Canadian Health Care System
Final Exam Questions
Course Introduction
This course offers a comprehensive overview of the Canadian health care system, examining its historical development, organizational structure, funding mechanisms, and policy frameworks. Students will explore the roles and responsibilities of federal, provincial, and territorial governments in providing and regulating health services. The course also analyzes the principles underpinning Medicare, current challenges such as wait times and access to care, and ongoing reforms. Through case studies and comparative analysis with other countries, students will develop an understanding of the systems strengths, weaknesses, and future directions.
Recommended Textbook
Community Health Nursing in Canada 2nd Edition by Marcia
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18 Chapters
292 Verified Questions
292 Flashcards
Source URL: https://quizplus.com/study-set/2001
Page 2
Chapter 1: Community Health Nursing
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/39739
Sample Questions
Q1) Which one of the following public health services represents primary prevention?
A)Developing a health education program about the dangers of smoking
B)Providing a diabetes clinic for adults in low-income neighbourhoods
C)Providing an influenza vaccination program in a community retirement village
D)Teaching school-aged children about the positive effects of exercise
Answer: C
Q2) Which of the following is the primary explanation for life expectancy increasing so notably during the twentieth century?
A)An increase in findings from medical laboratory research
B)Incredible advances in surgical techniques and procedures
C)Improved sanitation and other public health activities
D)Increased use of antibiotics to fight infections
Answer: C
Q3) Which of the following best describes primary health care?
A)A comprehensive way to address issues of social justice
B)Giving care to manage acute or chronic conditions
C)Giving direct care to ill individuals within their family setting
D)Having the goal of health promotion and disease prevention
Answer: A
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Page 3
Chapter 2: The Evolution of Community Health Nursing in Canada
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) What was the main reason for the brief existence of the nurse practitioner-model educational program?
A)Inadequate assessment and planning in the local area
B)Insufficient provincial/territorial funding
C)The large number of primary care physicians practicing in urban areas
D)The need for nursing expertise and skills
Answer: C
Q2) The Industrial Revolution caused earlier caregiving approaches-where care was provided by families, friends, and neighbours-to become inadequate because of constantly increasing demand.Which one of the following situations also contributed to the inadequacy of caregiving approaches at this time?
A)Ongoing wars, which caused frequent deaths and injuries
B)Horrific plagues that swept through Europe
C)Migration and urbanization
D)The need to pay caregivers
Answer: C
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Chapter 3: Community Health Nursing in Canada: Settings,
Functions, and Roles
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) Which of the following is a core competency required of PHNs?
A)Advanced knowledge in the use of high-technology diagnostics
B)Familiarity with current life-support technology
C)Highly tuned skills for assessment of critically ill clients
D)Skill in developing policy and planning programs to improve health
Answer: D
Q2) For a CHN, which of the following describes the goal of advocacy?
A)Gaining organizational and governmental support for the promotion of nursing objectives
B)Improving community service needs identified by research findings
C)Integrating evidence-informed practice guidelines in the provision of community nursing service
D)Promoting self-determination in a client, family, group, or community
Answer: D
Q3) Which of the following 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
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Sample
Questions
Q1) The Canadian Community Health Nursing Standards of Practice identifies a community health nurse (CHN)'s role as advocate in creating public policy, as supporter of community action to influence public policy, and as instrument for societal change.Which one of the following is an example of a healthy public policy?
A)Immunizations
B)Behaviour change
C)Marketing materials
D)Crib/bed safety initiatives for infants and young children
Q2) Which of the following main ideas was Lalonde highlighting in his report entitled A New Perspective in the Health of Canadians (1974)?
A)Access to health care and cost and quality of health care
B)Appropriate legislation to control health care organizations
C)The influence of biology, environment, and lifestyle on good health
D)Accessibility and health promotion
Q3) What is the focus of health promotion in Canada?
A)Achieving consensus on community health needs
B)Developing a population approach based on the determinants of health
C)Dictating interventions that match the government's identified priorities
D)Promoting individual health status
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Page 6
Chapter 5: Evidence-Informed Practice in Community
Health Nursing
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) Which of the following actions by the nurse executive would best implement evidence-informed practice at a community nursing centre that serves a large Cuban immigrant population?
