When talking to a women’s group at the senior citizens’ center, the nurse reminded them that the only way the center would be able to afford to provide transportation services for them would be for them to continue to write letters to their local city council representatives requesting funding for such a service. What was the nurse trying to accomplish through this action?

Correct Answer: D

Rationale: The correct answer is D: Help the women engage in political action. The nurse was trying to empower the women by encouraging them to take action themselves in securing funding for transportation services. By suggesting they write letters to their local city council representatives, the nurse was promoting advocacy and civic engagement. This approach aligns with the goal of encouraging the women to participate in the political process to address their needs. Choices A, B, and C are incorrect: A: Ensure that the women did not expect the nurse to solve their problem. This is not the primary objective of the nurse's action. The nurse is not dismissing their concerns but rather guiding them towards a proactive solution. B: Demonstrate that the nurse understood the women’s concerns and needs. While this may be a secondary outcome, the main purpose was to encourage political action. C: Express empathy, support, and concern. While the nurse may indeed express empathy and support, the main focus of the action was to encourage political engagement rather than solely

Correct Answer: C

Rationale: The correct answer is C: "It is divided primarily into two components: private health care and public health care." This is the best description of the current health care system in the United States. Private health care includes insurance-based and employer-sponsored plans, while public health care consists of government-funded programs like Medicare and Medicaid. This choice accurately reflects the dual nature of the U.S. health care system, highlighting the coexistence of private and public sectors. Explanation for why other choices are incorrect: A: This choice describes an idealized view of the health care system, which may not accurately represent the complexities and challenges of the U.S. system. B: This choice oversimplifies the system by focusing solely on hospitals, neglecting the broader scope of health care services available in the U.S. D: This choice makes a subjective claim about the quality of the U.S. health care system without acknowledging its limitations and disparities in access and outcomes.

Correct Answer: C

Rationale: The correct answer is C because the Constitution gives the federal government the power to promote the general welfare through programs like healthcare. This power is outlined in the General Welfare Clause of the Constitution (Article I, Section 8). The federal government's involvement in healthcare is a way to ensure the well-being of all citizens and promote public health. Choice A is incorrect because the federal government's involvement in healthcare is not solely based on the states' request. Choice B is incorrect because the federal government's involvement is not just due to rising costs to the states. Choice D is incorrect because while standardizing care on a national level may be a benefit, it is not the primary reason for federal involvement in healthcare.

Correct Answer: B

Rationale: The correct answer is B because managed care controls costs by requiring families to choose a care provider from the MC network. This allows the MC to negotiate discounted rates with specific providers, ensuring cost-effective care delivery. By restricting access to other services without provider permission, MC can manage utilization and reduce unnecessary costs. Choice A is incorrect because encouraging the use of specific practice associates does not directly control costs. Choice C is incorrect as moving Medicaid-eligible families to state Medicare enrollment does not necessarily reduce costs. Choice D is incorrect as denying access to urgent care or emergency services can compromise patient safety and is not a cost-effective strategy for managing care expenses.

Correct Answer: B

Rationale: The correct answer is B: Community health center. Public health nurses often direct uninsured clients to community health centers as they offer primary care services on a sliding fee scale based on income. This ensures access to essential healthcare services without the barrier of cost. Managed care (A) typically requires insurance coverage, the emergency department (C) is costly and primarily for emergencies, and physician offices (D) may not be affordable for uninsured clients. Community health centers prioritize providing care to underserved populations, making them the most suitable option for the client in this scenario.