CHES EXAM STUDY GUIDE Questions With Correct Answers
CHES EXAM STUDY GUIDE Questions With Correct Answers
CHES EXAM STUDY GUIDE Questions With Correct Answers
Programs Correct Answers a set of planned activities over time designed to achieve
specific objectives
Program Mission Statement Correct Answers statement of the general focus or purpose
of the program. Can be one-sentence statement or short narrative that broadly defines
the program's purpose. Mission statements identify the scope or focus of the
organization or program and are enduring over time
Expressed needs Correct Answers observed through individuals' use of services, such
as an exercise class taken by older adults at a senior center.
Actual needs Correct Answers may be inferred through the discrepancy of services
provided to one community group as compared to another, such as bicycling and
walking lanes.
Perceived needs Correct Answers refer to what individuals in a community state that
they want, such as more healthy food choices in a school's vending machine.
Health education specialists should: Correct Answers 1. weigh the benefits and
shortcomings of conference calls, webinars, face-to-face meetings, and strive to make
participation seamless for priority populations, partners, and other stakeholders.
2. Should communicate about gatherings via oral messages, newsletters, and traditional
and/or social media to ensure the broadest possible participation.
Collaborative efforts Correct Answers provide the opportunity for program planners to
bring together representatives from diverse organizations, segments, or constituencies
within the community to work toward a common goal. Also bring together a combination
of resources and expertise.
Steps for an effective coalition: Correct Answers 1. Analyze the issue or problem on
which the coalition will focus
2. Create awareness of the issue
3. Conduct initial coalition planning and recruitment
4. Develop resources and funding for the coalition
5. Create coalition infrastructure
6. Elect coalition leadership
7. Create an action plan
To promote this collaborative effort, health education specialists: Correct Answers need
to research the partner organizations mission's, establish clear goals, tasks, and
communication methods, and continually monitor effectiveness.
People who may be interested in the program planning process: Correct Answers 1.
Individuals who represent various groups within the priority population
2. Representatives of other stakeholders not represented in the priority population
3. Individuals who have key roles within the organization sponsoring the program
Remove these obstacles by: Correct Answers making personal contact with key
representatives, provide incentives for participation, choose easily accessible meeting
locations and conduct training programs.
The PRECEDE-PROCEED Model: Correct Answers Most often used formal planning
model in health education.
PRECEDE: Correct Answers Phase 1: Social Assessment- define the quality of life of
the prior population
Phase 2: Epidemiological assessment- identify the health problems of the priority
population and determine and prioritize behavioral (individual) and environmental
(external) risk factors associated with the health problem.
Phase 3: Educational and ecological assessment- determine predisposing (individual
knowledge and affective traits), enabling (those that make poosibly a change in
behavior, such as skills), and reinformcing (feedback and encouragement for a changed
behavior, perhaps from significant or important others) factors.
CDCynergy (Community Level Model) Correct Answers 1. Define and describe the
problem
2. Analyze the problem
3. Identify and profile the audience
4. Develop communication strategies
5. Develop evaluation plan
6. Launch the plan and obtain feedback
Diffusion of Innovations Correct Answers community level theory that describes the rate
at which a new program or activity will spread throughout a group of people.
according to this theory, the characteristics of those accepting the program help to
explain community readiness to change.
health education specialists motivate groups of people to adopt the new idea or
program by demonstrating how much better it is than the status quo.
Health disparities Correct Answers a particular type of health difference that is closely
linked with social, economic, and/or environmental disadvantage.
Health equity Correct Answers attainment of the highest level of health for all people.
Achieving health equity requires valuing everyone equally with focused and ongoing
societal efforts to address avoidable inequalities, historical and contemporary injustices,
and the elimination of health and health care disparities.
Health Policy and enforcement strategies Correct Answers mandate actions through
laws, regulations, policies, or rules. such actions are justified on the basis of the "the
common good;" that is, they are actions implemented to protect the public's health.
Results Correct Answers section of an original research paper presents evidence tested
against the stated hypothesis or research questions and presents statistical findings
Informed consent Correct Answers it explains the benefits, risks, and participation is
voluntary and may be terminated at any time
Focus Groups Correct Answers techniques capitalize on communication among
participants selected based on specific criteria. individuals invited to participate, and a
facilitator leads the focus group. It may be difficult to infer consensus and the results
may not be generalizable.
Advocacy questions to consider (in order) Correct Answers 1. How are advocates
building their professional capacities by learning skills such as communications, media
relations, strategy development, and campaign planning?
