Community Health
Textbook Exam Questions
Course Introduction
Community Health examines the principles, strategies, and practices used to promote and protect the health of populations within a defined community. The course covers topics like epidemiology, environmental health, health education, disease prevention, community assessment, and the social determinants of health. Students will learn how to identify health problems in communities, design and implement health programs, mobilize community resources, and evaluate interventions. Through a combination of theory, case studies, and practical examples, the course prepares students to understand the roles of healthcare professionals, organizations, and policy in fostering healthier communities.
Recommended Textbook
Community Nutrition in Action An Entrepreneurial Approach 6th Edition by Marie A. Boyle
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20 Chapters
1448 Verified Questions
1448 Flashcards
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Chapter 1: Opportunities in Community Nutrition
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71 Verified Questions
71 Flashcards
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Sample Questions
Q1) What is meant by multiskilling? How do community nutritionists multiskill?
Answer: Multiskilling,or being cross-trained,occurs when the community nutritionist performs more than one function,often in more than one discipline.The multiskilled community nutritionist knows how to conduct a needs assessment and provide dietary guidance as well as how to design and conduct a survey,use the Internet for marketing health messages,and obtain funding to support a program's promotional plan.
Q2) Health initiatives are the same for all countries.
A)True
B)False
Answer: False
Q3) A dietitian is involved in screening women to determine if they are at risk for osteoporosis.This is an example of _____ prevention.
A) primary B) essential C) tertiary
D) secondary
Answer: D
Q4) What are the three arenas of community nutrition?
Answer: People,policy,and programs.
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Chapter 2: Assessing Community Resources
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74 Verified Questions
74 Flashcards
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Sample Questions
Q1) Which of the following results from a community needs assessment should be given highest priority for intervention?
A) Fetal alcohol syndrome prevention, which is promoted well by the local YMCA.
B) Iron-deficiency anemia, which is on the decline in your target population.
C) Obesity, which affects 80% of your target population.
D) All of these should be a number 1 priority.
Answer: C
Q2) Which type of data is provided by census reports?
A) Quantitative
B) Subjective
C) Qualitative
D) a and b
E) b and c
Answer: A
Q3) Which of the following is not an example of a vital statistic?
A) Alcohol consumption rate among Native Americans
B) Birth rate among pregnant Latina adolescents
C) Death rate among immigrants
D) Interracial marriages within the United States
Answer: A
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Chapter 3: Assessing the Target Populations ?Nutritional Status
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78 Verified Questions
78 Flashcards
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Sample Questions
Q1) Nonverbal communication skills are critical when conducting a nutrition assessment in a culturally diverse setting.
A)True
B)False
Answer: True
Q2) Low socioeconomic status is linked with high prevalence rates of chronic conditions,reduced access to medical care,high stress levels,and poor outcomes following treatment.
A)True
B)False
Answer: True
Q3) Which of the following has the strongest association with health among children?
A) Poverty
B) Race
C) Family structure
D) Education level of parents
Answer: A
Q4) Using the social-ecological framework,illustrate the key factors that influence food intake.
Answer: See Figure 3-1 on page 74.
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Chapter 4: Program Planning for Success
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81 Flashcards
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Sample Questions
Q1) An evaluation might be focused on the entire program,or just one component of the program.
A)True
B)False
Q2) Participation rates for group education sessions tend to be _____ participation in a stand-alone presentation,such as a newsletter or brochure.
A) higher than
B) lower than
C) equal to
Q3) Which of the following is an example of a Level III intervention?
A) Conducting a "heart smart" cooking program
B) Placing a higher tax on high-fat foods
C) Creating a website for issues related to women's health
D) Devising a media campaign to promote fruit and vegetable consumption
Q4) Differentiate between cost-benefit analysis and a cost-effectiveness analysis.
Q5) Which of the following would not be an example of a direct expense?
A) Office supplies
B) Advertising
C) Office space rental
D) Travel expenses
6
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Chapter 5: Principles of Epidemiology
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Sample Questions
Q1) In epidemiological terms,smoking cigarettes would be an example of a(n)_____ risk factor.
A) behavioral
B) inherited
C) physical
D) environmental
Q2) _____ bias is the presence of another variable that accounts for the observation.
