{
  "module": "104.5",
  "title": "104.5 Self-Care and Sustaining the Work",
  "pass_percent": 75,
  "pre_test": {
    "graded": false,
    "questions": [
      {
        "question": "According to the World Health Organization, burnout results from:",
        "options": [
          "A personal weakness",
          "Chronic workplace stress that has not been successfully managed",
          "Eating poorly",
          "A virus"
        ],
        "correct": 1,
        "explanation": "WHO defines burnout as a syndrome from chronic workplace stress that was not managed."
      },
      {
        "question": "Secondary traumatic stress comes from:",
        "options": [
          "Hearing about another person's firsthand trauma",
          "Working too few hours",
          "Learning new computer skills",
          "Taking a vacation"
        ],
        "correct": 0,
        "explanation": "It is emotional distress from hearing others' trauma experiences."
      },
      {
        "question": "Which is a warning sign of secondary traumatic stress?",
        "options": [
          "Feeling rested and hopeful",
          "Looking forward to visits",
          "Laughing with coworkers",
          "Avoiding clients and having trouble sleeping"
        ],
        "correct": 3,
        "explanation": "Avoiding clients and sleep problems are listed warning signs."
      },
      {
        "question": "What does an Employee Assistance Program usually offer?",
        "options": [
          "Free, confidential short-term counseling and referrals",
          "Extra pay for overtime",
          "Medical diagnoses",
          "Legal representation in court"
        ],
        "correct": 0,
        "explanation": "EAPs provide free, confidential assessment, short-term counseling, referrals and follow-up."
      },
      {
        "question": "Who can use the 988 Lifeline?",
        "options": [
          "Only people under 18",
          "Only doctors and nurses",
          "Anyone in suicidal crisis or emotional distress, including CHWs",
          "Only people with insurance"
        ],
        "correct": 2,
        "explanation": "988 is free and open to anyone in crisis or significant emotional distress."
      },
      {
        "question": "A coworker has seemed withdrawn since a client died. What should the CHW do first?",
        "options": [
          "Ignore it to respect privacy",
          "Report the coworker to HR for poor work",
          "Tell other clients about it",
          "Check in privately and listen without judging"
        ],
        "correct": 3,
        "explanation": "Peers can notice, listen and connect a coworker to support."
      },
      {
        "question": "A CHW answers client texts every night and cannot sleep. What is the best step?",
        "options": [
          "Answer faster so clients stop texting",
          "Set work phone hours and plan after-hours coverage with the supervisor",
          "Give clients a personal number instead",
          "Quit without telling anyone"
        ],
        "correct": 1,
        "explanation": "Boundaries and a team after-hours plan protect both the worker and clients."
      },
      {
        "question": "Why is a heavy caseload called an upstream cause of burnout?",
        "options": [
          "Because it is about rivers",
          "Because only the worker can fix it",
          "Because it comes from how the work is organized, not personal weakness",
          "Because it never affects health"
        ],
        "correct": 2,
        "explanation": "Caseloads, pay and support are workplace conditions that need team and leadership solutions."
      },
      {
        "question": "A coworker says he has been thinking about ending his life. What should the CHW do?",
        "options": [
          "Promise to keep it secret",
          "Tell him to sleep it off",
          "Change the subject",
          "Stay with him and call or text 988, or 911 if he is in immediate danger"
        ],
        "correct": 3,
        "explanation": "Suicide risk needs immediate connection to crisis help, never secrecy."
      },
      {
        "question": "Which belongs in a hard day plan?",
        "options": [
          "Who you will call and what you will do when stress spikes",
          "Your clients' home addresses",
          "A list of everyone's mistakes",
          "Skipping meals to catch up"
        ],
        "correct": 0,
        "explanation": "A hard day plan names your supports and actions before you need them."
      }
    ]
  },
  "post_test": {
    "graded": true,
    "questions": [
      {
        "question": "Secondary traumatic stress comes from:",
        "options": [
          "Hearing about another person's firsthand trauma",
          "Working too few hours",
          "Learning new computer skills",
          "Taking a vacation"
        ],
        "correct": 0,
        "explanation": "It is emotional distress from hearing others' trauma experiences."
      },
      {
        "question": "Which is a warning sign of secondary traumatic stress?",
        "options": [
          "Feeling rested and hopeful",
          "Looking forward to visits",
          "Laughing with coworkers",
          "Avoiding clients and having trouble sleeping"
        ],
        "correct": 3,
        "explanation": "Avoiding clients and sleep problems are listed warning signs."
      },
      {
        "question": "A coworker says he has been thinking about ending his life. What should the CHW do?",
        "options": [
          "Promise to keep it secret",
          "Tell him to sleep it off",
          "Change the subject",
          "Stay with him and call or text 988, or 911 if he is in immediate danger"
        ],
        "correct": 3,
        "explanation": "Suicide risk needs immediate connection to crisis help, never secrecy."
      },
      {
        "question": "A coworker has seemed withdrawn since a client died. What should the CHW do first?",
        "options": [
          "Ignore it to respect privacy",
          "Report the coworker to HR for poor work",
          "Tell other clients about it",
          "Check in privately and listen without judging"
        ],
        "correct": 3,
        "explanation": "Peers can notice, listen and connect a coworker to support."
      },
      {
        "question": "Which belongs in a hard day plan?",
        "options": [
          "Who you will call and what you will do when stress spikes",
          "Your clients' home addresses",
          "A list of everyone's mistakes",
          "Skipping meals to catch up"
        ],
        "correct": 0,
        "explanation": "A hard day plan names your supports and actions before you need them."
      },
      {
        "question": "Why is a heavy caseload called an upstream cause of burnout?",
        "options": [
          "Because it is about rivers",
          "Because only the worker can fix it",
          "Because it comes from how the work is organized, not personal weakness",
          "Because it never affects health"
        ],
        "correct": 2,
        "explanation": "Caseloads, pay and support are workplace conditions that need team and leadership solutions."
      },
      {
        "question": "A CHW answers client texts every night and cannot sleep. What is the best step?",
        "options": [
          "Answer faster so clients stop texting",
          "Set work phone hours and plan after-hours coverage with the supervisor",
          "Give clients a personal number instead",
          "Quit without telling anyone"
        ],
        "correct": 1,
        "explanation": "Boundaries and a team after-hours plan protect both the worker and clients."
      },
      {
        "question": "According to the World Health Organization, burnout results from:",
        "options": [
          "A personal weakness",
          "Chronic workplace stress that has not been successfully managed",
          "Eating poorly",
          "A virus"
        ],
        "correct": 1,
        "explanation": "WHO defines burnout as a syndrome from chronic workplace stress that was not managed."
      },
      {
        "question": "What does an Employee Assistance Program usually offer?",
        "options": [
          "Free, confidential short-term counseling and referrals",
          "Extra pay for overtime",
          "Medical diagnoses",
          "Legal representation in court"
        ],
        "correct": 0,
        "explanation": "EAPs provide free, confidential assessment, short-term counseling, referrals and follow-up."
      },
      {
        "question": "Who can use the 988 Lifeline?",
        "options": [
          "Only people under 18",
          "Only doctors and nurses",
          "Anyone in suicidal crisis or emotional distress, including CHWs",
          "Only people with insurance"
        ],
        "correct": 2,
        "explanation": "988 is free and open to anyone in crisis or significant emotional distress."
      }
    ]
  }
}