Ives Full Test Bank Social Work And Health Chapter 6

Chapter 6

Social Work and Health

MULTIPLE CHOICE QUESTIONS

1. In ________, the federal government officially mandated the provinces to create, maintain, and manage health facilities.

a) 1867

b) 1890

c) 1908

d) 1919

e) 1920

2. The first province to introduce province-wide public hospital insurance was ________.

a) Manitoba

b) Ontario

c) Saskatchewan

d) Quebec

e) Prince Edward Island

3. By ________, all provinces had introduced universal hospital coverage.

a) 1940

b) 1944

c) 1970

d) 1930

e) 1958

4. The federal government contributed to the development of universal hospital coverage by ________.

a) creating legislation to stipulate requirements

b) covering all costs

c) matching costs generated by provinces

d) both A and C

e) all of the above

5. The Northwest and Yukon Territories created hospital insurance plans in ________.

a) 1960

b) 1958

c) 1975

d) 1950

e) 1980

6. The need to expand provincial health coverage beyond hospital care gained ground with the publication of the ________.

a) Romanow Report

b) Hall Report

c) Hospital Insurance and Diagnostics Report

d) Medical Care Insurance Report

e) Castonguay Commission Report

7. The Romanow Report called for a Canadian health care system based on ________.

a) equal access

b) Canadian values

c) economic growth

d) efficiency

e) business models

8. Many provinces have begun removing services once covered by universal insurance, such as vision care and medical forms, framing these services as "extended" rather than necessary. This is an example of ________.

a) privatization

b) institutionalization

c) cost capping

d) liberalism

e) libertarianism

9. The Canadian Department of Health was created in ________.

a) 1867

b) 1919

c) 1944

d) 1957

e) 1964

10. All Canadians were guaranteed access to essential medical services in ________.

a) 1944

b) 1958

c) 1964

d) 1972

e) 1984

11. Quebec's local community service centres are different from health services in other provinces because ________.

a) health services are delivered by a multidisciplinary team

b) health care and social services are offered and administered in one setting

c) services provided are preventative, restorative, and ongoing

d) health services are modelled after those in Great Britain, France, Sweden, and Czechoslovakia

e) they take a silo approach to health

12. The Canada Health Act was adopted in ________.

a) 1966

b) 1974

c) 1977

d) 1984

e) 1990

13. The Canada Health Act names ________ principles for the provision of health care in all provinces and territories.

a) three

b) four

c) five

d) six

e) two

14. Today's federal government provides provinces and territories with financial support for health care through ________.

a) 50-50 cost sharing with an unlimited ceiling

b) 50-50 cost sharing up to a predetermined maximum

c) 40-60 cost sharing with an unlimited ceiling

d) 40-60 cost sharing up to a predetermined maximum

e) transfer payments

15. The federal government directly funds health-care provision for ________.

a) all Canadians

b) members of First Nations and Inuit communities

c) Canadian military personnel

d) both B and C

e) all of the above

16. ________ is NOT a principle of the Canada Health Act.

a) Public administration

b) Universality

c) Accessibility

d) Transferability

e) Portability

17. The Romanow Report was published in ________.

a) 1990

b) 1999

c) 2000

d) 2002

e) 2008

18. Approximately ________ of Canada's total health care costs are covered privately by private insurance and out-of-pocket payments.

a) 42 per cent

b) 55 per cent

c) 23 per cent

d) 31 per cent

e) 61 per cent

19. The scope of hospital-based social work practice includes ________.

a) facilitating communication between individuals/families and staff

b) offering opportunities for reflection and emotional expression

c) advocating for access to needed services

d) both A and B

e) all of the above

20. The results of the 2012 Canadian Community Health Survey suggest that approximately ________ of Canadians aged 15 years or older may be living with symptoms consistent with a mental or substance use disorder.

a) 2 per cent

b) 10 per cent

c) 15 per cent

d) 20 per cent

e) 25 per cent

21. Services designed to deliver comfort-oriented holistic care that supports quality of life rather than cure are called ________.

a) palliative

b) rehabilitative

c) occupational

d) rheumatological

e) restorative

22. A co-occurring disorder describes a situation where an individual is addressing ________.

a) physiological health and mental health needs

b) alcohol and intravenous drug use

c) substance abuse and mental health needs

d) physiological health and substance abuse

e) schizophrenia and depression

23. The gender wage gap increases for ________.

a) Indigenous women

b) racialized women

c) women with a disability

d) newcomer women

e) all of the above

24. A community mental health perspective sees mental health promotion and treatment as a ________ issue.

a) public health

b) social justice

c) long-term

d) all of the above

e) none of the above

25. ________ of Canadians who require specialized palliative care services are able to access them.

