CHES exam practice questions

have a discussion period

The HESis concerned about the misuse of alcohol and medication among older adults in the community and plans a program to asses needs, identify resources, and educate staff and older adults about the dangers of misuse and programs to assist in more responsible use. The HES plans to present workshops at senior citizen's centers and retirement homes about the signs of alcohol and medication misuse. Part of the presentation includes a 20 minute video, which will be preceded by an introduction of the main points of the video. What is the most valuable use of time following the video?

A. have a discussion period

B. take a break

C. conduct a survey

D. dismiss the group

Which of the following is a secondary intervention aimed at preventing communicable disease in a priority population?

A. Chlorination of the water supply

B. Quarantining children infected with measles

C. Immunization program

D. Post meningitis rehabilitation program

Quarantining children infected with measles

A staff member in a health education program to increase HIV/AIDS testing and safe sex practices among gay males in an inner city posted personal information about one client (although not the person's name) on a social media site. This is a violation of which ethical principle?

A. Confidentiality

B. Privacy

C. Nonmaleficence

D. Justice

Confidentiality

If the health education specialist is planning a class exercise in which the class members will need to work in small groups, what is most likely to be the best room seating arrangement?

A. Circle

B. Half- circle

C. Cluster

D. U- seating

Cluster

If the health education specialist is engaged in a campaign to encourage employees at a large company to have flu shots as one method to decrease seasonal absenteeism, the best strategy for gaining attention about the issue is probably

A. emails

B. newsletters

C. posters

D. paycheck stuffers

Paycheck stuffers

If the health education specialist wants visual data to show health care trends regarding healthcare quality and disparities in order to justify a program, the best source is probably...

A. CDC

B. AHRQ

C. PubMed/ MEDLINE

D. The Cochrane Library

AHRQ

When the health education specialist explains why technology resources benefit the priority population, the health education specialist is applying the ethical principle of

A. justice

B. veracity

C. beneficence

D. nonmaleficence

Beneficence

The health education specialist is implementing a diabetic clinic as part of a health education program to decrease rates of diabetes and diabetic complications among a priority population comprised primarily of undocumented Mexican immigrants with no insurance; however, only a few people have used the clinic because of fears about deportation. What is most likely to be the best marketing plan?

A. targeted mailing in Spanish to members of the Priority population

B. Gaining support of key informants in the community

C. Ads in local Spanish language newspapers

D. Billboards marketing the program in the community

Gaining support of key informants in the community

In order to assess progress in achieving objectives, the HES must first determine

A. indicators

B. methods

C. responsibility

D. costs

Indicators

Utilizing the social analysis network tool PARTNER (Program to Analyze, Record, and Track Networks to Enhance Relationships) to monitor a partnerships allows the HES to (1) create visuals showing connections, (2) assess network scores, and (3) assess

A. timeline

B. gaps in process

C. outcome measures

D. financial reports

outcomes measures

If the HES working for a nonprofit healthcare organization needs to present results of data collection to the board of directors of the organization, what is the best way to present the data?

A. charts and raw data

B. summarize verbally

C. charts only

D. raw data only

charts and raw data

When applying Bridge's Transition Model to help people in organization cope with change in the initial stage when they are uncomfortable and/or resistant to change, the HES should

A. ignore resistance and appear positive

B. support people and provide guidelines

C. celebrate change, rewards people, and commit to change

D. listen to people and communicate

Listen to people and communicate

If a members of a priority population take exercise classes and participate in smoking cessation programs, the need for these services would be classified as

A. perceived

B. expressed

C. normative

D. actual

Expressed

The first step in the marketing process to facilitate change is to

A. analyze the situation

B. determine the role of marketing

C. select goals and objectives

D. select priority population

Analyze the situation

The HES has developed a new protocol and tools for teaching new parents to properly care for infants. Before implementing the program, the HES should

A. survey staff

B. determine problems

C. carry out pilot testing

D. conduct further research

Carry out pilot testing

The HES has received a notice from a community foundation that, because of an increase in funding for another agency and decreased revenue, an anticipated grant cannot be provided to implement the program the HES has developed. The first step in dealing with the barriers to implementation should be to

A. delay implementation of the program

B. search for alternative funding sources

C. appeal to the community foundation to reconsider

D. modify the program to decrease costs

Search for alternative funding sources

When utilizing data mining as part of data collection, data mining is used primarily for

