10/6/25, 3:56 PM Quiz: Final Exam: HLTH509: Social and Behavioral Theory Applications in Public Health (B01)
Quiz: Final Exam
Due Oct 10 at 11:59pm
Points 125
Questions 51
Time Limit 145 Minutes
Instructions
The quiz:
Covers the Learn material from Module 5: Week 5 – Module 8: Week 8.
Contains 50 multiple-choice and true/false and 1 essay questions.
Is limited to 2 hours and 25 minutes.
Allows 1 attempt.
Is worth 125 points.
This quiz is open-book/open-notes.
Submit this assignment by 11:59 p.m. (ET) on Friday of Module 8: Week 8.
Attempt History
Attempt Time Score
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Correct answers are hidden.
Score for this quiz: 100 out of 125 *
*Some questions not yet graded
Submitted Oct 6 at 3:55pm
This attempt took 92 minutes.
Question 1
Not yet graded / 25 pts
There are approximately 14 uses of the English word, “justice” in the book of Proverbs. How should
Christians think about justice according to Proverbs and how might the picture of justice in that
compendium of wisdom encourage Christians who are called to serve others, particularly in public
health care? As you explore this answer—guard against imputing our own conversations about what
justice is (and is not) into an ancient text far removed from our place, space, and problems. Instead,
read these proverbial wisdoms in light of the culture, the faith, the people, and the problems of ancient
Israel during the United/Divided kingdoms.
Your Answer:
LATEST Attem t 92 minutes 100 out of 125 *
10/6/25, 3:56 PM Quiz: Final Exam: HLTH509: Social and Behavioral Theory Applications in Public Health (B01)
The book of Proverbs presents justice as an essential part of wise and faithful living. From the
beginning, Proverbs states that wisdom provides “instruction in wise dealing, in righteousness, justice,
and equity” (1:3). Justice flows from God’s character, as Proverbs declares, “the Lord… guards the paths
of justice” (2:8–9), and wisdom itself “walks in the way of righteousness, in the paths of justice” (8:20).
True justice is not defined by human culture but by the fear of the Lord: “Evil men do not understand
justice, but those who seek the Lord understand it completely” (28:5).
In the world of ancient Israel, justice was both practical and communal. It shaped daily life in markets,
courts, and the king’s rule. Proverbs condemns economic exploitation: “The fallow ground of the poor
would yield much food, but it is swept away through injustice” (13:23). It warns against bribery and
partiality that twist judgment (17:23; 18:5). Leaders were charged with fairness, since “by justice a king
builds up the land, but he who exacts gifts tears it down” (29:4). Yet ultimate justice came from God:
“From the Lord one gets justice” (29:26). Proverbs 21:3 adds that “to do righteousness and justice is
more acceptable to the Lord than sacrifice,” showing that justice is not ritual but worship. When done
rightly, “justice is a joy to the righteous, but terror to evildoers” (21:15).
For Christians today, especially those in public health, Proverbs offers both encouragement and
direction. Justice means fairness, equity, and care for the vulnerable. In practice, this includes ensuring
access to clean water, enforcing safe conditions, and refusing favoritism in healthcare delivery. Justice in
Proverbs is not abstract theory but wise action that strengthens society and protects those at risk.
Public health professionals who follow Christ can see their work as a calling to live out biblical justice,
promote fairness and integrity, and safeguard the well-being of communities in line with God’s concern
for equity.
Question 2
2 / 2 pts
Some environments foster risk behaviors.
True
False
Question 3
2 / 2 pts
The PRECEDE-PROCEED Model (PPM) is a:
Theory
Concept
Social construct
Planning Framework
Question 4
2 / 2 pts
At which phase does PRECEDE end and PROCEED begin?
10/6/25, 3:56 PM Quiz: Final Exam: HLTH509: Social and Behavioral Theory Applications in Public Health (B01)
Phase 1
Phase 2
Phase 3
Phase 4
All of the above
Question 5
2 / 2 pts
Which of the following is not a system level that Bronfenbrenner described in the Model of Human
Development?
Microsystem
Ecosystem
Mesosytem
Exosystem
Macrosystem
Question 6
2 / 2 pts
Social networks are usually very stable over time, with little or no change in member numbers or roles,
making the introduction of new health information difficult.
True
False
Question 7
2 / 2 pts
It is important to have chosen which behavioral theories you wish implement in order to proceed with
program planning.
True
False
Question 8
2 / 2 pts
A "maven" (i.e., someone exhibiting mavenism) is not accepted as a reputable source of information in
a social network.
True
False
10/6/25, 3:56 PM Quiz: Final Exam: HLTH509: Social and Behavioral Theory Applications in Public Health (B01)
Question 9
2 / 2 pts
The three planning components of the logic model are: inputs, activities, and throughputs.
