Health and Health Care Delivery in Canada 2nd Edition by Valerie D. Thompson – Test Bank

Chapter 10: Current Issues and Future Trends in Health Care in Canada

MULTIPLE CHOICE

1. Name one of the main health care problems facing Canadians today.
a. More blended families in communities
b. Lack of drug benefits
c. Increasing numbers of physicians trained in other countries
d. Positive lifestyle changes of Canadians

ANS: B

Feedback
A The presence of blended families in the community does not present a health care problem.
B Thousands of Canadians have no drug benefits, do not qualify for government assistance, and cannot afford to buy the drugs they need. This is a major issue in the delivery of health care in Canada today.
C Increasing numbers of physicians trained in other countries do not present a health care problem.
D Positive lifestyle changes of Canadians do not present a health care problem.

DIF: Cognitive Level: Analysis REF: p. 335

2. Which of the following are challenges facing health care services for mentally ill people?
a. Underfunding and poor coordination of services
b. Underfunding and an increase in graduating nurses
c. Poor coordination of services and high immigration rates
d. Poor coordination of services and an increase in general practitioners

ANS: A

Feedback
A Although care for mentally ill people is improving, it is still underfunded and often poorly coordinated.
B An increase in graduating nurses is not a challenge facing mental health care services.
C High immigration rates are not a challenge facing mental health care services.
D An increase in general practitioners is not a challenge facing mental health care services.

DIF: Cognitive Level: Analysis REF: p. 334

3. Which of the following is a negative effect that the aging population is having on Canadian health care?
a. Retention of expertise in the workplace
b. Higher taxation base
c. Lower taxation base
d. More physicians specializing in gerontology

ANS: C

Feedback
A Retention of expertise in the workplace has a positive effect on health care.
B A higher taxation base has not been a negative effect of the aging population on health care.
C An aging population means that there are fewer people paying taxes, thus leaving less funding for health care.
D More physicians specializing in gerontology has not been a negative effect of the aging population on health care.

DIF: Cognitive Level: Knowledge REF: p. 341

4. Which of the following is helping to address the shortage of human health resources?
a. Increased casual positions for nurses
b. Decreased educational standards for physicians
c. Increased transfer payments for home care services
d. Increased enrolment for physicians in universities

ANS: D

Feedback
A Increasing casual positions for nurses does not help deal with the human health resource shortage.
B Lowering educational standards for physicians does not help the human health resource shortage.
C Increasing transfer payments for home care services is not an innovation to deal with the human health resource shortage.
D Increasing the enrolment in universities means an increase in graduating professionals, thus addressing the human health resource shortage. About 4.3 million Canadians still do not have a family doctor.

DIF: Cognitive Level: Knowledge REF: p. 347

5. In Canada, which of the following is a barrier to health care access?
a. An aging population
b. Increase in primary health care groups
c. Shortage of family doctors
d. Electronic health records

ANS: C

Feedback
A The aging population is not a barrier to health care access.
B An increase in primary health care groups is not a barrier to health care access.
C A shortage of family doctors makes it difficult for Canadians to access primary health care services. About 4.3 million Canadians still do not have a family doctor.
D Electronic health records do not present a barrier to health care access.

DIF: Cognitive Level: Knowledge REF: p. 347

6. Which of the following is a benefit of electronic health care records?
a. Prompt delivery of laboratory results
b. Decreased health care costs
c. Improved confidentiality
d. More graduating physicians choosing family medicine

ANS: A

Feedback
A The use of electronic health records results in faster delivery of laboratory results, resulting in more timely care being given.
B Decreased health care costs are not a benefit of electronic health care records.
C Improved confidentiality is not a benefit of electronic health records.
D An increase in physicians choosing family medicine is not a benefit of electronic health care records.

DIF: Cognitive Level: Knowledge REF: p. 367

7. Which of the following is a future initiative for the Canadian health care system?
a. Decreased equalization payments
b. Reasonable wait times
c. Decreased enrolment for nurses at university
d. A national drug insurance plan

ANS: B

Feedback
A Decreased equalization payments are not a future initiative for the health care system.
B The federal government funded an initiative aimed at provinces and territories to establish and maintain reasonable wait times. Although the situation is improving, wait times are still excessive.
C Decreased enrolment for nurses at university is not a future initiative for health care.
D A national drug insurance plan is not a future initiative for health care.

DIF: Cognitive Level: Knowledge REF: p. 352

8. Name a challenge facing home care services.
a. Increased numbers of nurses wanting to work in the community
b. Increased availability of long-term beds
c. Increased availability of beds for respite care
d. Funding is variable across the provinces

ANS: D

Feedback
A An increase in nurses wanting to work in the community is not a challenge being faced by home care services.
B Increased availability of long-term beds is not a challenge being faced by home care services.
C Increased availability of respite care beds is not a challenge being faced by home care services.
D Home care services are not addressed in the Canada Health Act; thus whether this service is provided is left up to the individual province or territory.

DIF: Cognitive Level: Knowledge REF: p. 348

9. Canada’s first ministers have implemented measures to reduce excessive wait times for five priority health care services. Which of the following are among the five services?
a. Gynecology and cardiac surgery
b. Cardiac surgery and joint replacement surgery
c. Diagnostic imaging and obstetrics
d. Joint replacement and general surgery

ANS: B

Feedback
A Gynecology is not a service with excessive wait times.
B Cardiac surgery and joint replacement surgery are two of the five services with the longest wait times.
C Obstetrics is not a service with excessive wait times.
D General surgery is not among the five priority services.

DIF: Cognitive Level: Knowledge REF: p. 352

10. Older Canadians constitute 14% of the population and account for which percentage of acute hospital stays?
a. 20%
b. 30%
c. 40%
d. 50%

ANS: C

Feedback
A Older Canadians account for 40% of acute hospital stays, not 20%.
B Older Canadians account for 40% of acute hospital stays, not 30%.
C Older Canadians account for 40% of acute hospital stays.
D Older Canadians account for 40% of acute hospital stays, not 50%.

DIF: Cognitive Level: Analysis REF: p. 342