Health and Health Care Delivery in Canada 2nd Edition by Valerie D. Thompson – Test Bank
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Sample
Test
Chapter 3: Population Health: Introduction and Principles
MULTIPLE CHOICE
1. What
are three components of population health?
|
a. |
Determinants of health,
health promotion, and disease prevention |
|
b. |
Social environment, health
promotion, and disease prevention |
|
c. |
Public health, health
promotion, and disease prevention |
|
d. |
Risk behaviours, health
promotion, and disease prevention |
ANS: C
|
|
Feedback |
|
A |
Determinants of health are
causative factors that can influence the health of individuals and
populations. |
|
B |
Social environment is a
determinant of health. |
|
C |
Population health is a
broad definition that provides a framework to analyze information that
affects the health of a population. |
|
D |
Risk behaviour is a
determinant of health. |
DIF: Cognitive Level:
Knowledge
REF: p. 71
2. Name
one aspect of public health that differs from population health.
|
a. |
Public health focuses on
the implementation of health promotion initiatives. |
|
b. |
Public health is government
funded; population health is not. |
|
c. |
Public health focuses on a
scientific approach to health promotion. |
|
d. |
Public health deals with
health information. |
ANS: A
|
|
Feedback |
|
A |
Although public health and
population health both deal with health promotion, public health programs
often carry out recommendations made by population health studies, so they
tend to focus more on applying measures than on gathering and analyzing
information. |
|
B |
Both public health and
population health can be funded by government. |
|
C |
Population health focuses
on a scientific approach to health promotion. |
|
D |
Both public health and
population health deal with health information. |
DIF: Cognitive Level:
Analysis
REF: p. 71
3. On
what principle did the Public Health Agency of Canada (PHAC) identify
determinants of health?
|
a. |
Individuals should have
equal access to health care facilities. |
|
b. |
Health is influenced by the
interaction of multiple determinants. |
|
c. |
Socialized medicine is
costly. |
|
d. |
Health promotion should be
a priority activity. |
ANS: B
|
|
Feedback |
|
A |
The principle that
individuals should have equal access to health care facilities did not help
identify determinants of health. |
|
B |
With the assistance of
population health studies, Public Health Agency of Canada (PHAC) identified
many factors that influence the health of a population. |
|
C |
Cost of health care did not
help identify determinants of health. |
|
D |
Health promotion being a
priority activity did not help with the identification of determinants of
health. |
DIF: Cognitive Level:
Analysis
REF: p. 71
4. Which
of the following are determinants of health?
|
a. |
Medication, education,
gender, and physical environment |
|
b. |
Physical environment,
education, religion, and gender |
|
c. |
Birth order, income,
education, and gender |
|
d. |
Income, education, gender,
and physical environment |
ANS: D
|
|
Feedback |
|
A |
Medication is not a
determinant of health. |
|
B |
Religion has not been
identified as a determinant of health. |
|
C |
Birth order has not been
identified as a determinant of health. |
|
D |
Income, education, gender,
and physical environment are all identified as determinants of health. |
DIF: Cognitive Level:
Knowledge
REF: p. 72
5. Which
report was first in being instrumental in the development of population health
in Canada?
|
a. |
The Lalonde Report |
|
b. |
The Epp Report |
|
c. |
The Trudeau Report |
|
d. |
The Romanow Report |
ANS: A
|
|
Feedback |
|
A |
In 1974, Marc Lalonde
produced a report named “A New Perspective on the Health of Canadians”
stating that health could be improved through changes in four areas: human biology,
environment, lifestyle, and health care organization. |
|
B |
The Epp Report did not
start the development of population health. |
|
C |
The Trudeau Report did not
start the development of population health. |
|
D |
The Romanow Report did not
start the development of population health. |
DIF: Cognitive Level:
Knowledge
REF: p. 80
6. Which
of the following agencies is directly involved in Canada’s population health
approach?