A. descriptive analysis

B. prescriptive analysis

C. inferential analysis

D. predictive analysis

Predictive analysis

When using the Ecological Systems Model to assess the capacity of stakeholders to meet program goals, the HES should recognize that

A. multiple factors affect behavior

B. influences on behavior act independently on the individual

C. usually one primary factor affects behavior

D. behavior is unrelated to physical and sociocultural surroundings

multiple factors affect behavior

The HES is advocating for a free clinic to serve the homeless population as well as undocumented immigrants. All of the following are efforts that may engage stakeholders in the advocacy efforts EXCEPT:

A. focus groups to review plans for the clinic

B. interview with key informants to discuss plans

C. publicly criticizing the community for inaction

D. conducting surveys regarding location of the clinic

publicly criticizing the community for inaction

The HES carries out a community needs assessment as part of a public health program. The needs assessment shows a markedly increased rate of HIV among injection drug users because of increased heroin use and needle sharing. An example of an appropriate outcome based on this assessment is

A. Elimination of new HIV infections in the community

B. elimination of drug use

C. increased punishment for drug dealers

D. establishment of a needle exchange program

establishment of a needle exchange program

The HES carries out a community needs assessment as part of a public health program. The needs assessment shows a markedly increase if HIV among injection drug users because of increased heroin use and needle sharing. If the health education specialist commits the public health department to work with another community agency to promote the common goal of reducing HIV infections related to injection drug use, what type of intervention is the HES utilizing?

A. consultation

B. collaboration

C. advocacy

D. outreach

Collaboration

Which of the following is most likely to be the impact of a strictly enforced local ordinance against sleeping on the streets or in the parks overnight in the downtown area in order to remove the homeless?

A. increased number of shelters

B. shift of homeless population to outside the downtown area

C. decrease in the homeless population in the area

D. increase in crimes against property

increased numbers of shelters

Which of the following is an example of a voluntary health agency with which the HES may collaborate in carrying out preventative health projects?

A. Ford Foundation

B. Shriner's

C. American Heart Association

D. The American Academy of Health Behavior

American Heart Association

When storing and utilizing large amounts of personal data about members of the priority population, what is the primary concern?

A. accuracy

B. ease of access

C. clarity

D. security

security

Which step in media literacy is the HES utilizing when using media devices to convene a priority population?

A. reaction

B. awareness

C. reflection

D. analysis

reaction

When considering the best method of surveying a population for a needs assessment, what is the first thing to consider?

A. resources needed for assessment

B. timeframe required for assessment

C. characteristics of the target population

D. ease of administration of assessment

Characteristics of the target population

The HES plans to conduct community forums and to interview key informants regarding needs of a priority population for health related information. Prior to the forums and interviews, the HES should

A. draw up a list of suggestions

B. review literature and social indicators

C. ask for volunteers to disseminate health information

D. for focus groups to discuss needs

review literature and social indicators

If a television as for a health campaign has a large reach but poor recall, the problem is probably

A. hour of viewing

B. size of audience

C. presentation of material

D. audience literacy

presentation of material

The HES is concerned about healthcare disparities and wants participation in advocacy efforts. The HES's advocacy efforts should begin with

A. local public health departments

B. personal practice

C. state legislature

D. federal legislature

personal practice

The HES has placed information about the need for vaccinations in a kiosk in a local mall. What type of communication channel is the HES utilizing?

A. community

B. interpersonal

C. mass media

D. organizational

community

When prioritizing community needs for preventative efforts, the 3 primary considerations are (1) leading causes pf death/ morbidity, (2) years of potential life lost, and (3)

A. political support

B. population characteristics

C. policy

D. economic costs

economic costs

Based on the information in the graph above, which 2 factors are most critical in determining exposure to second hand smoke?

A. poverty level and race

B. race and age

C. home ownership and age

D. poverty level and home ownership

poverty level and race

When considering a culture audit of an organization, which finding would be cause for most concern?

A. organizations employees feel their salaries are too low

B. there is some differences of opinion about the vision and mission

C. employees readily identify key decision makers

D. organization employees are afraid to give their opinions

organization employees are afraid to give their opinions

According to Kotter's 8-step Change Model, what percentage of key staff should the HES convince that organizational change is warranted?