True
False
Question 10
2 / 2 pts
The 4 “A”s of enabling factors are:
Accessibility, Affordability, Accountability, Acceptability
Acceptability, Availability, Accessibility, Affordability
Accountability, Acceptability, Accessibility, Availability
Availability, Answerability, Acceptability, Accountability
Question 11
2 / 2 pts
Personal traits of some members of social networks predispose them to serve as superdiffusers of
new ideas. Three traits are considered vital to the spread of an innovation within and between
networks. Which of the following is not one of these key traits?
Connectivity: the ability to build bridges between groups through his/her connections in the network.
Persuasiveness: The skill and motivation to convince others to adopt the innovation.
Egocentricity: The skill to facilitate effective network analyses to identify what works.
Mavenism: Recognized expertise in the area of the idea or new behavior.
Question 12
2 / 2 pts
Community involvement is an important for only certain steps in the PPM.
True
False
Question 13
2 / 2 pts
A microsystem is:
This level refers to the larger cultural context in which the other systems function
This level refers to aspects of the environment in which an individual is not directly involved, but nonetheless affects
him or her
This level refers to the interaction of two microsystems environments
10/6/25, 3:56 PM Quiz: Final Exam: HLTH509: Social and Behavioral Theory Applications in Public Health (B01)
This level refers to the immediate environment in which a person is operating.
Question 14
2 / 2 pts
The meso level of network organization includes large-scale networks and complex networks.
True
False
Question 15
2 / 2 pts
In the Behavioral Ecological Model, ________ are defined as social contingencies of reinforcement that
affect large segments of a population or subpopulation.
Adaptive self-endeavors
Metacontingencies psychological
regulations
Mesosystems
Question 16
2 / 2 pts
During which phase does a public health professional choose and apply a theory?
Epidemiological assessment
Social Assessment
Educational and Ecological Assessment
Administrative and Policy Assessment and Intervention Alignment
Question 17
2 / 2 pts
Understanding health behaviors requires environmental context such as cultural, social, physical,
political, and family aspects.
True
False
Question 18
2 / 2 pts
When any given part of the environment becomes a target for change, the term used is structural
intervention.
True
False
10/6/25, 3:56 PM Quiz: Final Exam: HLTH509: Social and Behavioral Theory Applications in Public Health (B01)
Question 19
2 / 2 pts
Which of the following definitions describes a reinforcing factor?
Facilitates or hinders motivation toward change such as knowledge, attitudes, beliefs, or values.
Repeating health education programs within the same population at repeated set intervals.
Allows people to translate their desire to perform a given health protective behavior into actual behavior.
Rewards (social, personal, or financial) for performing the protective behavior.
Question 20
2 / 2 pts
PROCEED stands for Policy, Regulatory, and Organizational Constructs in Educational and Environmental
Development.
True
False
Question 21
2 / 2 pts
An individual actor in the periphery of a social system, even if respected by others, will not be able to
bridge the brokerage between peripheral networks.
True
False
Question 22
2 / 2 pts
Unfortunately large scale intervention trials sometimes fail to demonstrate the study’s intended health
promotion and this failure acts purely as a waste of funds and time.
True
False
Question 23
2 / 2 pts
The major components of social network theory include nodes or actors and ties that connect the
nodes where they form a network.
True
False
Question 24
2 / 2 pts
10/6/25, 3:56 PM Quiz: Final Exam: HLTH509: Social and Behavioral Theory Applications in Public Health (B01)
Which of the following is NOT one of the four categories of environmental factors that are critical in
shaping health behaviors, according to the structural model of health behavior?
Availability/accessibility
Socioeconomic status
Social structures and policy
Media and cultural influence
Question 25
2 / 2 pts
Social systems and networks must be traditional (i.e., physical contact and connections occur in person)
to be effective in transmitting health information; virtual systems and networks (i.e., social media) are
to fragile to be an effective change agent for health.
True
False
Question 26
2 / 2 pts
Epidemiological diagnosis is not always required to measure health outcomes.
True
False
Question 27
2 / 2 pts
The basic premise of ecological thinking is that health behavior, and the
determinants of these behaviors are inter-related.
True
False
Question 28
2 / 2 pts
In Phase 4 of the PPM, identified enabling factors will most often be changed through changes in policy,
regulation, and organizational structures. These enabling factors typically involve which of the following
categories:
Accessibility, Affordability, Availability, Accountability
Accessibility, Affordability, Availability, Acceptability
Accessibility, Affordability, Accountability, Applicability
Accessibility, Affordability, Applicability, Acceptability
10/6/25, 3:56 PM Quiz: Final Exam: HLTH509: Social and Behavioral Theory Applications in Public Health (B01)
Question 29
2 / 2 pts
According to the concept of transitivity, a tie (connection) between some members of a social
network... has little influence on the creation of new mutual social connections within that network. is likely to be
a barrier to the creation of new mutual social ties in the network. will often lead to new mutual social
connections within the network.
is the most common reason social networks rarely change.
