{
  "module": "103.8",
  "title": "103.8 Tobacco, Alcohol and Drugs; Oral Health",
  "pass_percent": 75,
  "pre_test": {
    "graded": false,
    "questions": [
      {
        "question": "Which substance is most likely to slow or stop a person's breathing?",
        "options": [
          "Caffeine",
          "Opioids such as fentanyl",
          "Nicotine",
          "Fluoride"
        ],
        "correct": 1,
        "explanation": "Opioids slow breathing, and too much can stop it."
      },
      {
        "question": "In Ohio, adult-use cannabis is legal for people who are:",
        "options": [
          "16 and older",
          "18 and older",
          "21 and older",
          "Any age with a parent"
        ],
        "correct": 2,
        "explanation": "Ohio's Issue 2 made cannabis legal for adults 21 and older starting December 7, 2023."
      },
      {
        "question": "You find someone who will not wake up and is barely breathing. What should you do first?",
        "options": [
          "Call 911",
          "Leave and tell someone later",
          "Pour cold water on them",
          "Wait to see if they wake up"
        ],
        "correct": 0,
        "explanation": "Call 911 right away, then give naloxone and support breathing."
      },
      {
        "question": "What does naloxone do?",
        "options": [
          "Treats a stimulant high",
          "Prevents cavities",
          "Cures addiction",
          "Reverses an opioid overdose"
        ],
        "correct": 3,
        "explanation": "Naloxone reverses opioid overdose and is safe to give even if opioids are not the cause."
      },
      {
        "question": "Which phrase is stigma-free?",
        "options": [
          "Junkie",
          "Person with a substance use disorder",
          "Addict",
          "Drug abuser"
        ],
        "correct": 1,
        "explanation": "Person-first language names the person before the condition."
      },
      {
        "question": "What is the main goal of harm reduction?",
        "options": [
          "Punish people who use drugs",
          "Make people quit before they get help",
          "Keep people alive and connected to care",
          "Encourage more drug use"
        ],
        "correct": 2,
        "explanation": "Harm reduction lowers danger and keeps people alive until they are ready for more help."
      },
      {
        "question": "A teen says vapes are just flavored water. What should the CHW do?",
        "options": [
          "Agree so she keeps talking",
          "Report her to the police",
          "Ignore it since vaping is common",
          "Explain without judgment that most vapes contain addictive nicotine"
        ],
        "correct": 3,
        "explanation": "Respectful, accurate education is the CHW's role."
      },
      {
        "question": "A client with diabetes has bleeding gums. What should the CHW do?",
        "options": [
          "Help him find and schedule a dentist visit and tell his doctor",
          "Tell him to brush harder",
          "Diagnose gum disease",
          "Tell him it is normal with age"
        ],
        "correct": 0,
        "explanation": "Diabetes and gum disease affect each other, so a dental visit supports his health."
      },
      {
        "question": "How often should people brush with fluoride toothpaste?",
        "options": [
          "Once a week",
          "Twice a day",
          "Only before dental visits",
          "Only after sweets"
        ],
        "correct": 1,
        "explanation": "Brushing twice a day with fluoride toothpaste helps prevent cavities and gum disease."
      },
      {
        "question": "A grandmother fears her grandson will overdose. What is a helpful CHW step?",
        "options": [
          "Tell her to kick him out",
          "Tell her nothing can be done",
          "Connect her to free naloxone and training through Project DAWN",
          "Give her medicine from your bag"
        ],
        "correct": 2,
        "explanation": "Naloxone in the home can save his life, and Project DAWN gives it free in Cleveland."
      }
    ]
  },
  "post_test": {
    "graded": true,
    "questions": [
      {
        "question": "In Ohio, adult-use cannabis is legal for people who are:",
        "options": [
          "16 and older",
          "18 and older",
          "21 and older",
          "Any age with a parent"
        ],
        "correct": 2,
        "explanation": "Ohio's Issue 2 made cannabis legal for adults 21 and older starting December 7, 2023."
      },
      {
        "question": "What does naloxone do?",
        "options": [
          "Treats a stimulant high",
          "Prevents cavities",
          "Cures addiction",
          "Reverses an opioid overdose"
        ],
        "correct": 3,
        "explanation": "Naloxone reverses opioid overdose and is safe to give even if opioids are not the cause."
      },
      {
        "question": "What is the main goal of harm reduction?",
        "options": [
          "Punish people who use drugs",
          "Make people quit before they get help",
          "Keep people alive and connected to care",
          "Encourage more drug use"
        ],
        "correct": 2,
        "explanation": "Harm reduction lowers danger and keeps people alive until they are ready for more help."
      },
      {
        "question": "A teen says vapes are just flavored water. What should the CHW do?",
        "options": [
          "Agree so she keeps talking",
          "Report her to the police",
          "Ignore it since vaping is common",
          "Explain without judgment that most vapes contain addictive nicotine"
        ],
        "correct": 3,
        "explanation": "Respectful, accurate education is the CHW's role."
      },
      {
        "question": "A client with diabetes has bleeding gums. What should the CHW do?",
        "options": [
          "Help him find and schedule a dentist visit and tell his doctor",
          "Tell him to brush harder",
          "Diagnose gum disease",
          "Tell him it is normal with age"
        ],
        "correct": 0,
        "explanation": "Diabetes and gum disease affect each other, so a dental visit supports his health."
      },
      {
        "question": "You find someone who will not wake up and is barely breathing. What should you do first?",
        "options": [
          "Call 911",
          "Leave and tell someone later",
          "Pour cold water on them",
          "Wait to see if they wake up"
        ],
        "correct": 0,
        "explanation": "Call 911 right away, then give naloxone and support breathing."
      },
      {
        "question": "Which phrase is stigma-free?",
        "options": [
          "Junkie",
          "Person with a substance use disorder",
          "Addict",
          "Drug abuser"
        ],
        "correct": 1,
        "explanation": "Person-first language names the person before the condition."
      },
      {
        "question": "Which substance is most likely to slow or stop a person's breathing?",
        "options": [
          "Caffeine",
          "Opioids such as fentanyl",
          "Nicotine",
          "Fluoride"
        ],
        "correct": 1,
        "explanation": "Opioids slow breathing, and too much can stop it."
      },
      {
        "question": "A grandmother fears her grandson will overdose. What is a helpful CHW step?",
        "options": [
          "Tell her to kick him out",
          "Tell her nothing can be done",
          "Connect her to free naloxone and training through Project DAWN",
          "Give her medicine from your bag"
        ],
        "correct": 2,
        "explanation": "Naloxone in the home can save his life, and Project DAWN gives it free in Cleveland."
      },
      {
        "question": "How often should people brush with fluoride toothpaste?",
        "options": [
          "Once a week",
          "Twice a day",
          "Only before dental visits",
          "Only after sweets"
        ],
        "correct": 1,
        "explanation": "Brushing twice a day with fluoride toothpaste helps prevent cavities and gum disease."
      }
    ]
  }
}