A. 25%

B. 50%

C. 75%

D. 100%

75%

If a public health organization is utilizing the Six Sigma model for program improvement, the HES should expect much emphasis to be placed on

A. data collection

B. customer satisfaction

C. program effectiveness

D. cost- effectiveness

data collection

The HES is planning to speak to a number of community groups about the importance of HPV vaccination in an area in which HPV vaccination rates are low because of concerns that the vaccination will encourage promiscuity. Based on these factors, the primary focus of the presentations should probably be on

A. preventing HPV infections

B. preventing cervical and penile cancer

C. local sexually transmitted disease rates

D. complications of HPV infections

preventing cervical and penile cancer

Starting a petition in support of an initiative to increase funding for homeless shelters is an example of what type of advocacy strategy?

A. electioneering

B. direct lobbying

C. grassroots lobbying

D. media advocacy

grassroots lobbying

The HES has developed a FB page and Twitter account in order to use social media to reach people in the community. The FB page has approximately 3500 follower. How any times per month should the HES plan on updating the FB page with the new informants?

A. more than 60 times

B. 30 to 60 times

C. 10 to 30 times

D. 1 to 5 times

1 to 5 times

A coalition of community agencies has come together to develop a plan to promote a reduction in obesity through healthier lifestyle choices. The next step should be to

A. begin the planning process

B. establish a timeline

C. elicit community input regarding the plan

D. determine the roles of members

elicit community input regarding the plan

When recruiting volunteers to help with implementation of a program, the most important criterion should be

A. skills

B. motivation

C. personality

D. available time

skills

In a needs assessment, capacity refers to

A. costs

B. assets

C. participants

D. program reach

assets

An organization's mission statement should include the

A. identified problems

B. organizational structure

C. desired outcomes

D. organization's purpose

organization's purpose

If a community needs assessment is based on results of an internet survey only, the ethical principle that mat be violated is

A. equity

B. veracity

C. beneficence

D. autonomy

equity

According to the graph above, which group showed an increase in motor vehicle related deaths from 2009 to 2010?

A. males 20 to 24 years

B. males 15 to 19 years

C. females 15 to 19 years

D. females 20 to 24 years

females 20 to 24 years

Based on the information in the graph above, which group would most benefit from a targeted education program regarding motor vehicle safety?

A. males 20 to 24 years

B. males 15 to 19 years

C. females 15 to 19 year

D. female 20 to 24 years

males 20 to 24 years

The national task force on the preparation and practice of health educators was first established in what year?

A. 1970

B. 1978

C. 1985

D. 1990

1978

If searching for statistics regarding rates of tuberculosis, which of the following is an appropriate source of secondary data?

A. OSHA

B. Census Bureau

C. CDC

D. CMS

CDC

If two organizations have agreed to collaborate on an educational program as separate entities with no sharing of financial resources and each organization carrying out different functions, the organizations should likely have a

A. contract

B. memorandum of understanding

C. letter of intent

D. partnership agreement

memorandum of understanding

If utilizing a logic model to show how a program aligns with the mission and goals of an organization, the HES would typically develop a flowchart with at least 3 categories: input, output, and

A. outcomes

B. goals

C. costs

D. gaps

outcomes

The HES is assessing the potential use of smart watch, such as Apple Watch, and software applications to remotely monitor the vital signs and exercise of participants in a health improvement program. The primary concern about using this technology is likely

A. ease of use

B. cost

C. invasion of privacy

D. maintenance

cost

If the HES plans to present the rationale for a community program to a coalition of community agencies and organizations that meet monthly, the best method of communications is probably a

A. written report submitted to the monthly meeting

B. telephone call to key members

C. oral presentation at the monthly meeting

D. email to all members of the coalition

oral presentation at the monthly meeting

Following a small successful pilot test, the county health department has decided to implement a smoking cessation program throughout the widespread county, including a city with a large diverse population and outlying suburbs, towns, and rural areas. The best method of implementation is probably

A. phased in implementation by location

B. phased in implementation by population groups

C. full implementation

D. large scale pilot test

phased in implementation by location

A HES working for a large business wants to develop a multifaceted fitness program for employees but must secure resources through a request a top management. When preparing the presentation, the HES should focus on

A. benefits to the business

B. benefits to the employees

C. resources needed to implement the program

D. health education specialist's role

benefits to the business

If the HES hires a consultant to install hardware and software as part of program implementation, the HES should prepare a

A. list of tasks

B. memorandum of understanding

C. interagency cooperation contract

D. statement of work (SOW)

statement of work (SOW)

Based on national statistics in the graph above, which ethnic group of boys 12 to 19 showed the greatest increase in obesity between 1994 and 2009?

