Global Exam 2
Under which of the following situations are health care costs entirely paid for by the national health insurance? When the person: 1. Has a long-term chronic illness 2. Has had major surgery 3. Is 65 years of age or older 4. 1 and 2 only
1 and 2 only
the average number of children Japanese women give birth to in their lifetime is: 1. relatively low 2. 1.0 3. 1.43 4. similar to fertility rates in developing countries
1.43
Which of the following best describes Brazil's epidemiological transition? 1. A rise in obesity 2. A decrease in neuropsychiatric disorders 3. A rise in non-communicable diseases 4. A rise in cardiovascular diseases
A rise in non-communicable diseases
In Brazil, alternative medicine is regarded as: 1. A recreational pastime 2. A passing fad 3. An obsession of the rich 4. An integral part of the culture
An integral part of the culture
Additional ways of financing health care in France includes: 1. Assessments on gambling winnings 2. Assessments on taxes 3. Proceeds from union benefits 4. Voluntary contributions
Assessments on gambling winnings
Which of the following best describes France's compulsory premium? They are: 1. Payments made by employers 2. Health care coverage for the unemployed 3. Automatically deducted from all employees' pay 4. Calculated on a sliding fee scale
Automatically deducted from all employees' pay
The leading cause of death in Canada is: 1. heart disease 2. stroke 3. respiratory problems 4. Cancer
Cancer
A frequent complaint of Italian healthcare users is 1. Lack of coverage for plastic surgery 2. Poor medical advice 3. Not enough doctors to address their needs 4. Long wait lists for each level of care they may require
Long wait lists for each level of care they may require
Italy's healthcare system is ranked as: 1. The leading model of healthcare worldwide 2. Second to France as the best in the world 3. Below OECD standards 4. Third best in the world
Second to France as the best in the world
Cuba's overall successful public health record is most attributed to: 1.Health care expenditures that exceed what the U.S spends on health care 2. Requiring medical students to complete 3 years of national service after medical school 3. The emphasis placed on healthy lifestyles, and managing resources 4. Balancing traditional and biomedical health care practices
The emphasis placed on healthy lifestyles, and managing resources
Historically the health care system in Cuba has focused on all the following except: 1. Acute care 2. Tertiary care 3. Specializations 4. Research
acute care
T/F: Wales is the only country in the UK where patients still pay for the prescription medications
false
T/F: obesity in Canada is highest among men
false
The Japanese health care system was most inspired by which country? 1. england 2. denmark 3. germany 4. italy
germany
Canada's health care system can be best described as including all of the following except: 1. single payer system 2. negotiating fee for services without consumer co-payments 3. complemented by insurance and direct out-of-pocket payments 4. global budgets for hospitals and physicians 5. negotiating fee for services and no consumer co-payments
negotiating fee for services without consumer co-payments
Which of the following describes how physicians are paid under the Italian National Health System? 1. Private insurance 2. Capitation basis 3. Regional taxation 4. Out-of-pocket
Capitation basis
The Bolsa Familia Family Program requires meeting the following conditions: 1. Children must attend school and successfully complete math and science tests 2. Children must attend school and be immunized 3. Children must attend school and follow the family program diet 4. Children must attend school and follow the family program exercise regimen
Children must attend school and be immunized
Which of the following best describes Brazil's health care financing? 1. Adequate funding 2. Chronic underfunding 3. Predominately tax based 4. Predominately private funding
Chronic underfunding
Which of the following is the leading cause of death in Brazil? 1. HIV/AIDS 2. Adolescent suicide 3. Circulatory diseases 4. Diabetes
Circulatory diseases
Which of the following best accounts for the success that France has enjoyed in achieving overall good health care outcomes? France: 1. Has an abundance of financial resources 2. Commits significant resources to funding prevention 3. Receives significant financial support from non-government organizations 4. Uses monies from their overfunded pension plan
Commits significant resources to funding prevention
Italian hospitals are paid on nationally pre-determined rates based on: 1. Regional taxation 2. DRGs 3. Co-payments 4. Weighted capitation
DRGs
T/F: Canada has a better supply of physicians than nurses
False
Which of the following statements most accurately reflect japan's infant mortality rate? it is: 1. approximately 10 per 1,000 live births 2. one of the lowest in the world 3. one of the highest in the world 4. approximately 25 per 1,000 live births
