Planning, Implementing, and Evaluating Health Promotion Programs: A Primer 7th Edition Test Bank

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Planning, Implementing, & Evaluating Health Promotion Programs, 7e(McKenzie)Chapter 1Health Education, Health Promotion, Health Education Specialists, andProgram Planning1) Health promotion was recognized for its potential to help control injury and disease and topromote health during theA) first quarter of the 20thcentury.B) last quarter of the 20thcentury.C) early 1800s.D) beginning of the 21stcentury.Answer: B2) The publication considered to have been the document that gave great momentum to thehealth promotion and disease prevention movement in America was calledA) Healthy People 2000.B) Healthy People 2010.C) Healthy People: The Surgeon General's Report on Health Promotion and Disease Prevention(Healthy People, 1979).D) Healthy Nation 1970.Answer: C3) Which major area is NOT one of the responsibilities outlined in the Hierarchical Model ofResponsibilities and Competencies for Health Education Specialist?A) Assess Needs, Assets and Capability for Health EducationB) Plan Health EducationC) Conduct Evaluation and Research Related to Health EducationD) Promote Healthy Behaviors Through Lifestyle ChangesAnswer: D4) Those health education specialists who had an active CHES certification since 2005 andshowed that they were practicing health education at an advanced level were granted the MasterCertified Health Education Specialist (MCHES), this process was known asA) the Grandfather Law.B) testing out.C) the Experience Documentation Opportunity.D) the only way one can get the Master Certified Health Education Specialist Exam.Answer: C5) Both the CHES and MCHES examinations are given twice a year and consist ofA) 150 scored questions and 15 pilot questions on a weighted amount of the sevenresponsibilities.B) 100 scored questions on a randomly selected responsibility.C) 100 essay questions on the seven responsibilities.D) 150 scored questions and 50 pilot questions on a randomly selected responsibility.Answer: A

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6) Which modifiable risk factor is the leading cause of death in 2000?A) Lack of physical activityB) Poor nutritionC) Tobacco useD) Alcohol consumptionAnswer: C7) Which is the most recent version of the Competency Based Framework for Health EducationSpecialists?A) National Health Educator Job Analysis (HEJA-2010)B) National Health Educator Joint AssociationC) Health Education Specialist Practice Analysis (HESPA-2015)D) National Council for the Accreditation of Teacher Education (NCATE)Answer: C8) Self-breast examinations would be considered which level of prevention?A) PrimaryB) SecondaryC) TertiaryD) TreatmentAnswer: B9) Chemotherapy for cancer treatment is considered which level of prevention?A) PrimaryB) SecondaryC) TertiaryD) PriorityAnswer: C10) When a person is healthy, without signs and symptoms of disease, illness, or injury, the levelof prevention most appropriate would beA) primary prevention.B) secondary prevention.C) tertiary prevention.D) low-priority prevention.Answer: A11) The three main uses of the Framework includes all of the following EXCEPTA) provides a guide for colleges and universities to use when designing and revising theircurricula.B) to provide a unified health education program for all health settings.C) to develop the core criteria for certifying individuals as health education specialists nationalcertification exams.D) used by program accrediting and approval bodies to review college and university academicprograms.Answer: B12) Pre-planning is intended to answer questions related to all of the following EXCEPTA) the purpose of the program.

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B) identifying and engaging partners.C) the success rate of the evaluation methods.D) the leadership structure.Answer: C13) Assumptions of health promotion include all of the following EXCEPTA) appropriate prevention strategies can be developed to deal with the identified healthproblems.B) behavior can be changed and those changes can influence health.C) initiating and maintaining a behavior change is difficult.D) individual responsibility can best be viewed through victim blaming.Answer: D14) What are the sequential steps in the Generalized Model of program planning?A) Assess, Goal Setting, Develop Intervention, Implementation, EvaluationB) Goal Setting, Assess, Develop Intervention, Implementation, EvaluationC) Evaluation, Assess, Goal Setting, Develop Intervention, ImplementationD) Develop Intervention, Goal Setting, Assess, Implementation, EvaluationAnswer: A15) According to your text, many health education specialists' responsibilities are involved insome way withA) program planning, implementation, and evaluation.B) program evaluation to create new models.C) program measurement.D) program failure rates.Answer: A16) It has been recommended that the profession de-emphasize the termhealth educatorand usethe termhealth education specialistin its place.Answer: TRUE17) In its simplest terms, health promotion is the process of educating people about health.Answer: FALSE18) In order to qualify for the Advanced Level of Practice 2, a Health Education Specialist musthave a doctorate and at least 10 years of experience.Answer: FALSE19) Decision makers are those who have the authority to approve a plan such as a governingboard.Answer: TRUE20) Stakeholders are those individuals who have a monetary interest in the program only.Answer: FALSE21) The priority population refers to those whom the program is intended to serve.Answer: TRUE