A. data inconclusive

B. non-Hispanic whites

C. non-Hispanic blacks

D. Mexican americans

Mexican Americans

Considering the information in the graph above, what is the next step to take if developing a program to fight adolescent obesity?

A. target the group with the greatest increase in obesity

B. obtain local statistics about adolescent obesity

C. target all adolescent groups, regardless of ethnicity

D. survey the community to determine interest in a program

obtain local statistics about adolescent obesity

Which of the following is NOT an appropriate question to ask during the first step of a needs assessment?

A. "what is the goal of the needs assessment?"

B. "what resources are needed for the assessment?"

C. "what interventions should be instituted?"

D. "how extensive should the needs assessment be?"

"what interventions should be instituted?"

When extracting data from a database using Boolean operators, if the HES wants to retrieve documents that contain information about hypertension associated with obesity among adolescent African Americans, the most appropriate search is

A. hypertension and obesity and adolescent and African American

B. hypertension or obesity and adolescent or African American

C. hypertension or obesity or adolescent or African American

D. hypertension or obesity and adolescent and African American not Caucasian

hypertension and obesity and adolescent and African American

The first issue to consider when determining the validity of data is the

A. exclusion criteria

B. inclusion criteria

C. data

D. source

source

If the HES conducted a survey to determine how many employees smoke in the workplace but wants more information about smoking behavior, the best method for data collection is probably

A. focus groups

B. observation

C. nominal group process

D. Delphi panel

observations

All of the following are reasons to train personal who are assisting with data collection EXCEPT

A. to prevent ethical violations

B. to ensure timely collections

C. to ensure consistency

D. to guarantee accurate analysis

to guarantee accurate analysis

The primary problem with using only community forums to gather data about a priority population is that

A. the forum members may not be representative of the population

B. community forums may be too time-consuming

C. locating a place to hold community forums is difficult

D. community forums are expensive to hold

the forum members may not be representative of the population

A state with a large undocumented immigrant population has prohibited the use of public funds to provide healthcare for this population. The impact of this legislation is likely

A. decreased population of undocumented immigrants

B. increased disease and disability

C. increased crime rates

D. increased number of free clinics

increased disease and disability

If the HES is interested in conducting legislative lobbying about a number of health related issues, the HES should begin by

A. telephoning as many legislators as possible

B. focusing on one issue

C. gaining allies

D. starting on online petition for change

focusing on one issue

According to the Joint Committee on Standards for Educational Evaluation, the standard that means that information gathered in evaluation must serve the needs of those who will use the information is

A. feasibility

B. propriety

C. utility

D. accuracy

utility

The purpose of using an outcome chain is to

A. indicate responsibility for different aspect of assessment

B. help identify long and short term outcomes leading to attainment of goals

C. determine costs of each aspect of assessment

D. show how activities relate to goal attainment

help identify long and short term outcomes leading to attainment of goals

The local school district has had a high percentage of adolescents diagnosed with sexually transmitted diseases for the past 5 years. The HES is implementing an education program about STDs. The HES has set a goal that within one year there will be no further cases of STDs among adolescents in the school district. Which potential problem may arise with this goal?

A. the term adolescent is too vague

B. the goal is unrealistic

C. the time period is too short

D. STDs are not clearly defined

the goal is unrealistic

The local school district has had a high percentage of adolescents diagnosed with sexually transmitted diseases for the past 5 years. The HES is implementing an education program about STDs. If the HES needs more information about the sexual activity of the adolescents in the school district in order to better plan program strategies, the best method to obtain this information is probably

A. in class anonymous surveys

B. mailed anonymous surveys

C. focus group

D. student led discussion groups

in class anonymous surveys

The local school district has had a high percentage of adolescents diagnosed with sexually transmitted diseases for the past 5 years. The HES is implementing an education program about STDs. If the HES is planning a delivery method to educate adolescent about the dangers of unprotected sexual activity and different types of sexually transmitted diseases, the best method of delivery is probably a

A. computer video game

B. computer assisted instruction module

C. video presentation

D. handouts/posters

computer video games

Which of the following tools is often used to obtain qualitative statistics?

