COHN Health Promotion and Prevention 2 — Questions and Answers
Question 1: Which level of prevention does a worksite flu vaccination program represent?
- Tertiary prevention
- Secondary prevention
- Primary prevention (Correct answer)
- Quaternary prevention
Correct answer: Primary prevention
Flu vaccination is primary prevention because it prevents disease from occurring in the first place.
Question 2: A COHN is designing a worksite health promotion program. Which step should come FIRST?
- Develop educational materials
- Conduct a needs assessment (Correct answer)
- Set measurable objectives
- Secure management buy-in
Correct answer: Conduct a needs assessment
A needs assessment identifies workforce health priorities before any program planning or material development begins.
Question 3: The Transtheoretical Model (Stages of Change) identifies which stage as one where an individual has no intention to change behavior in the next 6 months?
- Contemplation
- Preparation
- Precontemplation (Correct answer)
- Maintenance
Correct answer: Precontemplation
In the precontemplation stage, the individual is unaware of or not considering the need for behavior change.
Question 4: Which biostatistical measure best evaluates the effectiveness of a worksite hypertension screening program over time?
- Incidence rate (Correct answer)
- Prevalence rate
- Relative risk
- Odds ratio
Correct answer: Incidence rate
Incidence rate measures new cases over a period, making it ideal for tracking whether a prevention program reduces new hypertension diagnoses.
Question 5: Under the Health Belief Model, 'perceived severity' refers to:
- How likely a person believes they are to get a disease
- How serious a person believes the consequences of a disease would be (Correct answer)
- How effective the person believes treatment will be
- How many barriers exist to taking protective action
Correct answer: How serious a person believes the consequences of a disease would be
Perceived severity is the individual's belief about the seriousness of the illness and its potential consequences.
Question 6: A COHN notices that employees in the warehouse have a higher BMI on average than office workers. The MOST appropriate first action is to:
- Immediately start a weight-loss program for warehouse workers
- Analyze work tasks and lifestyle factors contributing to the disparity (Correct answer)
- Report findings to management for disciplinary review
- Refer all overweight warehouse employees to their physicians
Correct answer: Analyze work tasks and lifestyle factors contributing to the disparity
Analyzing contributing factors ensures interventions are targeted, culturally appropriate, and based on root causes rather than assumptions.
Question 7: Which approach to worksite health promotion is considered the most cost-effective for large populations?
- Individual one-on-one counseling sessions
- Group-based interventions and environmental supports (Correct answer)
- Mandatory physician referrals for high-risk employees
- Annual physical examinations for all employees
Correct answer: Group-based interventions and environmental supports
Group-based interventions combined with environmental supports (e.g., healthy cafeteria options, walking paths) reach more employees at lower per-person cost.
COHN Health Promotion and Prevention 2
Which level of prevention does a worksite flu vaccination program represent?