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22) One of the basic assumptions of health promotion is that health status can be changed.Answer: TRUE23) Properly trained health education specialists are aware of the limitations of the discipline andunderstand the assumptions on which health promotion is based.Answer: TRUE24) Cardiac rehabilitation is an example of secondary prevention.Answer: FALSE25) The results of the National Health Educator Competencies Update Project (CUP) in 1998found that the seven areas of responsibility for health education specialists were no longer valid.Answer: FALSE26) List the seven Areas of Responsibility identified through the Role Delineation Project.Answer: I. Assess Needs, Assets and Capability for Health Education; II. Plan HealthEducation; III. Implement Health Education; IV. Conduct Evaluation and Research Related toHealth Education; V. Administer and Manage Health Education; VI. Serve as a Health EducationResource Person; and VII. Communicate and Advocate for Health and Health Education.27) Describe how the new CUP model structure differs from the previous model for Areas ofResponsibility, Competencies, and Sub-competencies for Health Educators.Answer: The original model had an entry level, followed by three additional areas ofresponsibility for advanced levels. The new model is hierarchical, incorporating allcompetencies and sub-competencies within the same seven areas of responsibility. The newmodel also has three levels: Entry, Advanced I, and Advanced II, distinguished by degree andyears of service.28) List five of the nine health assumptions that must be in place before the health promotionprocess begins.Answer: (any five of the following):• Health status can be changed.• Health and disease are determined by dynamic interactions among biological, psychological,behavioral, and social factors.• Disease occurrence theories and principles can be understood.• Appropriate prevention strategies can be developed to deal with the identified health problems.• Behavior can be changed, and those changes can influence health.• Individual behavior, family interactions, community and workplace relationships and resources,and public policy all contribute to health and influence behavior change.• Initiating and maintaining a behavior change is difficult.• Individual responsibility should not be viewed as victim blaming, yet the importance of healthbehavior to health status must be understood.• For healthy behavior change to be permanent, an individual must be motivated and ready to change.29) List out the steps in Generalized Model of program planning.Answer: Assess, Goal Setting, Develop Intervention, Implementation, Evaluation30) List four of the six areas of concern for preplanning and what questions need to be answeredwith each.

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Answer:Purpose of program• How is the community defined?• What are the desired health outcomes?• Does the community have the capacity and infrastructure to address with the problem?• Is a policy change needed?Scope of the planning process• Is it intra or inter-organizational?• What is the time frame for completing the project?Planning process outcomes (deliverables)• Written plan?• Program proposal?• Program documentation or justification?Leadership and structure• What authority, if any, will the planners have?• How will the planners be organized?• What is expected of those who participate in the planning process?Identifying and engaging partners• How will the partners be selected?• Will the planning process use a top-down or bottom-up approach?Identifying and securing resources• How will the budget be determined?• Will a written agreement (i.e., MOA—memorandum of agreement) outlining responsibilitiesbe needed?• If MOA is needed, what will it include?• Will external funding (i.e., grants or contracts) be needed?• Are there community resources (e.g., volunteers, space, donations) to support the plannedprogram?• How will the resources be obtained?31) List four work settings where you would likely find health education specialists.Answer: Hospitals, government, schools, work sites, voluntary agencies

