Canadian Health Care Systems
Test Preparation
Course Introduction
This course offers an in-depth analysis of the Canadian health care system, exploring its historical evolution, organizational structure, delivery models, and funding mechanisms. Students will examine provincial and federal roles, the principles underlying universal health coverage, and the impact of policy decisions on accessibility, quality, and equity of care. Topics include the Canada Health Act, financing and administration, health human resources, Indigenous health services, as well as current challenges such as wait times, drug coverage, and emerging health technologies. The course encourages comparison with other international health systems and critical discussion of reforms and future directions in Canadian health care.
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 of the following best describes community health nursing?
A)Focusing on the health care of individual clients in the community
B)Giving care with a focus on the group's needs
C)Giving care with a focus on the aggregate's needs
D)Working with an approach of unique client care
Answer: A
Q2) Which of the following definitions reflects "client as society"?
A)Groups within a population working together on a defined activity
B)Systems that incorporate the social, political, economic, and cultural infrastructure to address issues of concern
C)People and the relationships that emerge among them as they develop and share environments
D)A large group of people who have at least one characteristic in common and who reside in close proximity
Answer: B
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3
Chapter 2: The Evolution of Community Health Nursing in Canada
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/39740
Sample Questions
Q1) Which of the following nurses was instrumental in establishing the first integrated basic nursing degree program in Canada?
A)Florence Nightingale
B)Kathleen Russell
C)Edna Moore
D)Lillian Wald
Answer: B
Q2) Which one of the following is the main area of concern for the occupational health nurse (OHN)?
A)Increasing benefits upon renewal of employment contracts
B)Ensuring higher salaries and bonuses upon acceptance of employment
C)Returning most nursing care to the home, where family members give all needed care
D)Focusing on disease prevention activities in the workplace
Answer: D
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Chapter 3: Community Health Nursing in Canada: Settings,
Functions, and Roles
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/39741
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) To help congregation members better meet their nutritional needs, a parish nurse encourages them to participate in activities that focus on fellowship, as well as serving healthy meals to both attending and homebound church members.What do programs such as this exemplify?
A)Entitlement programs
B)Health ministries
C)Partnerships
D)Pastoral care practices
Answer: B
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Chapter 4: Health Promotion
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/39742
Sample Questions
Q1) Which report focused on the introduction of the "health field concept" with its four domains?
A)Epp Report
B)Black Report
C)Lalonde Report
D)WHO Commission Report on Social Determinants
Q2) Which one of the following is perhaps the most helpful idea among the unlimited suggestions for how to improve health care in Canadian communities?
A)Increasing funding and personnel to advance new pharmaceutical interventions
B)Increasing funding for further research into the most effective medical interventions
C)Increasing technological advances to constantly improve surgical survival rates
D)Involving communities in their health care and encouraging their participation in decisions about health care
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Chapter 5: Evidence-Informed Practice in Community
Health Nursing
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/39743
Sample Questions
Q1) For CHNs who are familiar with evidence-informed practice and want to implement it in their care of clients, which of the following is the biggest challenge?
A)Accessing the evidence and integrating it into practice
B)Convincing others that it is beneficial
C)Distinguishing evidence-informed practice from practice based on old standards
D)Showing clients that evidence-informed practice will improve their health outcomes
Q2) A health care provider is concerned about the high number of clients with type 2 diabetes who have poor glucose control.In order to implement evidence-informed practice to manage this problem, which one of the following would be the best reference for the health care provider to use?
A)Published protocols
B)Current research findings
C)Opinions of colleagues
D)Nursing journals
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Chapter 6: Ethics in Community Health Nursing Practice
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/39744
Sample Questions
Q1) A CHN has been asked to meet with a couple that recently emigrated from Botswana.The clinic doctor told the man about his wife's diagnosis of breast cancer, and the couple was about to leave.Although all of the following actions by the CHN might be appropriate, which one is probably the most important action, ethically?
A)Insisting that the family set up a surgical appointment for the wife immediately
B)Assessing the family's current living situation, including insurance and other assets
C)Educating the family about breast cancer, including the standard treatment and the prognosis
D)Interviewing the family to find out about their perception of the threat to the family's well-being
Q2) Which one of the following is the central, most important concept or action in nursing today?
A)Adapting to the use of computers and other technological advances
B)Caring
C)Distinguishing nursing care from medical care
D)Seeking evidence-based outcomes
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Chapter 7: Diversity
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Sample Questions
Q1) At a local hospital, postpartum care policy requires that nurses observe the mother to assess her ability to care for the new baby and to promote bonding.A new immigrant mother says that, in her country, all infant care is provided by family members so that the mother can rest and recover.In her home country, it is believed that if the mother does not recover sufficiently, she will be unable to provide the best care.Which of the following actions will the culturally competent nurse take?
A)Allow family members to provide care to the baby and assess the mother's knowledge of child care through discussion.
B)Explain the importance of bonding and how all good mothers gladly assume these responsibilities.
C)Explain that the process of postpartum recovery does not require this much rest, but does require that she provide infant care.
D)Explain that the mother must abide by hospital policy because documentation of this ability is required for discharge.
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Chapter 8: Epidemiological Applications
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/39746
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) Which model best explains the reasons why homeless individuals are at increased risk of disease as a result of multiple agent, host, and environmental factors?
