CHES area 1 responsibility review

17. The health education specialist is working with a local community to institute a smoke free environment in local businesses, agencies, and restaurant throughout the entire community. What type of health strategy would the health education specialist implement in the community? a. positive statement b. ordinance c. executive order d. regulation

b. ordinance

22. A health education specialist has been charged to develop a comprehensive childhood obesity intervention in a community identified as having a high prevalence of childhood obesity. What planning model would best assist the health education specialist in developing the program? a. community model b. precede-proceed model c. logic model d. health belief model

b. precede-proceed model

10. 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 tasked with gathering local data on these conditions. Which is the most useful rate to use? a. incidence rate b. prevalence rate c. attack rate d. natality rate

b. prevalence rate

8. If a health education specialist wished to use the application level of Bloom's taxonomy in an intervention aimed at decreasing saturated fat consumption, what might the health education specialist have the priority population do? a. outline the health benefits of decreasing fat intake b. list foods containing saturated fats c. compare saturate and unsaturated fats d. demonstrate how to prepare a healthy meal

d. demonstrate how to prepare a healthy meal

3. Which represents primary sources that could be used for a community needs assessment? a. published scientific studies and reports b. United States census data, vital records, disease registries c. state health data from the health department d. informal interviews, observations, and surveys

d. informal interviews, observations, and surveys

1. A health education specialist 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 trail over a period of a week? a. nominal group process b. surveys c. focus groups d. observation

d. observation

7. Which of the following is the first step in designing a survey? a. determining the objectives of the survey b. determining the questions to be used c. determining the types of scales to be used d. determining the specific data to be collected

a. determining the objectives of the survey

21. A health education specialist needs to determine specific alcohol, tobacco, and other drug use prevention needs and immediately prioritize those needs with a few experts from the priority population. Which primary data collection technique would be the best to use in this scenario? a. nominal group process b. focus group c. community forum d. electronic interviews

a. nominal group process

23. In a community, twice as many people died over the course of one year in house fires than in car crashes. Community members demand the health education specialist immediately create a fire prevention intervention. Before planning the fire prevention intervention, the health education specialist should first determine the: a. population at risk b. life expectancy in the community c. point source epidemic curve d. odds ratio

a. population at risk

9. Using a written questionnaire, a cross-sectional survey about personal alcohol, tobacco, and other drug use behaviors was administered to a priority population. The priority population for the survey did not respond. The health education specialist would then need to find other evidence that the behaviors occurred or did not occur using: a. proxy measures b. multistep written surveys c. self-assessments d. telephone interviews

a. proxy measures

2. Conducting a capacity assessment focuses on identifying community: a. resources b. health problems c. weaknesses d. needs

a. resources

11. In a meeting, community members offer suggestions for curbing the community's obesity problem. They focus on the behaviors of individuals in the community, thinking if community members change their dietary behaviors, then the obesity problem will be solved. A health education specialist explains the solution is not this simple because: a. sometimes behaviors are influenced by other factors, such as lack of access to health food, that are out of a person's control b. attitudes are the only important factor to consider when designing obesity prevention or treatment programs c. access to healthcare is more important than behaviors when weighing factors related to obesity treatment or prevention d. there are other behaviors more important when trying to decrease rates of obesity in the community

a. sometimes behaviors are influenced by other factors, such as lack of access to health food, that are out of a person's control

15. The health education specialist 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? a. synthesizing b. comprehending c. theorizing d. recontextualizing

a. synthesizing

16. The health education specialist chose the PRECEDE-PROCEED Model as the organizational framework for the needs assessment of a childhood obesity intervention. Which of the following best represents the Behavioral and Environmental Factors phase? a. the school districts are institutions with agents that can make change b. childhood obesity is strongly linked to adult overweight and obesity c. the highest rates of childhood obesity are found in the southeastern states d. social norms, self-efficacy, and attitudes are most related to obesity rates

a. the school districts are institutions with agents that can make change

25. When calculating mortality statistics in a population, the health education specialist needs to weigh deaths of the very young more than the deaths of the very old. Which of the following would he/she calculate? a. DALYs b. YPLL c. CSMR d. HALE

b. YPLL

20. A large group of tourists traveled on an ocean liner to a tropical island and developed an acute, flu-like illness. The suspected cause of illness is associated with cruising on this ocean liner. Health authorities need to know the number of all passengers who became ill, as well as those who traveled on the ocean liner. Which rate should the health education specialist calculate to provide information to health authorities? a. prevalence rate b. attack rate c. fatality rate d. cause-specific mortality rate

b. attack rate

14. A health education specialist has been asked to collect qualitative data from participants. Given a short time period to collect data, which method takes the least amount of time? a. interviews b. focus groups c. delphi technique d. quantitative surveys

b. focus groups

18. For people with less than 12 years of education, the infant mortality rate and overall death rate is almost twice as high as people with 13 or more years of education. These are examples of: a. health inequities b. health disparities c. social determinants of health d. health equity

b. health disparities

13. The health department administrator just returned from a meeting where someone used a focus group to gather data and now has a great idea. The administrator tasks the health education specialist with conducting a focus group of low income citizens from the south side of town to answer questions about which heart disease intervention the department should offer city wide. Knowing the limitations of this strategy, the health education specialist is rightfully concerned about: a. the reliability of the findings b. the generalizability of the findings c. the validity of the findings d. the accuracy of the findings

b. the generalizability of the findings

12. A health education specialist is concerned about HIV infection in the community. The health education specialist might use the data from a graph on estimated new HIV infections in the US, 2010: a. to compare to secondary data in the state to understand community need b. to compare to primary data in the community to better understand the community need c. to use as a form of primary data to identify the specific community's priority population d. to use as evidence that all populations are at great risk for HIV infections

b. to compare to primary data in the community to better understand the community need

5. Consumption, medication compliance, and self-care are considered which type of factors to health? a. attitudes b. environmental c. behavioral d. genetic

c. behavioral

19. When inferring needs of a priority population, the health education specialist: a. must remain unbiased and ignore political or cultural influences on health issues of great importance in the community b. creates a program based solely upon the data collected from surveys and hospitals in the area c. considers feedback from the priority population along with data collected on health issues in the population d. focuses only on behavioral issues in the priority population because these issues are the most changeable

c. considers feedback from the priority population along with data collected on health issues in the population

4. The health education specialist is charged with establishing collaborative relationships with organizations to gain access to data for country wide community needs assessments. Which of the following is the best approach to secure the data needed? a. determine the level of relationship needed with each organization to obtain data b. identify key individuals and stakeholders within the various organizations to build a relationship c. establish a data sharing agreement including the outcome, purpose, data ownership, and conditions of release d. establish a network or organizations with data needed for county wide community needs assessment

c. establish a data sharing agreement including the outcome, purpose, data ownership, and conditions of release

24. Which method represents a secondary source for a needs assessment? a. interviews with key informants b. focus groups with a priority population c. published data from a CDC article d. internet survey of program participants

c. published data from a CDC article

6. The health education specialist is measuring the incidence of breast cancer in Texas in January 2015, which women would be counted for the numerator of the incidence measure? a. all women with breast cancer from January 1, 2013 to January 1, 2014 b. all women in Texas who currently have breast cancer in January 2014 c. women in Texas diagnosed with breast cancer in January 2015 d. the number of women living in Texas in January 2014

c. women in Texas diagnosed with breast cancer in January 2015