2. Based on influential factors in the political, social, and economic environments, what
advocacy strategies are likely to be most effective for policy change efforts?
3. How can multiple agencies work together effectively to advocate for mutually
desirable policy changes?
4. How can advocacy strategies be changed during a campaign to more effectively
influence desired policy changes?
MEDLINE Correct Answers database contains primary medical journals, many health
education journals are also indexed. PubMed is its online searchable interface through
the Web site of the National Library of Medicine (NLM). Offers free access to citations
from MEDLINE and other journals.
Cumulative Index for Nursing and Allied Health Literature (CINAHL) Correct Answers
database for health education information indices, major health education journals, and
journals from nursing and many other disciplines.
Health and Psycholosocial Instruments (HaPI) Correct Answers collects rating scales,
questionnaire, checklists, tests, interview schedules, and coding schemes/manuals for
health and social sciences.
Supporting participants Correct Answers members that only contribute money to the
coalition
Advisory Board Correct Answers group that provides specialized guidance and expert
opinion on a specific health topic in order to aid in decision-making.
Behavioral Factor of Health Correct Answers example: consumption, medication
compliance, and self-care
When choosing a policy or issue to advocate on with a legislator, which criteria should
be considered first? Correct Answers How receptive the community or target population
is to the proposed policy or advocacy effort
The health education specialist is working with a local community to institute a smoke
free environment in local businesses, agencies, and restaurants throughout the entire
community. What type of health strategy would the health education specialist
implement in the community? Correct Answers Ordinance
In a social ecological model, a school or worksite would fall under what factor or level
Correct Answers Institutional
A local health department has decided to adopt an evidence-based program for obesity
prevention with educational materials that are not completely compatible with the
community it serves. In the process of adapting the materials to make them more
suitable for the population, the health education specialist should be cautious not to:
Correct Answers change the core elements that make the program effective
If selecting items from an existing instrument, what is is the correct procedure? Correct
Answers Retain scales to cover an entire domain, rather than select one question for a
complex domain.
With so many changes in health eduction and health-related policy on a daily basis, it is
essential that the education specialists advocate for professional development for the
filed. Which is a way to advocate for professional development in the field of health
education? Correct Answers Publish articles in peer-reviewed journals on the
importance of professional development
A health education specialist is developing a new Web site as part of an intervention for
people with visual disabilities. Which law should the health education specialist review
and consider when developing the Web site? Correct Answers Section 508 of the
Rehabilitation Act
What makes a successful partnership? Correct Answers Effective communications
should include feedback loops through which intentions, ideas, and information can be
exchanged.
Beneficence Correct Answers program planners need to justify why the chosen
technology modality is best for participants (not the health promoter)
Equity Correct Answers given health disparities data, special attention should be paid to
who has access to the technological modality
A hospital is expanding outreach services and facilities with a new unit focused on
prevention and the treatment of chronic disease. The health education specialist is
tasted with gathering local data on these conditions. Which is the most useful rate to
use? Correct Answers Prevalence rate (total number of cases at any given time)
A food borne outbreak has closed three local restaurants, and epidemiologists and food
safety staff are hoping to identify the outbreak source. Health education specialists and
communication specialists plan to use earned media and social media to educate local
community members about the outbreak. What should the health education specialists
and communication specialists do first? Correct Answers Identify the audience
A health education specialist notices one of the lessons is not working as planned. What
is the appropriate way to proceed? Correct Answers Adapt the lesson to the learners'
needs so they are able to understand the information or skill
During flu season, health education specialists often try to promote the flu vaccine to the
general public. According to the Elaboration Likelihood Model, a person who does not
feel susceptible to the flue might not pay attention to messages promoting the vaccine.
How might a health education specialist craft a message in order to target this person?
Correct Answers Use peripheral stimuli, such as pictures or video to increase attention.
Elaboration Liklihood Model Correct Answers finding out how much the audience cares
about an issue will help specialists craft effective messages.
A person who feels directly impacted by a topic will be more likely to pay attention to a
message and want details.
a person who is not engaged in a topic will need peripheral stimuli to grab their attention
4 "P's" of Social Marketing Correct Answers Product: health behavior, program or idea
Price: financial, physical, psychological, time
Place: how and where learning will take place
Promotion: approach used to reach the audience
A health educator has just begun his career after graduation. He is trying to make
contacts with other professionals so that he can network and share ideas. What is the
best way to achieve this? Correct Answers Join a professional health education
organization
The health education specialist would use a prioritization matrix in which phase of the
PRECEDE-PROCEED Model? Correct Answers Epidemiological assessment
A community agency is targeting a variety of social ecological levels to help reduce drug
use in the community. Some of the levels will take substantially more time to target.