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Planning, Implementing, & Evaluating Health Promotion Programs, 7e(McKenzie)Chapter 2Starting the Planning Process1) Which of the following is NOT considered to be an appropriate source for building arationale?A) Needs assessment dataB) Epidemiological data about a specific health problemC) Cost-effectiveness data of health promotion programsD) Wikipedia and similar websitesAnswer: D2) When gaining support from decision makers, the term "resources" often refers toA) monies that could be used for staff, facilities, material supplies.B) congruent organizational policies.C) program and concept visibility.D) a place at the organizational power.Answer: A3) The instrument to assess leadership support for health promotion programs in work settings isA) Health Promotion Inventory (HPI).B) Health Programs Inventory (HPI).C) Leading by Example (LBE).D) Leaders Assessment Tool (LAT).Answer: C4) Data that describe the status of a health problem within a population based on distribution anddeterminants of health are referred to asA) social data.B) political data.C) epidemiological data.D) statistical data.Answer: C5) In order for resources and support to flow into health promotion programmingA) decision makers need to see values from the program.B) taxes must be raised to offset costs.C) planners must commit to fund raising efforts.D) materials must be available from previous, similar programming.Answer: A6) The first step planners should take to gain the support of decision makers is toA) form a focus group.B) write a plan.C) develop a rationale.D) conduct a needs assessment.Answer: C7) People willing to do the actual work needed to plan and implement a program are referred toas

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A) managers.B) stakeholders.C) doers.D) interventionists.Answer: C8) Health education specialists can access and understand background information to develop arationale byA) conducting a literature review.B) conducting a longitudinal study.C) selecting a planning model.D) writing a grant proposal.Answer: A9) A program rationaleA) should be no more than two pages long.B) is the step that outlines each component of the program in detail.C) can be focused on funding issues.D) allows planners to sell the program to decision makers.Answer: D10) Which of the following is a benefit statement forINDIVIDUALSof a health promotionprogram?A) Controls burden on taxpayersB) Lowers out-of-pocket costs for health careC) Improved price competitivenessD) Reduced pain and sufferingAnswer: B11) Which of the following is a benefit for theCOMMUNITYwith health promotionprogramming?A) Increased worker moraleB) Retention and recruitment toolsC) Improved price competitivenessD) Improved quality of life of citizensAnswer: D12) Which of the following is a benefit for theEMPLOYERwithhealth promotionprogramming?A) Enhanced worker performance/productivityB) Reduced pain and suffering from illness and accidentsC) Provides model for other communitiesD) Improves the quality of life of citizensAnswer: A13) When starting the planning process, health educatorsA) use skills found in all Areas of Responsibility for Health Educators.B) are most apt to concentrate on Area of Responsibility IV.C) cannot use any of the Areas of Responsibility.

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D) draw from several of the Areas of Responsibility.Answer: D14) Often, the idea or big push for a health promotional program comes from top level peopleand not the community.Answer: FALSE15) Evidence-based practice is more likely to produce quality programs than other approaches.Answer: TRUE16) The most important initial step in the planning process is gaining the support of management.Answer: TRUE17) References do not need to be included at the rationale preparation stage.Answer: FALSE18) When ROI is less than 0, then the program is producing savings that exceed the cost of theprogram.Answer: FALSE19) Social math refers to inflating national statistic to make the health problem appear moreserious to decision makers.Answer: FALSE20) Influencers are always much more important than doers in the planning process.Answer: FALSE21) Keeping the same planning committee members throughout the life of a program ensuressuccess.Answer: FALSE22) Institutionalization refers to a program becoming imbedded within an organization.Answer: TRUE23) A rationale can be viewed as a 4x4 matrix, with each square of each level representing thenext step.Answer: FALSE24) A planning committee is a group of individuals who are willing to serve in an advisory roleand assist in program planning.Answer: TRUE

