CHES Ultimate 2 — Questions and Answers
Question 1: A health educator is designing a program to reduce hypertension in a rural community. Which step of the PRECEDE-PROCEED model involves identifying health determinants such as predisposing, reinforcing, and enabling factors?
- Phase 1: Social Assessment
- Phase 3: Educational and Ecological Assessment (Correct answer)
- Phase 5: Implementation
- Phase 6: Process Evaluation
Correct answer: Phase 3: Educational and Ecological Assessment
Phase 3 of PRECEDE-PROCEED focuses on educational and ecological assessment, identifying predisposing, reinforcing, and enabling factors that influence behavior.
Question 2: When applying diffusion of innovation theory to a new wellness program, which adopter category is characterized by being deliberate, having many informal social contacts, and serving as opinion leaders?
- Innovators
- Early Adopters (Correct answer)
- Early Majority
- Late Majority
Correct answer: Early Adopters
Early Adopters are respected opinion leaders who are deliberate in adoption and serve as role models for others in the social system.
Question 3: A health educator wants to measure the reliability of a newly developed health literacy assessment tool. Which statistical method would BEST evaluate internal consistency?
- Pearson correlation coefficient
- Cronbach's alpha (Correct answer)
- Chi-square test
- ANOVA
Correct answer: Cronbach's alpha
Cronbach's alpha measures internal consistency reliability, indicating how closely related a set of items are as a group.
Question 4: Under the ethical principle of justice in health education, a health educator should ensure that:
- All program participants sign informed consent forms
- Benefits and burdens of health programs are distributed fairly across populations (Correct answer)
- Participants are never deceived during research studies
- Educators maintain confidentiality of all client information
Correct answer: Benefits and burdens of health programs are distributed fairly across populations
Justice requires equitable distribution of health program benefits and burdens, particularly ensuring underserved populations are not excluded.
Question 5: A community health educator is conducting a focus group to assess barriers to cancer screening. Which technique involves probing participants' underlying values by repeatedly asking 'why' a characteristic is important?
- Laddering (Correct answer)
- Nominal group technique
- Delphi method
- SWOT analysis
Correct answer: Laddering
Laddering is a qualitative technique that uncovers underlying motivations and values by repeatedly probing why a characteristic matters to participants.
Question 6: Which federal legislation established the framework for protecting the privacy of individuals' health information and applies to covered entities including health plans and healthcare clearinghouses?
- Affordable Care Act (ACA)
- Health Insurance Portability and Accountability Act (HIPAA) (Correct answer)
- Americans with Disabilities Act (ADA)
- Family Educational Rights and Privacy Act (FERPA)
Correct answer: Health Insurance Portability and Accountability Act (HIPAA)
HIPAA's Privacy Rule establishes national standards to protect individuals' medical records and other personal health information held by covered entities.
Question 7: In grant writing, a logic model's 'outputs' section typically refers to:
- Long-term community health improvements
- The direct products of program activities such as workshops held and materials distributed (Correct answer)
- Changes in participants' knowledge, attitudes, or skills
- The financial resources invested in the program
Correct answer: The direct products of program activities such as workshops held and materials distributed
Outputs are the direct, tangible products of program activities, such as the number of sessions conducted, materials distributed, or people served.
CHES Ultimate 2
A health educator is designing a program to reduce hypertension in a rural community.
Which step of the PRECEDE-PROCEED model involves identifying health determinants such as predisposing, reinforcing, and enabling factors?