Rather than wait for all aspects of the intervention to be ready, the agency looks to
begin with one level and then will add in other levels over time. This is an example of:
Correct Answers phasing in
To deal with the greatest drawback to a multilevel strategy intervention, what model
should be followed? Correct Answers RE-AIM
IMB Skills Model Correct Answers Information, Motivation, Behavioral Skills Model: was
developed in Western settings characterized by a more individualistic culture in contrast
to the more collectivistic culture of Thailand.
(1) "information" includes relevant knowledge on antiretroviral medications such as
appropriate administration, side effects, and drug interactions. Information might be
correct or incorrect and can both facilitate and impede adherence. Information can also
include broader adherence-related heuristics or theories, e.g., regarding ART and
physiologic reactions and outcomes; (2) "motivation" includes both personal and social
motivations. Personal motivation includes positive or negative attitudes toward taking
antiretroviral medications, perceived benefits or side effects of taking medications,
and/or perceived negative effects of nonadherence. Social motivation includes the
individual's perceptions of social support from significant others for adherence and
his/her desire to comply with others; and (3) "behavioral skills" are both the individual's
objective ability to perform necessary adherence-related tasks and his/her perceived
self-efficacy for these tasks. Adherence-related tasks include cues to dosing, strategies
to minimize side effects, and self-reinforcement for adherence over time and across
different situations.
PAPM Model (The Precaution Adoption Process Model) Correct Answers attempts to
explain how a person comes to decisions to take action and how he or she translates
that decision into action.
Adoption of a new precaution or cessation of a risky behavior requires deliberate steps
unlikely to occur outside of conscious awareness.
The PAPM applies mainly to these types of actions, rather than to the gradual
development of habitual patterns of behavior, such as exercise and diet, in which health
considerations may play some role. However, the PAPM would apply to the initiation of
a new exercise program or a new diet. Proponents of the PAPM hypothesize that there
are qualitative differences among people, and question whether changes in health
behaviors can be described by a single prediction equation.
Gantt Chart Correct Answers a chart in which a series of horizontal lines shows the
amount of work done or production completed in certain periods of time in relation to the
amount planned for those periods.
What is an example of a behavioral factor that must be considered to assess the root
causes of racial and ethnic disparities? Correct Answers Lack of seat belt use
A health education specialist would like to attend a school board meeting to discuss
safety issues in the school. Though multiple forms of data will be used, what will cause
a more emotional reaction to evidence the necessity of an intervention? Correct
Answers Photovoice or story telling from the students' point of view
Reach, recall, and media impressions are common metrics used to evaluate: Correct
Answers the impact of messages
A health education specialist has been asked to collect qualitative data from
participants. Given a short period of time, what is the best method that takes the least
amount of time? Correct Answers Focus groups
A health education specialist finds a website called The Teen Pregnancy Place, which
provides a discussion board where pregnant and parenting teens can obtain advice and
make friends online. It is unclear who developed the material or sponsors the site. A fact
sheet regarding the weekly development of a fetus is provided, but no references are
cited for the information it contains. A links page directs visitors to other websites for
resources, services, and products related to pregnancy and parenting. Visitors to the
website should assume that: Correct Answers all of the information could be inaccurate
A healthy hearts coalition emails all PTA/PTO embers and asks them to contact their
district school board members to vote for the healthy snacks in school policy. This
appeal is considered: Correct Answers grassroots lobbying
What is typically considered a good reason for a public health agency to seek outside
help from someone other than a staff member? Correct Answers to seek someone with
specialized skills not available internally
What organization is a reliable source for data related to disabilities resulting from
automobile accidents that would be used in health education program planning? Correct
Answers National Highway Traffic Safety Administration
A client comes to the health education specialist for health counseling and coaching.
The client feels stressed with unresolved conflict and poor coping patterns. The health
coach decides to use which of the following approaches/theoretical orientations to
counseling in order to meet this specific client need? Correct Answers Counseling for
decision-making
If a HES is trying to gain support for a program within an organization, which is one way
to illustrate a rationale for the program to key stakeholders? Correct Answers Use a
logic model to show how the program aligns with the organization's mission.
In the process of selecting the most appropriate educational method to use in a health
education program, what guideline should be used? Correct Answers Consider the
nature of the audience and the purpose of the program.