a) 15 per cent

b) 10 per cent

c) 20 per cent

d) 25 per cent

e) 30 per cent

26. Statistics Canada calculates ________ different low-income cut-offs.

a) 5

b) 7

c) 15

d) 27

e) 35

27. The length of time that Canadians can expect to live and whether or not they will experience illness is influenced by their quality of life, which is directly shaped by ________.

a) race

b) gender

c) education

d) income

e) all of the above

28. Pathway effects refer to ________.

a) early childhood experiences that predispose children to good or poor health in later life

b) early childhood experiences that impact conditions in later life that have health consequences

c) the prolonged exposure to social or material deprivation that results in adverse health effects in later life

d) early childhood experiences that do not have health effects

e) none of the above

29. In Canada, ________ of children live in poverty.

a) 7 per cent

b) 12 per cent

c) 17 per cent

d) 22 per cent

e) 27 per cent

30. Which term refers to a relative measure of poverty, calculated as half of the median adjusted household income?

a) low-income cut-off

b) market basket measure

c) low income measure

d) poverty gradient

e) income gradient

31. Children and youth who live in poverty suffer higher rates of ________ than persons who do not.

a) asthma

b) diabetes

c) mental health issues

d) both A and B

e) all of the above

32. The Market Basket Measure is calculated by estimating the cost of purchasing specific goods and services that represent a basic standard of living, including ________.

a) a nutritious diet

b) the median cost of a two- or three-bedroom rental unit

c) clothing and footwear required by a family of two adults and two children

d) transportation costs, using public transit where available or costs associated with owning and operating a modest vehicle where public transit is not available

e) all of the above

33. The unemployment rate in Canada is highest among ________.

a) recent immigrants

b) Indigenous Peoples

c) people with disabilities

d) lone parents

e) racialized persons

34. In 2017, the unemployment rate was lowest in ________ and highest in ________.

a) Yukon; Newfoundland and Labrador

b) Alberta; Ontario

c) Yukon; Quebec

d) Alberta; British Columbia

e) Alberta; Nova Scotia

35. Food insecurity, a social determinant of health, is characterized by lack of access to ________.

a) sufficient amounts of food

b) nutritious food

c) safe food

d) both A and B

e) all of the above

36. Stress is most detrimental to health when it is ________.

a) acute

b) prolonged

c) unanticipated

d) controlled

e) ignored

37. The province or territory with the highest prevalence of children living in food-insecure households is ________.

a) Nunavut

b) Prince Edward Island

c) Yukon

d) Northwest Territories

e) New Brunswick

38. Nunavut has ________ emergency shelter(s).

a) one

b) two

c) three

d) none

e) five

39. ________ are excluded from the federal health programs available to Indigenous Peoples.

a) First Nations Peoples

b) Inuit

c) Métis

d) both A and B

e) both B and C

40. The extent to which income is unequally distributed in a population is called the ________.

a) income transfer

b) wage gap

c) income inequality

d) wage differential

e) income gradient

41. The province with the largest gap in unemployment rates between persons with and without disabilities is ________.

a) Alberta

b) Newfoundland

c) Yukon

d) Quebec

e) Prince Edward Island

42. Canada ranks ________ out of 20 member OECD countries for spending on programs and benefits for persons with disabilities.

a) 1st

b) 5th

c) 18th

d) 10th

e) 8th

43. Men are more likely than women to ________.

a) be employed in higher paying occupations

b) endure more disabilities and chronic diseases

c) experience economic hardships

d) hold a part-time job

e) experience discrimination in the workplace

44. Women are more likely than men to ________.

a) be incarcerated

b) commit suicide

c) suffer from substance abuse

d) suffer from depression

e) be homeless

45. Approximately ________ of working Canadians with low incomes have dental plans.

a) 11 per cent

b) 26 per cent

c) 16 per cent

d) 31 per cent

e) 36 per cent

46. The principle of ________ in the Canada Health Act is meant to ensure that all residents of a province or territory are entitled to publicly funded health services that are covered by provincial/territorial plans.

a) comprehensiveness

b) accessibility

c) public administration

d) universality

e) portability

TRUE/FALSE QUESTIONS

1. There is one national health plan in Canada.

2. The Canada Health Act provided the federal government with a mechanism to impose financial penalties on provinces violating the principle of equal access.

3. The Medical Care Insurance Act banned extra-billing for essential medical services.

4. The federal government currently supports provincial/territorial provision of health care through a 50—50 cost-sharing mechanism.

5. When estimating poverty rates, one will get the same result regardless of whether the Low Income Measure, Market Basket Measure, or Low Income Cut-Off is used.

