CHES
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CHES is a trademark of its owner, which is not affiliated with and does not endorse Test Treasure Publication or TTP Prep.
10 sample questions for the CHES, with the correct answer and an explanation for each. No account needed. Try each one before you open the answer.
Sections covered on the exam: Needsassessmentprocess, Assessment of Needs and Capacity, Evaluation and Research, Goalsandobjectives, Theoriesandmodels, Programplanning, Implementationandfidelity, Traininganddelivery, Monitoringandadaptation, Advocacy, Researchmethodsandmeasurement, Policyandadvocacyprocess, Leadership and Management, Healthcommunicationandliteracy, Mediaandsocialmarketing, Communication, Planning, Leadershipandteams, Resourcesandbudgets, Partnershipsandsustainability, Ethics and Professionalism, Researchethicsandlaw, Professionaldevelopment, Implementation.
Question 1 · Needsassessmentprocess
A county health department has received funding to address rising rates of type 2 diabetes. The newly hired health education specialist is asked to lead a needs assessment. What should the specialist do FIRST?
Answer: D. Define the purpose and scope of the assessment with key stakeholders
A needs assessment begins by determining its purpose and scope (what questions it must answer, for whom, and with what resources), ideally with stakeholders at the table. Compiling secondary data and designing a survey are data-collection steps that follow, and reviewing evidence-based programs belongs to planning after needs are identified.
Question 2 · Theoriesandmodels
A smoker tells a worksite wellness coordinator, "I know I should quit, and I'm thinking I might try sometime in the next few months, but I'm not ready to set a quit date yet." According to the Transtheoretical Model, this employee is MOST likely in which stage?
Answer: D. Contemplation
Contemplation describes people who intend to change within about six months but have not committed to acting soon. Preparation involves intending to act within the next month and taking small steps such as setting a quit date, and precontemplation involves no intention to change.
Question 3 · Advocacy
A coalition drafted the logic model below for a community cooking program. Grant funds; Recruit Families Increased volunteer families; hold enrolled cooking skills chefs cooking classes Community Distribute 400 recipe 40 cooking kitchen space recipe kits kits classes distributed delivered Which entry is placed in the WRONG column?
Answer: C. "40 cooking classes delivered"
The number of classes delivered is a direct product of program activities, so it is an output rather than a short-term outcome; outcomes are changes in participants, such as increased cooking skills. Families enrolled is correctly listed as an output, distributing recipe kits is an activity, and kitchen space is an input.
Question 4 · Policyandadvocacyprocess
A health education specialist wants a school district to remove sugar-sweetened beverages from all vending machines. After gathering data on the problem, what should the specialist do NEXT when planning the advocacy effort?
Answer: B. Identify who has the authority to change the policy
Advocacy tactics must be aimed at the decision-maker who can actually make the change (here, likely the school board), so identifying that target and its positions comes before choosing tactics. Rallies and press releases are tactics selected once the target is known, and a single principal may lack authority over districtwide vending contracts.
Question 5 · Leadershipandteams
The new director of a county health department's prevention division shares a compelling picture of a "tobacco-free county," asks each staff member how their work could advance it, and coaches staff to take on stretch projects that build their skills. Which leadership style is the director MOST clearly demonstrating?
Answer: C. Transformational
Articulating an inspiring shared vision, providing individualized consideration, and stimulating growth are the hallmarks of transformational leadership. Transactional leadership relies on exchanging rewards for meeting set targets, and laissez-faire leadership provides little direction at all.
Question 6 · Researchethicsandlaw
A graduate assistant evaluating a smoking cessation program changes several participants' reported cigarettes per day in the dataset so that the post-test results reach statistical significance. This is an example of:
Answer: D. Falsification
Falsification is manipulating research materials or changing or omitting data so the research record is not accurately represented. Fabrication is making up data that were never collected, and honest error is excluded from the federal definition of research misconduct.
Question 7 · Goalsandobjectives
Which of the following is a PROCESS objective for a community falls-prevention program for older adults?
Answer: B. During the first six months, the program will hold 24 balance classes at four senior centers
Process objectives describe program activities and delivery, such as the number of classes held and where. Doing balance exercises is a behavioral (impact) objective, identifying hazards is a learning objective, and reducing hospitalizations is an outcome objective.
Question 8 · Traininganddelivery
A specialist plans to deliver a chronic disease self- management program to older adults in a rural region and is considering a video-conferencing format. What should the specialist do FIRST?
Answer: C. Assess participants' internet access, devices, and comfort with technology
Technology-based delivery works only if the priority population can access and use the technology, so assessing broadband access, devices, and digital literacy comes first. Purchasing software, recording sessions, and training facilitators are implementation steps that assume the format is feasible for this audience.
Question 9 · Evaluation and Research
A specialist is selecting a school-based physical activity intervention and wants the strongest available evidence of effectiveness. Which source provides the HIGHEST level of evidence?
Answer: A. A systematic review and meta-analysis of randomized controlled trials
Systematic reviews and meta-analyses of randomized controlled trials sit at the top of the evidence hierarchy because they synthesize findings across multiple rigorous studies. A single trial is strong but less generalizable, cohort studies are observational, and expert opinion ranks lowest.
Question 10 · Implementation
A campaign aims to increase mammography screening among women aged 50 to 74. Based on research applying prospect theory, which message is generally recommended for this detection behavior?
Answer: C. Loss-framed: 'Skipping a mammogram means cancer could be found later'
Prospect theory research suggests that loss-framed messages tend to persuade better for detection behaviors, which carry a perceived risk of finding a problem, while gain-framed messages tend to work better for prevention behaviors such as sunscreen use. The threat-only message raises concern without a recommended action, and the norm-based message implies that delaying screening is common.
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