MCHES Eighth Edition – Questions & Complete Answers
The health education specialist has limited resources for program evaluation
but wishes to place different variables into the intervention to see change over
time as well as to eliminate any program activities that do not positively
impact program objectives. The best evaluation design to use in this case is:
a. pre- and post-single-group design.
b. interrupted time series design with a single group.
c. post-test only single group design
d. pre-test only single group design. Right Ans - b. interrupted time series
design with a single group.
A foodborne outbreak has caused the closing of three local restaurants so that
epidemiologists and food safety staff can identify the outbreak source. Health
education specialists and communication specialists plan to use earned media
and social media to educate local community members about the outbreak.
What should the health education specialists and communication specialists
do first?
a. Identify the audience.
b. Pick a theory or model to use.
c. Check available funds.
d. Find partners to help. Right Ans - a. Identify the audience.
A health education specialist wants to be sure that participants in an 8-week
healthy eating program have acquired the fundamental cooking skills prior to
the end of the sessions. Which one of the following evaluations would the
health education specialist implement to assess skills acquisition?
a. Impact
b. Outcome
c. Process
d. Formative Right Ans - a. Impact
A health education specialist from the local health department has been
invited to participate in a statewide cancer control consortium. The role that
the health education specialist is likely to fulfil is as the:
a. patient regulator.
,b. primary care expert.
c. community developer.
d. subject matter expert. Right Ans - d. subject matter expert.
To design the health communication messages and select appropriate media
for a health education strategy, the health education specialist must
understand the priorities and influences of the audience. Therefore, the health
education specialist should first conduct an audience:
a. influence technique.
b. analysis.
c. ideation procedure.
d. synthesis. Right Ans - b. analysis.
A health education specialist is using Social Cognitive Theory to plan a
community wide program to prevent alcohol use among middle school aged
youth. One aspect of the program includes a curriculum designed to help
youth resist peer pressure to drink. To increase self-efficacy to resist peer
pressure, the curriculum should include:
a. activities that allow practice of skills.
b. trained peer leaders elected by middle school youth.
c. activities that reinforce the negative consequence of alcohol use.
d. small prizes for completing all homework assignments. Right Ans - a.
activities that allow practice of skills.
In the informational training related to an adolescent health literacy pilot
program, the attendees, all of whom are classroom teachers, state that instead
of having a single facilitator come into their classroom to deliver the
curriculum, they prefer to deliver it themselves. They make their case to the
trainer, stating they are classroom teachers and, as such, know how to deliver
curriculum. Which of the following concepts does the trainer use to explain
why this health education curriculum is being implemented with a single
facilitator?
a. Validity
b. Reliability
c. Evaluation
d. Fidelity Right Ans - d. Fidelity
,The health education specialist called the state legislator to specifically ask
about that legislator's support for HR 66, a bill that permanently funds the
Children's Health Insurance Program (CHIP) and related programs that are
used to support the development of child health quality measures and
outreach and enrollment efforts. Which of the following terms describe this
activity?
a. Direct advocacy
b. Education advocacy
c. Lobbying
d. Indirect advocacy Right Ans - c. Lobbying
A large group of tourists traveled on a cruise ship and developed an acute, flu-
like illness. The suspected cause of the illness was associated with the trip on
the cruise ship. Health authorities need to know the number of all passengers
who became ill as well as those who traveled on the cruise ship. Which rate
should the health education specialist calculate to provide information to
health authorities?
a. Prevalence rate
b. Fatality rate
c. Attack rate
d. Mortality rate Right Ans - c. Attack rate
A survey is conducted to assess community members' opinions on tobacco-
free local parks. The health education specialist selects a random sample of
community members from each of the four park districts. This sample plan is
called:
a. simple random.
b. stratified random.
c. cluster.
d. snowball. Right Ans - b. stratified random.
A health education specialist wants to attend a school board meeting to
discuss safety issues in the school. Though multiple forms of data will be used,
which of the following will cause a more emotional reaction to evidence that
an intervention is necessary?
, a. Photovoice or story-telling from the students' point of view
b. National data from the CDC compared to state data regarding safety
c. Data presented from a survey of high school seniors
d. GIS data of the community Right Ans - a. Photovoice or story-telling from
the students' point of view
If, in an evaluation question, a person is asked about an abstract concept, the
concept seems hard to measure, and little credible data have previously been
found, which of the following methods would be most helpful to use?
a. Qualitative
b. Quantitative
c. Mixed
d. Surveillance Right Ans - c. Mixed
When planning to work with a community to gather data for a local health
program, one of the health education specialist's first steps should be to:
a. create a coalition of partners with access to community data.
b. assess the program's fidelity.
c. develop a new instrument to gather community data.
d. evaluate a similar community program. Right Ans - a. create a coalition
of partners with access to community data.
In the health communications plan, the priority audiences have been
identified, and, now, the influencing audiences are being analyzed. Which task
will help the health education specialist determine the proportion of
resources to be used on influencer advocacy?
a. Identify health service provider networks.
b. Ask for names of other opinion leaders.
c. Estimate influencers' levels of influence.
d. Consider psychographic variables. Right Ans - c. Estimate influencers'
levels of influence.
An organization is undergoing restructuring because of budgetary cuts, which
in turn impacts health promotion efforts. Which approach to organizational
change is occurring?
