{
  "module": "103.11",
  "title": "103.11 Adolescents",
  "pass_percent": 75,
  "pre_test": {
    "graded": false,
    "questions": [
      {
        "question": "In 2023, about what share of US high school students felt persistently sad or hopeless?",
        "options": [
          "1 in 20",
          "1 in 10",
          "About 4 in 10",
          "Almost all"
        ],
        "correct": 2,
        "explanation": "The 2023 YRBS found 39.7% of high school students felt persistently sad or hopeless."
      },
      {
        "question": "A teen says he sometimes wishes he were dead. What should the CHW do first?",
        "options": [
          "Change the subject",
          "Ask him directly if he is thinking about suicide and stay with him",
          "Promise to keep it secret",
          "Tell him to cheer up"
        ],
        "correct": 1,
        "explanation": "Asking directly and staying with the teen is the first step toward getting help."
      },
      {
        "question": "What number can a teen call or text in a mental health or suicide crisis?",
        "options": [
          "211",
          "411",
          "311",
          "988"
        ],
        "correct": 3,
        "explanation": "988 is the Suicide and Crisis Lifeline, by call or text."
      },
      {
        "question": "Asking a teen directly about suicide:",
        "options": [
          "Does not put the idea in their head",
          "Makes suicide more likely",
          "Is against the law",
          "Should only be done by police"
        ],
        "correct": 0,
        "explanation": "Direct, caring questions open the door to help and do not plant the idea."
      },
      {
        "question": "Which is an example of weight-neutral language?",
        "options": [
          "You would look better if you lost weight",
          "How has your energy been for school and practice?",
          "You need to go on a diet",
          "Great job losing those pounds"
        ],
        "correct": 1,
        "explanation": "Weight-neutral language focuses on how a teen feels and functions, not on weight."
      },
      {
        "question": "Under Ohio law, a teen 14 or older can consent to outpatient mental health care for up to:",
        "options": [
          "6 sessions or 30 days",
          "1 year",
          "Unlimited sessions with medication",
          "1 session"
        ],
        "correct": 0,
        "explanation": "ORC 5122.04 allows up to six sessions or 30 days, whichever comes first, without medication."
      },
      {
        "question": "A teen tells you about abuse at home and asks you to keep it secret. What should the CHW do?",
        "options": [
          "Keep it secret to keep trust",
          "Confront the parent",
          "Explain you must get help, then follow protocol and reporting law",
          "Wait to see if it happens again"
        ],
        "correct": 2,
        "explanation": "Abuse ends confidentiality; the CHW follows agency protocol and Ohio reporting law."
      },
      {
        "question": "Which is a warning sign of a possible eating disorder?",
        "options": [
          "Eating breakfast every day",
          "Playing a team sport",
          "Drinking water",
          "Going to the bathroom right after every meal"
        ],
        "correct": 3,
        "explanation": "Frequent bathroom trips after meals can be a sign of purging."
      },
      {
        "question": "A teen asks you for a diet plan to lose weight fast. What should the CHW do?",
        "options": [
          "Give a low-calorie plan",
          "Suggest skipping meals",
          "Explore how she feels and connect her to her provider",
          "Tell her she does not need to lose weight and move on"
        ],
        "correct": 2,
        "explanation": "CHWs do not give diet advice; they listen and connect teens to their provider."
      },
      {
        "question": "Which is an example of a youth asset?",
        "options": [
          "A trusted coach or mentor",
          "Being suspended",
          "A long bus ride",
          "A closed recreation center"
        ],
        "correct": 0,
        "explanation": "Trusted adults, programs, skills and safe places are youth assets."
      }
    ]
  },
  "post_test": {
    "graded": true,
    "questions": [
      {
        "question": "Under Ohio law, a teen 14 or older can consent to outpatient mental health care for up to:",
        "options": [
          "6 sessions or 30 days",
          "1 year",
          "Unlimited sessions with medication",
          "1 session"
        ],
        "correct": 0,
        "explanation": "ORC 5122.04 allows up to six sessions or 30 days, whichever comes first, without medication."
      },
      {
        "question": "Asking a teen directly about suicide:",
        "options": [
          "Does not put the idea in their head",
          "Makes suicide more likely",
          "Is against the law",
          "Should only be done by police"
        ],
        "correct": 0,
        "explanation": "Direct, caring questions open the door to help and do not plant the idea."
      },
      {
        "question": "Which is an example of a youth asset?",
        "options": [
          "A trusted coach or mentor",
          "Being suspended",
          "A long bus ride",
          "A closed recreation center"
        ],
        "correct": 0,
        "explanation": "Trusted adults, programs, skills and safe places are youth assets."
      },
      {
        "question": "Which is a warning sign of a possible eating disorder?",
        "options": [
          "Eating breakfast every day",
          "Playing a team sport",
          "Drinking water",
          "Going to the bathroom right after every meal"
        ],
        "correct": 3,
        "explanation": "Frequent bathroom trips after meals can be a sign of purging."
      },
      {
        "question": "A teen says he sometimes wishes he were dead. What should the CHW do first?",
        "options": [
          "Change the subject",
          "Ask him directly if he is thinking about suicide and stay with him",
          "Promise to keep it secret",
          "Tell him to cheer up"
        ],
        "correct": 1,
        "explanation": "Asking directly and staying with the teen is the first step toward getting help."
      },
      {
        "question": "A teen tells you about abuse at home and asks you to keep it secret. What should the CHW do?",
        "options": [
          "Keep it secret to keep trust",
          "Confront the parent",
          "Explain you must get help, then follow protocol and reporting law",
          "Wait to see if it happens again"
        ],
        "correct": 2,
        "explanation": "Abuse ends confidentiality; the CHW follows agency protocol and Ohio reporting law."
      },
      {
        "question": "What number can a teen call or text in a mental health or suicide crisis?",
        "options": [
          "211",
          "411",
          "311",
          "988"
        ],
        "correct": 3,
        "explanation": "988 is the Suicide and Crisis Lifeline, by call or text."
      },
      {
        "question": "In 2023, about what share of US high school students felt persistently sad or hopeless?",
        "options": [
          "1 in 20",
          "1 in 10",
          "About 4 in 10",
          "Almost all"
        ],
        "correct": 2,
        "explanation": "The 2023 YRBS found 39.7% of high school students felt persistently sad or hopeless."
      },
      {
        "question": "Which is an example of weight-neutral language?",
        "options": [
          "You would look better if you lost weight",
          "How has your energy been for school and practice?",
          "You need to go on a diet",
          "Great job losing those pounds"
        ],
        "correct": 1,
        "explanation": "Weight-neutral language focuses on how a teen feels and functions, not on weight."
      },
      {
        "question": "A teen asks you for a diet plan to lose weight fast. What should the CHW do?",
        "options": [
          "Give a low-calorie plan",
          "Suggest skipping meals",
          "Explore how she feels and connect her to her provider",
          "Tell her she does not need to lose weight and move on"
        ],
        "correct": 2,
        "explanation": "CHWs do not give diet advice; they listen and connect teens to their provider."
      }
    ]
  }
}