{
  "module": "101.2",
  "title": "101.2 Ethics, Boundaries and Confidentiality",
  "pass_percent": 75,
  "pre_test": {
    "graded": false,
    "questions": [
      {
        "question": "Which is part of the CHW Code of Ethics?",
        "options": [
          "Keeping the trust of the community",
          "Giving medical advice when asked",
          "Sharing client stories to teach others",
          "Accepting gifts to build rapport"
        ],
        "correct": 0,
        "explanation": "Maintaining the trust of the community is a named part of the code."
      },
      {
        "question": "What does confidentiality mean?",
        "options": [
          "Telling only family members",
          "Keeping client information private unless there is consent or a legal duty",
          "Never writing anything down",
          "Sharing only on social media groups that are private"
        ],
        "correct": 1,
        "explanation": "Confidentiality protects client information except with consent or when the law requires sharing."
      },
      {
        "question": "A client offers you $50 cash as a thank-you. What should the CHW do?",
        "options": [
          "Take it so she is not offended",
          "Take it and give it to charity",
          "Thank her, decline kindly, and tell your supervisor",
          "Take it and tell no one"
        ],
        "correct": 2,
        "explanation": "Cash gifts cross a boundary; decline with warmth and report it to your supervisor."
      },
      {
        "question": "Which is a dual relationship?",
        "options": [
          "A client you met at a health fair",
          "A client referred by a clinic",
          "A client who lives across town",
          "A client who is also your cousin"
        ],
        "correct": 3,
        "explanation": "Having two roles, CHW and relative, with one person is a dual relationship."
      },
      {
        "question": "What is HIPAA?",
        "options": [
          "A federal law that protects health information",
          "An Ohio food program",
          "A type of health insurance",
          "A CHW certificate"
        ],
        "correct": 0,
        "explanation": "HIPAA protects health information held by most providers and health plans."
      },
      {
        "question": "A client says she is thinking about ending her life. What should the CHW do first?",
        "options": [
          "Keep it secret because it is confidential",
          "Tell her to call someone tomorrow",
          "Stay with her and call or text 988 together, or 911 if in danger now",
          "Post a prayer request for her"
        ],
        "correct": 2,
        "explanation": "Risk to life ends confidentiality; connect her to crisis help right away."
      },
      {
        "question": "In Cuyahoga County, suspected child abuse is reported to:",
        "options": [
          "988",
          "216-696-KIDS (5437)",
          "211",
          "The child's school only"
        ],
        "correct": 1,
        "explanation": "The county's 24-hour child abuse hotline is 216-696-KIDS (5437)."
      },
      {
        "question": "A client sends you a friend request on Facebook. What should the CHW do?",
        "options": [
          "Accept it to stay in touch",
          "Accept it but never post",
          "Block her without saying anything",
          "Decline and explain it protects her privacy"
        ],
        "correct": 3,
        "explanation": "Ohio rules bar CHWs from using social media with clients for non-care reasons."
      },
      {
        "question": "Before you share a client's information with another agency, you need:",
        "options": [
          "Your friend's opinion",
          "Nothing, if it will help",
          "The client's consent on a signed release form",
          "Only a phone call with the agency"
        ],
        "correct": 2,
        "explanation": "Consent and a signed release come before sharing, except in emergencies or required reports."
      },
      {
        "question": "How many continuing education hours on professional boundaries does Ohio require each renewal?",
        "options": [
          "At least 1",
          "None",
          "5",
          "15"
        ],
        "correct": 0,
        "explanation": "OAC 4723-26-05 requires at least one hour on professional boundaries among the 15 hours."
      }
    ]
  },
  "post_test": {
    "graded": true,
    "questions": [
      {
        "question": "A client offers you $50 cash as a thank-you. What should the CHW do?",
        "options": [
          "Take it so she is not offended",
          "Take it and give it to charity",
          "Thank her, decline kindly, and tell your supervisor",
          "Take it and tell no one"
        ],
        "correct": 2,
        "explanation": "Cash gifts cross a boundary; decline with warmth and report it to your supervisor."
      },
      {
        "question": "In Cuyahoga County, suspected child abuse is reported to:",
        "options": [
          "988",
          "216-696-KIDS (5437)",
          "211",
          "The child's school only"
        ],
        "correct": 1,
        "explanation": "The county's 24-hour child abuse hotline is 216-696-KIDS (5437)."
      },
      {
        "question": "What does confidentiality mean?",
        "options": [
          "Telling only family members",
          "Keeping client information private unless there is consent or a legal duty",
          "Never writing anything down",
          "Sharing only on social media groups that are private"
        ],
        "correct": 1,
        "explanation": "Confidentiality protects client information except with consent or when the law requires sharing."
      },
      {
        "question": "A client says she is thinking about ending her life. What should the CHW do first?",
        "options": [
          "Keep it secret because it is confidential",
          "Tell her to call someone tomorrow",
          "Stay with her and call or text 988 together, or 911 if in danger now",
          "Post a prayer request for her"
        ],
        "correct": 2,
        "explanation": "Risk to life ends confidentiality; connect her to crisis help right away."
      },
      {
        "question": "A client sends you a friend request on Facebook. What should the CHW do?",
        "options": [
          "Accept it to stay in touch",
          "Accept it but never post",
          "Block her without saying anything",
          "Decline and explain it protects her privacy"
        ],
        "correct": 3,
        "explanation": "Ohio rules bar CHWs from using social media with clients for non-care reasons."
      },
      {
        "question": "How many continuing education hours on professional boundaries does Ohio require each renewal?",
        "options": [
          "At least 1",
          "None",
          "5",
          "15"
        ],
        "correct": 0,
        "explanation": "OAC 4723-26-05 requires at least one hour on professional boundaries among the 15 hours."
      },
      {
        "question": "Which is a dual relationship?",
        "options": [
          "A client you met at a health fair",
          "A client referred by a clinic",
          "A client who lives across town",
          "A client who is also your cousin"
        ],
        "correct": 3,
        "explanation": "Having two roles, CHW and relative, with one person is a dual relationship."
      },
      {
        "question": "Which is part of the CHW Code of Ethics?",
        "options": [
          "Keeping the trust of the community",
          "Giving medical advice when asked",
          "Sharing client stories to teach others",
          "Accepting gifts to build rapport"
        ],
        "correct": 0,
        "explanation": "Maintaining the trust of the community is a named part of the code."
      },
      {
        "question": "Before you share a client's information with another agency, you need:",
        "options": [
          "Your friend's opinion",
          "Nothing, if it will help",
          "The client's consent on a signed release form",
          "Only a phone call with the agency"
        ],
        "correct": 2,
        "explanation": "Consent and a signed release come before sharing, except in emergencies or required reports."
      },
      {
        "question": "What is HIPAA?",
        "options": [
          "A federal law that protects health information",
          "An Ohio food program",
          "A type of health insurance",
          "A CHW certificate"
        ],
        "correct": 0,
        "explanation": "HIPAA protects health information held by most providers and health plans."
      }
    ]
  }
}