Question: This would reward institutions for putting clinical preventive services into practice.
There's no incentive for clinical preventative services to be used by the institutions.

Answer: no

Question: Esquivel arrived in 1510 and created a base called Nueva Sevilla near St. Ann's Bay, from which he hoped to colonize the rest of the island.
Esquivel wished to colonize the island and claim it for himself.

Answer: it is not possible to tell

Question: Tuppence's spirits revived to the normal.
Tuppence felt his spirits lift to where they usually were.

Answer:
yes