{
  "module": "102.2",
  "title": "102.2 Listening, Interviewing and Motivational Interviewing",
  "pass_percent": 75,
  "pre_test": {
    "graded": false,
    "questions": [
      {
        "question": "What does OARS stand for?",
        "options": [
          "Open questions, Affirmations, Reflections, Summaries",
          "Observe, Ask, Respond, Send",
          "Options, Answers, Results, Solutions",
          "Outreach, Advocacy, Referral, Support"
        ],
        "correct": 0,
        "explanation": "OARS names the four core listening skills used in motivational interviewing."
      },
      {
        "question": "Which is an open question?",
        "options": [
          "Did you take your pills?",
          "Are you feeling better?",
          "What gets in the way of getting to your appointments?",
          "Is your address the same?"
        ],
        "correct": 2,
        "explanation": "Open questions cannot be answered yes or no and invite the person to share more."
      },
      {
        "question": "A client says, I am so tired of being sick all the time. Which response is a reflection?",
        "options": [
          "You should see a doctor.",
          "You are worn out from feeling sick.",
          "Why do you think that is?",
          "Everyone feels that way."
        ],
        "correct": 1,
        "explanation": "A reflection says back what the person said or meant, in your own words."
      },
      {
        "question": "Which is part of the spirit of motivational interviewing?",
        "options": [
          "Warning people about dangers",
          "Telling people what to do",
          "Using fear to motivate",
          "Partnership with the person"
        ],
        "correct": 3,
        "explanation": "The MI spirit is partnership, acceptance, compassion and empowerment."
      },
      {
        "question": "What is the correct order of the four MI processes?",
        "options": [
          "Planning, focusing, evoking, engaging",
          "Engaging, focusing, evoking, planning",
          "Evoking, planning, engaging, focusing",
          "Focusing, engaging, planning, evoking"
        ],
        "correct": 1,
        "explanation": "MI builds from engaging to focusing to evoking to planning."
      },
      {
        "question": "Which statement is change talk?",
        "options": [
          "I could start walking with my sister on Saturdays.",
          "I have always been this way.",
          "There is no point.",
          "I am too busy."
        ],
        "correct": 0,
        "explanation": "Statements of ability, desire, reasons, need or commitment toward change are change talk."
      },
      {
        "question": "A client says she smokes to handle stress. What should the CHW do first?",
        "options": [
          "List the health dangers of smoking",
          "Tell her to quit today",
          "Change the subject",
          "Reflect what she said and ask what matters to her"
        ],
        "correct": 3,
        "explanation": "Resisting the righting reflex and reflecting first keeps the person open to talking about change."
      },
      {
        "question": "During an intake, a client does not want to answer a question about income. What should the CHW do?",
        "options": [
          "Insist because the form requires it",
          "Respect the choice, note it was skipped, and move on",
          "End the intake",
          "Guess the answer"
        ],
        "correct": 1,
        "explanation": "Clients may skip any question; respecting that choice builds trust."
      },
      {
        "question": "A client asks the CHW whether to cut his pill in half because of side effects. What should the CHW do?",
        "options": [
          "Say half a pill is probably fine",
          "Tell him to stop the pill",
          "Help him contact his doctor or pharmacist and tell the supervisor",
          "Look up the dose online for him"
        ],
        "correct": 2,
        "explanation": "Dosing decisions belong to providers; the CHW connects the client to them and documents."
      },
      {
        "question": "What is the best way to end an intake interview?",
        "options": [
          "Ask, do you have any questions?",
          "Hand over a stack of papers",
          "Leave quickly to stay on schedule",
          "Summarize next steps and ask the client to say the plan back"
        ],
        "correct": 3,
        "explanation": "A summary plus teach-back confirms that the plan was explained clearly."
      }
    ]
  },
  "post_test": {
    "graded": true,
    "questions": [
      {
        "question": "Which is an open question?",
        "options": [
          "Did you take your pills?",
          "Are you feeling better?",
          "What gets in the way of getting to your appointments?",
          "Is your address the same?"
        ],
        "correct": 2,
        "explanation": "Open questions cannot be answered yes or no and invite the person to share more."
      },
      {
        "question": "What is the correct order of the four MI processes?",
        "options": [
          "Planning, focusing, evoking, engaging",
          "Engaging, focusing, evoking, planning",
          "Evoking, planning, engaging, focusing",
          "Focusing, engaging, planning, evoking"
        ],
        "correct": 1,
        "explanation": "MI builds from engaging to focusing to evoking to planning."
      },
      {
        "question": "Which is part of the spirit of motivational interviewing?",
        "options": [
          "Warning people about dangers",
          "Telling people what to do",
          "Using fear to motivate",
          "Partnership with the person"
        ],
        "correct": 3,
        "explanation": "The MI spirit is partnership, acceptance, compassion and empowerment."
      },
      {
        "question": "During an intake, a client does not want to answer a question about income. What should the CHW do?",
        "options": [
          "Insist because the form requires it",
          "Respect the choice, note it was skipped, and move on",
          "End the intake",
          "Guess the answer"
        ],
        "correct": 1,
        "explanation": "Clients may skip any question; respecting that choice builds trust."
      },
      {
        "question": "Which statement is change talk?",
        "options": [
          "I could start walking with my sister on Saturdays.",
          "I have always been this way.",
          "There is no point.",
          "I am too busy."
        ],
        "correct": 0,
        "explanation": "Statements of ability, desire, reasons, need or commitment toward change are change talk."
      },
      {
        "question": "A client asks the CHW whether to cut his pill in half because of side effects. What should the CHW do?",
        "options": [
          "Say half a pill is probably fine",
          "Tell him to stop the pill",
          "Help him contact his doctor or pharmacist and tell the supervisor",
          "Look up the dose online for him"
        ],
        "correct": 2,
        "explanation": "Dosing decisions belong to providers; the CHW connects the client to them and documents."
      },
      {
        "question": "A client says she smokes to handle stress. What should the CHW do first?",
        "options": [
          "List the health dangers of smoking",
          "Tell her to quit today",
          "Change the subject",
          "Reflect what she said and ask what matters to her"
        ],
        "correct": 3,
        "explanation": "Resisting the righting reflex and reflecting first keeps the person open to talking about change."
      },
      {
        "question": "What does OARS stand for?",
        "options": [
          "Open questions, Affirmations, Reflections, Summaries",
          "Observe, Ask, Respond, Send",
          "Options, Answers, Results, Solutions",
          "Outreach, Advocacy, Referral, Support"
        ],
        "correct": 0,
        "explanation": "OARS names the four core listening skills used in motivational interviewing."
      },
      {
        "question": "What is the best way to end an intake interview?",
        "options": [
          "Ask, do you have any questions?",
          "Hand over a stack of papers",
          "Leave quickly to stay on schedule",
          "Summarize next steps and ask the client to say the plan back"
        ],
        "correct": 3,
        "explanation": "A summary plus teach-back confirms that the plan was explained clearly."
      },
      {
        "question": "A client says, I am so tired of being sick all the time. Which response is a reflection?",
        "options": [
          "You should see a doctor.",
          "You are worn out from feeling sick.",
          "Why do you think that is?",
          "Everyone feels that way."
        ],
        "correct": 1,
        "explanation": "A reflection says back what the person said or meant, in your own words."
      }
    ]
  }
}