module.exports = {
  sections: [
    {
      id: 1,
      title: "Preventing Emergency Situations",
      questions: [
        { text: "You should call 911 when the individual falls.", answer: true },
        { text: "You should call 911 when the individual is complaining of chest pain.", answer: true },
        { text: "You should call 911 when the individual is choking.", answer: true },
        { text: "You should call 911 when the individual complains about a family member.", answer: false },
        { text: "You should call 911 when the individual loses consciousness.", answer: true },
        { text: "You should call 911 when the individual is having trouble breathing.", answer: true },
        { text: "When there is an emergency, you should take the individual to the hospital in your own car.", answer: false },
        { text: "When there is an emergency, you should lift an individual up to a chair after a fall.", answer: false },
        { text: "When there is an emergency, you should immediately report the incident to your supervisor and the individual's care manager.", answer: true },
        { text: "You should never let an individual smoke near oxygen.", answer: true },
        { text: "You should look for all accessible exits in case there is a fire.", answer: true },
        { text: "You should wait in the emergency room with individuals who have dementia or Alzheimer's disease so you can assist hospital staff. Clear this with your agency.", answer: true },
        { text: "You should encourage the individual to use his/her walker or cane to prevent falls.", answer: true },
        { text: "You should let the individual navigate around furniture and clutter to get to the bathroom.", answer: false },
        { text: "You should let the individual turn the lights down low when she/he is walking.", answer: false },
        { text: "You should let the individual try to get up on her/his own after falling. You do not need to report falls when the individual seems to be okay.", answer: false }
      ]
    },
    {
      id: 2,
      title: "Universal Precautions",
      questions: [
        { text: "When caring for the individual, you should always wear gloves when you touch urine or stool.", answer: true },
        { text: "When caring for the individual, you should always wear gloves during toileting.", answer: true },
        { text: "When caring for the individual, you should always wear gloves when handling laundry.", answer: true },
        { text: "When caring for the individual, you should always wear gloves when it's cold outside.", answer: false },
        { text: "When caring for the individual, you should always wear gloves when taking out the garbage.", answer: true },
        { text: "You should wash your hands after changing the individual's Depends.", answer: true },
        { text: "You should wash your hands after toileting the individual.", answer: true },
        { text: "You should wash your hands after you have used your cell phone.", answer: false },
        { text: "You should wash your hands after taking out the garbage.", answer: true },
        { text: "You should wash your hands after cleaning and disinfecting surfaces.", answer: true }
      ]
    },
    {
      id: 3,
      title: "Communication",
      questions: [
        { text: "To communicate well with the individual, you should allow the individual to tell you what he/she needs or wants.", answer: true },
        { text: "To communicate well with the individual, you should tell the individual your life story and your problems.", answer: false },
        { text: "To communicate well with the individual, you should ask questions if you don't understand.", answer: true },
        { text: "To communicate well with the individual, you should pay attention to the individual's body language such as facial expressions, tone of voice or body posture.", answer: true },
        { text: "To communicate well with the individual, you should spend time on your cell phone.", answer: false },
        { text: "With individuals who have dementia or Alzheimer's disease, you shouldn't use too many words or long explanations because this may be confusing.", answer: true },
        { text: "Some individuals may not be able to speak so you should just smile and go about your business.", answer: false },
        { text: "You should contact your supervisor and the care manager if you notice a difference in the individual's ability to move, gesture, or pained facial expressions.", answer: true },
        { text: "You should interrupt the individual if they are talking too long to tell you what they need and tell him/her to get to the point.", answer: false },
        { text: "You should let the individual know how you feel about politics and religion.", answer: false }
      ]
    },
    {
      id: 4,
      title: "Change in an Individual's Condition",
      questions: [
        { text: "When there are changes in an individual's condition, you should report changes immediately to your supervisor and the individual's care manager. Do not leave a voice mail. Speak to a live individual.", answer: true },
        { text: "If you see red spots on the individual's skin, it is okay to wait to report it until it gets worse.", answer: false },
        { text: "A sudden change of appetite should be reported immediately to your supervisor and the care manager.", answer: true },
        { text: "If the individual has difficulty urinating, constipation or frequent diarrhea, you can wait to see if it will get better.", answer: false },
