Nursing Elites

1. Fee-for-service care is best characterized by which statement:

• A. Fees are scaled based on the patient’s ability to pay and are capped.
• B. Fees reflect the fair market value of health care services being provided.
• C. Adequate fee schedules enable hospitals and clinics to function properly.
• D. Fees are not uniform throughout most states as they are fairly unregulated.

Correct answer: D

Rationale: Fee-for-service care is a payment model where providers are paid for each service performed, leading to non-uniform fees that vary by service and provider. This system is not highly regulated, resulting in differing fee structures across states and regions. Therefore, the statement that 'Fees are not uniform throughout most states as they are fairly unregulated' best characterizes fee-for-service care.

2. What factor most influences health disparities?

• A. Genetic factors
• B. Lifestyle choices
• C. Access to health care services
• D. Cultural beliefs

Correct answer: C

Rationale: Access to health care services plays a significant role in influencing health disparities as it determines individuals' ability to access necessary medical care and services. Disparities in access to healthcare can lead to differences in health outcomes and contribute to overall health disparities within populations.

3. Which of these is an example of a phenomenological community?

• A. Greenwich Village senior center
• B. NYC council district
• C. Gramercy Green residents
• D. Online support group for cancer survivors

Correct answer: D

Rationale: A phenomenological community is defined by shared experiences and interests, which are often found in online support groups for cancer survivors where individuals connect based on a common experience, fostering a sense of community and support.

4. Why is it difficult to get others interested in environmental health?

• A. Environmental problems are not perceived as interesting or dramatic.
• B. It is difficult to get the media interested.
• C. People respond more to an acute crisis than chronic environmental problems.
• D. People respond more to an individual asking for help than a community asking for help.

Correct answer: C

Rationale: The difficulty in getting others interested in environmental health is due to the fact that people tend to respond more to acute crises that receive dramatic media coverage, as opposed to chronic environmental problems that require sustained attention and action. Immediate and dramatic events capture attention more effectively than ongoing, less visible issues.

5. What is the goal of Healthy People 2020?

• A. To improve the quality and years of healthy life
• B. To reduce health disparities among different populations
• C. To promote healthy behaviors across the lifespan
• D. To achieve health equity and eliminate health disparities

Correct answer: D

Rationale: The goal of Healthy People 2020 is to achieve health equity and eliminate health disparities by promoting health and well-being for all populations. This includes addressing social determinants of health and ensuring that everyone has the opportunity to live a healthy life, regardless of their background or circumstances.

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