A. state reports

B. questionnaires

C. public forums

D. national statistics

public forums

If using the FOG index to assess readability so that material can be adapted for consumers, what should the HES count first?

A. number of syllables in a sentence

B. number of words and sentences in a passage

C. number of syllables in a passage

D. number of words with 3 or ore syllables

number of words and sentences in a passage

The best use of a focus group is to

A. suggest interventions for a population

B. identify a priority population

C. carry out a needs assessment

D. provide a response to proposed interventions

provide a response to proposed interventions

According to Healthy People 2020, one aspect of the key are social and communication context of social determinants is

A. incarceration/ institutionalization

B. assess to health care

C. crime and violence

D. quality housing

incarceration/ institutionalization

Which of the following is an example of a societal factor that is considered a root cause of a racial and ethnic disparities?

A. unsafe social environment

B. health illiteracy

C. sedentary lifestyle

D. lack of quality healthcare

health illiteracy

Which of the following is part of the community level of influence of health behaviors?

A. knowledge and beliefs

B. Association with family and friends

C. social networks

D. rules, regulation, and policies

social networks

When planning interventions for a priority population in which the eldest male in the family makes the decisions, the HES determines that this method of decision making is counter to American ideals and plans to force on empowering the women in the population to make independent decisions. This is an example of

A. cultural blindness

B. cultural awareness

C. ethnocentrism

D. ethnic inequality

ethnocentrism

When designing interventions for a health promotion, the HES plans a multi-level approach in order to allow any member of the priority population who wants to participate the opportunity to do so. The ethical principle that the health education is applying to this strategy is

A. beneficence

B. veracity

C. autonomy

D. equity

equity

If using the PRECEDE- PROCEED planning model to guide the delivery of a health promotion plan, which of the following is completed in phase 4, the first phase of the PROCEED portion?

A. implementation

B. process evaluation

C. administrative and policy assessment

D. impact evaluation

administrative and policy assessment

The resources necessary to achieve the objectives of an educational program include those that are human, tangible, and intangible. An example of an intangible resource for an organization is

A. organization's image

B. staff members

C. computers

D. office space

organization's image

The time estimates utilized in a Program Evaluation and Review Technique (PERT) chart include all of the following EXCEPT

A. optimistic time

B. anticipated time

C. expected time

D. pessimistic time

anticipated time

If soliciting feedback about an educational program, the method that will likely provide the best response rate is

A. emailing surveys to participants at completion of the program

B. mailing surveys to participants at completion of the program

C. providing printed surveys directly to participants during the program

D. asking participants how they feel during the program

providing printed surveys directly to participants during the program

The primary purpose of carrying out a feasibility study is to

A. identify factors that may interfere with implementation

B. assure the program meets the needs of participants

C. determine cost effectiveness

D. identify resources and funding sources

identify factors that may interfere with implementation

All of the following are sections of Article V, Responsibility in Research and Evaluation, of the Code of Ethics for the Health Education Profession EXCEPT

A. research and evaluation should do no harm to individuals

B. participation is voluntary

C. conflicts of interest are openly shared

D. education is free from discrimination and harassment

education is free from discrimination and harassment

When communicating findings to partners and stakeholders through a written report, in which section should the data analysis plan be described?

A. introduction

B. methodology

C. results

D. conclusions

methodology

A health impact assessment (HIA) should generally be carried out

A. before and after development or implementation

B. after development or implementation

C. before development or implementation

D. during development or implementation

before development or iplementation

If findings of a pilot study to increase screening for domestic abuse show markedly inconsistent results depending on when and by whom the screening was carried out, what is the first factor to consider?

A. population

B. timing

C. location

D. training

training

Which of the following is a valid source of information about evidence based public health approaches?