A) Confounding
B) Measurement
C) Selection
D) Control
Q3) The most appropriate use of a correlational study is
A) generating hypotheses.
B) drawing conclusions.
C) changing public policy.
D) validating previous studies.
Q4) Explain why the day-to-day variation in an individual's nutrient intake can have important implications for nutritional epidemiologic studies.
Q5) Discuss two reasons why data collected may not be valid.
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Chapter 6: The Art and Science of Policy Making
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Sample Questions
Q1) Medical nutrition therapy is a service provided by a registered dietitian that includes counseling,nutrition support,and nutrition assessment and screening to improve people's health and quality of life.
A)True
B)False
Q2) Describe the policy-making process.
Q3) The USDA agency responsible for administering the Supplemental Nutrition Assistance Program is the
A) Food Safety and Inspection Service.
B) Health Resources and Services Administration.
C) National Institutes of Health.
D) Food and Nutrition Service.
Q4) The Food and Drug Administration is an agency of the A) National Institutes of Health.
B) Food and Nutrition Service.
C) Department of Health and Human Services.
D) Department of Agriculture.
Q5) In the grassroots pyramid,there are more power players than fence sitters.
A)True
B)False
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Chapter 7: A National Nutrition Agenda for the Publics
Health
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62 Verified Questions
62 Flashcards
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Sample Questions
Q1) Discuss the history of the food and nutrition consumption surveys.
Q2) The NHANES series
A) uses a sample that is not representative of the civilian, noninstitutionalized population.
B) uses a sample that has not had a good response rate.
C) influenced the development of the CDC Growth Charts in 2000.
D) is poorly designed and is in need of revision.
Q3) The NNMRRP includes more than 50 surveillance activities that monitor and evaluate the health and nutritional status of Americans.
A)True
B)False
Q4) Develop an outline of what information you would present.
Q5) What are the five areas of the NNMRRP surveys? Provide an example of their interrelatedness.
Q6) The nation's first comprehensive nutrition survey was the
A) Ten-State Nutrition Survey.
B) CSFII.
C) NHANES I.
D) Total Diet Study.
Q7) What is the Healthy Eating Index? Page 9
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Page 10
Chapter 8: Addressing the Obesity Epidemic: An Issue for Public Health Policy
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Sample Questions
Q1) Extremely obese is the same as obese.
A)True
B)False
Q2) The use of the BMI calculation is limited in A) those who are underweight.
B) those who live in developing countries.
C) children.
D) the older population.
Q3) Excessive fat is indicated by a waist circumference of _____ for men and _____ for women.
A) < 30 inches, < 25 inches
B) > 30 inches, > 25 inches
C) > 40 inches, > 35 inches
D) None of these
Q4) Discuss the tax-related pricing policies that have been proposed to address obesity.
Q5) Physical activity data trends are not as clear as those related to energy intake due to a lack of adequate surveillance activities.
A)True
B)False
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Chapter 9: Health Care Systems and Policy
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Sample Questions
Q1) In the past,the most notable gaps in Medicare coverage have been
A) prescription drug coverage and in-hospital care.
B) skilled nursing care and prescription drug coverage.
C) physician services and durable medical equipment costs.
D) in-hospital care and skilled nursing care.
Q2) _____ is the largest component of national health care expenditures.
A) Hospital care
B) Physician and clinical services
C) Prescription drugs
D) Long-term care
Q3) A study that compares the costs of providing health care against a desirable change in patient health outcomes is called a(n)
A) nutrition intervention study.
B) cost-effectiveness study.
C) improved health initiative study.
D) epidemiological assessment.
Q4) A prospective payment system is one example of cost containment.
A)True
B)False
Q5) Discuss three cost containment efforts.
Page 12
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Chapter 10: Food Insecurity and the Food Assistance Programs
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Sample Questions
Q1) Describe the five components of the concept of food security.
Q2) People who live with chronic hunger might have food available to them,but they are lacking in nutrients.
A)True
B)False
Q3) Which of the following is the number one contributor to homelessness?