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25) Two terms synonymous with planning committee are steering committee and advisorycommittee.Answer: TRUE26) The guidelines for how a planning committee operates are referred to as parameters.Answer: TRUE27) The most efficient and effective way to select planning committee members is to have themassigned by their employers for the task.Answer: FALSE28) Name at least three types of individuals who would be important to include on a planningcommittee.Answer: (any three of the following)Representatives of all segments of the target population, Doers, Influencers, Representatives ofthe sponsoring agency, and Other stakeholders29) List four methods for determining the values and benefits to be emphasized in a rationale.Answer:• Examine recent or past meeting minutes, decisions, or comments that are relevant to the valueplaced on health and prevention.• Find out from the individuals in a position to know why past decisions related to budget oremployee benefits were made by the managers involved.• Review past formal reports or evaluations of health program and benefits that have beencommissioned or carried out on behalf of the decision makers.• Conduct a formal survey of all or a portion of the key decision makers involved to determinewhat is the most important to them.30) List, in order, the steps to include in a rationale.Answer: Title, Identify the problem globally, Narrow the problem, State a proposed solution,State what can be gained from the program, State why the program will be successful, Providereferences.31) List and explain three sources that can be used to build a rationale for a program.Answer:•Literature in the field—previous research and observations• Needs assessment data—show need for intervention by showing needs of target population• Epidemiological data—support your claim of need with statistics about the target population'shealth and the health status of similar populations• Values and benefits for decision makers—relates the benefits of the program to the values andbenefits of the decision makers

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32) List two questions that planners should consider when looking for partners.Answer: (any two of the following)• Who is also interested in meeting the needs of the priority population?• Who also sees the unmet need of a priority population as a problem?• Who has unused resources that could help solve a problem?• Who would benefit from being your partner?

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Planning, Implementing, & Evaluating Health Promotion Programs, 7e(McKenzie)Chapter 3Program Planning Models in Health Promotion1) Which of the following options describes the Setting Goals and Objectives step in theGeneralized Model of Program Planning?A) Process of collecting and analyzing data to determine the health needs of the populationB) Identifies what will be accomplished through the intervention or programC) Putting intervention into actionD) Improving the quality and effectiveness of the programAnswer: B2) Which of the following options describes the Evaluation step in the Generalized Model ofProgram Planning?A) Process of collecting and analyzing data to determine the health needs of the populationB) Identifies what will be accomplished through the intervention or programC) Putting intervention into actionD) Improving the quality and effectiveness of the programAnswer: D3) Which of the following options describes the Developing Interventions step in the GeneralizedModel of Program Planning?A) Process of collecting and analyzing data to determine the health needs of the populationB) Identifies what will be accomplished through the intervention or programC) How the goals and objectives will be achievedD) Improving the quality and effectiveness of the programAnswer: C4) All of the following program models focus on linking the communities, local healthdepartments, and the state level health department, EXCEPTA) PATCH.B) MAPP.C) PRECEED-PROCEDE.D) APEX-PH.Answer: C5) Which of the following program plans was created to help guide public health and healtheducation specialists' efforts to reachHealthy People 2020?A) MAP-ITB) PATCHC) MAPPD) MATCHAnswer: A

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6) The Educational and Ecological Assessment Phase of PRECEDE-PROCEED includesdeterminingA) predisposing, reinforcing, and enabling factors.B) educational strategies.C) genetic and environmental factors.D) health and policy strategies.Answer: A7) The benefits of the General Model of program planning include all of the following EXCEPTA) it streamlines the planning process with a common framework.B) the principles are the building blocks for all other models.C) it is linear and steps only flow in one direction in practice.D) it aligns with grant writing process.Answer: C8) Which of the following would NOT be a factor for choosing a health planning model?A) Preference of the health education specialistB) Time and funding restrictionsC) Degree in which client/population are involvedD) Resources for data collectionAnswer: A9) When steps in the program planning process are sequential or build on one another, they haveA) fluidity.B) functionality.C) flexibility.D) formality.Answer: A10) When steps in the program planning process are adapted to the needs of stakeholders, theyhaveA) fluidity.B) functionality.C) flexibility.D) formality.Answer: C11) In PRECEDE-PROCEED, Phase ________, which seeks to subjectively define the quality oflife of those in the priority population, is called ________.A) II, Epidemiological AssessmentB) III, Behavioral and Environmental AssessmentC) IV, Administrative and Policy AssessmentD) I, Social AssessmentAnswer: D