One of the ways to comprehensively engage the priority population in the program
planning, implementation, and evaluation process is to: Correct Answers use
community-based participatory research
What statement contains accurate principles to address low health literacy? Correct
Answers Use graphs or charts, rather than tables or numbers, to show rates of illness or
injury.
According to the Centers for Disease Control and Prevention's Framework for Program
Evaluation, being "realistic, prudent, diplomatic and frugal" is part of which standard for
effective evaluation? Correct Answers Feasibility
To help improve intervention fidelity, a health education specialist should create: Correct
Answers an implementation guide.
A HES gives data from an evaluation regarding drug use in a community to a
community volunteer to enter. Some of the participants wrote their name on top of the
survey. What ethical issue has occurred? Correct Answers Breach of confidentiality
A HES wants to collect ratio data on smoking rates. Which of the following questions
would achieve this level of measurement? Correct Answers How many cigarettes do
you smoke per day?
A HES is asked to measure actual use of a walking trail in a local community. Which of
the following methods is best to measure actual use of the tail over a period of a week?
Correct Answers Observation
As a HES monitors program implementation, he/she finds several lessons were not
implements as originally planed. This illustrates lack of: Correct Answers fidelity
When creating a marketing plan, the HES must segment the audience. How does this
occur? Correct Answers By outlining specific portions of the priority population to focus
on
HES in a local health department are trying to understand mental health conditions
common in those with chronic illness such as diabetes and cancer. Which of the
following resources would be the best database to find mental health research articles?
Correct Answers PsychInfo
The intervention program has been adopted, and the priority population is ready to
participate. The implementation team nees to know their tasks and associated due
dates, and the health education specialist needs a relatively simple way to track the
team's projected and actual task completion progress. To meet both needs, as well as
to identify and prioritize all of tasks neds for full implementation, the health education
specialist creates a: Correct Answers Gantt Chart
An afterschool program was developed to help overweight and obese adolescents lose
weight. In developing the program, the health education specialist considered the
adolescents' attitude, beliefs, and values regarding diet and physical activity. Knowing
this information, the HES helped to: Correct Answers ensure the program was culturally
appropriate and relevant
A HES wants to raise awareness among a general audience of the dangers of second-
hand smoke. What delivery method would reach a broader audience? Correct Answers
Producing a public service announcement for local radio
The social media campaign to change social norms related to teen pregnancy
developed by a HES is reviewed by a group of adolescents from the priority population.
Their feedback allows the HES to make changes before implementing the campaign.
What type of evaluation is this? Correct Answers Formative
A HES does not have additional staff to assist with data collection, data entry, or
analysis, and has a tight timeline for data collection and analysis. Which of the following
is a feasible method for the heS to collect data on attitudes toward antismoking
legislation in a region? Correct Answers A web-based quantitative survey
The lead and radon at a state health department did not have its funding renewed and
its scheduled to end in next twelve months. A strategic plan, vision, and program
evaluation data are available. What other sustainability domain or element should a
health education specialist explore for sustaining the program? Correct Answers
Collaborations or partnerships
An informal channel for communicating information about smoking policies at the work
site could include: Correct Answers support groups for smokers in a cessation program
A health education specialist was asked to provide a school district with accurate web-
based resources for their sexuality education program. What key items would a health
education specialist assess? Correct Answers Author's credentials, web site's purpose,
and references
When starting the advocacy process, the HES should develop: Correct Answers a fact
sheet about the issue.
What does NOT help to assess the accuracy of a resource? Correct Answers Is the
information compatible with the community context?
The trainers primary responsibility is to: Correct Answers ensure program objectives are
met.
The HES must analyze the meaning of the data collected during the assessment and
determine health education/promotion needs. If the health education specialist
aggregates the data, which cognitive process of qualitative research is he/she focusing
on? Correct Answers synthesizing
If a HES wishes to use online surveys because of the ease of data collection, but the
priority population struggles with technology. This is a breach of which ethical principle
in managing technology? Correct Answers Beneficence
After his partner was diagnosed with breast cancer, an older citizen of a community os
overwhelmed by the amount of information on the topic on the internet. he asks how to
sort through the information to find reputable sources. One way to help him easily limit
his search is to tell him to: Correct Answers only visit sites that end in .gov, .org, or .edu.
HES wishing to target subgroups of the priority population should: Correct Answers first
consider how the priority population prefers to get their information.
Program or outcomes objectives Correct Answers related to the ultimate goal(s), but are
specific, measurable statements of what the educator wants to accomplish at any given
time. represent the change in health status that is the desired result for the program or
intervention.