        { text: "If the individual starts yelling, saying mean things and is angry all the time, you should report this to your supervisor and the care manager.", answer: true },
        { text: "You notice that the individual is starting to sleep a lot more. You don't need to report this to your supervisor. Since the individual is tired, you put the individual in bed for naps more often.", answer: false },
        { text: "Individuals who cannot change position in bed or in a chair should be repositioned every two hours.", answer: true },
        { text: "A loss of appetite may be due to dentures that don't fit right which make it hard for the individual to chew food.", answer: true },
        { text: "It is important for an individual to drink enough fluids to prevent dehydration unless there is a fluid restriction in the individual's care plan.", answer: true },
        { text: "Older people's skin tears very easily and it is important to prevent bumps and scrapes.", answer: true }
      ]
    },
    {
      id: 5,
      title: "Positioning",
      questions: [
        { text: "Proper positioning helps relieve the pressure on various body parts.", answer: true },
        { text: "Proper positioning helps the individual see the television.", answer: false },
        { text: "Proper positioning helps the individual be comfortable.", answer: true },
        { text: "Proper positioning helps prevent health problems from being in bed a long time.", answer: true },
        { text: "Proper positioning helps prevent bed sores.", answer: true },
        { text: "When positioning, you should have all necessary assistive equipment ready.", answer: true },
        { text: "When positioning, you should make sure the individual is safe and comfortable.", answer: true },
        { text: "When positioning, you should pull the individual across the bed.", answer: false },
        { text: "When positioning, you should reposition the individual every two hours unless the individual is sleeping.", answer: true },
        { text: "When positioning, you should take note of redness or irritation on the skin so you can report it if it gets worse.", answer: true },
        { text: "When positioning, you should get assistance if the individual is too heavy.", answer: true }
      ]
    },
    {
      id: 6,
      title: "Lifting",
      questions: [
        { text: "You should bend over, grab the individual under the arms and lift.", answer: false },
        { text: "You should stand close to the individual when lifting.", answer: true },
        { text: "You should use as many muscle groups as possible for moving the individual to reduce the stress on the back.", answer: true },
        { text: "You should squat and stand to lift a heavy individual.", answer: true },
        { text: "You should figure out on your own how to use a Hoyer lift to lift a heavy individual.", answer: false },
        { text: "You should coordinate your movements with the individual's movements.", answer: true },
        { text: "To change the direction of the individual's movement, you should twist your body, bend over and lower the individual.", answer: false },
        { text: "You should keep your back straight, knees and hips flexed, with weight distributed on both feet.", answer: true },
        { text: "When you are lifting, you should hold the individual about 12 inches away from you.", answer: true },
        { text: "You should not attempt to lift an individual who is too heavy for you.", answer: true }
      ]
    },
    {
      id: 7,
      title: "Transfers",
      questions: [
        { text: "During a transfer, the individual should be wearing shoes or slippers.", answer: true },
        { text: "During a transfer, the position of the wheelchair is not important as long as the wheels are locked.", answer: false },
        { text: "During a transfer, the individual's commode should be next to the bed so the individual can be transferred easier.", answer: true },
        { text: "When toileting the individual, you should assist the individual to a standing position, help the individual pull down her/his pants, and safely place the individual on the toilet.", answer: true },
        { text: "If the individual appears to be steady, you can allow the individual to transfer himself/herself.", answer: false }
      ]
    },
    {
      id: 8,
      title: "Medication",
      questions: [
        { text: "A PCA may take the pills out of the containers and give them to the individual.", answer: false },
        { text: "A PCA never gives the individual injections.", answer: true },
        { text: "A PCA may assist the individual with opening the pill bottle and remind the individual to take the medication as prescribed.", answer: true },
        { text: "A PCA may take some of the individual's pills.", answer: false },
        { text: "A PCA may give the individual medications even though the pills have fallen on the floor.", answer: false },
        { text: "If you drop the med box, you should not give the individual the pills and should contact your supervisor.", answer: true },
        { text: "It is okay for a PCA to crush medicine and put it in applesauce or pudding if the individual doesn't want to take their pills.", answer: false },
        { text: "If the medications look different or messed up, you should notify your supervisor after you give the medication to the individual.", answer: false },
        { text: "A PCA should not give pills or medicine, like cold medicine, you get from the store.", answer: true }
      ]
    },
    {
      id: 9,
      title: "Caregiver Boundaries",
      questions: [
