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Child Life Exam > Practice Test 1 > Flashcards

Practice Test 1 Flashcards

1
Q

A 3-year-old child dies in the emergency room and the parents are experiencing shock and disbelief. Which of the following should be the NEXT step for the child life specialist?

(A) Ask the parents to go to the waiting room while the child is bathed and dressed
(B) Create an opportunity for parents to be with their child to say goodbye
(C) Ask the parents if they would like to see a social worker to help them with funeral arrangements
(D) Leave the parents along to grieve and wait for them to request support

A

B) Create an opportunity for parents to be with their child to say goodbye

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2
Q

Due to improved pediatric policies and family involvement, which stage of attachment is most seldom observed in the hospital setting?

(A) Detachment
(B) Despair
(C) Protest
(D) Withdrawal

A

A) Detachment

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3
Q

At what age may a patient believe that his/her diagnosis is a form of punishment?

(A) 3–5 years
(B) 6–11 years
(C) 12–15 years
(D) 16–20 years

A

A) 3-5 years

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4
Q

Which of the following interventions should the child life specialist encourage to help parents support siblings of a child with a life threatening illness?

(A) Include siblings in indirect activities, such as phone calls, letters, etc., if siblings cannot be together
(B) Encourage parents to focus energy towards the ill child while others provide support to siblings
(C) Suggest parents redirect discussions surrounding the ill child if siblings exhibit stress and anxiety
(D) Recommend parents directly involve resistant siblings in participating in their ill sibling’s care

A

(A) Include siblings in indirect activities, such as phone calls, letters, etc., if siblings cannot be together

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5
Q

When assisting a sibling who is experiencing grief and loss, which of the following is a guiding principle of long-term intervention?

(A) Utilize existing services and activities of the community
(B) Involve the hospital’s spiritual care department
(C) Set up regularly scheduled post-hospital child life sessions
(D) Allow the family time to heal on their own and in their own way

A

(A) Utilize existing services and activities of the community

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6
Q

Volunteer performance standards should be based on which of the following?

(A) Style of the supervisor
(B) Objectives of the program
(C) Volunteer’s preference
(D) Needs of the individual child

A

B) Objective of the program

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7
Q

An APIE model includes which of the following components?

(A) Activity, preparation, instruction, and evaluation
(B) Assessment, plan, intervention, and evaluation
(C) Assessment, programming, identification, and education
(D) Accountability, productivity, instruction, and enrichment

A

(B) Assessment, plan, intervention, and evaluation

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8
Q

Which of the following is the most effective educational strategy for teaching techniques and benefits of play to a caregiver?

(A) Using videos and music as instructional aids
(B) Enlisting the help of an experienced caregiver
(C) Modeling play interactions by engaging the caregiver and child
(D) Ensuring discussions about the value of play are repeated often

A

(C) Modeling play interactions by engaging the caregiver and child

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9
Q

Which of the following describes a child who prefers to focus on details and displays anticipatory worry when coping with an uncomfortable procedure?

(A) Avoider
(B) Worrier
(C) Sensitizer
(D) Fixater

A

C) Sensitizer

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10
Q

If a 5-year-old is subjected to repeated frustration, confinement, and painful experiences, which of the following is the child likely to experience?

(A) Shame
(B) Inferiority
(C) Guilt
(D) Mistrust

A

C) Guilt

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11
Q

A 5-week-old infant requires intubation. The family shares that the patient has a twin brother at home. According to the key elements of patient- and family-centered care, what would be the main role of the child life specialist?

(A) To remove the family from the patient’s room due to the invasiveness of intubation
(B) To support parental presence and facilitate family and professional collaboration
(C) To discuss the implications of the patient’s potential diagnosis of RSV regarding the twin at home
(D) To minimize the mother’s statement regarding the twin at home due to the severity of the patient’s condition

A

B)To support parental presence and facilitate family and professional collaboration

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12
Q

Humor can be utilized to relieve which of the following?

(A) Pain
(B) Emotional tension and grief
(C) Missing out on social opportunities
(D) Solitude

A

(B) Emotional tension and grief

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13
Q

Which of the following is a common passive response exhibited by children in hospitals?

