CCHP Final Exam
CCHP Final Exam Study Questions with
Correct Answers Graded A 2025
T/F the NAAL tasks represented a range of literary activities that adults will likely face in
everyday life?
-T
How were the health tasks for the 2003 NAAL similar/diffrent?
They were made to fit into one of the prose, document or quantitative scale measures
Difference because of their health content
What is prose, document and quantitative in the NAAL?
Prose-measured by knowledge and skills needed to search, comprehending and use
information from texts that were organized in sentence paragraphs
Document literacy scale-measures knowledge and skills needed to search, comprehend,
and use information from non continuous texts in various formats
Quantitative scale-skills needed to perform computation using numbers embedded in
printed materials
What domains of health were the NAAL health tasks distributed across?
clinical, prevention, and navigation of health care system
Who recommended new literacy levels be established for the 2003 assessment instead of
the same reporting levels used for the 1992 NAAL?
The National Research Council's Board on Testing and Assessment (BOTA) Committee on
Performance Levels for Adult Literacy
Who decided to report the 4 levels of literacy for the NAAL? What are they?
US Department of education
Below Basic, Basic, Intermediate, and Proficient
T/F the BOTA Committee recommended performance levels for the health scale in the
NAAL?
F-they only recommended literacy scale
CCHP Final Exam
,CCHP Final Exam
In the NAAL how were the cut points for the performance levels on the health scale set in
comparison to the other scale (prose, document, quantitative)?
They were set so they would match-
What did the majority of adults score on the NAAL?
Intermediate health literacy (53%)
Additional 12% were proficient
22% had basic
14% below basic
In gender who had higher health literacy?
Women
16% men below basic, only 12% of women
What is low health literacy associated with?
-Poor communication b/w provider and Pt
-Poor health outcomes-increased hospitalizations, less frequent screening, high rates of
disease/mortality
Who took the NAAL?
Adults ages 16 years and older in households and prisons
T/F Health literacy was a new component of the 2003 National Assessment of Adult Literacy
(NAAL)?
True
What does the NAAL do?
Assesses the English literacy of adults
How is the NAAL different from indirect literary measures?
Indirect uses self reports and other subjective measures, the NAAL uses tasks representing a
range of literacy activites that adults are likley to face in their daily life
CCHP Final Exam
,CCHP Final Exam
Describe the NAAL test
Who?
What was in it?
How were questions writtes?
Etc
-Adults ages 16+ in households and prisions
-LIteracy tasks from actutal texts and documents in orignal format or reporduced in the test
booklet
-? appeared before the material to encourage respondents to read with purpose
-Respondents could correctly answer much of the test by skimming for info
-The questions were NOT multiple choice, they had to write answers to questions
T/F the NAAL used texts/documents that weren't from real life-not in orginal format
Faulse-tasks were drawn from actual texts and documents
T/F the NAAL was multiple choice?
F-answers were written
T/F the question appeared before the material? Why?
T-wanted respondents to read with purpose
What is significant about the NAAL definiton of literacy>
Acknowldges that literacy goes beyond simply sounding out, recgonizing or understanding
text
Central feature if that literacy is related to achiveing objective, for adults they often read
with purpose
What scale on the NAAL looked at the respondents ability to search, comprehend, and use
information from continuous texts? What are some examples?
Prose literacy-editoritals, news stories, brochures, instructional material
What scale on the NAAL looked at the respondents ability to read editotirals, news stories,
brochures, and instructional material? How can it be broken down further?
Prose literacty-broken down into expostiory, narrative, procedural and presuasive
CCHP Final Exam
, CCHP Final Exam
What scale on the NAAL looked at the respondents abilityu to search, comprehend and use
information from non continous texts in various formats? What are some examples?
Document literacy
Job application, payroll forms, transportastion schedules, maps, and food/drug labels
What scale on the NAAL looked at the respondents ability to read job applications, payroll
forms, transportation schedules, maps, and labels?
Document literacy
What scale on the NAAL looked at the respondents to identify and perform computations,
either alone or sequentially, using numbers embedded in printed material? What are some
examples?
Quantitative
Balancing a checkbook, figuring out a tip, completing an order form, determining amount of
interest on a loan from an advertisement
In addition to the NAAL literacy scale what was the breakdown of the health literacy scale
added to the 2003 exam?
12 prose, 12 document and 4 quantitative (28 total)
How were material selected for the health literacy part of the NAAL? Who reccomended it?
Materials were representative of real-world healthcare information including insurance info,
meidicne directions, and preventative care info
The Office of Disease Prevention and Health Promotion within the US Department of health
and Human Services suggested material and questions be based on input from other HHS
agencies/stakeholders
What were the three domains of the NAAL health literacy scale? How many questions each?
Clinical domain-3
-activities associated with HC provider/Pt interaction, clinical encounters, diagnosis and
treatment of illness
Prevention-14
-activities in maintaining and improving health
CCHP Final Exam
CCHP Final Exam Study Questions with
Correct Answers Graded A 2025
T/F the NAAL tasks represented a range of literary activities that adults will likely face in
everyday life?
