of care was identified as the most rapidly growing area of community health care?
A) Home care
B) Community problems
C) Immunization
D) Women's issues
Answer: A
Q3) Which one of the following is a reason to study nursing history?
A) To fulfill provincial/territorial nursing requirements
B) To help fill up the necessary credit hours for graduation
C) To meet accreditation requirements
D) To understand the present and plan for tomorrow
Answer: D
Page 4
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Chapter 3: Community Health Nursing in Canada: Settings,
Functions, and Roles
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/37192
Sample Questions
Q1) What hazard tends to particularly affect employees who work in 2-week shifts?
A) Biological hazards
B) Environmental hazards
C) Physical hazards
D) Psychosocial hazards
Answer: D
Q2) The CHN has arranged for students in all classes at the local school to receive visual acuity testing to determine if they need glasses. What is the level of prevention represented by this activity?
A) Primary
B) Secondary
C) Tertiary
D) Both primary and secondary
Answer: B
Q3) What is the primary role of the forensic nurse in Canada?
A) Health promoter
B) Disaster planner
C) Sexual assault nurse examiner (SANE)
D) Outreach worker
Answer: C
Page 5
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Chapter 4: Health Promotion
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/37193
Sample Questions
Q1) How is the contemplation stage for changing behaviour different from the precontemplation stage for changing behaviour?
A) During the contemplation stage, the client does not yet intend to change his or her behaviour within the next 6 months.
B) During the contemplation stage, there is a lack of readiness to change behaviour.
C) During the precontemplation stage, there is a readiness to change behaviour.
D) During the contemplation stage, the client is thinking about changing behaviour within the next 6 months.
Q2) What is the most important feature of the Diffusion of Innovation Theory?
A) It avoids high-cost treatments and suggests cheaper alternatives.
B) It gives members incentives to use only network providers.
C) It shows that individuals adopt innovations at different rates.
D) It advocates working with geographically based communities.
Q3) How is health promotion distinct from health protection?
A) A focus on the assurance of the highest possible quality in care
B) A concern with enabling increased control over determinants of health
C) The specific delivery of care by a group of health care providers
D) The particular achievements of social marketing campaigns
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Chapter 5: Evidence-Informed Practice in Community
Health Nursing
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9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/37194
Sample Questions
Q1) What best represents the first step to take when using evidence-informed practice in the clinical setting?
A) Eliminating all protocols and standards that are not evidence based
B) Gathering data on the clinical problem
C) Formulating the clinical question
D) Revising mission statements and organizational philosophies
Q2) Which activity to determine the best way to address an outbreak of a new infectious disease exemplifies evidence-informed practice?
A) Reviews policies and procedures
B) Reviews outcomes of clinical trials
C) Reviews several nursing textbooks
D) Gets information from the Internet
Q3) How can a CHN best facilitate incorporation of evidence-informed practice in the clinical setting?
A) Elimination of all protocols and standards that are not evidence based
B) Group reflection on the ideals and expectations of nursing care
C) Incorporation of more client/practice-oriented research into decision making
D) Revision of mission statements and organizational philosophies
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Chapter 6: Ethics in Community Health Nursing Practice
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/37195
Sample Questions
Q1) What is the first and most crucial step in the ethical decision-making process?
A) Assessing the context or environment in which a decision must be made
B) Considering the various ethical principles or theories
C) Identifying the ethical concerns
D) Making a decision and acting on it
Q2) A community health nurse (CHN) facing an ethical dilemma is not able to determine which option would have the best outcome. She talks to her supervisor and lets the supervisor decide which action to take. Into which ethical category does the CHN's decision fall?
A) The decision is appropriate because the supervisor is responsible for the CHN's choices.
B) The decision is intelligent because the supervisor has access to resource persons (spiritual leaders, physicians, administrators) who may know of options that the CHN has not considered.
C) The decision is advisable, but only as an opportunity to further discuss the issue, because ultimately the CHN is still responsible for her own choice.
D) The decision is smart because the supervisor would be more aware of community priorities.
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Chapter 7: Diversity and Relational Practice in Community
Health Nursing
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/37196
Sample Questions
Q1) A family from Mexico presents to the community health centre. None of the family members speak English, and no one at the health centre speaks Spanish. What will be the most appropriate action on the part of the CHN?
A) Attempting communication using an English-Spanish phrase book
B) Calling the local hospital and arranging a referral
C) Emphatically stating, "No hablo Español" (I don't speak Spanish) and repeating as necessary
D) Finding an interpreter to translate
Q2) What practice demonstrates cultural competency for the care of clients with a cultural background different to one's own?
