CHES General Practice 2 — Questions and Answers
Question 1: Which of the following best describes the social-ecological model of health behavior?
- A linear model focusing solely on individual choices
- A framework examining multiple levels of influence including individual, interpersonal, community, and policy (Correct answer)
- A model that prioritizes biological determinants over social factors
- A theory that health behavior is determined only by socioeconomic status
Correct answer: A framework examining multiple levels of influence including individual, interpersonal, community, and policy
The social-ecological model recognizes that health behavior is shaped by multiple interacting levels: individual, interpersonal, organizational, community, and policy.
Question 2: A health educator uses 'teach-back' with a patient who has newly diagnosed hypertension. What is the primary purpose of this technique?
- To assess the educator's own teaching effectiveness
- To confirm the patient understands the information by having them repeat it in their own words (Correct answer)
- To provide a written summary of the session
- To identify patients who need referral to a specialist
Correct answer: To confirm the patient understands the information by having them repeat it in their own words
Teach-back verifies patient comprehension by asking them to restate key information in their own words, enabling the educator to correct misunderstandings immediately.
Question 3: When developing a community health program, which step comes FIRST in the planning process?
- Selecting appropriate educational strategies
- Conducting a community needs assessment (Correct answer)
- Evaluating program outcomes
- Designing promotional materials
Correct answer: Conducting a community needs assessment
A community needs assessment is the foundational first step, identifying existing health problems, assets, and priorities before any program design begins.
Question 4: According to the Health Belief Model, 'perceived barriers' refers to:
- Structural obstacles such as lack of transportation
- An individual's belief about the costs or obstacles to taking a health action (Correct answer)
- Cultural norms that discourage health-seeking behavior
- Policy restrictions that limit access to care
Correct answer: An individual's belief about the costs or obstacles to taking a health action
In the Health Belief Model, perceived barriers are the individual's own assessment of the obstacles that make a recommended health action difficult to take.
Question 5: A CHES professional is reviewing a grant proposal. Which section should outline how the program's success will be measured?
- Goals and objectives
- Budget justification
- Evaluation plan (Correct answer)
- Literature review
Correct answer: Evaluation plan
The evaluation plan describes the methods, tools, and timeline used to measure whether the program achieved its intended outcomes.
Question 6: Which ethical principle requires a health educator to provide complete and accurate information so participants can make voluntary, informed decisions?
- Beneficence
- Justice
- Autonomy (Correct answer)
- Non-maleficence
Correct answer: Autonomy
Autonomy requires respecting individuals' rights to make their own informed decisions, which depends on receiving complete and accurate information.
Question 7: In the PRECEDE-PROCEED model, 'enabling factors' in the educational and ecological assessment phase include:
- Attitudes and beliefs that motivate behavior
- Skills, resources, and access that facilitate or impede behavior (Correct answer)
- Social norms and peer influence
- Organizational policies and regulations
Correct answer: Skills, resources, and access that facilitate or impede behavior
Enabling factors are the skills, resources, and environmental conditions — such as access to facilities or availability of services — that make a behavior possible.
CHES General Practice 2
Which of the following best describes the social-ecological model of health behavior?