NURS 3001 MIDTERM EXAM
QUESTIONS AND ANSWERS 100% PASS
What are the important dates in the evolution of healthcare in Canada - ANS 1. 1867 BNA -
each province formed their own government, showed a large enough population to warrant
attention to health services
2. 1919 Department of health was created to assume healthcare related responsibilities (STIs,
health of children)
3. 1928 Department of Pensions and National Health
4. 1948 Department of National Health and Welfare (food, drug control, public health control)
5. 1993 Health Canada (food, consumer products, pharmaceuticals...)
What was the division of federal and provincial healthcare responsibilities following the BNA -
ANS Federal government was responsible for marine hospitals, indigenous people and
quarantines
Provincial government was responsible for hospitals, asylums and charitable institutions
What are some of the responsibilities of Health Canada today - ANS 1. Indigenous people on
reserves
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2. Some RCMP
3. Serving members of the Canadian forces
4. Eligible veterans
5. Inmates in federal penitentiaries
6. Refugee claimants
What was the effect of colonization on Indigenous health practices - ANS - Most indigenous
healers (medicine man, shamans) are rooted in holistic and spiritual beliefs
- Practices included: sweat lodges, healing circles and smudging ceremonies
- Prior to contact with Europeans, Indigenous people were very healthy
- Europeans discredited traditional healing ceremonies
Describe early medical care in Canada - ANS - In the 1700-1800s only the wealthy got care
from doctors
- The poor got care from charitable institutions such as churches
- The first med school was established in 1825
- The first nursing school was established in 1873
- It wasn't until the 1880s that hospitals were deemed a pace to get well
Describe how the concept of public health was established - ANS - In 1834, Dr. Kelly found
link between sanitation and disease
- In 1830s a board of health was established in upper and lower Canada to look after
quarantine, sanitation, restricting immigration, stop the sale of spoiled food)
- In the 1900s formal organizations were established to manage public health matters (TB,
pasteurizing milk, STIs, maternal/child matters)
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When was the first hospital established - ANS In 1639 Hotel Dieu in QC
-Early 1800s the weathy avoided hospitals as they were mainly paces for the poor
-1880s due to introduction of aseptic technique and improved surgical procedures they were
now seen as places to get well
How was hospital insurance establieshed - ANS 1914 - Rural Municipality Act in Sask
1930s Great Depression, increased pressure for a national program
1945 Post WW2 - expanded middle class required appropriate care
1957 - Hospital Insurance and Diagnostic Services Act (provinces received funding to develop
insurance plan)
What was the role of Tommy Douglas in the development of health insurance - ANS 1944-
1961 Tommy Douglas passed a series of legislations that gave people a comprehensive and
publicly funded medical system (hospital insurance act)
Became the medical care insurance act to appease the doctors strike (allowed them to practice
outside of Medicare)
What was The Hall Report? - ANS Commission in 1960 supporting national medicare program
and recommending that number of physicians be doubled by 1990 due to growth of aging
population.
Supported national standards of medical care act