CERTIFICATION EXAM 2026/2027 |
250 VERIFIED Q&A | COMPLETE
STUDY GUIDE WITH DETAILED
RATIONALES | INSTANT
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Domain I: Assessment of Needs and Capacity (Questions
1–27)
1. A health educator is beginning a community needs assessment. Which of the
following is the most important first step to ensure the assessment is useful?
A. Collecting data from a variety of sources.
B. Creating a logic model.
C. Drafting a clear purpose statement that defines the priority population.
D. Selecting an evidence-based intervention.
Correct Answer: C. Drafting a clear purpose statement that defines the priority
population.
Rationale: The purpose statement is foundational. It defines the priority population and
guides the entire assessment process. Without it, data collection is unfocused.
2. Why is a health education specialist concerned about using a small focus
group of low-income citizens to choose a citywide intervention?
A. The cost of the focus group.
B. The generalizability of the findings.
C. The time required to conduct the focus group.
D. The lack of quantitative data.
Correct Answer: B. The generalizability of the findings.
Rationale: Generalizability refers to how well results from a small group can be applied
to the entire population. A small focus group may not represent the needs and barriers
of all city residents.
3. High infant/maternal mortality rates in populations with less education are
examples of:
,A. Health Equity
B. Health Disparities
C. Health Determinants
D. Health Promotion
Correct Answer: B. Health Disparities.
Rationale: A health disparity is a health difference closely linked with social, economic,
and/or environmental disadvantage.
4. According to the CHES exam blueprint, which Area of Responsibility has the
largest percentage of questions dedicated to it?
A. Planning
B. Implementation
C. Assessment of Needs and Capacity
D. Evaluation and Research
Correct Answer: C. Assessment of Needs and Capacity.
Rationale: Assessment is weighted at 17%, followed by Implementation at 15% and
Planning at 14%.
5. A community has twice as many people die over the course of one year in
house fires than in car crashes. Community members demand the health
education specialist immediately create a fire prevention intervention. Before
planning the intervention, the health education specialist should first determine
the:
A. Population at risk
B. Life expectancy in the community
C. Point source epidemic curve
D. Odds ratio
Correct Answer: A. Population at risk.
Rationale: Before planning any intervention, it is critical to identify who is at risk so the
program can be targeted and relevant.
6. A health education specialist is collecting data on the number of new
diabetes cases diagnosed in a county over the past year. This is an example of
which measure?
A. Prevalence
B. Incidence
C. Mortality rate
D. Case fatality rate
Correct Answer: B. Incidence.
Rationale: Incidence measures the number of NEW cases of a disease in a population
over a specific time period.
7. Which of the following is an example of a secondary data source for a
community health assessment?
,A. Focus group transcripts
B. Key informant interviews
C. U.S. Census Bureau data
D. Windshield survey observations
Correct Answer: C. U.S. Census Bureau data.
Rationale: Secondary data are data that have already been collected by another entity.
8. The Delphi technique is used in needs assessment to:
A. Measure the incidence of a disease.
B. Achieve consensus among experts through multiple rounds of anonymous
feedback.
C. Conduct a rapid needs assessment in an emergency.
D. Randomly select participants for a survey.
Correct Answer: B. Achieve consensus among experts through multiple rounds of
anonymous feedback.
Rationale: The Delphi method gathers expert opinions anonymously over several
rounds to reach a group consensus.
9. A SWOT analysis examines which of the following?
A. Strengths, Weaknesses, Opportunities, Threats
B. Social, Wellness, Organizational, Treatment factors
C. Strategies, Workload, Outcomes, Timelines
D. Stakeholders, Wants, Objectives, Targets
Correct Answer: A. Strengths, Weaknesses, Opportunities, Threats.
Rationale: SWOT is a strategic planning tool used to assess internal strengths and
weaknesses and external opportunities and threats.
10. A health educator wants to quickly assess the physical environment and
social interactions of a neighborhood by driving or walking through it. This
method is called a:
A. Key informant interview
B. Focus group
C. Windshield survey
D. Community forum
Correct Answer: C. Windshield survey.
Rationale: A windshield survey involves observing a community from a moving vehicle
or on foot to gain a general impression.
11. Which of the following is a predisposing factor in the PRECEDE-PROCEED
model?
A. Availability of a gym
B. Knowledge about nutrition
C. Family support for exercise
D. Cost of healthy food
, Correct Answer: B. Knowledge about nutrition.
Rationale: Predisposing factors are antecedents to behavior that provide the Rationale
or motivation for the behavior.
12. A key informant is best described as:
A. A randomly selected community member.
B. Someone with special knowledge or insight about the community or issue.
C. A government official.
D. A participant in a focus group.
Correct Answer: B. Someone with special knowledge or insight about the community or
issue.
Rationale: Key informants are individuals who, due to their position or experience,
possess valuable information about the community.
13. Which data collection method is most appropriate for obtaining in-depth,
qualitative information about community perceptions?
A. A closed-ended survey
B. A focus group
C. A review of vital statistics
D. A windshield survey
Correct Answer: B. A focus group.
Rationale: Focus groups allow for open-ended discussion and capture rich, qualitative
insights.
14. The primary purpose of a community health needs assessment is to:
A. Secure funding for a program.
B. Identify and prioritize health issues and resources in a community.
C. Satisfy a grant requirement.
D. Compare one community to another.
Correct Answer: B. Identify and prioritize health issues and resources in a community.
Rationale: A needs assessment systematically identifies the health needs, gaps, and
assets of a community.
15. Which of the following is an example of an asset-based approach to
community assessment?
A. Focusing only on the community's problems and deficits.
B. Identifying the skills, resources, and strengths already present in the community.
C. Relying solely on expert opinions.
D. Collecting only quantitative data.
Correct Answer: B. Identifying the skills, resources, and strengths already present in the
community.
Rationale: An asset-based approach focuses on community strengths and resources as
a foundation for change.