Nokea
In 1867, the British North America Act (BNA Act) clarified that provincial responsibilities for health care included which of the following?
- A. Public policy
- B. Public policy
- C. Pharmaceutical safety
- D. Health research
Correct Answer: A
Rationale: The BNA Act clearly stated that the provinces were responsible for public health, including hospital care, whereas the federal government was responsible for the public policy aspects of health, such as pharmaceutical safety.
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One of the key features of the Canadian medicine approach that differentiates it from other national health programs is which of the following?
- A. Fee of services
- B. Privatization
- C. Decentralization
- D. Flexibility
Correct Answer: C
Rationale: Medicare is highly decentralized, with each province or territory retaining control over the provision and allocation of select health services.
The Canada Health Act (1984) is rooted in five guiding principles. Which of the following statements reflect the principle of universality?
- A. Residents are not charged 'out of pocket' costs for health services.
- B. Residents can receive the same service in every province or territory.
- C. Residents have reasonable access to health services.
- D. Residents receive the same health service benefits.
Correct Answer: D
Rationale: University refers to the principle that all insured residents of Canada regardless of age, gender, ethnicity, or income will receive the same health care benefits.
The roles of different levels of government are affirmed in the Constitution. Which of the following statements are true regarding provincial-territorial jurisdiction responsibilities? (Select all that apply)
- A. Establish a national pharmaceutical program
- B. Manage acute care hospital services
- C. Arrange payments for physician services
- D. Develop a health care insurance plan
- E. Develop transfer payment arrangements
- F. Enforce relevant Acts such as the Canada Health Act
- G. Finance diagnostic services in acute care
Correct Answer: B,C,D,G
Rationale: Provincial-territorial jurisdiction responsibilities affirmed under the Constitution include financing and managing acute health care hospital services; arranging for payments and copayments for physician, diagnostic, and nursing services; and developing and enforcing relevant Acts such as the Canada Health Act.
The Canada Health Act sets the requirements for select publicly funded financed health services, but the following groups are exempt from services under the Act. (Select all that apply)
- A. Canadian Armed Forces
- B. Health care workers
- C. Royal Canadian Mounted Police
- D. Members of Parliament
- E. Federal inmates
- F. School-aged children
Correct Answer: A,C,D,E
Rationale: Exempt from coverage under the Canada Health Act are members of the Royal Canadian Mounted Police and Canadian Armed Forces (both active and eligible veterans), members of Parliament, as well as eligible Indigenous groups and refugees and all federal inmates.
The aging baby boomer population has resulted in continued demands on the provision of nursing care for older persons. Which of the following statements is true?
- A. There are adequate numbers of regulated nurses to care for older persons
- B. The demand for continuing care is decreasing
- C. Chronic care for older persons is being managed growing category of care
- D. The world's population over 65 years of age is slowly shrinking
Correct Answer: C
Rationale: The aging baby boomer population is expected to significantly burden the health care system in terms of chronic and age-related diseases. The demand for nursing care for older persons is increasing.