MCHES Practice Exam Questions and
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 - ANSWER>>d. experimental
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 - ANSWER>>b. health disparities
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. - ANSWER>>a. the necessity for the change in policy
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 - ANSWER>>c. secular
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 - ANSWER>>d. cooperative agreements
6. Measuring program reach and response is an element of which type of evaluation?
a. outcome
b. impact
c. process
d. summative - ANSWER>>c. Process
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 - ANSWER>>a. shift in critical mass
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 health and quality of life of community members and evaluating current
programs
d. assessing attitudes, behaviors, policies, and social norms in a community. - ANSWER>>d.
assessing attitudes, behaviors, policies and social norms in a community
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 - ANSWER>>b. logic model
, 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 - ANSWER>>c. adults should be
actively involved in planning and evaluation
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 - ANSWER>>a. process of change
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 - ANSWER>>c. desired learning outcome(s)
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 - ANSWER>>b. surveys or feedback forms
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
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 - ANSWER>>d. experimental
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 - ANSWER>>b. health disparities
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. - ANSWER>>a. the necessity for the change in policy
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 - ANSWER>>c. secular
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 - ANSWER>>d. cooperative agreements
6. Measuring program reach and response is an element of which type of evaluation?
a. outcome
b. impact
c. process
d. summative - ANSWER>>c. Process
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 - ANSWER>>a. shift in critical mass
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 health and quality of life of community members and evaluating current
programs
d. assessing attitudes, behaviors, policies, and social norms in a community. - ANSWER>>d.
assessing attitudes, behaviors, policies and social norms in a community
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 - ANSWER>>b. logic model
, 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 - ANSWER>>c. adults should be
actively involved in planning and evaluation
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 - ANSWER>>a. process of change
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 - ANSWER>>c. desired learning outcome(s)
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 - ANSWER>>b. surveys or feedback forms
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
