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. A community hospital is an example of which level of health care?

• A. Secondary level of care
• B. Tertiary level of care
• C. Primary level of care
• D. Intermediate level of care

Correct answer: A

Rationale: Community hospitals are considered part of the secondary level of health care. They provide acute care services, including emergency care, surgeries, and specialized diagnostic services. Primary care is typically provided in outpatient settings such as clinics and doctor's offices, while tertiary care involves highly specialized services like organ transplants and neurosurgery. Intermediate care usually refers to services that are more intensive than what is provided at the primary care level but less specialized than tertiary care.

3. What is the most influential factor in determining health outcomes?

• A. Genetic predisposition to diseases
• B. Socioeconomic status
• C. Access to health care services
• D. Lifestyle choices

Correct answer: B

Rationale: Socioeconomic status plays a crucial role in determining health outcomes as it impacts access to resources, education, living conditions, and healthcare services. Individuals with higher socioeconomic status generally have better health outcomes due to easier access to quality healthcare, healthier living environments, and resources to make healthier lifestyle choices.

4. James is an 18-month-old child who has had a cough for 7 days with no general danger signs. He has a temperature of 37.5°C and a respiratory rate of 41 breaths/minute. How will you classify James' breathing?

• A. Slow breathing
• B. Fast breathing
• C. Normal breathing
• D. Very fast breathing

Correct answer: C

Rationale: James' breathing is classified as normal because his respiratory rate falls within the expected range for his age group, and there are no general danger signs present. In this case, his breathing is considered normal based on the provided information.

5. Why is epidemiologic data useful in the planning phase of the community assessment process?

• A. Help discover the patterns of health and illness distribution in a population.
• B. Help construct benchmarks to gauge achievement of program objectives.
• C. Identify the population at risk.
• D. Explain the nature of the health problem.

Correct answer: A

Rationale: Epidemiologic data are valuable in the planning phase of community assessment as they provide insights into the distribution of health and illness within a population. By analyzing these patterns and trends, healthcare professionals can better understand the health needs of the community and tailor interventions accordingly. This information serves as a foundation for identifying priority areas and developing effective strategies to address health issues.

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