(A) Resisting medication
(B) Excessive sleeping
(C) Crying
(D) Aversion

A

B) Excessive Sleeping

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14
Q

Which of the following behaviors demonstrates an active response to hospitalization and surgery after discharge?

(A) Being restless
(B) Refusing medication
(C) Sleeping excessively
(D) Talking less with friends

A

B) Refusing Medication

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15
Q

Which of the following is a benefit of healthcare team meetings?

(A) Resolving conflict around interpersonal issues
(B) Identifying team members’ roles in caring for the patient
(C) Establishing child life priorities
(D) Reviewing the medical record

A

D) Reviewing the Medical Record

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16
Q

In preparation for day surgery, an 8-year-old is shown a video depicting a child of similar age going through events associated with surgery. This approach to preparation is an example of which of the following?

(A) Sensory information
(B) Stress-point preparation
(C) Rehearsal
(D) Modeling

A

D) Modeling

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17
Q

Effective cross-cultural communication includes which of the following?

(A) Limiting attempts to understand others points of view
(B) Relying on verbal communication
(C) Remembering that silence is not communication
(D) Possessing the ability to tolerate ambiguity

A

D) Possessing the ability to tolerate ambiguity

18
Q

A primary goal of advocacy training for family members is to empower them in

(A) acquiring a particular service for their child.
(B) facilitating a hospital policy change.
(C) becoming more aggressive with medical personnel.
(D) communicating their needs.

A

D) Communicating their needs

19
Q

A 6-year-old is going to have a procedure in 30 minutes. How should the child life specialist respond?

(A) Make an assessment and follow up with the appropriate interventions
(B) Gather materials and provide healthcare play
(C) Collect distraction items to use during the procedure
(D) Prepare the child about the procedure and ways to cope

A

A) Make an assessment and follow up with the appropriate interventions

20
Q

After three months in a newborn intensive care nursery, a baby is discharged. How can the child life specialist assist the family with this transition?

(A) Provide respite care for the family
(B) Provide information about community resources
(C) Participate in a recreational outing with the family
(D) Give the family his/her telephone number

A

(B) Provide information about community resources

21
Q

Which of the following refers to the idea that a word or phrase can stimulate images and feelings so intense that they can replace reality?

(A) Symbolic communication
(B) Word-Thing confusion
(C) Medical jargon
(D) Fact inference confusion

A

(B) Word-Thing confusion

22
Q

When a child is trying to understand death, he/she may ask, “Do children and animals die, too?” Which concept of death is the child trying to grasp by asking this question?

(A) Irreversibility
(B) Causality
(C) Non-functionality
(D) Universality

A

D) Universality

23
Q

A child is having a difficult time with a procedure. What should the child life specialist do to promote coping?

(A) Offer choices about what the child will do during the procedure
(B) Choose the child’s favorite nurse to do the procedure
(C) Arrange for the procedure to be performed in the child’s room for comfort
(D) Suggest parents leave the room until the child calms down

A

A) Offer choices about what the child will do during the procedure

24
Q

A child life specialist encourages children ages 6–11 to participate in their own care, continue schoolwork, and communicate with family and peers while in the hospital. Why is this approach important to development?

(A) To increase feelings of inclusion
(B) To increase feelings of initiative
(C) To decrease development of preoperational cognition
(D) To decrease development of abstract cognition

A

A) To increase feelings of inclusion

25
Q

Which of the following are considered normal grief responses for a 16-year-old sibling?

(A) Suicidal thoughts, low self-esteem, and academic failure
(B) Sleep problems, isolation from friends and family, and fighting
(C) Egocentricism and an increase in moodiness and sexual awareness
(D) Chronic depression, dramatic changes in attitude, and eating disorders

A

(C) Egocentricism and an increase in moodiness and sexual awareness

26
Q

What should a family expect with the implementation of a patient- and family-centered care plan?

(A) The family participates in decision making regarding their child’s care.
(B) All extended family must be involved in the care of the child.
(C) The healthcare team will provide necessary medical care to the immediate family.
(D) Family situations are similar, and standard care plans are incorporated.