A)The web of causality
B)The epidemiological triangle
C)The levels of prevention
D)The Health Promotion Model
Q3) 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
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Page 10
Chapter 9: Working With Community
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9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/39747
Sample Questions
Q1) 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
Q2) The CHN has identified that a knowledge deficit is the primary reason why new mothers in a region are choosing not to breastfeed and wants to determine the best strategy to implement an intervention.Which emphasis should this intervention have?
A)Alternate dimension
B)Process dimension
C)Status dimension
D)Structural dimension
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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/39748
Sample Questions
Q1) Which of the following descriptors meets 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 one of the following programs would best exemplify an emphasis on 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 11: Working With Vulnerable Populations
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/39749
Sample Questions
Q1) 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.
Q2) Which one of the following characteristics observed in a teenage boy should always alert the CHN to the possibility of suicide?
A)Age between 15 and 19 years
B)A homosexual orientation and history of depression
C)Threatening to cause harm to peers
D)A history of torturing and abusing animals
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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13
Chapter 12: Working With Family
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/39750
Sample Questions
Q1) Historically, CHNs focused on the care of individuals while viewing the families of individuals as either background resources or possible stressors.Which view of the family did this traditional conceptualization take?
A)Family as the client
B)Family as a component of society
C)Family as context
D)Family as a system
Q2) Which of the following actions by the CHN has the most potential to empower the family of a mother with newly diagnosed breast cancer?
A)Applying for emergency financial assistance on the family's behalf
B)Arranging for community members to assist with child care
C)Recommending that the mother join a cancer support group
D)Teaching the family how to navigate the health care system
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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14
Chapter 13: Working With Client As Individual: Health and Wellness Across
the Lifespan
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/39751
Sample Questions
Q1) According to the Comprehensive School Health Framework of health promotion, which one of the following is the correct definition of primordial prevention?
A)Interventions aimed at educating children about health risks
B)Preventing risk factors of health issues from ever occurring
C)Screening activities aimed at improving student health
D)Activities aimed at reducing the health complications associated with disease
Q2) The second leading cause of cancer deaths in Canadian women is colorectal cancer.Which of the following options is key to improving long-term survival in women with colorectal cancer?
A)Screening and treatment
B)Primary prevention and early detection
C)Providing information and chemotherapy
D)Prevention of infections and smoking cessation
Q3) 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
Page 15
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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) Transforming conflict by incorporating variety within the group, through sharing leadership and promoting communication skill development, is an example of which one of the following?
A)The power of diversity
B)The power of solidarity
C)The power of shared responsibility
D)The power of bilateral friction
Q2) Which leadership style is most appropriate for the CHN to assume when he or she is involved in disaster management, for example, that of the severe acute respiratory syndrome (SARS) outbreak?
A)Autocratic
B)Democratic
C)Bureaucratic
D)Transactional
Q3) Which one of the following is the main influence on the effectiveness of a group's work?
A)The general knowledge of group members
B)The group's leadership
C)Group diversity
D)The group's health behaviours
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Chapter 15: Environmental Health
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/39753
Sample Questions
Q1) In which of the following scenarios does the occupational health nurse (OHN) use primary prevention to improve health outcomes when environmental health risks are present?
A)Using radiation detectors to detect unsafe levels of radiation exposure
B)Irrigating the eyes of an employee who has had a chemical splash to the face
C)Teaching new employees who will work outdoors about the signs and symptoms of heat-related illness
D)Using spirometry to rule out obstructive or restrictive lung disease in workers before they start using mask respirators
Q2) Which of the following is the first step to understanding the potential environmental health risks in a community in order to conduct an environmental health assessment?
A)Conduct a health risk assessment of randomly selected individuals.
B)Perform a windshield survey.
C)Review facility permits and consumer confidence reports.
D)Survey community members.
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Chapter 16: Disaster Management
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8 Verified Questions
8 Flashcards
Source URL: https://quizplus.com/quiz/39754
Sample Questions
Q1) 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
Q2) 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
Q3) In which of the following scenarios has an influenza pandemic occurred?
A)There is a lack of pandemic vaccine production.
B)A new strain of influenza appears.
C)Cases of H1N1 outnumber those of influenza A.
D)More than 75% of the population is affected.
Q4) What is the ultimate contribution of the disaster preparedness plan?
A)It reduces injuries.
B)It enhances collaboration among the community partners.
C)It reduces stress and panic behaviours.
D)It reduces involvement.
18
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Chapter 17: Communicable and Infectious Disease
Prevention and Control
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/39755
Sample Questions
Q1) Women who develop vaginal fungal infections (commonly referred to as yeast infections) usually have a history of having been prescribed antibiotics for bacterial infections.Which component of the epidemiological triangle (agent-host-environment) contributes most to the development of vaginal infections?
A)Agent
B)Environment
C)Host
D)Agent and host
Q2) Of the following infectious disease interventions, which one is most representative of secondary prevention?
A)Clients with human immunodeficiency virus ( HIV ) infection are encouraged to use condoms to protect their sexual partners.
B)Clients with HIV infection are given medications to improve immunological response.
C)Health care workers are encouraged to receive annual vaccinations for influenza.
D)Health care workers are required to have a tuberculosis ( TB ) skin test or chest X-ray.
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Chapter 18: Applications in Working With Specific Aggregates
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9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/39756
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 represents a challenge when gathering background statistical population-based information on specific minority aggregates?
A)Cultural bias is always present.
B)There are many social and political impacts of colonization.
C)It is difficult to find comparative health information for small communities.
D)Statistics Canada does not collect data on specific minority aggregates.
Q3) 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.
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