Question 30
2 / 2 pts
Assurance refers to the degree to which a program is implemented as planned.
True
False
Question 31
2 / 2 pts
The logic behind structural interventions is that the physical, legal, economic, and regulatory
“structures” within an individual’s environment can be altered to support the adoption and
maintenance of health protective behaviors.
True
False
Question 32
2 / 2 pts
Actors/nodes with a high degree of centrality have more social connections and can usually transmit
health information more efficiently and effectively than actors with a low degree of centrality.
True
False
Question 33
2 / 2 pts
Intervention Alignment means that PROCEED ends and PRECEDE begins.
True
False
Question 34
2 / 2 pts
10/6/25, 3:56 PM Quiz: Final Exam: HLTH509: Social and Behavioral Theory Applications in Public Health (B01)
Collectively, predisposing, reinforcing, and enabling factors (the “PRE”) account for public health
challenges that are best addressed by behavioral theory.
True
False
Question 35
2 / 2 pts
The more pathways one accounts for in the planning process the less the likelihood will be of achieving
one’s primary goal.
True
False
Question 36
2 / 2 pts
Which answer choice is NOT a characteristic of PPM (PRECEDE-PROCEED Planning Model)?
PPM can be directed at distal and proximal hypothesized mediator of health behaviors.
It plans framework as well as the theory.
It provides the intervention pathways with the modification of environment to change health behaviors.
It embodies ecological approach, which can be the effective methods of health behavior modification.
Question 37
2 / 2 pts
Structural Model of Behavior emphasizes environmental influences of behavior: availability, physical
structures, social structures, and media.
True
False
Question 38
2 / 2 pts
The “thread” that holds any health promotion program together is evaluation.
True
False
Question 39
2 / 2 pts
The first step in planning process is to work in partnership with the community.
True
False
10/6/25, 3:56 PM Quiz: Final Exam: HLTH509: Social and Behavioral Theory Applications in Public Health (B01)
Question 40
2 / 2 pts
Health promotion program planning in the PPM occurs exclusively with distal.
True
False
Question 41
2 / 2 pts
What is the best known ecological model?
Precede-Proceed
Health Belief Model
Medical Model
All of the above
None of the above
Question 42
2 / 2 pts
Under the PPM model, interventions to change health behavior may be targeted at the environment,
bypassing the individual.
True
False
Question 43
2 / 2 pts
A superdiffuser is a highly influential person who possesses all of the following social traits
except: brokerage. connectivity. persuasiveness.
mavenism.
Question 44
2 / 2 pts
PPM is a theory.
True
False
Question 45
2 / 2 pts
10/6/25, 3:56 PM Quiz: Final Exam: HLTH509: Social and Behavioral Theory Applications in Public Health (B01)
In which type of analytical technique does the research start with selecting a set of nodes that is then
considered as a study population, then measures the tie between these nodes?
Modeling network analysis
Egocentric network analysis
Whole network analysis
Nodal network analysis
Question 46
2 / 2 pts
It is categorically correct to decide upon a theory and then engage in program planning.
True
False
Question 47
2 / 2 pts
What concepts are associated with the PROCEED phase?
Theory and model design
Recruitment and data collection
Diagnosis and evaluation
Administrative and policy assessment
Question 48
2 / 2 pts
Education can play a big role to change the health behavior eventually by using predisposing factor and
reinforcing factors.
True
False
Question 49
2 / 2 pts
Transitivity describes the temporary mental state of people who fail at developing lasting nodal
connections, resulting in weak social networks.
True
False
Question 50
2 / 2 pts
10/6/25, 3:56 PM Quiz: Final Exam: HLTH509: Social and Behavioral Theory Applications in Public Health (B01)
Scenario: You are a state health department officer working with various social networks (e.g.,
churches, worksites, schoolsites) to promote personal wellness. With help from community
members, you identify superdiffusers in each of the target social networks. Which of the following
key roles must the superdiffusers do to ensure success of the promotion?
Using their influence and example, set norms for the network to follow.
Using their education and skill, develop training materials for the network.
Using their organizational ability, plan social events for the network.
Using their persuasive communication, convince others to join their network.
Question 51
2 / 2 pts
Evidence suggests that social networks may have profound effects on a range of health-related
attitudes, behaviors, and disease outcomes.
True
False
Quiz Score: 100 out of 125 *
Some questions not yet graded