A) Addiction to alcohol or drugs
B) Unemployment
C) Mental illness
D) Physical disability
Q4) Households with no problems,or anxiety about,consistently accessing adequate foods are experiencing
A) high food security.
B) marginal food security.
C) low food security.
D) very low food security.
Q5) The federal government is the only entity concerned with food insecurity.
A)True
B)False
Page 13
Q6) What are some of the problems that arise when children are hungry?
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Chapter 11: Mothers and Infants: Nutrition
Assessment,Services,and
Programs
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70 Verified Questions
70 Flashcards
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Sample Questions
Q1) If a woman gains more than the recommended amount of weight early in the pregnancy,she should diet for weight loss in the last few weeks.
A)True
B)False
Q2) List 4 potential barriers to achieving the nation's health objective of increasing the incidence of breastfeeding.
Q3) Recipients may not participate in both WIC and CSFP.
A)True
B)False
Q4) List six nutritional risks in pregnancy.
Q5) Who would be eligible for participation in the WIC program?
A) Pregnant teenager at 175% of the poverty line
B) Breastfeeding woman receiving SNAP EBT cards
C) Homeless pregnant woman eligible for Medicaid
D) a and b
E) a, b, and c
Q6) Discuss the two of the most significant nutrition-related problems of infants and describe possible solutions.
Page 15
Q7) List 3 potential barriers to participation in WIC.
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Chapter 12: Children and Adolescents: Nutrition
Issues,Services,and Programs
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Sample Questions
Q1) The primary feeding goal of a child with special needs is for the child to feed him-/herself.
A)True
B)False
Q2) Which of the following is credited with the substantial decline in dental caries in children?
A) Decreased sugar consumption
B) Fluoridation of public drinking water
C) Educational interventions
D) Increased availability of bottled water
Q3) Children with special health care needs are at increased nutritional risk due to potential feeding problems,drug/nutrient interactions,and decreased mobility.
A)True
B)False
Q4) Discuss three USDA nutrition assistance programs aimed at improving the health and nutritional status of children,including their purpose,types of assistance offered to clients,and eligibility requirements.
Q5) Briefly state the main impetus for the initiation of the National School Lunch Program.
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Chapter 13: Healthy Aging: Nutrition
Assessment,Services,and
Programs
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67 Verified Questions
67 Flashcards
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Sample Questions
Q1) The functional assessment component of a nutrition status assessment of the elderly measures
A) liver function.
B) cardiac output.
C) activities of daily living.
D) risk of malnutrition.
Q2) The most important goal of health promotion and disease prevention for adults as they age is maintaining health and functional independence.
A)True
B)False
Q3) Which of the following is not a nutritional risk factor(s)considered diagnostic for the need for assistance among older adults?
A) Depression or loneliness
B) Low income
C) Shopping difficulties
D) Widowhood
Q4) Based on your knowledge of the nutritional needs of the older adult,what might be the focus areas of your nutrition education efforts?
Page 17
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Chapter 14: World Hunger and Food Insecurity: Challenges and Opportunities
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68 Verified Questions
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Sample Questions
Q1) The combination of high import costs and low export profits are favorable to combating malnutrition.
A)True
B)False
Q2) Almost one third of all children in developing countries have stunted growth due to chronic undernutrition.
A)True
B)False
Q3) Worldwide,the life expectancy averages about _____ years as compared to the life expectancy of _____ years in the United States.
A) 55, 75
B) 57, 77
C) 63, 79
D) 70, 78
Q4) _____ is the leading health risk worldwide.
A) Poverty
B) Hunger
C) Vitamin A deficiency
D) Unsafe drinking water
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Chapter 15: Understanding and Achieving Behavior Change
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76 Verified Questions
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Sample Questions
Q1) According to the theory of planned behavior,if a pregnant adolescent views breastfeeding as good for her unborn child,as do her peers,then her motivation or intention to breastfeed upon delivery is _____.
A) lessened
B) heightened
C) not influenced by these factors
Q2) A strength of social cognitive theory is that it focuses on A) target behaviors.
B) attitudes.
C) knowledge.
D) skills.
Q3) The diffusion of innovation model attempts to explain how a product or idea becomes acceptable to consumers.
A)True
B)False
Q4) The stages of change theory assumes that individuals will pass through each stage in a linear fashion.
