CBC CBC Breast Health Program Development 1 — Questions and Answers
Question 1: When developing a breast health education program for a low-income urban community, which step should come FIRST?
- Designing educational brochures
- Conducting a community needs assessment (Correct answer)
- Hiring clinical staff
- Purchasing mammography equipment
Correct answer: Conducting a community needs assessment
A community needs assessment identifies existing gaps, barriers, and resources before any program design, ensuring interventions are targeted and relevant.
Question 2: Which federal program provides free breast and cervical cancer screenings to underserved women in the US?
- Medicaid Expansion Program
- National Breast and Cervical Cancer Early Detection Program (NBCCEDP) (Correct answer)
- Title X Family Planning Program
- Women, Infants and Children (WIC) Program
Correct answer: National Breast and Cervical Cancer Early Detection Program (NBCCEDP)
The NBCCEDP, administered by the CDC, provides free or low-cost mammograms and Pap tests to low-income, uninsured, or underinsured women.
Question 3: In the context of health literacy, breast health materials are recommended to be written at what reading level for general public distribution?
- 4th–6th grade level (Correct answer)
- 8th–10th grade level
- College level
- 12th grade level
Correct answer: 4th–6th grade level
Public health materials are most accessible and effective when written at a 4th–6th grade reading level to reach individuals with varying literacy.
Question 4: A Breast Counselor is planning a program evaluation. Which type of evaluation assesses whether the program was implemented as designed?
- Outcome evaluation
- Impact evaluation
- Process evaluation (Correct answer)
- Cost-effectiveness evaluation
Correct answer: Process evaluation
Process evaluation (also called implementation evaluation) measures fidelity to the program plan — whether activities were delivered as intended.
Question 5: Cultural competence in breast health programming primarily requires a counselor to:
- Translate all materials into Spanish only
- Recognize and respect diverse beliefs and tailor communication accordingly (Correct answer)
- Avoid discussing cultural differences to prevent offense
- Standardize all interventions regardless of population
Correct answer: Recognize and respect diverse beliefs and tailor communication accordingly
Cultural competence involves understanding, respecting, and adapting approaches to the cultural beliefs, practices, and languages of the populations served.
Question 6: Which behavioral model is most commonly applied in breast health promotion to understand a woman's readiness to begin regular mammography screening?
- Maslow's Hierarchy of Needs
- Transtheoretical Model (Stages of Change) (Correct answer)
- Biomedical Model
- PRECEDE-PROCEED Model
Correct answer: Transtheoretical Model (Stages of Change)
The Transtheoretical Model identifies five stages (precontemplation through maintenance) and is widely used to tailor interventions to a woman's current readiness for screening.
CBC CBC Breast Health Program Development 1
When developing a breast health education program for a low-income urban community, which step should come FIRST?