CHES Ultimate 3 — Questions and Answers
Question 1: A health educator is implementing a smoking cessation program using motivational interviewing. Which of the following represents the spirit of motivational interviewing MOST accurately?
- Providing expert advice and confronting resistance directly
- Collaboration, evocation, and autonomy support (Correct answer)
- Educating clients about health risks until they change behavior
- Using rewards and punishments to reinforce desired behaviors
Correct answer: Collaboration, evocation, and autonomy support
The spirit of motivational interviewing is characterized by collaboration (partnership), evocation (drawing out motivation), and autonomy (respecting the person's right to choose).
Question 2: When prioritizing health problems for intervention, the PATCH (Planned Approach to Community Health) model recommends considering which two primary factors?
- Cost and feasibility
- Importance and changeability (Correct answer)
- Prevalence and incidence
- Mortality and morbidity
Correct answer: Importance and changeability
PATCH prioritizes health problems based on their importance (burden on the community) and changeability (likelihood of improvement through intervention).
Question 3: A worksite health promotion coordinator notices that employee participation in wellness programs drops significantly after mandatory enrollment ends. This BEST illustrates which concept from self-determination theory?
- Self-efficacy
- Autonomous versus controlled motivation (Correct answer)
- Health belief model's perceived benefits
- Reciprocal determinism
Correct answer: Autonomous versus controlled motivation
Self-determination theory distinguishes autonomous (intrinsic) motivation from controlled motivation; when external control is removed, behavior driven only by controlled motivation often ceases.
Question 4: A health educator conducting a needs assessment uses a method where community members rank health priorities independently, then discuss and re-vote. This is an example of which technique?
- Focus group discussion
- Delphi method
- Nominal group technique (Correct answer)
- Community forum
Correct answer: Nominal group technique
The nominal group technique involves structured individual ranking, group discussion, and re-voting to build consensus on priority health issues.
Question 5: Which type of validity evidence is gathered when a health knowledge test is reviewed by subject matter experts to confirm it covers all relevant content areas?
- Criterion validity
- Construct validity
- Concurrent validity
- Content validity (Correct answer)
Correct answer: Content validity
Content validity is established through systematic expert review confirming that test items adequately sample the full domain of knowledge being measured.
Question 6: According to the Transtheoretical Model, a person in the 'preparation' stage is BEST described as someone who:
- Has no intention to change behavior in the next 6 months
- Is intending to take action in the immediate future and has a plan (Correct answer)
- Has maintained the behavior change for more than 6 months
- Has recently begun the new behavior within the last 6 months
Correct answer: Is intending to take action in the immediate future and has a plan
In the preparation stage, individuals intend to act within the next month and have often taken some small steps, such as joining a gym or setting a quit date.
Question 7: A health educator is evaluating a diabetes prevention program by comparing pre- and post-test scores of participants without a control group. This evaluation design is BEST described as a:
- Randomized controlled trial
- Quasi-experimental pre-post design (Correct answer)
- Cross-sectional study
- Case-control study
Correct answer: Quasi-experimental pre-post design
A pre-post design without random assignment or a control group is a quasi-experimental design, which limits causal inference about program effectiveness.
CHES Ultimate 3
A health educator is implementing a smoking cessation program using motivational interviewing.
Which of the following represents the spirit of motivational interviewing MOST accurately?