|
a. |
National Health Agency |
|
b. |
Medicare |
|
c. |
Public Health Agency of
Canada (PHAC) |
|
d. |
The World Health
Organization (WHO) |
ANS: C
|
|
Feedback |
|
A |
The National Health Agency
does not exist in Canada. |
|
B |
Medicare is responsible for
delivery of care. |
|
C |
PHAC’s role is to respond
to national emergencies and to implement health promotion initiatives and
injury/disease prevention initiatives. |
|
D |
WHO influences the approach
to population health in Canada, but it does not have direct involvement with
the decision making. |
DIF: Cognitive Level:
Knowledge
REF: p. 87
7. What
type of care did the Declaration
of Alma-Ata put particular emphasis on?
|
a. |
Tertiary health care |
|
b. |
Primary health care |
|
c. |
Private health care |
|
d. |
Socialized health care |
ANS: B
|
|
Feedback |
|
A |
The Declaration of Alma-Ata did
not emphasize tertiary health care. |
|
B |
The Declaration of Alma-Ata recognized
health as a fundamental right and challenged governments to develop
strategies to improve primary health care. |
|
C |
The Declaration of Alma-Ata did
not emphasize private health care. |
|
D |
The Declaration of Alma-Ata did
not emphasize socialized health care. |
DIF: Cognitive Level:
Analysis
REF: p. 81
8. Why
has the Public Health Agency of Canada (PHAC) developed a template for implementing
population health?
|
a. |
To obtain funding for
health care |
|
b. |
To ensure statistical
analysis of health |
|
c. |
To fulfill requirements of
the World Health Organization (WHO) |
|
d. |
To facilitate the
population health process |
ANS: D
|
|
Feedback |
|
A |
The template is not used to
obtain funding. |
|
B |
The template does not
ensure statistical analysis. |
|
C |
The template is not linked
with WHO requirements. |
|
D |
The PHAC template can act
as a guide for policymakers, program planners, health educators, evaluators,
researchers, and academics. |
DIF: Cognitive Level:
Knowledge
REF: p. 90
9. A
project titled “Two-Eyed-Seeing,” developed by the University of Cape Breton,
focused on which of the following?
|
a. |
Vaccination for all children
younger than 5 years |
|
b. |
Improved health for
Aboriginal peoples |
|
c. |
Reduction of health care
costs |
|
d. |
Increased physical activity
for all Canadians |
ANS: B
|
|
Feedback |
|
A |
Vaccination was not the
focus of “Two-Eyed-Seeing.” |
|
B |
The purpose of
“Two-Eyed-Seeing,” developed by the University of Cape Breton, was to promote
the integration of Aboriginal health–related customs and scientific (Western)
methodologies to establish a best practices formula. |
|
C |
Reduction of health care
costs was not the focus of “Two-Eyed-Seeing.” |
|
D |
Increased physical activity
for all Canadians was not the focus of “Two-Eyed-Seeing.” |
DIF: Cognitive Level:
Knowledge
REF: p. 88
10. What
is the main objective of the Canadian Policy Research Networks (CPRN)?
|
a. |
Creation of health policy
developed exclusively by health professionals |
|
b. |
Population health studies
conducted by the private health sector |
|
c. |
Generation of knowledge and
discussion about socioeconomic issues |
|
d. |
Monitoring resource
allocation to particular groups in Canada |
ANS: C
|
|
Feedback |
|
A |
The development of health
policy exclusively by health professionals is not the main objective of the
CPRN. |
|
B |
Conducting population
health studies by the private health sector is not the main objective of the
CPRN. |
|
C |
Founded in 1994, CPRN is a
think tank whose main objective is to generate knowledge and discussion about
socioeconomic issues in Canada. |
|
D |
Monitoring the direction of
resources toward particular groups in society is not the main objective of
the CPRN. |
DIF: Cognitive Level:
Knowledge
REF: p. 89
Chapter 4: The Law and Health Care
MULTIPLE CHOICE
1. In
Canada, over what area does the federal government have legal jurisdiction in relation
to health care?