        { text: "You and the individual should give each other gifts for holidays, birthdays and other occasions.", answer: false },
        { text: "The individual needs some items at the store so you take the debit card to shop during the individual's nap. You can also buy some items for yourself if the individual says it's okay.", answer: false },
        { text: "You should always get a receipt when using the individual's money to buy things.", answer: true },
        { text: "You should ask your friend to deliver food for you at the individual's home.", answer: false },
        { text: "You are an employee in the individual's home.", answer: true },
        { text: "If the individual goes to a nursing home, you should visit the individual while you are off duty.", answer: false },
        { text: "If you can't find a babysitter and there is no one to replace you, it is okay to bring your children to the individual's home while you are working.", answer: false },
        { text: "You can tell the individual when you are having problems like not having enough money, problems with your boyfriend/girlfriend or your children.", answer: false },
        { text: "If you don't have a car and don't want to take the bus, you can have your boyfriend/girlfriend take you to work at the individual's home.", answer: false },
        { text: "You should never friend the individual on Facebook and never post anything about her/him such as pictures or comments, good or bad.", answer: true }
      ]
    },
    {
      id: 10,
      title: "Individuals with Acquired Brain Injury",
      questions: [
        { text: "An individual with an acquired brain injury might not understand what you say.", answer: true },
        { text: "An individual with an acquired brain injury might remember everything he/she hears you and others say.", answer: false },
        { text: "An individual with an acquired brain injury might not be able to say what they want to say.", answer: true },
        { text: "An individual with an acquired brain injury might be very focused and totally concentrate on things.", answer: false },
        { text: "If an individual becomes angry, you should tell him/her to calm down and stop talking.", answer: false },
        { text: "If an individual becomes angry, you should move fast and stand close to the individual.", answer: false },
        { text: "If an individual becomes angry, you should remain calm and speak softly.", answer: true },
        { text: "If an individual becomes angry, you should threaten the individual with negative consequences if he/she doesn't calm down.", answer: false },
        { text: "If an individual becomes angry, you should put the individual in a corner of the room and limit where he/she can move.", answer: false },
        { text: "Individuals with dementia usually get angry for a reason so it is helpful if you can figure out the reason the individual is angry.", answer: true },
        { text: "If the individual with dementia starts getting stressed and frustrated, you should try to help before she/he gets upset.", answer: true },
        { text: "You should encourage a lot of people to come over and have a lot of loud music in the home to cheer up individuals with dementia who need PCA services because they are usually lonely.", answer: false },
        { text: "If you are a new PCA meeting the individual for the first time, and she/he gets upset and says mean things to you, it's just because the individual is unfriendly and grouchy.", answer: false },
        { text: "The individual may not be able to tell you that he/she is sitting on a wet Depends, has to go to the bathroom and start getting upset and angry.", answer: true }
      ]
    },
    {
      id: 11,
      title: "Reporting Abuse, Neglect, Exploitation and Abandonment",
      questions: [
        { text: "For individuals who are aged 65 and older, you and your agency are legally required to report abuse, neglect, exploitation and abandonment to Protective Services for the Elderly.", answer: true },
        { text: "You should contact your supervisor and the care manager immediately if you see or suspect abuse.", answer: true },
        { text: "You arrive for your shift in the morning and discover that no one has been with the individual since the evening before. Since the individual is fine, there is no need to report this.", answer: false },
        { text: "The individual tells you that a relative has been taking money out of his/her bank account, using the individual's EBT card to buy their own groceries and using the individual's credit card to shop. This is an example of neglect.", answer: false },
        { text: "When you arrive for your shift, you see the individual's neighbor yelling, threatening to hit the individual, and shove him/her. This is an example of abuse.", answer: true }
      ]
    },
    {
      id: 12,
      title: "Bathing",
      questions: [
        { text: "Safety in the bathroom is very important.", answer: true },
        { text: "It is okay to leave the individual alone in the bathtub or shower if you have to answer the phone.", answer: false },
        { text: "You should never let the individual step into the bathtub or shower until you check the water temperature.", answer: true },
        { text: "You should wash the genital area from back to front.", answer: false },
        { text: "You should not cut fingernails or toenails.", answer: true }
      ]
    },
    {
      id: 13,
      title: "Bathing Individuals with Dementia or Cognitive Deficits",
      questions: [
        { text: "You should give individuals with dementia a bath or shower at a different time every day because they get bored with the same daily routine.", answer: false },