A)Having university experts with cultural competency expertise review the centre's policies
B)Having weekly staff meetings for the purpose of determining which methods seem to work best when helping immigrants
C)Including Cuban immigrants from the community on the centre's advisory board
D)Sending centre staff to conferences and seminars that focus on providing health care to immigrants from Spanish-speaking countries
Q2) The CHN who best applies evidence-informed practice directly performs which of the following actions to determine the best way to address an outbreak of a new infectious disease?
A)Reviews policies and procedures
B)Reviews outcomes of clinical trials
C)Reviews several nursing textbooks
D)Gets information from the Internet
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7
Chapter 6: Ethics in Community Health Nursing Practice
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) Three CHNs are disagreeing about the appropriate treatment for Mrs.Mehta, who is probably an excellent candidate for hospice care.The first CHN says that deciding on care, rather than cure, is up to Mrs.Mehta, and no one else can decide for her.The second CHN says that it is the responsibility of the health care team to do what is best for Mrs.Mehta, and if the physician thinks there is still a possibility of cure, then the CHNs should do everything they can to implement the treatment plan.The third CHN says it is not fair for the family to expend all their resources on Mrs.Mehta, who is probably going to die in spite of the care provided by the health care team.Which one of the following conclusions can be drawn from this dispute?
A)Ethical principles can conflict with each other.
B)The first CHN is correct because autonomy demands that the patient herself decide.
C)The second CHN is correct because professional health care providers profess or promise to always do the best for those under their care.
D)The third CHN is correct because utility demands the maximization of benefit for the majority.
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Chapter 7: Diversity
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) A family from Mexico presents to the public health department.None of the family members speak English, and no one at the health department speaks Spanish.Which of the following 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) A health care worker tells the CHN, "It does no good to try to teach those Aboriginal clients about nutrition because they will just eat whatever they want to, no matter how much we teach them." Which of the following behaviours does this statement exemplify?
A)Cultural imposition
B)Ethnocentrism
C)Racism
D)Stereotyping
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9
Chapter 8: Epidemiological Applications
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) Through which of the following actions would the CHN who wishes to decrease the incidence of obesity in elementary school children provide secondary prevention?
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
Q2) When doing which of the following activities does the community health nurse (CHN) act in the role of a nurse epidemiologist?
A)Eliciting the health history of a client presenting with an illness
B)Performing a physical assessment of an ill client
C)Providing treatment and health education to a client with a disease
D)Evaluating the number of clients presenting with similar diseases
Q3) Which one of the following 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
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Page 10
Chapter 9: Working With Community
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9 Verified Questions
9 Flashcards
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Sample Questions
Q1) Which of the following 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
Q2) For the community health nurse (CHN) who is involving the community-client as partner, during which phase does data collection take place to determine the community's health and structure?
A)Assessment phase
B)Planning phase
C)Implementation phase
D)Evaluation phase
Q3) Which measure of community health will the CHN who wishes to assess the status of a community's health examine?
A)Community awareness
B)Health facilities
C)Health care manpower
D)Vital statistics
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Chapter 10: Health Program Planning and Evaluation
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) On the basis of projected increases in the number of older adult Canadian citizens, a planning committee wants to establish a daycare program for the community's older adult population.Which stage would be used to assess the needs of this proposed program?
A)Preactive stage
B)Reactive stage
C)Inactive stage
D)Interactive stage
Q2) Which of the following potential data sources would most likely be eliminated by the community health nurse (CHN) who wishes to conduct a needs assessment on a limited budget?
A)Community forums
B)Examination of community indicators
C)Focus groups
D)Surveys
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12
Chapter 11: Working With Vulnerable Populations
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) A CHN is asked by a parent group to explain the risk factors for alcoholism.Which of the following statements should the CHN include in the explanation?
A)Alcoholism is determined solely by environment.
B)Alcoholism is determined partly by genes.
C)Alcoholism is higher in women.
D)Persons born with fetal alcohol syndrome are alcoholics from birth.
Q2) Which of the following actions should a CHN take when using the case management approach with vulnerable populations?
A)Be willing to enter into a long-term relationship with families.
B)Direct and control the client's care because the CHN knows what is most needed.
C)Encourage families to become self-sufficient and less dependent on nursing personnel for advice and referrals.
D)Rotate assignments periodically, to prevent attachment and codependency.
Q3) Which of the following is a primary cause of vulnerability?
