What is one effect of the use of block grants?

Correct Answer: C

Rationale: The correct answer is C: A decreased ability of states to spend money on programming. Block grants provide states with a fixed amount of funding for a specific purpose, limiting their flexibility in allocating funds. This can lead to a decreased ability for states to spend money on various programs as they are restricted by the conditions of the block grant. This effect is seen as a drawback by some as it reduces the autonomy of states in decision-making. Choice A is incorrect because block grants do not necessarily lead to a reduction in federal expenditures. Choice B is incomplete and does not provide a coherent explanation. Choice D is incorrect because block grants do not guarantee the continuation of programs, especially if the effectiveness of the programs is not maintained or if funding is insufficient.

Correct Answer: A

Rationale: The correct answer is A: Direct services. In this scenario, the health department is directly providing a service (hypertension screening) to individuals. Direct services involve the actual delivery of healthcare services to individuals or communities. B: Financing refers to how healthcare services are paid for, not directly providing the service. C: Information involves gathering and disseminating health-related data, not directly providing a service. D: Policy setting involves developing rules and regulations, not directly providing a service. In summary, the health department offering hypertension screenings falls under the category of direct services as they are directly providing a health service to individuals.

Correct Answer: B

Rationale: Step 1: Identify the target population - women and children. Step 2: Evaluate each option. Step 3: B is correct as the Public Protection of Maternity and Infancy program specifically focuses on providing health services for women and children. Step 4: A (Sheppard-Towner Act) mainly focused on maternal and child health but is not the most direct provision for these services. Step 5: C (EPSDT program) focuses on preventive healthcare for children but not specifically for women. Step 6: D (WIC program) focuses on nutrition support for women, infants, and children, not comprehensive health services.

Correct Answer: D

Rationale: The focus of the Division of Nursing is to ensure the distribution of qualified nursing personnel to meet the nation's health needs. This is the correct answer because it directly aligns with the overarching goal of addressing healthcare workforce shortages and ensuring access to quality care. Choice A is incorrect as it focuses solely on high-tech skills rather than the broader healthcare workforce needs. Choice B is incorrect as it addresses health promotion concepts but does not directly relate to nursing personnel distribution. Choice C is incorrect as providing scholarships for advanced nursing education does not directly address the distribution of qualified nursing personnel.

Correct Answer: A

Rationale: The correct answer is A: Defense. The military member receives health care services from the Department of Defense. This department is responsible for providing medical care to military personnel. The other choices, Labor, Agriculture, and Justice, do not typically provide health care services to military members. The Department of Labor focuses on labor-related issues, Agriculture on agricultural matters, and Justice on legal matters. Therefore, the correct department for providing health care services to military personnel is the Department of Defense.