{
  "module": "103.13",
  "title": "103.13 Special Needs Populations",
  "pass_percent": 75,
  "pre_test": {
    "graded": false,
    "questions": [
      {
        "question": "What is kinship care?",
        "options": [
          "Paid child care at a center",
          "Relatives or close family friends raising a child",
          "A nursing home program",
          "A type of health insurance"
        ],
        "correct": 1,
        "explanation": "Kinship care is when relatives or close family friends raise a child."
      },
      {
        "question": "What is respite care?",
        "options": [
          "Short-term care that gives a caregiver time off",
          "A type of surgery",
          "Emergency room care",
          "A disability law"
        ],
        "correct": 0,
        "explanation": "Respite gives caregivers a break through in-home help, adult day or short stays."
      },
      {
        "question": "A caregiver says she has not slept in weeks and feels hopeless. What should the CHW do?",
        "options": [
          "Tell her to try harder",
          "Focus only on her mother's needs",
          "Ask about her safety and mood, connect her to 988 if in crisis, and offer respite options",
          "End the call"
        ],
        "correct": 2,
        "explanation": "Caregivers need care too, including crisis support and respite."
      },
      {
        "question": "The Americans with Disabilities Act is:",
        "options": [
          "A health insurance plan",
          "A school program",
          "A state tax",
          "A federal civil rights law against disability discrimination"
        ],
        "correct": 3,
        "explanation": "The ADA protects people with disabilities from discrimination."
      },
      {
        "question": "Which is an example of a reasonable accommodation?",
        "options": [
          "A ramp at a clinic entrance",
          "Refusing service",
          "Charging extra fees",
          "Telling the person to bring help"
        ],
        "correct": 0,
        "explanation": "A ramp gives equal access to people who use wheelchairs."
      },
      {
        "question": "Which phrase is respectful?",
        "options": [
          "Confined to a wheelchair",
          "Suffers from autism",
          "Uses a wheelchair",
          "The disabled"
        ],
        "correct": 2,
        "explanation": "Uses a wheelchair is accurate and respectful."
      },
      {
        "question": "How should a CHW choose between person-first and identity-first language?",
        "options": [
          "Always use person-first",
          "Ask the person what they prefer",
          "Always use identity-first",
          "Avoid mentioning people"
        ],
        "correct": 1,
        "explanation": "Preferences differ, so we ask and follow the person's lead."
      },
      {
        "question": "A grandmother raising grandchildren asks how to get legal custody. What should the CHW do?",
        "options": [
          "Fill out court papers for her",
          "Tell her custody does not matter",
          "Give legal advice from memory",
          "Refer her to legal aid and kinship navigator services"
        ],
        "correct": 3,
        "explanation": "Legal questions go to legal aid; CHWs connect and follow up."
      },
      {
        "question": "In Ohio, which local office helps adults with developmental disabilities find services?",
        "options": [
          "The county board of developmental disabilities",
          "The Board of Nursing",
          "The Bureau of Motor Vehicles",
          "The county auditor"
        ],
        "correct": 0,
        "explanation": "County boards of DD handle eligibility and service coordination."
      },
      {
        "question": "A client misses visits because a clinic has no accessible entrance. What should the CHW do?",
        "options": [
          "Tell him to find another way",
          "Ignore it",
          "With his consent, raise the barrier with the clinic and help him reschedule",
          "Post about it online with his name"
        ],
        "correct": 2,
        "explanation": "Advocating with consent and protecting privacy is the CHW approach."
      }
    ]
  },
  "post_test": {
    "graded": true,
    "questions": [
      {
        "question": "A caregiver says she has not slept in weeks and feels hopeless. What should the CHW do?",
        "options": [
          "Tell her to try harder",
          "Focus only on her mother's needs",
          "Ask about her safety and mood, connect her to 988 if in crisis, and offer respite options",
          "End the call"
        ],
        "correct": 2,
        "explanation": "Caregivers need care too, including crisis support and respite."
      },
      {
        "question": "Which is an example of a reasonable accommodation?",
        "options": [
          "A ramp at a clinic entrance",
          "Refusing service",
          "Charging extra fees",
          "Telling the person to bring help"
        ],
        "correct": 0,
        "explanation": "A ramp gives equal access to people who use wheelchairs."
      },
      {
        "question": "What is respite care?",
        "options": [
          "Short-term care that gives a caregiver time off",
          "A type of surgery",
          "Emergency room care",
          "A disability law"
        ],
        "correct": 0,
        "explanation": "Respite gives caregivers a break through in-home help, adult day or short stays."
      },
      {
        "question": "Which phrase is respectful?",
        "options": [
          "Confined to a wheelchair",
          "Suffers from autism",
          "Uses a wheelchair",
          "The disabled"
        ],
        "correct": 2,
        "explanation": "Uses a wheelchair is accurate and respectful."
      },
      {
        "question": "The Americans with Disabilities Act is:",
        "options": [
          "A health insurance plan",
          "A school program",
          "A state tax",
          "A federal civil rights law against disability discrimination"
        ],
        "correct": 3,
        "explanation": "The ADA protects people with disabilities from discrimination."
      },
      {
        "question": "How should a CHW choose between person-first and identity-first language?",
        "options": [
          "Always use person-first",
          "Ask the person what they prefer",
          "Always use identity-first",
          "Avoid mentioning people"
        ],
        "correct": 1,
        "explanation": "Preferences differ, so we ask and follow the person's lead."
      },
      {
        "question": "A grandmother raising grandchildren asks how to get legal custody. What should the CHW do?",
        "options": [
          "Fill out court papers for her",
          "Tell her custody does not matter",
          "Give legal advice from memory",
          "Refer her to legal aid and kinship navigator services"
        ],
        "correct": 3,
        "explanation": "Legal questions go to legal aid; CHWs connect and follow up."
      },
      {
        "question": "A client misses visits because a clinic has no accessible entrance. What should the CHW do?",
        "options": [
          "Tell him to find another way",
          "Ignore it",
          "With his consent, raise the barrier with the clinic and help him reschedule",
          "Post about it online with his name"
        ],
        "correct": 2,
        "explanation": "Advocating with consent and protecting privacy is the CHW approach."
      },
      {
        "question": "In Ohio, which local office helps adults with developmental disabilities find services?",
        "options": [
          "The county board of developmental disabilities",
          "The Board of Nursing",
          "The Bureau of Motor Vehicles",
          "The county auditor"
        ],
        "correct": 0,
        "explanation": "County boards of DD handle eligibility and service coordination."
      },
      {
        "question": "What is kinship care?",
        "options": [
          "Paid child care at a center",
          "Relatives or close family friends raising a child",
          "A nursing home program",
          "A type of health insurance"
        ],
        "correct": 1,
        "explanation": "Kinship care is when relatives or close family friends raise a child."
      }
    ]
  }
}