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12) Predisposing factorsA) almost always involve punishment.B) include knowledge and affective traits.C) are nearly impossible to change.D) are the same thing as reinforcing factors.Answer: B13) Refusing to wear a seatbelt because friends will tease you is an example ofA) a reinforcing factor.B) an enabling factor.C) a predisposing factor.D) a strategic factor.Answer: A14) Matching appropriate strategies and interventions with projected changes and outcomesoccurs during which phase of PRECEDE-PROCEED?A) II, Epidemiological AssessmentB) IV, Administrative & Policy AssessmentC) V, ImplementationD) VIII, Outcome EvaluationAnswer: D15) According to PRECEDE-PROCEED, which of the following is NOT considered ImpactEvaluation?A) Quitting smokingB) Weight lossC) Increased exerciseD) Reduced incidence of heart attackAnswer: D16) Which of the following models was designed to fill a gap in health promotion practice bytranslating data collected in the PRECEDE phases of PRECEDE-PROCEED into appropriateinterventions?A) Generalized ModelB) Health Plan ItC) SWOTD) Intervention MappingAnswer: D17) Which of the following models had the goal to be the planning guide or model used to assistcommunities in adaptingHealthy People 2020at the state or local level?A) PRECEED PROCEDEB) SMARTC) MAP-ITD) Health CommunicationAnswer: C18) The central focus of the SMART model isA) planners.

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B) stakeholders.C) constituents.D) consumers.Answer: D19) Which of the following is NOT one of the five CHANGE sectors?A) School sectorB) Financial sectorC) Community at large sectorD) Worksite sectorAnswer: B20) Which of the following was designed by the Healthy Communities Program to provideopportunities to create policy, systems, and environmental change?A) SMART modelB) PRECEDE-PROCEED modelC) Generalized modelD) CHANGE toolAnswer: D21) Good health programs are created by chance.Answer: FALSE22) Planners must also understand the interaction between a priority population and thecommunities in which they live.Answer: TRUE23) It is critical for health education specialists to select one program planning model perprogram, and to use all of its components.Answer: FALSE24) The best way to obtain epidemiological data is for health education specialist to do their ownsurvey research among priority populations.Answer: FALSE25) Most health program models have uniquely different phases.Answer: FALSE26) The MAPP planning model represents a planning approach common to businesses andschools.Answer: FALSE27) Community ownership and diverse partnership are both characteristics of the HealthyCommunities Framework.Answer: TRUE28) Intervention Mapping was designed to use the first three phases of the SMART model to fasttrack planning.Answer: FALSE

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29) SWOT Analyses are particularly useful for program planners who have ample time to do in-depth planning.Answer: FALSE30) The final phase of the CHANGE tool is to evaluate program effectiveness.Answer: FALSE31) Most program planning models share some common steps. Name the model that representsthese commonalities and list its steps.Answer: Model: Generalized Model for Program PlanningSteps: Assessing needs, Setting goals and objectives, Developing an intervention,Implementing the intervention, Evaluating the results32) Responsibility II for the Health Education Specialist has four competencies. Name thesecompetencies.Answer:Competency 2.1: Involve priority populations and other stakeholders in the planning processCompetency 2.2: Develop goals and objectivesCompetency 2.3: Select or design strategies and interventionsCompetency 2.4: Develop a scope and sequence for the delivery of health education33) Describe and provide one example of each of the following components of the PRECEDE-PROCEED model: Predisposing factors, reinforcing factors, enabling factors.Answer: Predisposing factors: knowledge and attitudes—a belief that having sexual activitywith multiple partners is ok.Reinforcing factors: feedback and rewards from self or others, positive or negative—breathingmore easily after quitting smoking.Enabling factors: barriers or vehicles created by social systems—a mother can't get her childrenimmunized because she has no transportation to get them to a clinic.34) List the six phases of the MAPP framework.Answer: Organizing for Success & Partnership Development; Visioning; Four MAPPAssessments; Identify Strategic Issues; Formulate Goals & Strategies; The Action Cycle35) Name the seven phases of the SMART Model.Answer: Preliminary planning; Consumer analysis; Market analysis; Channel analysis; Developinterventions, materials, and pretest; Implementation; Evaluation

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