{
  "module": "102.6",
  "title": "102.6 Safety in Families: Abuse, Neglect and Crisis",
  "pass_percent": 75,
  "pre_test": {
    "graded": false,
    "questions": [
      {
        "question": "What is the first step if anyone is in immediate danger?",
        "options": [
          "Call your supervisor tomorrow",
          "Call 911",
          "Write a case note",
          "Ask the person more questions"
        ],
        "correct": 1,
        "explanation": "Immediate danger always means calling 911 first."
      },
      {
        "question": "What number reports suspected child abuse in Cuyahoga County?",
        "options": [
          "216-696-KIDS (5437)",
          "211",
          "1-800-772-1213",
          "216-738-2067"
        ],
        "correct": 0,
        "explanation": "The county's 24-hour Child Abuse Hotline is 216-696-KIDS."
      },
      {
        "question": "Which is a known warning sign of human trafficking?",
        "options": [
          "The person carries a phone",
          "The person works two jobs",
          "Someone else speaks for the person and holds their ID",
          "The person is new to Cleveland"
        ],
        "correct": 2,
        "explanation": "Not speaking for oneself and not holding one's own ID are common trafficking signs."
      },
      {
        "question": "Which is a red flag for elder neglect?",
        "options": [
          "A senior has many visitors",
          "A senior goes to a senior center",
          "A senior manages her own bank account",
          "A senior's walker and glasses are missing and the home has no heat"
        ],
        "correct": 3,
        "explanation": "Missing aids and unsafe living conditions are red flags of neglect."
      },
      {
        "question": "A child tells you something that sounds like abuse and asks you to keep it secret. What should you do?",
        "options": [
          "Promise to keep the secret",
          "Gently explain you must share it to keep them safe, then follow protocol",
          "Confront the parent",
          "Ignore it unless you see an injury"
        ],
        "correct": 1,
        "explanation": "CHWs never promise secrecy about abuse; they follow protocol to report."
      },
      {
        "question": "Who does Cuyahoga County Adult Protective Services mainly serve?",
        "options": [
          "Children under 18",
          "Only people with Medicaid",
          "Adults 60 and older",
          "Only people in nursing homes"
        ],
        "correct": 2,
        "explanation": "APS serves adults 60 and older, and some younger adults with disabilities who agree to services."
      },
      {
        "question": "A client says, \"It won't matter soon,\" after giving away things he loves. What should the CHW do?",
        "options": [
          "Change the subject to keep things light",
          "Wait to see if he says more next week",
          "Tell him things will get better and end the call",
          "Ask him directly if he is thinking about suicide"
        ],
        "correct": 3,
        "explanation": "Asking directly is safe and opens the door to getting help."
      },
      {
        "question": "What is a warm handoff in a crisis?",
        "options": [
          "Staying with the person while you connect them to 988 or another helper",
          "Giving the person a card with a phone number",
          "Mailing the person a list of resources",
          "Telling the person to call when they feel ready"
        ],
        "correct": 0,
        "explanation": "A warm handoff connects the person directly and stays with them until help takes over."
      },
      {
        "question": "An adult client discloses partner violence and has no children. What fits a trauma-informed approach?",
        "options": [
          "Insist she leave her partner today",
          "Tell her partner what you heard",
          "Believe her, offer resources safely, and respect her choices",
          "Avoid the topic so she is not upset"
        ],
        "correct": 2,
        "explanation": "Trauma-informed care centers safety, trust, voice and choice."
      },
      {
        "question": "You suspect abuse during a home visit. Which step is NOT part of the CHW role?",
        "options": [
          "Telling your supervisor",
          "Writing down what you saw",
          "Following agency protocol to report",
          "Investigating and questioning the suspected abuser"
        ],
        "correct": 3,
        "explanation": "Investigation belongs to trained agencies; CHWs notice, report and support."
      }
    ]
  },
  "post_test": {
    "graded": true,
    "questions": [
      {
        "question": "Who does Cuyahoga County Adult Protective Services mainly serve?",
        "options": [
          "Children under 18",
          "Only people with Medicaid",
          "Adults 60 and older",
          "Only people in nursing homes"
        ],
        "correct": 2,
        "explanation": "APS serves adults 60 and older, and some younger adults with disabilities who agree to services."
      },
      {
        "question": "Which is a red flag for elder neglect?",
        "options": [
          "A senior has many visitors",
          "A senior goes to a senior center",
          "A senior manages her own bank account",
          "A senior's walker and glasses are missing and the home has no heat"
        ],
        "correct": 3,
        "explanation": "Missing aids and unsafe living conditions are red flags of neglect."
      },
      {
        "question": "What number reports suspected child abuse in Cuyahoga County?",
        "options": [
          "216-696-KIDS (5437)",
          "211",
          "1-800-772-1213",
          "216-738-2067"
        ],
        "correct": 0,
        "explanation": "The county's 24-hour Child Abuse Hotline is 216-696-KIDS."
      },
      {
        "question": "An adult client discloses partner violence and has no children. What fits a trauma-informed approach?",
        "options": [
          "Insist she leave her partner today",
          "Tell her partner what you heard",
          "Believe her, offer resources safely, and respect her choices",
          "Avoid the topic so she is not upset"
        ],
        "correct": 2,
        "explanation": "Trauma-informed care centers safety, trust, voice and choice."
      },
      {
        "question": "Which is a known warning sign of human trafficking?",
        "options": [
          "The person carries a phone",
          "The person works two jobs",
          "Someone else speaks for the person and holds their ID",
          "The person is new to Cleveland"
        ],
        "correct": 2,
        "explanation": "Not speaking for oneself and not holding one's own ID are common trafficking signs."
      },
      {
        "question": "A client says, \"It won't matter soon,\" after giving away things he loves. What should the CHW do?",
        "options": [
          "Change the subject to keep things light",
          "Wait to see if he says more next week",
          "Tell him things will get better and end the call",
          "Ask him directly if he is thinking about suicide"
        ],
        "correct": 3,
        "explanation": "Asking directly is safe and opens the door to getting help."
      },
      {
        "question": "A child tells you something that sounds like abuse and asks you to keep it secret. What should you do?",
        "options": [
          "Promise to keep the secret",
          "Gently explain you must share it to keep them safe, then follow protocol",
          "Confront the parent",
          "Ignore it unless you see an injury"
        ],
        "correct": 1,
        "explanation": "CHWs never promise secrecy about abuse; they follow protocol to report."
      },
      {
        "question": "You suspect abuse during a home visit. Which step is NOT part of the CHW role?",
        "options": [
          "Telling your supervisor",
          "Writing down what you saw",
          "Following agency protocol to report",
          "Investigating and questioning the suspected abuser"
        ],
        "correct": 3,
        "explanation": "Investigation belongs to trained agencies; CHWs notice, report and support."
      },
      {
        "question": "What is a warm handoff in a crisis?",
        "options": [
          "Staying with the person while you connect them to 988 or another helper",
          "Giving the person a card with a phone number",
          "Mailing the person a list of resources",
          "Telling the person to call when they feel ready"
        ],
        "correct": 0,
        "explanation": "A warm handoff connects the person directly and stays with them until help takes over."
      },
      {
        "question": "What is the first step if anyone is in immediate danger?",
        "options": [
          "Call your supervisor tomorrow",
          "Call 911",
          "Write a case note",
          "Ask the person more questions"
        ],
        "correct": 1,
        "explanation": "Immediate danger always means calling 911 first."
      }
    ]
  }
}