one of the lowest in the world
T/F: In 2008 approximately 5 million Canadian adults did not have a family physician
true
T/F: Many of the health care services in the UK in and outside the national health system including private practices are led by nurses and midwives
true
T/F: Stroke care that includes direct costs, lost productivity, and disability amounts to more than 4 billion
true
T/F: immigrants who can document residency in a French territory for more than three months qualify for free health care if they are unable to pay for servies
true
T/F: medical specialists are in the greatest demand but are in the shortest supply in the UK
true
Which of the following identifies the most frequent consumers of CAM in Italy? 1. Elderly 2. Women 3. Substance abusers 4. Men
women
In 2011, health care budgetary shortfalls in France were predicted to exceed which of the following? 1. €2 billion 2. €5 billion 3. €9 billion 4. €13 billion
€9 billion
The Italian National Institute of Social Security provides cash benefits to people who have been assessed as 1. Partially disabled and receive 10% financial assistance from their families 2. Partially disabled and dependent 3. 100% disabled and dependent 4. 100% disabled and receive 10% financial assistance from their families
100% disabled and dependent
one hundred percent of residents in japan had universal coverage by: 1. 1922 2. 1940 3. 1958 4.1998
1958
The Social Security Fund Act of 2001 sets the rates for health insurance based on earned income at which of the following percents? 1. 8.50% 2. 7.25% 3. 5.25% 4. 25% 5. More than 8.50
5.25%
Approximately what percentage of Brazil's population depends on the National Health System for medical care? 1. 30% 2. 25% 3. 70% 4. 80%
70%
One of Brazil's outstanding achievements in health care is: 1. A decline in premature deaths related to alcoholism 2. Improved services to the elderly 3. A decline in infant mortality for children under 5 years of age 4. Improved emergency services
A decline in infant mortality for children under 5 years of age
The majority of road accidents in Brazil occur among which group? 1. Adult males between the ages of 35 and 50 2. Adolescent males between the ages of 15 and 19 3. Adult males over the age of 20 4. Adult males over the age of 5
Adult males between the ages of 35 and 50
major religions of the UK include: 1. Anglican, Roman Catholic, and Muslim 2. Protestant, Roman Catholic, Anglican 3. Roman Catholic and Muslim 4. Protestant and Muslim
Anglican, Roman Catholic, and Muslim
Italy's success in providing healthcare can be attributed to: 1. Hiring more physicians 2. Cost containment strategies 3. Improved data collection 4. Improved technology
Cost containment strategies
Which of the following explains the statement that the NHS in the UK has "a yo-yo attitude toward workforce planning" creating a worsening of shortages of nurses and physicians" 1. Poor pay forcing migration 2. Reducing work hours of physicians and nurses 3. Cutting jobs of nurses and physicians in order to save money 4. Poor conditions in the places of employment
Cutting jobs of nurses and physicians in order to save money
France's threefold health care goal includes all of the following except: 1. Decreasing costs 2. Single health insurer 3. Compulsory salary based premiums 4. Choice of physicians
Decreasing costs
Which health issue is highly debated for public coverage in Italy? 1. Plastic surgery 2. Laser surgery 3. Dental services 4. Bone density testing
Dental services
The most accurate description of Agence Nationale d'Accreditation et d'Evaluation en Sante (ANAES) is which of the following? It is designed to: 1. Train staff in to develop better country wide emergency protocols 2. Develop practice guidelines to improve quality care outcomes 3. Improve out-patients, primary care throughout the country 4. Develop evaluation plans for initial and post assessments
Develop practice guidelines to improve quality care outcomes
Supplemental private insurance is a form of payment for which: 1. 30% of the population has coverage 2. Everyone has coverage 3. Few can afford because of the high premiums 4. Only those 65 years of age are covered
Everyone has coverage
T/F: absenteeism and turnover rates for Canadian physicians are higher than the rates for nurses
False
despite Canada's nearly perfect literacy rate, illiteracy is high among which groups of people? 1. Francophones 2. older adults 3. acadians 4. Native Americans
Francophones
In Italy, which of the following best describes the role of the GP in primary care? 1. Information seeker 2. Boundary spanner 3. Harmonizer 4. Gatekeeper
Gatekeeper
The North-South Divide in Italy refers to: 1. Equitable allocation of health care funds 2. Health coverage for the North and South 3. Regional disparities in access to healthcare 4. The rise of adolescent suicide
Health coverage for the North and South