        { text: "Many older people don't like bathing because they are afraid of being too hot.", answer: false },
        { text: "If the individual does not want to bathe, you shouldn't argue. Instead, use a calm, soothing tone of voice.", answer: true },
        { text: "If the individual does not want to bathe, you should talk about something the individual likes or something positive and they may change their mind.", answer: true },
        { text: "You should tell the individual what you are doing to keep her/him calm.", answer: true }
      ]
    },
    {
      id: 14,
      title: "How to Give a Bed Bath",
      questions: [
        { text: "For a bed bath, you do not need to check water temperature since the water is in a basin and it will cool off.", answer: false },
        { text: "For a bed bath, you should make sure the individual cannot fall out of bed.", answer: true },
        { text: "For a bed bath, you should report any sores or redness to your supervisor.", answer: true },
        { text: "For a bed bath, you should wash the soap off of the individual.", answer: true },
        { text: "For a bed bath, you should wash the genital area first.", answer: false }
      ]
    },
    {
      id: 15,
      title: "Washing Hair",
      questions: [
        { text: "When washing hair, you should ask if they want to wash their hair first. The individual can wash their own hair if they are able to do it.", answer: true },
        { text: "If the individual doesn't ever want their hair washed they don't have to. This is easier than trying to convince the individual to wash their hair and stressing over it.", answer: false },
        { text: "When washing hair, you should report any redness, a lot of dandruff or concerns over lice to your supervisor.", answer: true },
        { text: "When washing hair, you should face the individual away from direct water to the face.", answer: true },
        { text: "If the individual seems steady in the shower, it is okay to leave and put the dirty clothes in the laundry and fold the clothes from the dryer.", answer: false }
      ]
    },
    {
      id: 16,
      title: "How to Wash Hair in Bed",
      questions: [
        { text: "When washing hair in bed, you should make sure you have all of the supplies you need before you get started.", answer: true },
        { text: "When washing hair in bed, you should start pouring water on the individual's head. Don't worry about the pillows getting wet.", answer: false },
        { text: "When washing hair in bed, you should try to keep the floor dry by putting a bucket or large bowl on the floor and put a sheet or towel underneath.", answer: true },
        { text: "If the individual has short hair, instead of pouring water to wet the hair; you can rub a wet washcloth over the hair.", answer: true },
        { text: "When washing hair in bed, you should make sure the room temperature is warm and check the water temperature before starting.", answer: true }
      ]
    },
    {
      id: 17,
      title: "Mouth Care",
      questions: [
        { text: "Good mouth care is important for an individual's general health, to prevent gum disease, cavities, toothaches, pain and other health problems.", answer: true },
        { text: "When providing mouth care, wearing gloves isn't necessary because you won't be touching the individual's mouth.", answer: false },
        { text: "When brushing teeth, you should brush really hard to make sure they get clean.", answer: false },
        { text: "When brushing teeth, you should start brushing at the top and move downward because it moves plaque away from the gums.", answer: true },
        { text: "When brushing teeth, you should report any redness, bleeding or sores to your supervisor.", answer: true }
      ]
    },
    {
      id: 18,
      title: "Mouth Care for Individuals with Dementia or Cognitive Impairment",
      questions: [
        { text: "For mouth care with dementia patients, you should smile and ask the individual if they want to have their teeth brushed.", answer: true },
        { text: "For mouth care with dementia patients, you should tell the individual their teeth are dirty so you have to brush their teeth.", answer: false },
        { text: "For mouth care with dementia patients, if the individual gets upset, you should ask what is upsetting her/him.", answer: true },
        { text: "For mouth care with dementia patients, you should tell your supervisor if you see redness, sores, bleeding or broken teeth.", answer: true },
        { text: "For mouth care with dementia patients, if the individual refuses, you should tell her/him all of the good things about brushing their teeth. If this doesn't work, try again at another time.", answer: true }
      ]
    },
    {
      id: 19,
      title: "Dressing",
      questions: [
        { text: "When dressing the individual, you should wash your hands before you begin.", answer: true },
        { text: "When dressing the individual, you should set out a lot of different clothes with a variety of shirts, pants, skirts, dresses, suits and ties.", answer: false },
        { text: "When dressing the individual, if the clothes won't come off, you can push and pull them off.", answer: false },
        { text: "When dressing the individual, you should make sure the individual does not get too tired or dizzy. Help her/him to sit down if they need to.", answer: true },
        { text: "When dressing the individual, it is easiest to use simple elastic clothing or clothes with Velcro fasteners.", answer: true }
      ]
    }
  ]
};