A. AHRQ Innovations Exchange

B. WebMD

C. Centers for Medicare and Medicaid (CMS)

D. Medline Plus

AHRQ Innovations Exchange

When sending an email to communicate with a priority population, the HES should be aware that the primary determinant in whether the person reads the email or not is often the

A. content of the email

B. sender

C. subject line

D. time email is sent

subject line

The HES has located a data collection instrument that appears to be well constructed and sensitive for the desired measures. However, the readability level is far too high for the priority population, which has low literacy rates, so the instrument would have to be substantially rewritten. The HES's first response should be to

A. attempt to locate to a different instrument

B. rewrite the text of the instrument to simplify the content

C. use only the parts of the instrument that have lower readability levels

D. construct an instrument that is appropriate

attempt to locate to a different instrument

If the HES would like to utilize smart phones to communicate with and send information to members of a priority population, the first step should be

A. provide smart phones to the priority population

B. survey the population regarding smart phone use

C. advise the participants that they need to get smart phones

D. apply for a grant to help participants pay for smart phones

survey the population regarding smart phone use

A HES works for a large industrial corporation and is selecting technology to manage program data for a health initiative. The first step should be to

A. choose an operating system

B. gather information about available technology

C. determine the funds available for purchasing technology

D. assess existing technology and resources

assess existing technology and resources

The most important factor in ensuring consistency in implementation of a health education program is usually

A. size of program

B. priority population

C. supervision

D. training

training

The HES has developed an instructional computer lab as part of an educational program but has had reports that staff members are monopolizing the computers and using them for personal projects an business despite staff being told that the computers are to be used only by program participants. If the HES plans to monitor computer use, the first step is

A. install monitoring software

B. provide a written policy

C. warn staff members

D. consult an attorney

warn staff members

The HES is concerned about the misuse of alcohol and medications among older adults in the community and plans a program to assure needs, identify resources, and educate staff and older adults about the dangers and misuse and progras to assist in more responsible use. When conducting a survey as part of a needs assessment, which type of survey is likely to have the lowest response rate?

A. mail

B. email

C. telephone

D. one on one

mail

The HEs is concerned about the misuse of alcohol and medication among older adults in the community and plans a program to asses needs, identify resources, and educate staff and older adults about the dangers of misuse and programs to assist in more responsible use. The HES wants to establish a resource database that include resources that may aid in the development of the program and provide ongoing support. The first step should be to

A. begin making telephone calls

B. review a directory of agencies and organizations

C. determine the types of resources needed

D. ask advice of key informants in the community

determine the types of resources needed

The HEs is concerned about the misuse of alcohol and medication among older adults in the community and plans a program to asses needs, identify resources, and educate staff and older adults about the dangers of misuse and programs to assist in more responsible use. An older adult in attendance asks about an article about medication misuse in the popular press, wondering if the information is valid. The article summarizes a study done by a university and discusses its ramification. Regarding the validity of the information, the HES should

A. reassure the individual that the information is valid

B. offer to research the primary source of information about the study

C. tell the individual that the information is not valid

D. advise the individual that there's no way to know if the information is valid

offer to research the primary source of information about the study

While developing a plan to increase potential care among a priority population of non-Spanish speaking indigenous Mayan immigrants from Guatemala, the HES has been unable to find appropriate materials and has, therefore, developed handouts, checklists, and guides independently with the help of a professional translator. Before full implementation, the HES should

A. ask a second translator to evaluate materials

B. try again to find materials for this population

C. ask key community members to evaluate the materials

D. pilot test the materials

pilot test the materials

The HES has convinced the school to place only healthy snacks in the vending machines when implementing a program to improve student nutrition and reduce obesity, but the result has been a sharp decline in purchases from the vending machines because the students are unhappy with the choices. This is an example of

A. reciprocal determinism

B. collective efficacy

C. self regulation

D. emotional coping response

reciprocal determinism

An example of a tailored message is a

A. message that has been modified to reflect literacy level of recipient

B. message emailed to a priority population based on shared interests

C. message sent in response to request for information

D. internet pop up ad with health information based on the individual's internet searches

Internet pop up ad with health information based on the individual's internet searches

If the HES has placed information about self breast exam on a website and wants to determine if information has been viewed by an adequate number of people, the best method is to

A. observe for increase in the number of mammograms

B. use a web counter to track traffic to the website

C. ask viewers to complete a survey

D. ask local practitioners to survey patients

use a web counter to track traffic to the website