The health education specialist has limited resources for program evaluation
but wishes to place different variables into the intervention to see change over
time as well as to eliminate any program activities that do not positively
impact program objectives. The best evaluation design to use in this case is:
a. pre- and post-single-group design.
b. interrupted time series design with a single group.
c. post-test only single group design
d. pre-test only single group design. Right Ans - b. interrupted time series
design with a single group.
A foodborne outbreak has caused the closing of three local restaurants so that
epidemiologists and food safety staff can identify the outbreak source. Health
education specialists and communication specialists plan to use earned media
and social media to educate local community members about the outbreak.
What should the health education specialists and communication specialists
do first?
a. Identify the audience.
b. Pick a theory or model to use.
c. Check available funds.
d. Find partners to help. Right Ans - a. Identify the audience.
A health education specialist wants to be sure that participants in an 8-week
healthy eating program have acquired the fundamental cooking skills prior to
the end of the sessions. Which one of the following evaluations would the
health education specialist implement to assess skills acquisition?
a. Impact
b. Outcome
c. Process
d. Formative Right Ans - a. Impact
A health education specialist from the local health department has been
invited to participate in a statewide cancer control consortium. The role that
the health education specialist is likely to fulfil is as the:
a. patient regulator.
,b. primary care expert.
c. community developer.
d. subject matter expert. Right Ans - d. subject matter expert.
To design the health communication messages and select appropriate media
for a health education strategy, the health education specialist must
understand the priorities and influences of the audience. Therefore, the health
education specialist should first conduct an audience:
a. influence technique.
b. analysis.
c. ideation procedure.
d. synthesis. Right Ans - b. analysis.
A health education specialist is using Social Cognitive Theory to plan a
community wide program to prevent alcohol use among middle school aged
youth. One aspect of the program includes a curriculum designed to help
youth resist peer pressure to drink. To increase self-efficacy to resist peer
pressure, the curriculum should include:
a. activities that allow practice of skills.
b. trained peer leaders elected by middle school youth.
c. activities that reinforce the negative consequence of alcohol use.
d. small prizes for completing all homework assignments. Right Ans - a.
activities that allow practice of skills.
In the informational training related to an adolescent health literacy pilot
program, the attendees, all of whom are classroom teachers, state that instead
of having a single facilitator come into their classroom to deliver the
curriculum, they prefer to deliver it themselves. They make their case to the
trainer, stating they are classroom teachers and, as such, know how to deliver
curriculum. Which of the following concepts does the trainer use to explain
why this health education curriculum is being implemented with a single
facilitator?
a. Validity
b. Reliability
c. Evaluation
d. Fidelity Right Ans - d. Fidelity
,The health education specialist called the state legislator to specifically ask
about that legislator's support for HR 66, a bill that permanently funds the
Children's Health Insurance Program (CHIP) and related programs that are
used to support the development of child health quality measures and
outreach and enrollment efforts. Which of the following terms describe this
activity?
a. Direct advocacy
b. Education advocacy
c. Lobbying
d. Indirect advocacy Right Ans - c. Lobbying
A large group of tourists traveled on a cruise ship and developed an acute, flu-
like illness. The suspected cause of the illness was associated with the trip on
the cruise ship. Health authorities need to know the number of all passengers
who became ill as well as those who traveled on the cruise ship. Which rate
should the health education specialist calculate to provide information to
health authorities?
a. Prevalence rate
b. Fatality rate
c. Attack rate
d. Mortality rate Right Ans - c. Attack rate
A survey is conducted to assess community members' opinions on tobacco-
free local parks. The health education specialist selects a random sample of
community members from each of the four park districts. This sample plan is
called:
a. simple random.
b. stratified random.
c. cluster.
d. snowball. Right Ans - b. stratified random.
A health education specialist wants to attend a school board meeting to
discuss safety issues in the school. Though multiple forms of data will be used,
which of the following will cause a more emotional reaction to evidence that
an intervention is necessary?
, a. Photovoice or story-telling from the students' point of view
b. National data from the CDC compared to state data regarding safety
c. Data presented from a survey of high school seniors
d. GIS data of the community Right Ans - a. Photovoice or story-telling from
the students' point of view
If, in an evaluation question, a person is asked about an abstract concept, the
concept seems hard to measure, and little credible data have previously been
found, which of the following methods would be most helpful to use?
a. Qualitative
b. Quantitative
c. Mixed
d. Surveillance Right Ans - c. Mixed
When planning to work with a community to gather data for a local health
program, one of the health education specialist's first steps should be to:
a. create a coalition of partners with access to community data.
b. assess the program's fidelity.
c. develop a new instrument to gather community data.
d. evaluate a similar community program. Right Ans - a. create a coalition
of partners with access to community data.
In the health communications plan, the priority audiences have been
identified, and, now, the influencing audiences are being analyzed. Which task
will help the health education specialist determine the proportion of
resources to be used on influencer advocacy?
a. Identify health service provider networks.
b. Ask for names of other opinion leaders.
c. Estimate influencers' levels of influence.
d. Consider psychographic variables. Right Ans - c. Estimate influencers'
levels of influence.
An organization is undergoing restructuring because of budgetary cuts, which
in turn impacts health promotion efforts. Which approach to organizational
change is occurring?
