{
  "module": "104.6",
  "title": "104.6 Professionalism, Practicum and Career Pathways",
  "pass_percent": 75,
  "pre_test": {
    "graded": false,
    "questions": [
      {
        "question": "How many clinical hours does Ohio require in an approved CHW program?",
        "options": [
          "130",
          "40",
          "200",
          "500"
        ],
        "correct": 0,
        "explanation": "OAC 4723-26-13 requires at least 130 hours of clinical experience."
      },
      {
        "question": "Who signs your practicum hour log?",
        "options": [
          "A friend at the site",
          "Your site supervisor",
          "Any client",
          "No one; you sign it yourself"
        ],
        "correct": 1,
        "explanation": "The site supervisor verifies and signs the hours you worked."
      },
      {
        "question": "A friend offers to sign practicum hours you did not work. What should the CHW student do?",
        "options": [
          "Accept, since everyone does it",
          "Accept only half the hours",
          "Decline, log only real hours, and tell the coordinator they are behind",
          "Ask a different friend to sign"
        ],
        "correct": 2,
        "explanation": "Honest records are a core professional value; the program can help you catch up."
      },
      {
        "question": "How many continuing education contact hours does an Ohio CHW need each renewal period?",
        "options": [
          "5",
          "10",
          "30",
          "15"
        ],
        "correct": 3,
        "explanation": "OAC 4723-26-05 requires 15 contact hours per renewal period."
      },
      {
        "question": "Which two topics must be included in Ohio CHW continuing education?",
        "options": [
          "Ohio nursing law and Board rules, and professional boundaries",
          "CPR and first aid",
          "Spreadsheets and email",
          "Nutrition and exercise"
        ],
        "correct": 0,
        "explanation": "At least one hour on Chapter 4723 and Board rules and one on professional boundaries are required."
      },
      {
        "question": "How often is an Ohio CHW certificate renewed?",
        "options": [
          "Every year",
          "Every two years",
          "Every five years",
          "Only once"
        ],
        "correct": 1,
        "explanation": "Certificates run on a two-year cycle ending March 31."
      },
      {
        "question": "At a practicum site, a staff member asks a CHW student to fill residents' pill boxes. What should the student do?",
        "options": [
          "Do it carefully",
          "Do it only if the nurse is busy",
          "Ask a resident to help",
          "Politely decline and tell the site supervisor and program"
        ],
        "correct": 3,
        "explanation": "Giving medication is outside CHW scope; an RN may never delegate it to a CHW in Ohio."
      },
      {
        "question": "How long should you keep proof of your continuing education?",
        "options": [
          "Six years",
          "Six months",
          "One year",
          "You do not need to keep it"
        ],
        "correct": 0,
        "explanation": "The Board may audit, and holders must keep proof for six years."
      },
      {
        "question": "Which is an example of a step up the CHW career ladder?",
        "options": [
          "Working fewer hours",
          "Leaving the field",
          "Becoming a lead CHW who trains new workers",
          "Skipping continuing education"
        ],
        "correct": 2,
        "explanation": "Lead and supervisor roles are common next steps for experienced CHWs."
      },
      {
        "question": "A CHW wants to post health fair photos showing community members. What should she do first?",
        "options": [
          "Post them right away",
          "Blur only her own face",
          "Tag everyone so they can see",
          "Check the site policy and get written permission from each person shown"
        ],
        "correct": 3,
        "explanation": "Photos can reveal private information, so policy and consent come first."
      }
    ]
  },
  "post_test": {
    "graded": true,
    "questions": [
      {
        "question": "Which is an example of a step up the CHW career ladder?",
        "options": [
          "Working fewer hours",
          "Leaving the field",
          "Becoming a lead CHW who trains new workers",
          "Skipping continuing education"
        ],
        "correct": 2,
        "explanation": "Lead and supervisor roles are common next steps for experienced CHWs."
      },
      {
        "question": "A friend offers to sign practicum hours you did not work. What should the CHW student do?",
        "options": [
          "Accept, since everyone does it",
          "Accept only half the hours",
          "Decline, log only real hours, and tell the coordinator they are behind",
          "Ask a different friend to sign"
        ],
        "correct": 2,
        "explanation": "Honest records are a core professional value; the program can help you catch up."
      },
      {
        "question": "How many continuing education contact hours does an Ohio CHW need each renewal period?",
        "options": [
          "5",
          "10",
          "30",
          "15"
        ],
        "correct": 3,
        "explanation": "OAC 4723-26-05 requires 15 contact hours per renewal period."
      },
      {
        "question": "At a practicum site, a staff member asks a CHW student to fill residents' pill boxes. What should the student do?",
        "options": [
          "Do it carefully",
          "Do it only if the nurse is busy",
          "Ask a resident to help",
          "Politely decline and tell the site supervisor and program"
        ],
        "correct": 3,
        "explanation": "Giving medication is outside CHW scope; an RN may never delegate it to a CHW in Ohio."
      },
      {
        "question": "Who signs your practicum hour log?",
        "options": [
          "A friend at the site",
          "Your site supervisor",
          "Any client",
          "No one; you sign it yourself"
        ],
        "correct": 1,
        "explanation": "The site supervisor verifies and signs the hours you worked."
      },
      {
        "question": "How long should you keep proof of your continuing education?",
        "options": [
          "Six years",
          "Six months",
          "One year",
          "You do not need to keep it"
        ],
        "correct": 0,
        "explanation": "The Board may audit, and holders must keep proof for six years."
      },
      {
        "question": "How often is an Ohio CHW certificate renewed?",
        "options": [
          "Every year",
          "Every two years",
          "Every five years",
          "Only once"
        ],
        "correct": 1,
        "explanation": "Certificates run on a two-year cycle ending March 31."
      },
      {
        "question": "How many clinical hours does Ohio require in an approved CHW program?",
        "options": [
          "130",
          "40",
          "200",
          "500"
        ],
        "correct": 0,
        "explanation": "OAC 4723-26-13 requires at least 130 hours of clinical experience."
      },
      {
        "question": "A CHW wants to post health fair photos showing community members. What should she do first?",
        "options": [
          "Post them right away",
          "Blur only her own face",
          "Tag everyone so they can see",
          "Check the site policy and get written permission from each person shown"
        ],
        "correct": 3,
        "explanation": "Photos can reveal private information, so policy and consent come first."
      },
      {
        "question": "Which two topics must be included in Ohio CHW continuing education?",
        "options": [
          "Ohio nursing law and Board rules, and professional boundaries",
          "CPR and first aid",
          "Spreadsheets and email",
          "Nutrition and exercise"
        ],
        "correct": 0,
        "explanation": "At least one hour on Chapter 4723 and Board rules and one on professional boundaries are required."
      }
    ]
  }
}