{
  "module": "103.6",
  "title": "103.6 Healthy Living I: Healthy Eating and Food Access",
  "pass_percent": 75,
  "pre_test": {
    "graded": false,
    "questions": [
      {
        "question": "What is the main message of the 2025-2030 Dietary Guidelines?",
        "options": [
          "Eat real, whole food and limit highly processed foods",
          "Eat only plant foods",
          "Count every calorie",
          "Avoid all fats"
        ],
        "correct": 0,
        "explanation": "The guidelines center on eating real food built on whole, nutrient-dense foods."
      },
      {
        "question": "Adults should keep sodium under how much per day?",
        "options": [
          "500 mg",
          "1,000 mg",
          "2,300 mg",
          "5,000 mg"
        ],
        "correct": 2,
        "explanation": "The guidelines set the adult limit at less than 2,300 mg of sodium a day."
      },
      {
        "question": "On a Nutrition Facts label, a sodium value of 22% Daily Value is:",
        "options": [
          "Low",
          "High",
          "Exactly right",
          "Not important"
        ],
        "correct": 1,
        "explanation": "20% Daily Value or more is high."
      },
      {
        "question": "What should you check first on a Nutrition Facts label?",
        "options": [
          "The brand name",
          "The price",
          "The color of the box",
          "The serving size"
        ],
        "correct": 3,
        "explanation": "All the numbers on the label are based on one serving."
      },
      {
        "question": "Where does most of the sodium people eat come from?",
        "options": [
          "Packaged and restaurant foods",
          "The salt shaker",
          "Fresh fruit",
          "Tap water"
        ],
        "correct": 0,
        "explanation": "Most sodium is already in packaged, processed and restaurant foods."
      },
      {
        "question": "Which drink do the guidelines recommend as the main drink?",
        "options": [
          "Fruit drinks",
          "Sports drinks",
          "Water",
          "Sweet tea"
        ],
        "correct": 2,
        "explanation": "The guidelines suggest a glass of water with every meal and avoiding sugar-sweetened drinks."
      },
      {
        "question": "A pregnant client says she cannot afford healthy food. What should the CHW do first?",
        "options": [
          "Tell her to eat less",
          "Give her a strict diet plan",
          "Tell her to ask family for money",
          "Make sure she has food now and help her apply for WIC and SNAP"
        ],
        "correct": 3,
        "explanation": "Meet the urgent need, then connect her to WIC and SNAP for lasting support."
      },
      {
        "question": "A client with kidney disease asks the CHW to write her a diet. What should the CHW do?",
        "options": [
          "Write a list of foods to avoid",
          "Help her get a referral to a registered dietitian through her provider",
          "Tell her to search online",
          "Tell her to stop eating protein"
        ],
        "correct": 1,
        "explanation": "Medical diets are set by the care team; the CHW connects and supports."
      },
      {
        "question": "A client was told to cut salt but eats canned soup daily. What is the best CHW step?",
        "options": [
          "Read the soup label together and plan a lower-sodium swap he likes",
          "Tell him to stop eating soup forever",
          "Tell him salt does not matter",
          "Change his blood pressure medicine"
        ],
        "correct": 0,
        "explanation": "Label reading and small, chosen swaps are health education within CHW scope."
      },
      {
        "question": "Which is an upstream cause of a food desert?",
        "options": [
          "A person not liking vegetables",
          "Forgetting a shopping list",
          "Grocery stores closing in a neighborhood",
          "Eating too fast"
        ],
        "correct": 2,
        "explanation": "Store locations and transit are community conditions that shape what food people can reach."
      }
    ]
  },
  "post_test": {
    "graded": true,
    "questions": [
      {
        "question": "Adults should keep sodium under how much per day?",
        "options": [
          "500 mg",
          "1,000 mg",
          "2,300 mg",
          "5,000 mg"
        ],
        "correct": 2,
        "explanation": "The guidelines set the adult limit at less than 2,300 mg of sodium a day."
      },
      {
        "question": "Which drink do the guidelines recommend as the main drink?",
        "options": [
          "Fruit drinks",
          "Sports drinks",
          "Water",
          "Sweet tea"
        ],
        "correct": 2,
        "explanation": "The guidelines suggest a glass of water with every meal and avoiding sugar-sweetened drinks."
      },
      {
        "question": "A client was told to cut salt but eats canned soup daily. What is the best CHW step?",
        "options": [
          "Read the soup label together and plan a lower-sodium swap he likes",
          "Tell him to stop eating soup forever",
          "Tell him salt does not matter",
          "Change his blood pressure medicine"
        ],
        "correct": 0,
        "explanation": "Label reading and small, chosen swaps are health education within CHW scope."
      },
      {
        "question": "Where does most of the sodium people eat come from?",
        "options": [
          "Packaged and restaurant foods",
          "The salt shaker",
          "Fresh fruit",
          "Tap water"
        ],
        "correct": 0,
        "explanation": "Most sodium is already in packaged, processed and restaurant foods."
      },
      {
        "question": "A client with kidney disease asks the CHW to write her a diet. What should the CHW do?",
        "options": [
          "Write a list of foods to avoid",
          "Help her get a referral to a registered dietitian through her provider",
          "Tell her to search online",
          "Tell her to stop eating protein"
        ],
        "correct": 1,
        "explanation": "Medical diets are set by the care team; the CHW connects and supports."
      },
      {
        "question": "On a Nutrition Facts label, a sodium value of 22% Daily Value is:",
        "options": [
          "Low",
          "High",
          "Exactly right",
          "Not important"
        ],
        "correct": 1,
        "explanation": "20% Daily Value or more is high."
      },
      {
        "question": "What should you check first on a Nutrition Facts label?",
        "options": [
          "The brand name",
          "The price",
          "The color of the box",
          "The serving size"
        ],
        "correct": 3,
        "explanation": "All the numbers on the label are based on one serving."
      },
      {
        "question": "What is the main message of the 2025-2030 Dietary Guidelines?",
        "options": [
          "Eat real, whole food and limit highly processed foods",
          "Eat only plant foods",
          "Count every calorie",
          "Avoid all fats"
        ],
        "correct": 0,
        "explanation": "The guidelines center on eating real food built on whole, nutrient-dense foods."
      },
      {
        "question": "Which is an upstream cause of a food desert?",
        "options": [
          "A person not liking vegetables",
          "Forgetting a shopping list",
          "Grocery stores closing in a neighborhood",
          "Eating too fast"
        ],
        "correct": 2,
        "explanation": "Store locations and transit are community conditions that shape what food people can reach."
      },
      {
        "question": "A pregnant client says she cannot afford healthy food. What should the CHW do first?",
        "options": [
          "Tell her to eat less",
          "Give her a strict diet plan",
          "Tell her to ask family for money",
          "Make sure she has food now and help her apply for WIC and SNAP"
        ],
        "correct": 3,
        "explanation": "Meet the urgent need, then connect her to WIC and SNAP for lasting support."
      }
    ]
  }
}