A) Maintaining an open attitude that welcomes differences
B) Keeping all behaviours culturally neutral to avoid misinterpretation
C) Relying on friendly gestures to communicate a caring attitude
D) Avoiding showing prejudice by using the same behaviour with all clients
Q3) What would be an example of "overt racism"?
A) Using traditional food and traditional dress
B) Restricting the burning of sweet grass
C) Participating in hate crimes
D) Making job positions available only to persons who are Canadian-born
Page 9
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Chapter 8: Epidemiological Applications
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/37197
Sample Questions
Q1) What would be the best choice for the nurse researcher who wishes to identify the long-term benefits and risks of a treatment for hyperlipidemia?
A) A cross-sectional study
B) An ecological study
C) A clinical trial
D) A retrospective analysis
Q2) Which actions could be taken by the CHN who wishes to provide secondary prevention to decrease the incidence of obesity in elementary school children?
A) Giving a presentation on the importance of exercise and physical fitness
B) Designing a game in which students need to make healthy food choices
C) Weighing students to identify those who are overweight
D) Putting students on a diet if they weigh more than 20% of their ideal weight
Q3) What is a CHN implementing when advising a client with osteoporosis to have three servings of milk or dairy products daily?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Treatment, but not prevention
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10
Chapter 9: Working With the Community
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9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/37198
Sample Questions
Q1) The CHN identified that a knowledge deficit is the primary reason why new mothers in a region choose not to breastfeed and wants to determine the best strategy to implement an intervention. What should this intervention emphasize?
A) Alternate dimension
B) Process dimension
C) Status dimension
D) Structural dimension
Q2) What is the best resource for the CHN who wants information about the leading causes of morbidity and mortality in a local region of the country?
A) Hospital records and statistics
B) Online information from Statistics Canada
C) The local chamber of commerce
D) The obituary columns of local newspapers
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11
Chapter 10: Health Program Planning and Evaluation
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/37199
Sample Questions
Q1) Which descriptors meet all of the criteria for identifying a potential client for a program?
A) All women 40 to 50 years of age who have not had a menstrual period for 3 consecutive months
B) Immigrants residing in the district of Wakefield for less than 5 years who have difficulty understanding care instructions because of limited English proficiency
C) Pregnant women who have received nutritional counselling but whose nutritional status did not improve
D) Children aged 18 months to 5 years who have been treated for nutritional deficiencies at the district health clinic
Q2) Which proposed program best emphasizes tertiary prevention?
A) Development of an in-school clinic that provides counselling on contraception
B) Providing a diabetes management program for persons with diabetes mellitus
C) Providing cardiovascular fitness evaluations at annual health fairs
D) Setting up free blood pressure screening at popular department stores and supermarkets
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Chapter
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/37200
Sample Questions
Q1) What would be the best CHN referral for a physically and mentally challenged older adult who wants to continue living with her family but whose family members are all working outside the home?
A) Adult daycare services
B) Home health care
C) Long-term care
D) Older adult centres
Q2) What is the most important action to be taken by the CHN who wishes to decrease childhood obesity?
A) Lobbying legislators to enact stronger legislation regarding unhealthy lunches and food from snack machines in schools
B) Increasing availability of nutrition programs in which schoolchildren are taught to make healthy food choices
C) Involving the entire family in the management of obesity in a child
D) Providing after-school activities and summer camps that focus on diet and exercise
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Chapter 12: Working With Families
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/37201
Sample Questions
Q1) A CHN researcher wants to know and better understand how the chronic illness of a child can affect a family's communication patterns, relationships, role expectations, and role behaviours. Which type of family nursing theory would best address the purpose of the CHN's research?
A) Developmental theory
B) Interactional theory
C) Structure-function theory
D) Systems theory
Q2) What does the CHN conducting a health risk appraisal assess?
A) Health promotion activities
B) Illness prevention activities
C) Risk reduction activities
D) Unhealthy events
Q3) Which type of risk the most important predictor of health?
A) Biological risk
B) Economic risk
C) Life-event risk
D) Health values
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14
Chapter 13: Working With Groups, Teams, and Partners
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/37202
Sample Questions
Q1) According to Tuckman and Jensen's (1977) five stages of group development, a group is in which stage when it is working on the task and related issues and some level of comfort has been established?
A) Forming
B) Storming
C) Norming
D) Performing
Q2) Which group-building and maintenance role describes the person who monitors group process to ensure that the group stays focused and identifies departures from the group's stated goals or procedures?
