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Canadian Fundamentals of Nursing 6th Edition Potter Test BankChapter 02: The Canadian Health Care Delivery System
Potter et al: Canadian Fundamentals of Nursing, 6th Edition
MULTIPLE CHOICE
1. What is the fastest growing component of the health care system?
a. Primary care.
b. Respite care.
c. Home care.
d. Palliative care.
ANS: C
Canadian health care is shifting from an institution-based system to one in which community
care is playing a greater role. Home care is one of the fastest growing components of the
health care system, partly because patients are sent home from hospital sooner than they used
to be. Primary care, respite care, and palliative care are not the fastest growing components of
the health care system.
DIF: Apply REF: 27
OBJ: Describe five levels of health care and associated types of services.
TOP: Assessment MSC: CPNRE: Foundations of Practice
2. Which of the following is a contributing factor to the shortage of nurses in Canada?
a. Increased birth rate, which creates a greater demand for nursing services.
b. New technology, which replaces nurses at the bedside.
c. Fewer people wishing to practise as nurses because health trends are focusing on
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natural and alternative therapies.
d. Retirement of a large percentage of nurses.
ANS: D
The nursing workforce is currently challenged by the aging of workers, high retirement rates,
ethical problems in international recruitment, and lack of full-time positions. The average age
of RNs in Canada is 44.6 years; for LPNs, it is 41, and for RPNs, it is 46. The aging
population is creating the greater demand for nursing services. Neither the replacement of
nurses at the bedside by new technology nor the focus of health trends on natural and
alternative therapies is a factor identified as contributing to the shortage of nurses.
DIF: Apply REF: 19, Box 2-1
OBJ: Discuss principal factors influencing health care reform and the current health care delivery
system. TOP: Planning MSC: CPNRE: Foundations of Practice
3. A nurse working with a group of Indigenous parents refers to Treaty 6, which includes a
provision for health care services and is often referred to as which of the following?
a. The Truth and Reconciliation Act.
b. The “medicine chest” clause.
c. The Indigenous band agreements.
d. The land and relationship understanding.
ANS: B
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, Canadian Fundamentals of Nursing 6th Edition Potter Test Bank
Treaty 6 was often referred to as the “medicine chest” clause, as it included a provision for
health care services to be provided to Indigenous communities. The Indian Act, the Indian
band agreements (signed with the British government before Confederation), and relationship
agreements do not refer to Treaty 6.
DIF: Understand REF: 20
OBJ: Identify initiatives related to enhancing quality of the Canadian health care delivery system.
TOP: Planning MSC: CPNRE: Foundations of Practice
4. Which of the following is an example of a true health promotion service provided by a nurse?
a. An immunization clinic.
b. A diabetic support group.
c. A prenatal nutrition class.
d. A smoking cessation clinic.
ANS: C
Community clinics offer prenatal nutrition classes that promote the health of the woman,
fetus, and infant. Building healthy public policy, creating supportive environments,
strengthening community action, developing personal skills, and reorienting health services
are part of health promotion service. An immunization clinic is an example of disease and
injury prevention. A diabetic support group may be an example of a rehabilitation service, to
help patients adapt to a change in lifestyle. A smoking cessation clinic may be offered as part
of a rehabilitation service or as a disease and injury prevention intervention.
DIF: Apply REF: 28
OBJ: Describe five levels of health care and associated types of services.
TOP: Implementation MSC: CPNRE: Foundations of Practice
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5. When conducting a health care system class for immigrants to Canada, the nurse informs them
that the federal government is responsible for which of the following?
a. Providing health care insurance plans.
b. Managing and planning insurable health services.
c. Delivering health services to targeted groups.
d. Providing long-term care services.
ANS: C
The federal government is charged with delivering, or co-delivering, health care services for
targeted groups. Health care insurance plans, managing and planning insurable health
services, and providing long-term care services are the jurisdiction of the provinces or
territories.
DIF: Apply REF: 22
OBJ: Identify and define the principles of the Canada Health Act and significant legislation related to
the Canadian health care system. TOP: Implementation
MSC: CPNRE: Foundations of Practice
6. The nurse initiated a support group for adolescent parents and is teaching them about
chlorinated water and child immunizations, which are all examples of which of the following?
a. Health promotion.
b. Disease and injury prevention.
c. Supportive care.
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