{
  "module": "103.12",
  "title": "103.12 Adults and Seniors",
  "pass_percent": 75,
  "pre_test": {
    "graded": false,
    "questions": [
      {
        "question": "Which is a warning sign of dementia rather than normal aging?",
        "options": [
          "Forgetting a name and remembering it later",
          "Sometimes having trouble finding the right word",
          "Getting lost in a familiar neighborhood",
          "Taking longer to learn a new phone"
        ],
        "correct": 2,
        "explanation": "Getting lost in a familiar place disrupts daily life and needs a provider visit."
      },
      {
        "question": "About how many older adults fall each year?",
        "options": [
          "1 in 4",
          "1 in 100",
          "1 in 50",
          "Almost all"
        ],
        "correct": 0,
        "explanation": "The CDC reports about 1 in 4 older adults fall each year."
      },
      {
        "question": "What is the leading cause of injury death for adults 65 and older?",
        "options": [
          "Car crashes",
          "Burns",
          "Drowning",
          "Falls"
        ],
        "correct": 3,
        "explanation": "Falls are the leading cause of injury death for adults 65 and older."
      },
      {
        "question": "A client says her pills make her dizzy. What should the CHW do?",
        "options": [
          "Tell her to stop the pills",
          "Help her get a medicine review with her pharmacist or doctor",
          "Cut the dose in half",
          "Ignore it"
        ],
        "correct": 1,
        "explanation": "Medicine changes belong to providers; the CHW connects her to a review."
      },
      {
        "question": "Which home change helps prevent falls?",
        "options": [
          "Adding throw rugs",
          "Dimmer lighting",
          "Installing grab bars in the bathroom",
          "Keeping cords across walkways"
        ],
        "correct": 2,
        "explanation": "Grab bars, rails, bright lights and clear walkways lower fall risk."
      },
      {
        "question": "According to CDC, who should get the shingles vaccine?",
        "options": [
          "Adults 50 and older",
          "Only children",
          "Only people who had shingles",
          "No one"
        ],
        "correct": 0,
        "explanation": "CDC recommends two doses of shingles vaccine for adults 50 and older."
      },
      {
        "question": "Medicare Part D covers:",
        "options": [
          "Hospital stays",
          "Dental only",
          "Housing",
          "Prescription drugs"
        ],
        "correct": 3,
        "explanation": "Part D is Medicare prescription drug coverage."
      },
      {
        "question": "A client asks which Medicare plan to buy. What should the CHW do?",
        "options": [
          "Pick the plan with the best ads",
          "Tell him to skip Medicare",
          "Connect him to free, unbiased Medicare counseling",
          "Choose the plan you have"
        ],
        "correct": 2,
        "explanation": "Trained counselors help people compare plans without bias."
      },
      {
        "question": "Why do CHWs treat loneliness as a health issue?",
        "options": [
          "It raises risk of heart disease, dementia and depression",
          "It only affects young people",
          "It has no effect on health",
          "It is always a choice"
        ],
        "correct": 0,
        "explanation": "The CDC links isolation and loneliness to serious physical and mental health problems."
      },
      {
        "question": "An older client fell and hit her head yesterday and now has a worsening headache and confusion. What should the CHW do?",
        "options": [
          "Wait until her next appointment",
          "Call 911",
          "Give her a pain reliever",
          "Tell her to sleep it off"
        ],
        "correct": 1,
        "explanation": "Worsening headache and confusion after a head injury are emergency signs."
      }
    ]
  },
  "post_test": {
    "graded": true,
    "questions": [
      {
        "question": "According to CDC, who should get the shingles vaccine?",
        "options": [
          "Adults 50 and older",
          "Only children",
          "Only people who had shingles",
          "No one"
        ],
        "correct": 0,
        "explanation": "CDC recommends two doses of shingles vaccine for adults 50 and older."
      },
      {
        "question": "A client says her pills make her dizzy. What should the CHW do?",
        "options": [
          "Tell her to stop the pills",
          "Help her get a medicine review with her pharmacist or doctor",
          "Cut the dose in half",
          "Ignore it"
        ],
        "correct": 1,
        "explanation": "Medicine changes belong to providers; the CHW connects her to a review."
      },
      {
        "question": "About how many older adults fall each year?",
        "options": [
          "1 in 4",
          "1 in 100",
          "1 in 50",
          "Almost all"
        ],
        "correct": 0,
        "explanation": "The CDC reports about 1 in 4 older adults fall each year."
      },
      {
        "question": "Medicare Part D covers:",
        "options": [
          "Hospital stays",
          "Dental only",
          "Housing",
          "Prescription drugs"
        ],
        "correct": 3,
        "explanation": "Part D is Medicare prescription drug coverage."
      },
      {
        "question": "Why do CHWs treat loneliness as a health issue?",
        "options": [
          "It raises risk of heart disease, dementia and depression",
          "It only affects young people",
          "It has no effect on health",
          "It is always a choice"
        ],
        "correct": 0,
        "explanation": "The CDC links isolation and loneliness to serious physical and mental health problems."
      },
      {
        "question": "What is the leading cause of injury death for adults 65 and older?",
        "options": [
          "Car crashes",
          "Burns",
          "Drowning",
          "Falls"
        ],
        "correct": 3,
        "explanation": "Falls are the leading cause of injury death for adults 65 and older."
      },
      {
        "question": "Which home change helps prevent falls?",
        "options": [
          "Adding throw rugs",
          "Dimmer lighting",
          "Installing grab bars in the bathroom",
          "Keeping cords across walkways"
        ],
        "correct": 2,
        "explanation": "Grab bars, rails, bright lights and clear walkways lower fall risk."
      },
      {
        "question": "An older client fell and hit her head yesterday and now has a worsening headache and confusion. What should the CHW do?",
        "options": [
          "Wait until her next appointment",
          "Call 911",
          "Give her a pain reliever",
          "Tell her to sleep it off"
        ],
        "correct": 1,
        "explanation": "Worsening headache and confusion after a head injury are emergency signs."
      },
      {
        "question": "A client asks which Medicare plan to buy. What should the CHW do?",
        "options": [
          "Pick the plan with the best ads",
          "Tell him to skip Medicare",
          "Connect him to free, unbiased Medicare counseling",
          "Choose the plan you have"
        ],
        "correct": 2,
        "explanation": "Trained counselors help people compare plans without bias."
      },
      {
        "question": "Which is a warning sign of dementia rather than normal aging?",
        "options": [
          "Forgetting a name and remembering it later",
          "Sometimes having trouble finding the right word",
          "Getting lost in a familiar neighborhood",
          "Taking longer to learn a new phone"
        ],
        "correct": 2,
        "explanation": "Getting lost in a familiar place disrupts daily life and needs a provider visit."
      }
    ]
  }
}