,
,(Test Bank all Chapters)
Chapter 01: The Canadian Health Care System
McCleary: Ross-Kerr and Wood’s Canadian Nursing Issues and Perspectives, 6th
Edition
MULTIPLE CHOICE
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.
,(Test Bank all Chapters)
Chapter 01: The Canadian Health Care System
McCleary: Ross-Kerr and Wood’s Canadian Nursing Issues and Perspectives, 6th
Edition
MULTIPLE CHOICE
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.
