TEST BANK
ROSS-KERR AND WOOD’S CANADIAN NURSING ISSUES &
PERSPECTIVES
6TH EDITION
CHAPTER NO. 01: THE CANADIAN HEALTH CARE SYSTEM
MULTIPLE CHOICE QUESTION & ANSWERS
1. Which government act delineates the roles and responsibilities for health and health care at the
provincial, territorial, and federal levels of government?
a. British North America Act of 1867
b. Constitution Act of 1982
c. Canada Health Act of 1984
d. National Medicare Act of 1966
ANS: A
The British North American Act of 1867 outlines the roles and responsibilities at all levels of
government for health and health care.
2. In 1867, the British North America Act (BNA Act) clarified that provincial responsibilities for
health care included which of the following?
a. Hospitals
b. Public policy
c. Pharmaceutical safety
d. Health research
ANS: A
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.
3. 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 and age-related diseases are the fastest growing category of care.
d. The world’s population over 65 years of age is slowly shrinking.
ANS: C
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.
4. The first mandatory universal hospital insurance plan in North America was introduced by
which Canadian Premier?
a. Tommy Douglas
b. Joey Smallwood
c. Justin Trudeau
d. John A. MacDonald
ANS: A
Premier Tommy Douglas of Saskatchewan in 1947.
5. 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.
ANS: D
Universality refers to the principle that all insured residents of Canada regardless of age,
gender, ethnicity, or income will receive the same health care benefits.
6. Which province has the right to health care embedded in its legislative framework?
a. Newfoundland
b. British Columbia
c. Quebec
d. Ontario
, ANS: C
Quebec has the right to health care embedded in its legislative framework.
7. Which province was the first to institute a hospital insurance plan that was financed entirely
by the province?
a. Alberta
b. Manitoba
c. Saskatchewan
d. British Columbia
ANS: C
In 1947, the province of Saskatchewan, under the leadership of Premier Tommy Douglas,
instituted a hospital insurance plan that was entirely financed by the province.
8. Which Act in 1966 ensured access to health care based on need regardless of ability to pay?
a. Canada Health Act
b. Medical Care Act
c. Hospital and Diagnostic Services Act
d. Public Health Act
ANS: B
The Medical Care Act of 1966.
9. There was much variation among the provinces in relation to user charges and extra billing
during the 1970s. Which province allowed physicians to opt in or out of the plan?
a. Prince Edward Island
b. Quebec
c. Alberta
d. Manitoba
ANS: B
Quebec allowed physicians to opt in or out of the plan, and New Brunswick, Nova Scotia,
Prince Edward Island, and Saskatchewan also allowed physicians to extra-bill.
, 10. Although a number of provinces have conducted experiments in privatization of health care
services, these experiments violate which of the following principles of health care legislation
in Canada?
a. Accessibility
b. Universality
c. Portability
d. Public administration
ANS: D
Many organizations, health analysts, and individuals have opposed privatization because it
violates one of the five basic principles on which health legislation in Canada was founded,
that is, public administration.
11. One of the key features of the Canadian medicare approach that differentiates it from other
national health programs is which of the following?
a. Fee for services
b. Privatization
c. Decentralization
d. Flexibility
ANS: C
Medicare is highly decentralized, with each province or territory retaining control over the
provision and allocation of select health services.
12. Despite the lack of planning for change at the system level, which following principle driving
health care reform has had some positive effects on the provision of health care?
a. A move toward the provision of more community-based services
b. An increase in the number of acute care hospital beds
c. A greater emphasis on the medical cure model
d. A retention of the physician-centred and hospital-based health care model
ANS: A
ROSS-KERR AND WOOD’S CANADIAN NURSING ISSUES &
PERSPECTIVES
6TH EDITION
CHAPTER NO. 01: THE CANADIAN HEALTH CARE SYSTEM
MULTIPLE CHOICE QUESTION & ANSWERS
1. Which government act delineates the roles and responsibilities for health and health care at the
provincial, territorial, and federal levels of government?
a. British North America Act of 1867
b. Constitution Act of 1982
c. Canada Health Act of 1984
d. National Medicare Act of 1966
ANS: A
The British North American Act of 1867 outlines the roles and responsibilities at all levels of
government for health and health care.
2. In 1867, the British North America Act (BNA Act) clarified that provincial responsibilities for
health care included which of the following?
a. Hospitals
b. Public policy
c. Pharmaceutical safety
d. Health research
ANS: A
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.
3. 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 and age-related diseases are the fastest growing category of care.
d. The world’s population over 65 years of age is slowly shrinking.
ANS: C
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.
4. The first mandatory universal hospital insurance plan in North America was introduced by
which Canadian Premier?
a. Tommy Douglas
b. Joey Smallwood
c. Justin Trudeau
d. John A. MacDonald
ANS: A
Premier Tommy Douglas of Saskatchewan in 1947.
5. 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.
ANS: D
Universality refers to the principle that all insured residents of Canada regardless of age,
gender, ethnicity, or income will receive the same health care benefits.
6. Which province has the right to health care embedded in its legislative framework?
a. Newfoundland
b. British Columbia
c. Quebec
d. Ontario
, ANS: C
Quebec has the right to health care embedded in its legislative framework.
7. Which province was the first to institute a hospital insurance plan that was financed entirely
by the province?
a. Alberta
b. Manitoba
c. Saskatchewan
d. British Columbia
ANS: C
In 1947, the province of Saskatchewan, under the leadership of Premier Tommy Douglas,
instituted a hospital insurance plan that was entirely financed by the province.
8. Which Act in 1966 ensured access to health care based on need regardless of ability to pay?
a. Canada Health Act
b. Medical Care Act
c. Hospital and Diagnostic Services Act
d. Public Health Act
ANS: B
The Medical Care Act of 1966.
9. There was much variation among the provinces in relation to user charges and extra billing
during the 1970s. Which province allowed physicians to opt in or out of the plan?
a. Prince Edward Island
b. Quebec
c. Alberta
d. Manitoba
ANS: B
Quebec allowed physicians to opt in or out of the plan, and New Brunswick, Nova Scotia,
Prince Edward Island, and Saskatchewan also allowed physicians to extra-bill.
, 10. Although a number of provinces have conducted experiments in privatization of health care
services, these experiments violate which of the following principles of health care legislation
in Canada?
a. Accessibility
b. Universality
c. Portability
d. Public administration
ANS: D
Many organizations, health analysts, and individuals have opposed privatization because it
violates one of the five basic principles on which health legislation in Canada was founded,
that is, public administration.
11. One of the key features of the Canadian medicare approach that differentiates it from other
national health programs is which of the following?
a. Fee for services
b. Privatization
c. Decentralization
d. Flexibility
ANS: C
Medicare is highly decentralized, with each province or territory retaining control over the
provision and allocation of select health services.
12. Despite the lack of planning for change at the system level, which following principle driving
health care reform has had some positive effects on the provision of health care?
a. A move toward the provision of more community-based services
b. An increase in the number of acute care hospital beds
c. A greater emphasis on the medical cure model
d. A retention of the physician-centred and hospital-based health care model
ANS: A