Which of the following is true of the Barnardos organizations? 1. Is a leading charitable organization in the UK 2. Provides emotional and mental health support for physician and nurses 3. Focuses on correcting family problems 4. Offers early intervention initiatives for elders unable to pay for services
Is a leading charitable organization in the UK
Cuba has committed considerable effort and resources in the area of research into the epidemiology and treatment of diseases. Which health problem is not among those included in these efforts? 1. Dengue fever 2. Obesity 3. Tuberculosis 4. Sickle cell disease
Obesity
The purpose of epidemiological surveying of diseases is most accurately to do which of the following? 1. Promote early treatment 2. Educate the public about how diseases spread 3. Obtain quality care outcomes 4. Predict outbreaks and contain diseases
Predict outbreaks and contain diseases
The purpose of the Protection Maternelle et infantile (PMI) program in France is best described as, a program specifically to: 1. Provide basic preventive care for mother and child 2. Improve overall care of infants and children 3. Improve prenatal care during first pregnancies 4. Educate parents on protecting infants from infections
Provide basic preventive care for mother and child
Which of the following best describes Brazil's health care strategy? 1. Alternative medicine 2. Community-based health care centers 3. The family health program 4. Urgent care clinics
The family health program
Which of the following most accurately explains the payment of a bill for services after a person visits a doctor in France? 1. The entire bill is paid for by the government 2. The government pays 50% of the bill and insurance pays 50% 3. Insurance pays 70% and the government pays 30% 4. The government pays 70%
The government pays 70%
T/F: 24 percent of Canadians live in rural areas, but 9 percent of the physicians practice in rural Canada
True
T/F: the UK has far more physicians than nurses
True
A fifth principle was added to the four basic principles of the National Medical Care Insurance Act. Of the principles listed below which is the fifth? It must: 1. be comprehensive 2. offer universal coverage to all legal and illegal residents 3. accessible 4. be portable 5. be publicly administered
accessible
Japan is commonly known around the world as the: 1. aging society 2. brain drain society 3. society of youth explosion 4. technology society
aging society
The majority of funding under the revised New Gold Plan of 1994 was allocated for which of the following: 1. long term rehabilitation 2. home care aides 3. respite care 4. all of these
all of these
When coping with illness, the rich religious tradition among African Canadians is compared to that of African Americans. In particular, if they dont appear to be recovering, they welcome: 1. death as a "home going" 2. consultation with their pastor or minister 3. an opportunity for prayer 4. an opportunity to fast for a miraculous healing
death as a home going
health care deliver in Japan is: 1. decentralized 2. fully standardized 3. undated 4. the best in the world
decentralized
T/F: Cuba is a muslim dominated society
false
T/F: Cubans risk their lives migrating to other countries because of poor educational opportunities, and the low literacy rate in Cuba
false
T/F: England receives the highest level of funding per captia compared to Scotland, Wales, And northern ireland
false
T/F: Entry level in professional nursing practice in the UK is the baccalaureate degree in nursing
false
T/F: In an attempt to lower its high health care costs, France is exploring ways to eliminate its National Health Care System
false
T/F: In brazil, people who live in the south and southeastern regions have greater access to services of the health care system
false
T/F: Italy has one of the lowest numbers of physicians in the world
false
T/F: Japan relies heavily on nurse practitioners, physician assistants, and herbalists to deliver health care
false
T/F: Japanese consumers covered by insurance pay insurance premiums that equal 20% of their income
false
T/F: Leptospirosis is a bacterial infection causing high fever, headache, muscle aches, and paralysis
false
T/F: Most italian citizens rely on private health insurance for their healthcare needs
false
T/F: Scotland has the highest suicide rate among the countries in the UK
false
T/F: Similar to most developed countries, heart disease is the leading cause of death in Japan
false
T/F: The complications occurring after suffering a fall accounts for the highest number and percent of years of life lost to disease in France's health care system
false
T/F: primary care plays a marginal role in Brazils system of health care
false
T/F: the global trend in aging will have a minimal effect on the size for the population over 60 in Brazil
false
T/F: the number of in-firmed elderly in Japan needing care is predicted to increase 75% by 2025
false
As Canada approaches physician saturation during the early 1990s it enacted a major policy decision that cut by 10 percent, which of the following? 1. first year medical school admission 2. physician salaries 3. physician positions 4. number of hours physicians worked