|
a. |
The administration of a
drug insurance plan |
|
b. |
Provincial or territorial
health insurance plans |
|
c. |
Designating services
available at hospitals |
|
d. |
Drug laws |
ANS: D
|
|
Feedback |
|
A |
The federal government does
not have legal jurisdiction over the administration of drug insurance plans. |
|
B |
The federal government does
not have legal jurisdiction over the administration of provincial or
territorial health insurance plans. |
|
C |
The federal government does
not have legal jurisdiction over the administration of hospitals. |
|
D |
The federal government
attends to Canada’s drug laws through the Controlled Drugs and Substances Act. |
DIF: Cognitive Level:
Knowledge
REF: p. 112
2. Over
what health care area does the provincial or territorial government have legal
jurisdiction?
|
a. |
Workplace safety |
|
b. |
Drug laws |
|
c. |
Hospital maintenance |
|
d. |
Quarantine requirements |
ANS: C
|
|
Feedback |
|
A |
The provincial government
does not have legal jurisdiction over workplace safety. |
|
B |
The provincial government
does not have legal jurisdiction over drug laws. |
|
C |
The provincial or
territorial government has legal jurisdiction over the maintenance of
hospitals. |
|
D |
The provincial government
does not have legal jurisdiction over quarantine. |
DIF: Cognitive Level:
Knowledge
REF: p. 111
3. Which
of the following effects on health care is a result of federal legislation?
|
a. |
The permission to use
illegal drugs |
|
b. |
The standardization of nurse-to-patient
ratios |
|
c. |
The implementation of drug
insurance plans |
|
d. |
The regulation of nurse
education |
ANS: A
|
|
Feedback |
|
A |
The permission to use
illegal drugs comes from Health Canada, which is a federal body. Under new regulations,
the federal government is no longer responsible for producing and
distributing medical marijuana. |
|
B |
Federal legislation does
not affect nurse-to-patient ratios. |
|
C |
Federal legislation does
not affect drug insurance plans. |
|
D |
Federal legislation does
not affect the regulation of nurse education. |
DIF: Cognitive Level:
Knowledge
REF: p. 115
4. Name
one effect of the Occupational
Health and Safety (OHS) Act on the work environment.
|
a. |
Employees have the right to
overtime pay. |
|
b. |
Employees have the right to
be aware of potential safety and health hazards. |
|
c. |
Employees have the right to
refuse to wear protective equipment. |
|
d. |
Employees have the right to
flexible working hours. |
ANS: B
|
|
Feedback |
|
A |
The OHS Act does not
give employees the right to overtime pay. |
|
B |
The OHS Act gives the
employee the right to be aware of potential safety and health hazards at
work. |
|
C |
The OHS Act does not
give employees the right to refuse to wear protective equipment. |
|
D |
The OHS Act does not
give employees the right to flexible working hours. |
DIF: Cognitive Level:
Knowledge
REF: p. 112
5. Under
the Canada Health
Act, is access to public health care guaranteed?
|
a. |
Yes; all Canadians will
receive medically necessary services. |
|
b. |
No; the Canada Health Act is
federal legislation that a province or territory could choose to ignore. |
|
c. |
Yes; the provinces and
territories are legally bound by the Canada
Health Act to provide access. |
|
d. |
No; access is restricted to
at-risk age groups and lower income levels. |
ANS: B
|
|
Feedback |
|
A |
Only qualified Canadians
are eligible for prepaid health care for medically necessary services. |
|
B |
The Canada Health Act states
that qualified Canadians are eligible for prepaid health care for medically
necessary services, but this is not a guarantee. The principles of the Act
can be ignored by the provinces and territories, although this would result
in a loss of transfer payments. |
|
C |
The provinces and
territories are not bound by law to adhere to the Act, so application varies
among jurisdictions, depending on such factors as interpretation, resources,
and finances. |
|
D |
Access to public health
care is not determined based on age or income. |
DIF: Cognitive Level: Analysis
REF: p. 120
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