6. Prior to the creation of the Department of Health, the Department of Agriculture was responsible for health care.

7. The Canada Health Act governs the delivery of all medical services in Canada.

8. The expansion of home-based health services in Canada has resulted in a rise in the privatization of health care.

9. Mental health is defined as an alteration in thinking, mood, or behaviour associated with significant distress or impaired functioning.

10. The principle of accessibility identified in the Canada Health Act means that all Canadian health services must be delivered on a non-profit basis.

11. As little as 15 per cent of Canadians requiring specialized palliative care services are able to access those services.

12. The social determinants of health model accounts for how populations or groups of individuals experience differential health outcomes due to the social and economic conditions they face.

13. Income is the most consistently cited social condition affecting many different aspects of health.

14. A child who grows up believing he or she is not smart and subsequently quits school at the age of 18 is predisposed to poor health in adulthood because of a latency effect.

15. In Canada, 16 per cent of children experience bullying on a frequent basis.

16. Being employed is associated with better self-reported health than being unemployed.

17. Recent immigrants to Canada have a higher unemployment rate than Indigenous Peoples.

18. More than one million Canadian households face food insecurity.

19. Canadian women rely more heavily on social insurance than men.

20. Women are at greater risk than men for all social conditions associated with negative health outcomes.

21. In 2017, of those ages 35 to 49, approximately 28 per cent said that most days were "quite a bit or extremely stressful."

22. The principle of universality of the Canada Health Act legislates against user fees for medical services in all provinces/territories.

23. Canadian residents living in rural areas are more likely than residents in urban areas to have had a flu shot.

24. In-home care was traditionally most commonly used for individuals with mental illness.

25. Nunavut's infant mortality rate is the same as the Canadian average.

26. Nearly 20 per cent of those experiencing homelessness in Canada are youth.

27. The association between a child's educational performance and his or her parents' educational attainment can be influenced by access to affordable, high-quality education in childhood.

28. By 1918, all provinces had introduced universal hospital coverage.

29. Health Canada requires First Nations women who are pregnant and living in rural or remote communities to travel to cities at between 36 and 38 weeks gestation to give birth.

30. Saskatchewan was the first province in Canada to introduce public hospital insurance.

31. Access to health care overshadows all social determinants of health with regard to its comprehensive

effects.

32. Individuals dealing with substance abuse problems often have mental health care needs as well.

33. Canada's government-mandated poverty line is called the Low Income Measure.

34. As the degree of disability becomes more severe, the likelihood of having a low income increases.

35. The principles outlined in the Canada Health Act govern the delivery of home-based care in all Canadian provinces/territories.

SHORT ANSWER QUESTIONS

1. What makes the local community service centres in Quebec unique?

2. What are two differences between the Canada Health Act and the two preceding hospital and medical insurance acts?

3. What is the difference between how Canada's federal government used to fund health care and how it currently funds health care?

4. What is the principle of portability? Provide an example.

5. What is the main difference between the essence of the Hall Report and that of the Romanow Report?

6. What are three ways the Canadian health care system has become increasingly privatized?

7. How has a shift in health delivery from hospital to home threatened the guarantee of universal, accessible, and comprehensive health services in Canada?

8. How does mental health differ from mental illness?

9. What is the social determinants of health model?

10. What is a latency effect? Provide an example.

11. What is a pathway effect? Provide an example.

12. Why might being employed positively impact one's health?

13. How does housing shape health?

14. What are two factors associated with homelessness in Canada?

15. In what ways are Indigenous Peoples at an increased risk of poverty and therefore poor health in Canada?

16. What types of families have the highest incidence of poverty in Canada?

17. Why do Canadians who are supposed to benefit from a universal health care system face user fees for health services?

18. How does the Canadian government attempt to achieve geographical equity with regard to health care provision?

19. Why is income considered the primary determinant of health?

20. How does being a member of a racialized group affect one's health outcomes?

21. Why are adults with severe disabilities more likely to have lower incomes at retirement?

ESSAY QUESTIONS

1. What are some of the different roles social workers play in the area of health? Provide examples of roles at the individual, group, community, and policy levels.

2. Drawing on three (3) social determinants of health as per the Social Determinants of Health model, discuss how these determinants could shape the life of an individual with a disability. Define social determinants of health and then provide an example for each determinant.

3. How has the federal government's involvement in the delivery of health care in provinces and territories changed over time?

4. Describe the three ways in which poverty is assessed in Canada. How are they calculated? Discuss one drawback to one of the measurement types.

5. How is adult health shaped prior to birth and in early childhood? Discuss the three types of effects that impact health.

6. Define stress. What can cause stress? How is stress harmful to one's health?