first year medical school admission
reflexology is best described as: 1. physical therapy implanting needles into deep tendons 2. massaging the skill to relieve headaches 3. the same as shiatsu 4. foot massage
foot massage
How is health care in Canada funded? 1. general taxes and medicare 2. totally by the government 3. out of pocket sliding fee scale for those employed 4. contributions from non-government organizations (NGOs)
general taxes and medicare
Sick elders especially at the end of life are cared for in which of the following settings? 1. Specialized institutions funded by the NHS 2. in their family homes 3. church based care facilities 4. community based hospitals
in their family homes
the two basic types of medical insurance in japan are: 1. national health insurance and employer, employee health insurance 2. national health insurance and coverage specifically for older adults 3. national health insurance and social health plans 4. employee benefits program and national health insurance
national health insurance and employer, employee health insurance
People in Northern Ireland are envious of those in England because England has: 1. Better health care services 2. Free prescription coverage 3. Short waiting times to see specialists 4. none of the above
none of the above
Which of the following presents a critical staffing issue for the Italian Healthcare system? 1. Emergency staff shortage 2. Nursing shortage 3. GP shortage 4. X-ray technician shortage
nursing shortage
The Equality and Human Rights Commission is responsible for which of the following? 1. Preventing discrimination of hospitalized patients who have disabilities 2. Addressing care equity in mentally ill patients 3. offering equitable care to all residents irrespective of their race or disability status 4. providing equitable care to hospitalized older adult patients
offering equitable care to all residents irrespective of their race or disability status
Which of the following is considered a non-core services for which Canada permits private insurance companies to directly bill patients for? 1. private rooms 2. oral surgery performed in the hospital 3. extensive general surgery 4. birth control
private rooms
the majority of hospitals in Japan are: 1. privately owned and operated 2. publicly owned and operated 3. owned and operated by non-government organizations (NGOs) 4. owned and operated by religious orders
privately owned and operated
A nurse from Wales wishing to practice in Scotland must do which of the following? 1. register with the regulatory authority 2. apply directly to the hiring organization 3. Successfully complete the licensing exam in Wales 4. Apply to the nurse midwife council for verification of their qualifications
register with the regulatory authority
Which of the following statements about the physician workforce in Japan in 2006 is most accurate? 1. the average hospital physician earned more than 14 million yen 2. there were an average 6 physicians per 1000 people in the population 3. more than 60% of the physicians practiced in primary care 4. there was a major shortage of pediatricians
the average hospital physician earned more than 14 million yen
Administrative responsibility for Brazil's health care system rests with which of the following? 1. The ministry of health 2. The family health office 3. The southeastern region 4. The civilian council
the ministry of health
The ultimate responsibility for administration of Italy's health care system rests with: 1. Social services 2. The ministry of health 3. Primary care providers 4. Italy's regions
the ministry of health
The professional regulatory authority in the UK granting registration of nurses within and outside the European Union is called 1. The council of Nursing and Midwives 2. The nursing midwifery council 3. The ministry of health 4. Royal council on licensing professional nurses
the nursing midwifery council
Since decentralization in 1992, what level of government is responsible for equitable distribution of the essential level of care? 1. The LHAs 2. The National Institute of Social Security 3. The Regions 4. The Federal Bureau of Health
the regions
T/F: Brazil recognizes the public as an important stakeholder in the healthcare system
true
T/F: Children are mandated by the government to receive free medical and dental care
true
T/F: Cuba (a developing country), is more characteristic of an industrialized country
true
T/F: Cuban women play roles that are supportive of males rather than competitive with them
true
T/F: in japan woman, although not forced to care for their older adult parents or in-laws, are scorned if they dont care for them:
true
T/F: one of the major factors affecting italy's nursing shortage is the trend toward specialization over primary care
true
T/F: the growing incidence of chronic diseases in Brazil can be attributed to such factors as increased income, urbanization, and poor nutrition habits
true