-T
How were the health tasks for the 2003 NAAL similar/diffrent?
They were made to fit into one of the prose, document or quantitative scale measures
Difference because of their health content
What is prose, document and quantitative in the NAAL?
Prose-measured by knowledge and skills needed to search, comprehending and use
information from texts that were organized in sentence paragraphs
Document literacy scale-measures knowledge and skills needed to search, comprehend,
and use information from non continuous texts in various formats
Quantitative scale-skills needed to perform computation using numbers embedded in
printed materials
What domains of health were the NAAL health tasks distributed across?
clinical, prevention, and navigation of health care system
Who recommended new literacy levels be established for the 2003 assessment instead of
the same reporting levels used for the 1992 NAAL?
The National Research Council's Board on Testing and Assessment (BOTA) Committee on
Performance Levels for Adult Literacy
Who decided to report the 4 levels of literacy for the NAAL? What are they?
US Department of education
Below Basic, Basic, Intermediate, and Proficient
T/F the BOTA Committee recommended performance levels for the health scale in the
NAAL?
F-they only recommended literacy scale
CCHP Final Exam
,CCHP Final Exam
In the NAAL how were the cut points for the performance levels on the health scale set in
comparison to the other scale (prose, document, quantitative)?
They were set so they would match-
What did the majority of adults score on the NAAL?
Intermediate health literacy (53%)
Additional 12% were proficient
22% had basic
14% below basic
In gender who had higher health literacy?
Women
16% men below basic, only 12% of women
What is low health literacy associated with?
-Poor communication b/w provider and Pt
-Poor health outcomes-increased hospitalizations, less frequent screening, high rates of
disease/mortality
Who took the NAAL?
Adults ages 16 years and older in households and prisons
T/F Health literacy was a new component of the 2003 National Assessment of Adult Literacy
(NAAL)?
True
What does the NAAL do?
Assesses the English literacy of adults
How is the NAAL different from indirect literary measures?
Indirect uses self reports and other subjective measures, the NAAL uses tasks representing a
range of literacy activites that adults are likley to face in their daily life
CCHP Final Exam
,CCHP Final Exam
Describe the NAAL test
Who?
What was in it?
How were questions writtes?
Etc
-Adults ages 16+ in households and prisions
-LIteracy tasks from actutal texts and documents in orignal format or reporduced in the test
booklet
-? appeared before the material to encourage respondents to read with purpose
-Respondents could correctly answer much of the test by skimming for info
-The questions were NOT multiple choice, they had to write answers to questions
T/F the NAAL used texts/documents that weren't from real life-not in orginal format
Faulse-tasks were drawn from actual texts and documents
T/F the NAAL was multiple choice?
F-answers were written
T/F the question appeared before the material? Why?
T-wanted respondents to read with purpose
What is significant about the NAAL definiton of literacy>
Acknowldges that literacy goes beyond simply sounding out, recgonizing or understanding
text
Central feature if that literacy is related to achiveing objective, for adults they often read
with purpose
What scale on the NAAL looked at the respondents ability to search, comprehend, and use
information from continuous texts? What are some examples?
Prose literacy-editoritals, news stories, brochures, instructional material
What scale on the NAAL looked at the respondents ability to read editotirals, news stories,
brochures, and instructional material? How can it be broken down further?
Prose literacty-broken down into expostiory, narrative, procedural and presuasive
CCHP Final Exam
, CCHP Final Exam
What scale on the NAAL looked at the respondents abilityu to search, comprehend and use
information from non continous texts in various formats? What are some examples?
Document literacy
Job application, payroll forms, transportastion schedules, maps, and food/drug labels
What scale on the NAAL looked at the respondents ability to read job applications, payroll
forms, transportation schedules, maps, and labels?
Document literacy
What scale on the NAAL looked at the respondents to identify and perform computations,
either alone or sequentially, using numbers embedded in printed material? What are some
examples?
Quantitative
Balancing a checkbook, figuring out a tip, completing an order form, determining amount of
interest on a loan from an advertisement
In addition to the NAAL literacy scale what was the breakdown of the health literacy scale
added to the 2003 exam?
12 prose, 12 document and 4 quantitative (28 total)
How were material selected for the health literacy part of the NAAL? Who reccomended it?
Materials were representative of real-world healthcare information including insurance info,
meidicne directions, and preventative care info
The Office of Disease Prevention and Health Promotion within the US Department of health
and Human Services suggested material and questions be based on input from other HHS
agencies/stakeholders
What were the three domains of the NAAL health literacy scale? How many questions each?
Clinical domain-3
-activities associated with HC provider/Pt interaction, clinical encounters, diagnosis and
treatment of illness
Prevention-14
-activities in maintaining and improving health
CCHP Final Exam