A)Breakdown of family structures
B)Poverty
C)Prejudice
D)Social isolation
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Chapter 12: Working With Family
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) The CHN needs to conduct a family assessment for a family that lives in a commune, but is uncertain about how to proceed because family lines appear blurred.Which one of the following questions should the CHN ask to determine the structure of a family comprising a mother and a child?
A)"How many children do you have, and who is the father of each of them?"
B)"Is there a register of families that are members of this commune?"
C)"Tell me about your significant other."
D)"Who are the members of your and your child's family?"
Q2) Which of the following scenarios is an example of a normative event that can increase the risk for illness?
A)A family is involved in a motor vehicle accident.
B)A group of teens experiments with recreational drugs.
C)A woman is pregnant with her first child.
D)The family's only earning member is laid off from work.
Q3) The CHN conducting a health risk appraisal assesses which one of the following?
A)Health promotion activities
B)Illness prevention activities
C)Risk reduction activities
D)Unhealthy events
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Page 14
Chapter 13: Working With Client As Individual: Health and Wellness
Across the Lifespan
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Which type of prevention is exemplified by the administration of vaccines to promote child and adolescent health?
A)Primary prevention
B)Secondary prevention
C)Tertiary prevention
D)Both primary and secondary prevention
Q2) Which referral would be the best recommendation by the CHN 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
Q3) Which of the following is the primary determining factor of poor health outcomes in women?
A)Feelings of powerlessness
B)Lack of knowledge
C)Poverty
D)Stress
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Chapter 14: Working With Groups, Teams and Partners
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Which kind of team consists of members that work independently but come together to make client-based decisions?
A)Intradisciplinary team
B)Multidisciplinary team
C)Interdisciplinary team
D)Interprofessional team
Q2) A group leader attempts to resolve conflict among members by asking questions to uncover the meanings underlying their interactions and restating them for verification.This behaviour would fall into which classification?
A)Advising
B)Analyzing
C)Clarifying
D)Confronting
Q3) Which one of the following options best defines the term aggregate?
A)An aggregate is a large group.
B)An aggregate is a collection of individuals and families.
C)An aggregate is group within a population.
D)An aggregate is another name for a demographic group.
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16
Chapter 15: Environmental Health
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/39753
Sample Questions
Q1) The CHN is examining blood lead levels in school-aged children one year after a community-wide education intervention.Which of the following terms identifies this phase of the nursing process?
A)Assessment
B)Diagnosis
C)Intervention
D)Evaluation
Q2) Which of the following statements made by a seminar participant indicates that the community health nurse (CHN) speaker needs to further clarify teaching about environmental principles?
A)"Everything is connected to everything else."
B)"Everything has to go somewhere."
C)"The solution to pollution is prosecution."
D)"Today's solution may be tomorrow's problem."
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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Page 17
Chapter 16: Disaster Management
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8 Verified Questions
8 Flashcards
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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 intervention by the community health nurse (CHN)?
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) In the event of a disaster localized to one district, nursing response would most likely be directed by which following group?
A)Canadian Red Cross
B)Centres for Disease Control and Prevention
C)Centre for Emergency Preparedness and Response (CEPR)
D)Paramedics
Q3) 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
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Chapter 17: Communicable and Infectious Disease
Prevention and Control
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) A CHN asks a class to describe the ways in which HIV can be transmitted.Which of the following responses by a student indicates a need for additional teaching?
A)"HIV can be transmitted by droplet spread from sneezing or coughing."
B)"HIV can be transmitted by having unprotected sex with someone who is infected."
C)"HIV can be transmitted by sharing needles when shooting up drugs."
D)"HIV can be transmitted through transfusions of blood products that are contaminated with HIV."
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.Which of the following outcomes will be the result?
A)Active immunization
B)Long-lasting immunity
C)Natural immunity
D)Passive immunization
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Chapter 18: Applications in Working With Specific Aggregates
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9 Verified Questions
9 Flashcards
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Sample Questions
Q1) Developing a communication strategy to keep community members informed is an example of which of the following components of community capacity building?
A)Skill development
B)Partnership building
C)Documentation of progress
D)Establishing a planning team group
Q2) Which of the following demonstrates the first phase of application of the community health nursing process?
A)Participating in a health promotion lecture
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.
Q3) Whenever possible, population-based practice focuses on which level of prevention?
A)Primary prevention
B)Secondary prevention
C)Tertiary prevention
D)Individual prevention
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