CHES General Practice 3 — Questions and Answers
Question 1: A health educator wants to measure the proportion of adults in a county who received a flu vaccination last year. Which type of measurement is this?
- Incidence rate
- Prevalence proportion (Correct answer)
- Relative risk
- Odds ratio
Correct answer: Prevalence proportion
Prevalence proportion measures the fraction of a population with a characteristic (e.g., vaccination) at a specific point or period in time.
Question 2: Which communication channel is most appropriate for reaching a large, geographically dispersed population with a general health promotion message?
- One-on-one counseling sessions
- Small group workshops
- Mass media campaigns (Correct answer)
- Peer education programs
Correct answer: Mass media campaigns
Mass media campaigns (TV, radio, social media) are designed to reach large, spread-out audiences efficiently with broad health promotion messages.
Question 3: The Transtheoretical Model (Stages of Change) identifies which stage as one where an individual is not intending to change behavior within the next six months?
- Contemplation
- Preparation
- Precontemplation (Correct answer)
- Maintenance
Correct answer: Precontemplation
Precontemplation is the stage where individuals are not considering change in the foreseeable future (within 6 months) and may be unaware of or not concerned about the problem.
Question 4: A health educator is using focus groups as a data collection method. What is a key limitation of this approach?
- Focus groups cannot generate qualitative data
- Results may not be generalizable to the broader population (Correct answer)
- Focus groups are too expensive for community-based research
- Participants cannot share personal experiences in a group setting
Correct answer: Results may not be generalizable to the broader population
Focus groups produce rich qualitative data but involve small, purposive samples, so findings may not be statistically representative of the larger population.
Question 5: When writing SMART objectives for a health education program, the 'M' stands for:
- Meaningful
- Manageable
- Measurable (Correct answer)
- Motivational
Correct answer: Measurable
SMART objectives are Specific, Measurable, Achievable, Realistic, and Time-bound; 'Measurable' means the objective includes criteria for tracking progress.
Question 6: Which of the following is an example of a process evaluation measure?
- Reduction in HbA1c levels among program participants
- Number of educational sessions delivered and participant attendance (Correct answer)
- Decrease in emergency department visits for asthma
- Improved self-reported quality of life scores
Correct answer: Number of educational sessions delivered and participant attendance
Process evaluation tracks program implementation activities (e.g., sessions delivered, attendance rates) rather than health outcomes.
Question 7: A health educator is tasked with reducing health disparities in a low-income neighborhood. Which approach aligns best with principles of cultural competence?
- Using standardized national materials without modification
- Partnering with community members to adapt materials to local language and values (Correct answer)
- Focusing solely on individual behavior change interventions
- Delivering services only in clinical settings for quality control
Correct answer: Partnering with community members to adapt materials to local language and values
Cultural competence requires engaging community members to adapt interventions to their specific cultural, linguistic, and social context.
CHES General Practice 3
A health educator wants to measure the proportion of adults in a county who received a flu vaccination last year.
Which type of measurement is this?