{
  "module": "101.4",
  "title": "101.4 The Political Determinants of Health",
  "pass_percent": 75,
  "pre_test": {
    "graded": false,
    "questions": [
      {
        "question": "According to Daniel Dawes, the three political determinants of health are:",
        "options": [
          "Food, housing and jobs",
          "Voting, government and policy",
          "Doctors, nurses and hospitals",
          "Genes, age and sex"
        ],
        "correct": 1,
        "explanation": "Dawes names voting, government and policy as the three parts."
      },
      {
        "question": "Redlining in the 1930s meant that:",
        "options": [
          "Neighborhoods graded red were denied home loans and investment",
          "Red bus lines were added",
          "Hospitals were built in red areas",
          "Red areas got lower taxes"
        ],
        "correct": 0,
        "explanation": "HOLC maps marked red areas as risky, and residents were denied loans."
      },
      {
        "question": "Research shows formerly redlined neighborhoods today have:",
        "options": [
          "Less heart disease",
          "No difference in health",
          "More heart disease, diabetes and high blood pressure",
          "Fewer children with lead exposure"
        ],
        "correct": 2,
        "explanation": "A national study found these conditions rose as old HOLC grades dropped."
      },
      {
        "question": "Cleveland's Lead Safe Certification law applies to:",
        "options": [
          "All homes built after 2000",
          "Only owner-occupied homes",
          "Only schools",
          "Rental homes built before 1978"
        ],
        "correct": 3,
        "explanation": "Pre-1978 rentals need certification or an exemption."
      },
      {
        "question": "A mother worries about peeling paint in her 1915 rental. What should the CHW do?",
        "options": [
          "Tell her the children are fine",
          "Help her check the address, call 216-664-LEAD, and ask the doctor about a blood lead test",
          "Tell her to scrape the paint herself",
          "Tell her to move out today"
        ],
        "correct": 1,
        "explanation": "The CHW connects her to the law, city help and testing without diagnosing."
      },
      {
        "question": "A client asks you which candidate to vote for. What should the CHW do?",
        "options": [
          "Tell her your choice",
          "Tell her not to vote",
          "Tell her what your church thinks",
          "Stay nonpartisan and show her how to find voter information"
        ],
        "correct": 3,
        "explanation": "CHWs teach civic process and never tell people how to vote."
      },
      {
        "question": "In Ohio, voter registration closes:",
        "options": [
          "30 days before an election",
          "On election day",
          "One year before an election",
          "There is no deadline"
        ],
        "correct": 0,
        "explanation": "Ohio's registration deadline is the 30th day before the election."
      },
      {
        "question": "Which is an example of the government part of political determinants?",
        "options": [
          "A family dinner",
          "A city agency deciding where to spend lead repair money",
          "A person's favorite food",
          "A cold winter"
        ],
        "correct": 1,
        "explanation": "Government includes agencies and officials who run programs and spend public money."
      },
      {
        "question": "Neighbors want to stop dumping near a school. The best CHW action is to:",
        "options": [
          "Speak for them without asking",
          "Tell them nothing can be done",
          "Help them report it, contact their council member and use public comment",
          "Clean it up alone at night"
        ],
        "correct": 2,
        "explanation": "The CHW supports residents to use their own voice and civic tools."
      },
      {
        "question": "Why do we call political determinants the causes of the causes?",
        "options": [
          "Because they are about germs",
          "Because they only affect politicians",
          "Because they are personal choices",
          "Because decisions about power and money shape the social conditions that affect health"
        ],
        "correct": 3,
        "explanation": "Policy and power decide conditions like housing, jobs and services."
      }
    ]
  },
  "post_test": {
    "graded": true,
    "questions": [
      {
        "question": "Neighbors want to stop dumping near a school. The best CHW action is to:",
        "options": [
          "Speak for them without asking",
          "Tell them nothing can be done",
          "Help them report it, contact their council member and use public comment",
          "Clean it up alone at night"
        ],
        "correct": 2,
        "explanation": "The CHW supports residents to use their own voice and civic tools."
      },
      {
        "question": "A client asks you which candidate to vote for. What should the CHW do?",
        "options": [
          "Tell her your choice",
          "Tell her not to vote",
          "Tell her what your church thinks",
          "Stay nonpartisan and show her how to find voter information"
        ],
        "correct": 3,
        "explanation": "CHWs teach civic process and never tell people how to vote."
      },
      {
        "question": "Cleveland's Lead Safe Certification law applies to:",
        "options": [
          "All homes built after 2000",
          "Only owner-occupied homes",
          "Only schools",
          "Rental homes built before 1978"
        ],
        "correct": 3,
        "explanation": "Pre-1978 rentals need certification or an exemption."
      },
      {
        "question": "A mother worries about peeling paint in her 1915 rental. What should the CHW do?",
        "options": [
          "Tell her the children are fine",
          "Help her check the address, call 216-664-LEAD, and ask the doctor about a blood lead test",
          "Tell her to scrape the paint herself",
          "Tell her to move out today"
        ],
        "correct": 1,
        "explanation": "The CHW connects her to the law, city help and testing without diagnosing."
      },
      {
        "question": "Which is an example of the government part of political determinants?",
        "options": [
          "A family dinner",
          "A city agency deciding where to spend lead repair money",
          "A person's favorite food",
          "A cold winter"
        ],
        "correct": 1,
        "explanation": "Government includes agencies and officials who run programs and spend public money."
      },
      {
        "question": "Research shows formerly redlined neighborhoods today have:",
        "options": [
          "Less heart disease",
          "No difference in health",
          "More heart disease, diabetes and high blood pressure",
          "Fewer children with lead exposure"
        ],
        "correct": 2,
        "explanation": "A national study found these conditions rose as old HOLC grades dropped."
      },
      {
        "question": "Redlining in the 1930s meant that:",
        "options": [
          "Neighborhoods graded red were denied home loans and investment",
          "Red bus lines were added",
          "Hospitals were built in red areas",
          "Red areas got lower taxes"
        ],
        "correct": 0,
        "explanation": "HOLC maps marked red areas as risky, and residents were denied loans."
      },
      {
        "question": "According to Daniel Dawes, the three political determinants of health are:",
        "options": [
          "Food, housing and jobs",
          "Voting, government and policy",
          "Doctors, nurses and hospitals",
          "Genes, age and sex"
        ],
        "correct": 1,
        "explanation": "Dawes names voting, government and policy as the three parts."
      },
      {
        "question": "Why do we call political determinants the causes of the causes?",
        "options": [
          "Because they are about germs",
          "Because they only affect politicians",
          "Because they are personal choices",
          "Because decisions about power and money shape the social conditions that affect health"
        ],
        "correct": 3,
        "explanation": "Policy and power decide conditions like housing, jobs and services."
      },
      {
        "question": "In Ohio, voter registration closes:",
        "options": [
          "30 days before an election",
          "On election day",
          "One year before an election",
          "There is no deadline"
        ],
        "correct": 0,
        "explanation": "Ohio's registration deadline is the 30th day before the election."
      }
    ]
  }
}