{
  "module": "104.2",
  "title": "104.2 Documentation, Supervisor Review and Release of Info",
  "pass_percent": 75,
  "pre_test": {
    "graded": false,
    "questions": [
      {
        "question": "Which note is objective?",
        "options": [
          "Client seems lazy",
          "Client said, \"My feet hurt when I walk.\"",
          "Client does not care",
          "Client is difficult"
        ],
        "correct": 1,
        "explanation": "Objective notes record what the client said, in quotes, without labels."
      },
      {
        "question": "What does DAP stand for?",
        "options": [
          "Doctor, Appointment, Pharmacy",
          "Diagnosis, Action, Prescription",
          "Data, Assessment, Plan",
          "Date, Address, Phone"
        ],
        "correct": 2,
        "explanation": "DAP notes have Data, Assessment of progress, and Plan."
      },
      {
        "question": "In a CHW's DAP note, the assessment section should include:",
        "options": [
          "Progress on goals and needs found",
          "A diagnosis",
          "A new medicine dose",
          "The CHW's opinion of the client's character"
        ],
        "correct": 0,
        "explanation": "CHWs do not diagnose, so assessment means progress on goals and needs."
      },
      {
        "question": "Under our program rule, when should a CHW finish a contact note?",
        "options": [
          "By the end of the month",
          "Only if the supervisor asks",
          "At the end of the year",
          "Within 24 hours"
        ],
        "correct": 3,
        "explanation": "Timely notes are more accurate, and urgent items go to the supervisor the same day."
      },
      {
        "question": "You find a mistake in yesterday's note. What should you do?",
        "options": [
          "Delete the whole note",
          "Use white-out",
          "Correct it following agency policy, with date and initials",
          "Leave it and hope no one sees"
        ],
        "correct": 2,
        "explanation": "Records must never be erased or falsified; corrections are marked and dated."
      },
      {
        "question": "Which of these must a valid release of information include?",
        "options": [
          "An expiration date or event",
          "The client's credit score",
          "The CHW's home address",
          "A promise of services"
        ],
        "correct": 0,
        "explanation": "Federal rules require an expiration date or event on every authorization."
      },
      {
        "question": "A client signed a release last month. Now she wants to take it back. What is true?",
        "options": [
          "She can never take it back",
          "She can revoke it in writing",
          "She must pay a fee",
          "Her services will end"
        ],
        "correct": 1,
        "explanation": "Clients can revoke a release in writing, and services cannot depend on signing."
      },
      {
        "question": "What does \"minimum necessary\" mean?",
        "options": [
          "Write the shortest notes possible",
          "See clients as little as possible",
          "Share only the information needed for the purpose",
          "Keep no records"
        ],
        "correct": 2,
        "explanation": "HHS explains the rule as using or sharing only the information needed."
      },
      {
        "question": "A caller says she is a client's daughter and asks about the last visit. There is no release. What should the CHW do?",
        "options": [
          "Share since she is family",
          "Tell her a few details only",
          "Give her the client's phone number",
          "Not confirm anything and offer to take a message"
        ],
        "correct": 3,
        "explanation": "Without written permission, a CHW cannot even confirm someone is a client."
      },
      {
        "question": "A CHW wants to text a coworker a client's name and diagnosis from her personal phone. What should she do instead?",
        "options": [
          "Send it but delete it later",
          "Use the agency's approved secure system and share only what is needed",
          "Post it in a private social media group",
          "Email it from her personal account"
        ],
        "correct": 1,
        "explanation": "Ohio rules bar sharing client information through personal channels for non-care purposes."
      }
    ]
  },
  "post_test": {
    "graded": true,
    "questions": [
      {
        "question": "What does DAP stand for?",
        "options": [
          "Doctor, Appointment, Pharmacy",
          "Diagnosis, Action, Prescription",
          "Data, Assessment, Plan",
          "Date, Address, Phone"
        ],
        "correct": 2,
        "explanation": "DAP notes have Data, Assessment of progress, and Plan."
      },
      {
        "question": "In a CHW's DAP note, the assessment section should include:",
        "options": [
          "Progress on goals and needs found",
          "A diagnosis",
          "A new medicine dose",
          "The CHW's opinion of the client's character"
        ],
        "correct": 0,
        "explanation": "CHWs do not diagnose, so assessment means progress on goals and needs."
      },
      {
        "question": "Under our program rule, when should a CHW finish a contact note?",
        "options": [
          "By the end of the month",
          "Only if the supervisor asks",
          "At the end of the year",
          "Within 24 hours"
        ],
        "correct": 3,
        "explanation": "Timely notes are more accurate, and urgent items go to the supervisor the same day."
      },
      {
        "question": "Which of these must a valid release of information include?",
        "options": [
          "An expiration date or event",
          "The client's credit score",
          "The CHW's home address",
          "A promise of services"
        ],
        "correct": 0,
        "explanation": "Federal rules require an expiration date or event on every authorization."
      },
      {
        "question": "A client signed a release last month. Now she wants to take it back. What is true?",
        "options": [
          "She can never take it back",
          "She can revoke it in writing",
          "She must pay a fee",
          "Her services will end"
        ],
        "correct": 1,
        "explanation": "Clients can revoke a release in writing, and services cannot depend on signing."
      },
      {
        "question": "A CHW wants to text a coworker a client's name and diagnosis from her personal phone. What should she do instead?",
        "options": [
          "Send it but delete it later",
          "Use the agency's approved secure system and share only what is needed",
          "Post it in a private social media group",
          "Email it from her personal account"
        ],
        "correct": 1,
        "explanation": "Ohio rules bar sharing client information through personal channels for non-care purposes."
      },
      {
        "question": "What does \"minimum necessary\" mean?",
        "options": [
          "Write the shortest notes possible",
          "See clients as little as possible",
          "Share only the information needed for the purpose",
          "Keep no records"
        ],
        "correct": 2,
        "explanation": "HHS explains the rule as using or sharing only the information needed."
      },
      {
        "question": "Which note is objective?",
        "options": [
          "Client seems lazy",
          "Client said, \"My feet hurt when I walk.\"",
          "Client does not care",
          "Client is difficult"
        ],
        "correct": 1,
        "explanation": "Objective notes record what the client said, in quotes, without labels."
      },
      {
        "question": "A caller says she is a client's daughter and asks about the last visit. There is no release. What should the CHW do?",
        "options": [
          "Share since she is family",
          "Tell her a few details only",
          "Give her the client's phone number",
          "Not confirm anything and offer to take a message"
        ],
        "correct": 3,
        "explanation": "Without written permission, a CHW cannot even confirm someone is a client."
      },
      {
        "question": "You find a mistake in yesterday's note. What should you do?",
        "options": [
          "Delete the whole note",
          "Use white-out",
          "Correct it following agency policy, with date and initials",
          "Leave it and hope no one sees"
        ],
        "correct": 2,
        "explanation": "Records must never be erased or falsified; corrections are marked and dated."
      }
    ]
  }
}