2026/2027 – Complete Solutions with Detailed Rationales |
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Section A: Community Health Needs Assessment (CHNA) &
Community Relations Fundamentals (10 Questions)
Q1: A tax-exempt hospital is preparing to conduct its CHNA. According to IRS
requirements, how frequently must the CHNA be conducted?
A. Annually
B. Every 2 years
C. Every 3 years [CORRECT]
D. Every 5 years
Correct Answer: C
Rationale: Per IRS requirements under Section 501(r) of the Internal Revenue Code,
tax-exempt hospitals must conduct a CHNA at least once every 3 years, adopt an
implementation strategy, and report on community benefit activities. Option A is too
frequent. Option D exceeds the maximum allowable interval.
Q2: A community health analyst is reviewing data from the Behavioral Risk Factor
Surveillance System (BRFSS) to identify smoking rates in the community. Which type of
data source is the BRFSS?
,A. Primary data source
B. Secondary data source [CORRECT]
C. Secondary data source [CORRECT]
D. Tertiary data source
Correct Answer: C
Rationale: The BRFSS is a secondary data source because it consists of pre-existing
data collected by another organization (CDC) for surveillance purposes. Primary data
(Option A) would be collected directly by the hospital for the CHNA. Option D is not a
standard data classification in CHNA methodology.
Q3: During a CHNA, the steering committee identifies three health needs: (1) diabetes
prevalence at 18% (national average 11%), (2) limited mental health providers, and (3)
aging infrastructure at the community center. Which prioritization criterion most
strongly supports selecting diabetes as the top priority?
A. Community concern only
B. Magnitude and severity relative to national benchmarks [CORRECT]
C. Magnitude and severity relative to national benchmarks [CORRECT]
D. Existing resources already address the need
Correct Answer: C
Rationale: A diabetes prevalence of 18% versus a national average of 11% demonstrates
significant magnitude and severity, indicating a substantial gap that warrants priority
, attention. Option A considers only one criterion. Option D would actually argue against
prioritization.
Q4: A hospital is mapping existing community resources as part of the CHNA process.
Which activity is being performed?
A. Gap analysis
B. Community asset mapping [CORRECT]
C. Community asset mapping [CORRECT]
D. Needs prioritization
Correct Answer: C
Rationale: Community asset mapping identifies existing programs, services, and
organizations that contribute to community health, providing a foundation for
understanding resources before identifying gaps. Option A would occur after asset
mapping. Option D is a separate CHNA step.
Q5: Which stakeholder group is essential for providing population-level health data and
epidemiological expertise during the CHNA process?
A. Faith-based organizations
B. Local public health department [CORRECT]
C. Local public health department [CORRECT]
D. Business coalition