A)True
B)False
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Chapter 16: Gaining Cultural Competence in Community Nutrition
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69 Verified Questions
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Sample Questions
Q1) Which of the following groups has a high prevalence of diabetes and a high death rate from cirrhosis?
A) Hispanics
B) Native Americans
C) African Americans
D) Asian Americans and Pacific Islanders
Q2) Rural Americans have lower rates of chronic illness and enjoy better overall health than those living in urban areas.
A)True
B)False
Q3) Based on the cultural competence continuum,what stage are you currently in regarding the Jewish culture? Justify your answer.
Q4) All of the following are examples of forms of diversity that are visible except A) language.
B) physical differences.
C) socioeconomic status.
D) abilities and disabilities.
Q5) Why is it important for community nutritionists to understand the generalities of cultural groups?
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Chapter 17: Principles of Nutrition Education
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57 Verified Questions
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Sample Questions
Q1) All nutrition professionals have extensive training in educating individuals.
A)True
B)False
Q2) People of any age learn best if
A) they have the necessary prerequisite knowledge.
B) what they learned is used and reinforced.
C) content is delivered in large pieces.
D) a and b
E) b and c
Q3) Examples of formative evaluation research include all of the following except
A) SMOG testing of educational materials.
B) participants' reactions to all program components.
C) focus group testing of dietary messages.
D) a trial run of program format.
Q4) Differentiate between summative and formative evaluation.How are both important when planning and implementing nutrition education programs?
Q5) Differentiate between the approaches you would use in teaching children versus teaching adults.
Q6) What are some recommendations for teaching adult learners?
Q7) List and briefly describe the components of a well-developed lesson plan.
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Chapter 18: Marketing Nutrition and Health Promotion
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Sample Questions
Q1) Discuss the steps that the community nutritionist takes in developing a marketing plan.
Q2) In Guerilla Marketing,J.C.Levinson cautions against abandoning your marketing plan once it begins generating favorable results.He shares ten truths that should not be forgotten regarding marketing.List 3 and relate them to each other.
Q3) The analysis of a potential market,the environment,and the competition is known as
A) the marketing mix.
B) situational analysis.
C) needs assessment.
D) the target market.
Q4) The Pawtucket Heart Health Program presented a social marketing campaign that was one of the earliest _____ awareness and screening efforts.
A) osteoporosis
B) diabetes
C) hypertension
D) cholesterol
Q5) Outline,and briefly describe,the four "P's" of the marketing mix.
Q6) Apply the four main components of social marketing to this scenario.
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Chapter 19: Managing Community Nutrition Programs
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Sample Questions
Q1) Offering a pay raise is the single best way to motivate your employees.
A)True
B)False
Q2) The tone of voice used when communicating may affect the perception of the words spoken.
A)True
B)False
Q3) Job descriptions serve as a basis for all of the following except
A) deciding on the span of control.
B) rating and classifying jobs.
C) setting wages and salaries.
D) conducting a performance appraisal.
Q4) How would an effective manager handle this issue?
Q5) _____ planning addresses the organization's overall goals for the long term,and deals with formulating strategies for handling problems.
A) Operational
B) Strategic
C) Observational
D) Structural
Q6) What is the main difference between data and information?
Page 23
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Chapter 20: Building Grantsmanship Skills
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Sample Questions
Q1) Utilizing the Logic Model is only helpful in the writing phase of grant writing.
A)True
B)False
Q2) What is the relevance of The Belmont Report to community nutritionists?
Q3) List several questions that can help grant seekers decide whether to compete for a grant from a particular grant sponsor,and explain how these questions are relevant.
Q4) Grant proposal preparation begins with an idea.
A)True
B)False
Q5) Dissemination offers many benefits to both the grant sponsor and grant recipient.Briefly describe one for each entity.
Q6) During which step of the grant writing process do you generate ideas,describe goals,and identify funding sources?
A) Laying the foundation
B) Building the grant proposal
C) Assembling the final product
D) Reviewing the grant proposal
Q7) Differentiate between direct and indirect costs and give examples of each.
Q8) Explain 2-3 characteristics of well-written and poorly written grant proposals.
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