Test Design and 
Test Framework

Field 211: Health Education

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The test design below describes general test information. The framework that follows is a detailed outline that explains the knowledge and skills that this test measures.

Test Design

Format Computer-based test (CBT)
Number of Questions 100 multiple-choice questions
Time* 3 hours, 15 minutes
Passing Score 240

*Does not include 15-minute CBT tutorial

Test Framework

Pie chart of approximate test weighting outlined in the table below.



Test Subarea Number of Test Objectives Number of Scorable Items Number of Non-Scorable Items subarea weight as percent of total test score
Subarea 1—Health Promotion and Risk Reduction 6 25 6 31 percent
Subarea 2—Physical Health 5 21 5 26 percent
Subarea 3—Health Literacy Skills 4 17 4 21 percent
Subarea 4—Health Education 4 17 5 22 percent
Totals 19 80 20 100 percent

Subarea 1—Health Promotion and Risk Reduction

Objective 0001—Understand theories, principles, models, and processes of health promotion, disease prevention, and health education.

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Objective 0002—Understand prevention, types, causes, effects, diagnosis, and treatment of infectious, noninfectious, and chronic diseases.

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Objective 0003—Understand the health consequences of alcohol, tobacco, and other drug use and strategies for reducing risks related to alcohol, tobacco, and other drug use.

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Objective 0004—Understand principles and strategies for promoting and maintaining mental and emotional health, including managing stress.

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Objective 0005—Understand interpersonal and family relationships, social support systems, and how to foster positive interpersonal communication to promote family and social health.

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Objective 0006—Understand principles of bullying prevention, conflict resolution, and violence prevention; and strategies for reducing health risks related to bullying, conflict, and violence.

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Subarea 2—Physical Health

Objective 0007—Understand human body systems and physical, cognitive, social, emotional, and environmental health factors that affect health, growth, and human development.

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Objective 0008—Understand nutritional principles and the role of nutrition in promoting and maintaining health.

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Objective 0009—Understand the role of health-related physical fitness in promoting and maintaining health.

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Objective 0010—Understand sexual and reproductive health as well as concepts and principles for protecting sexual and reproductive health.

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Objective 0011—Understand principles, methods, and techniques for enhancing safety, preventing unintentional injuries, and providing care in medical emergency situations.

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Subarea 3—Health Literacy Skills

Objective 0012—Understand how to use risk-assessment, goal-setting, decision-making, and problem-solving skills to enhance personal, family, and community health.

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Objective 0013—Understand the influence of social norms, family, culture, media, and technology on health, and strategies and skills for resisting unhealthy influences.

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Objective 0014—Understand the role of the health education teacher as a resource person and methods for obtaining, analyzing, and disseminating health-related information.

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Objective 0015—Understand health-related initiatives, agencies, issues, and trends and how to advocate effectively for personal, family, community, and environmental health.

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Subarea 4—Health Education

Objective 0016—Understand principles and procedures for planning, implementing, and evaluating a school health education program.

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Objective 0017—Understand instructional and assessment strategies that adhere to best practices as well as state, national, and professional standards, and that facilitate student skill development and application of functional health knowledge.

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Objective 0018—Understand the process of reading, and apply knowledge of strategies for promoting students' literacy development in the health education classroom.

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Objective 0019—Understand professional and ethical issues in health education, including processes and skills for communicating and collaborating effectively within the school community.

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