CHES General Practice 4 — Questions and Answers
Question 1: In program planning, 'logic models' are primarily used to:
- Calculate the statistical significance of program outcomes
- Visually map the relationships between program resources, activities, and intended outcomes (Correct answer)
- Identify funding sources for program implementation
- Document adverse events during program delivery
Correct answer: Visually map the relationships between program resources, activities, and intended outcomes
A logic model is a visual tool that illustrates the theory of change by connecting inputs, activities, outputs, and short- and long-term outcomes.
Question 2: Which of Bandura's Social Cognitive Theory constructs refers to an individual's confidence in their ability to perform a specific behavior?
- Outcome expectations
- Observational learning
- Self-efficacy (Correct answer)
- Reciprocal determinism
Correct answer: Self-efficacy
Self-efficacy is a central SCT construct describing a person's belief in their own capability to successfully execute a behavior.
Question 3: A health educator delivers a smoking cessation intervention and measures cotinine levels before and after. This is an example of which type of variable?
- Independent variable
- Confounding variable
- Dependent variable (Correct answer)
- Moderating variable
Correct answer: Dependent variable
Cotinine level is the outcome being measured as a result of the intervention, making it the dependent variable.
Question 4: Under the CHES Code of Ethics, a health educator must avoid dual relationships primarily to protect:
- The educator's professional reputation
- The integrity of the program evaluation data
- The health, safety, and dignity of program participants (Correct answer)
- The organization's liability exposure
Correct answer: The health, safety, and dignity of program participants
Avoiding dual relationships protects participants from exploitation or harm that can arise when the educator holds multiple conflicting roles.
Question 5: Which sampling method would be most appropriate if a health educator wants every member of a defined population to have an equal chance of being selected for a survey?
- Convenience sampling
- Purposive sampling
- Simple random sampling (Correct answer)
- Snowball sampling
Correct answer: Simple random sampling
Simple random sampling gives every member of the population an equal probability of selection, reducing selection bias and supporting generalizability.
Question 6: A school-based health educator wants to increase fruit and vegetable consumption among elementary students. According to social norms theory, the most effective message would emphasize:
- The health risks of poor nutrition
- What most students at the school already eat (Correct answer)
- Parental authority over food choices
- Government dietary guidelines
Correct answer: What most students at the school already eat
Social norms theory holds that behavior is strongly influenced by perceptions of what peers do; correcting underestimations of healthy behavior in the peer group can shift behavior.
Question 7: When a health educator seeks IRB (Institutional Review Board) approval, the primary goal is to:
- Ensure the research study is adequately funded
- Protect the rights and welfare of human research participants (Correct answer)
- Validate the statistical methods used in data analysis
- Obtain community endorsement for the program
Correct answer: Protect the rights and welfare of human research participants
IRB review is a federal requirement designed to safeguard human subjects by reviewing research protocols for ethical compliance before a study begins.
In program planning, 'logic models' are primarily used to: