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MCHES PRACTICE EXAM QUESTIONS 7TH EDITION | VERIFIED ACCURATE ANSWERS | 2026

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MCHES PRACTICE EXAM QUESTIONS 7TH EDITION | VERIFIED ACCURATE ANSWERS | 2026

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MCHES PRACTICE EXAM QUESTIONS 7TH EDITION |
VERIFIED ACCURATE ANSWERS | 2026


d. experimental - Answers -1. The health education specialist is organizing a
summative evaluation. Which evaluation design offers the most control over
confounding variables?

a. time series
b. quasi-experimental
c. non-experimental
d. experimental

b. health disparities - Answers -2. For people which 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

a. the necessity for the change in policy - Answers -3. A health education specialist is
meeting with a college campus community to try to make the campus smoke free. In
order to gain support from key stakeholders in the first meeting, which of the following
should be the focus of the health education specialist's message?

a. The necessity for the change in policy
b. The specific enforcement plan
c. The health communication strategy to be used
d. The incentive program could be used.

c. secular - Answers -4. An outbreak of dysentery occurred in a community over the
course of a week. The number of cases and time of onset of symptoms was
determined. All who displayed symptoms ate sprouts at the same restaurant. For this
outbreak, which type of epidemic curve can be prepare for the descriptive study?

a. single
b. seasonal
c. secular
d. propagated

d. cooperative agreements - Answers -5. The intervention program is doing so well it
needs to be expanded; however, the sponsoring agency has limited funding for

,expansion. The health education specialist found another agency willing to provide a
larger venue in exchange for access to the sponsor's educational library. This method of
financing the program is called:

a. organizational sponsorship
b. cost-sharing
c. third-party support
d. cooperative agreements

c. Process - Answers -6. Measuring program reach and response is an element of
which type of evaluation?

a. outcome
b. impact
c. process
d. summative

a. shift in critical mass - Answers -7. The health education specialist's advocacy efforts
are starting to be succesful. The city council has voted 4-1 to hold a town hall meeting
to discuss a clean indoor air ordinance. Which type of advocacy benchmark is this?

a. shift in critical mass
b. community or individual behavior
c. changing definitions/reframing
d. institutional policy

d. assessing attitudes, behaviors, policies and social norms in a community - Answers -
8. A health education specialist wishes to use the ecological model in a needs
assessment. Which of the following is an example of a way to assess levels of this
model?

a. assessing use of interpersonal behavior change construct in the community
b. assessing health and quality of life of community members and evaluating current
programs
c. assessing community norms and behaviors related to health issues.
d. assessing attitudes, behaviors, policies, and social norms in a community.

b. logic model - Answers -9. The agency administrator wants the big picture or
summary of an intervention's resources, activities, and results. The health education
specialist creates which of the following to put in his/her report to the administrator?

a. marketing mix
b. logic model
c. instructional design framework
d. unit of study

,c. adults should be actively involved in planning and evaluation - Answers -10. When
planning an adult audience training, the health education specialist should include adult
learning theory principles. Which of following is an example of an adult learning principle
to use when planning the training?

a. adults should only be involved in pilot testing activities
b. adults should not be involved in planning and evaluation
c. Adults should be actively involved in planning and evaluation
d. adults should only be involved in planning activities

a. process of change - Answers -11. Working as a health educator in to increase a
client's fitness level, the health education specialist uses an intervention based on the
transtheorectical model. He/she emphasizes behavioral activities including counter-
conditioning and reinforecment using which core construct?

a. process of change
b. stages of change
c. decisional balance
d. self-efficacy

c. desired learning outcome(s) - Answers -13. A health education specialist is planning
to train staff from partners and community members to help implement a healthy food
access initiative with corner stores and convenience stores. A needs assessment is
being planned to identify trainee knowledge on the subject. What should the
assessment focus on?

a. availability to attend training(s)
b. training methods preferred
c. desired learning outcome(s)
d. previous knowledge or experience

b. surveys or feedback forms - Answers -14. The healthy families network holds an
annual conference. In order to evaluate the conference and gather information from the
participants, what is the best way for the health education specialist to collect this
information?

a. archival review of documents
b. surveys or feedback forms
c. observations of participants
d. pre and post test

c. engage stakeholders; describe program; focus on the evaluation design; gather
credible evidence; justify conclusions; ensure use and share lessons learned - Answers
-15. In the correct order, what are the "six steps" of the CDC framework for Program
Evaluation?

, a. describe program; engage stakeholders; gather credible evidence; focus on the
evaluation design; justify conclusions; ensure use and share lessons learned
b. describe the program; gather credible evidence; focus on the evalution design; justify
conclusions; ensure use and share lessons learned; engage stakeholders
c. engage stakeholders; describe program; focus on the evaluation design; gather
credible evidence; justify conclusions; ensure use and share lessons learned
d. gather credible evidence; engage stakeholders; describe program; justify
conclusions; focus on the evalution design; ensure use and share lesson learned

d. matching funds - Answers -16. From a fiscal perspective, which funds represent the
portion of a project the applicant's agency or organization is providing?

a. petty funds
b. compliance assurances
c. cash contributions
d. matching funds

b. set objectives - Answers -17. A health education specialist is collaborating with the
state health department on a training effort to implement effective physical activity
programs. The training team has completed the first step, which was to determine
training needs. What is the next step to advance the training?

a. prepare audiovisuals
b. set objectives
c. select participants
d. determine subject content

a. analyze the conflict - Answers -18. The health education specialist overhears two
employees in a verbal debate about which department should receive the budget
surplus generated this fiscal year. What is the best first step in conflict resolution in thsi
situatoin?

a. analyze the conflict
b. estimate the parties positions
c. determine the management strategy
d. create options for both parties

b. cost-effectiveness analysis - Answers -19. The HES has limited resources available
for an immunization program to be implemented in the large urban community. Input
from stakeholders will be solicited. Two possible options under consideration include:
(a) implement a new program, a drive through clinic available during the weekend or (b)
stay with the old program, hiring additional nurses to be employed at the health clinic
during regular business hours.

Which of the following analysis would be used to determine the option that provides the
greatest number of immunizations to community members at the least cost?

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