A) Coordinator
B) Encourager
C) Orienter
D) Commentator
Q3) What would be considered an effective group norm?
A) Group meetings generally do not start on time, but they do end on time.
B) Group members share positive and negative feelings about what is happening.
C) Group members often have hidden agendas to meet other purposes.
D) The group leader makes most of the group decisions.
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Page 15
Chapter 14: Indigenous Health: Working With First Nations
People, Inuit, and Métis
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9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/37203
Sample Questions
Q1) Which of the following demonstrates the second phase of application of the community health nursing process?
A) Assessing the cultural norms
B) Determining the needs of the community
C) Developing a 6-week wellness program
D) Supervising a fitness class at the local YWCA or YMCA
Q2) Whenever possible, population-based practice focuses on which level of prevention?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Individual prevention
Q3) Which one of the following groups has the highest life expectancy?
A) Inuit males
B) Inuit females
C) First Nations, Métis, and Inuit males
D) First Nations, Métis, and Inuit females
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Page 16
Chapter 15: Working With Vulnerable Populations
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/37204
Sample Questions
Q1) What is a primary cause of vulnerability?
A) Breakdown of family structures
B) Poverty
C) Prejudice
D) Social isolation
Q2) A CHN suspects that an elementary school student is being physically abused. Which action would be the most appropriate one for the CHN to take?
A) Ask the student about the abuse.
B) Document findings in the student's school record.
C) Discuss the suspicions of abuse with the student's teachers or the family's spiritual leader.
D) Notify legal authorities.
Q3) Which one of the following is an example of tertiary prevention by a CHN?
A) Administering the Mantoux (skin) test to identify persons with TB
B) Assessing for signs and symptoms of active TB
C) Directly observing clients with active TB as they take their antituberculosis medications
D) Interpreting TB skin test results
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Chapter 16: Communicable and Infectious Disease
Prevention and Control
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/37205
Sample Questions
Q1) A student asks the school nurse how acquired immune deficiency syndrome (AIDS) is diagnosed. Which answer is correct?
A) AIDS is diagnosed through the negative results of a screening test called an enzyme-linked immunosorbent assay (ELISA).
B) Antibodies to HIV, which form in about 6 weeks to 3 months following infection with HIV, are detected in the blood.
C) Antibodies to HIV reach peak levels of 200/mL of blood.
D) AIDS is diagnosed through positive ELISA results and clinical signs of AIDS.
Q2) CHNs have been advised by the medical director to give injections of hepatitis A immunoglobulin to selected susceptible persons in the event of a hepatitis A epidemic. What outcome will be the result?
A) Active immunization
B) Long-lasting immunity
C) Natural immunity
D) Passive immunization
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18
Chapter 17: Environmental Health
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/37206
Sample Questions
Q1) The CHN is examining blood lead levels in school-aged children one year after a community-wide education intervention. What term identifies this phase of the nursing process?
A) Assessment
B) Diagnosis
C) Intervention
D) Evaluation
Q2) Which scenario exemplifies the CHN's practice of secondary prevention to reduce environmental health risks?
A) Collecting blood specimens from preschool children to check for lead levels
B) Meeting with local government officials to request that the city clean up a contaminated vacant lot
C) Referring a child diagnosed with toxic lead levels to a neurologist
D) Teaching the parents of a 2-year-old about the dangers of lead-based paint in older homes
Q3) Local inspections of restaurants are conducted by which level of government?
A) Local and regional boards of health
B) Environment Canada
C) Provincial/territorial Ministry of Labour
D) Health Canada
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Chapter 18: Disaster Management
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8 Verified Questions
8 Flashcards
Source URL: https://quizplus.com/quiz/37207
Sample Questions
Q1) After surviving a house fire, a 5-year-old begins sucking his thumb and wetting his bed. What would be the best community health nurse (CHN) intervention?
A) Explain to the child that it is important to be strong and not act like a baby.
B) Reassure the family that this behaviour is a normal reaction to a traumatic experience.
C) Recommend admission into a hospital for psychological counselling.
D) Recommend behaviour therapy to treat regression.
Q2) When does the mitigation phase of disaster management begin?
A) Before the disaster occurs
B) During the disaster
C) Immediately following the disaster
D) During the recovery period
Q3) What is the purpose of disaster planning?
A) Decreasing global instability
B) Disrupting and altering community functioning
C) Managing response to disasters
D) Preventing disasters
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