A

(A) The family participates in decision making regarding their child’s care.

27
Q

Which of the following is the most important strategy when working with families in any healthcare setting?

(A) Communication
(B) Support
(C) Family-centered care
(D) Cultural sensitivity

A

A) Communication

28
Q

What should be the first step when using anticipatory guidance as a supportive technique with a new volunteer?

(A) Point out common hopes and fears shared by many volunteers.
(B) Ascertain current knowledge level of volunteer.
(C) Discuss common fears associated with working with severely ill children.
(D) Give feedback concerning recent performance.

A

B) Ascertain current knowledge level of volunteer.

29
Q

Which of the following interventions is MOST likely to help children and families cope in stressful situations?

(A) Providing them with a list of effective coping strategies.
(B) Encouraging them to plan and rehearse coping behaviors.
(C) Providing them with appropriate diversions to decrease anticipatory anxiety.
(D) Advising them to ask other children what coping strategies have worked for them in the past.

A

B) Encouraging them to plan and rehearse coping behaviors.

30
Q

In the healthcare setting, the creation of a well-defined role in relationship to others is integral to which of the following concepts?

(A) Scope of practice
(B) Standards of care
(C) Cultural competency
(D) Professional boundaries

A

D) Professional boundaries

31
Q

What is the primary function of structured play for children in healthcare settings?

(A) To minimize feelings of loneliness and isolation
(B) To make and find new friends going through similar situations
(C) To obtain mastery with objects and roles associated with healthcare experiences
(D) To distract the child from discomfort and pain after surgery

A

C) To obtain mastery with objects and roles associated with healthcare experiences

32
Q

Which of the following strategies should be used first when teaching a child about coping with a procedure?

(A) Tell the child to look away during the procedure
(B) Tell the child that you will describe the procedure as it is happening
(C) Ask the physician to count before starting the procedure
(D) Offer the child a choice of several techniques

A

D) Offer the child a choice of several techniques

33
Q

The duty of promoting the welfare of an individual is known as which of the following?

(A) Beneficence
(B) Fidelity
(C) Veracity
(D) Justice

A

A) Beneficence

34
Q

A 4-year-old recovering from a ruptured appendix is having a difficult time expressing his level of pain. Which of these tools would be MOST appropriate for his age level?

(A) Pain diary
(B) FACES scale
(C) Pain thermometer
(D) Parent assessment

A

(B) FACES scale

35
Q

Which of the following describes measures that monitor the efficacy of behavioral interventions in helping children cope with painful or threatening procedures?

(A) FACES scale and visual analog scale
(B) Child questionnaire and parent report
(C) Pulse rates prior to and after a medical procedure
(D) Emotional distress and coping effectiveness

A

D) Emotional distress and coping effectiveness

36
Q

What action should the child life specialist take when preparing children for healthcare experiences?

(A) Provide information even if the child seems reluctant to hear it because it will benefit the child later
(B) Omit descriptions that may be stressful for a child to listen to, even if the child will experience the sensation
(C) Use medical terminology so that children can become accustomed to this language
(D) Provide honest, accurate information using developmentally-appropriate language

A

D) Provide honest, accurate information using developmentally-appropriate language

37
Q

According to Bolig, what type of child life program aims to provide socialization experiences, normalize the environment, facilitate the expression of feelings, and involve the family?

(A) Diversionary
(B) Therapeutic
(C) Child developmental
(D) Comprehensive

A

(D) Comprehensive

38
Q

When working with a child who is on a ventilator, what approach should a child life specialist take?

(A) Engage the child in nonverbal play
(B) Place the child as a low priority due to limited capacity to interact
(C) Do not provide play because it is medically threatening
(D) Engage the child in sand tray play at the bedside

A

A) Engage the child in nonverbal play

39
Q

An individual who continues to self-assess and respect differences is at what stage on the cultural competence continuum?

(A) Basic cultural competence
(B) Cultural blindness
(C) Cultural pre-competence
(D) Advanced cultural competence

A

A) Basic cultural competence

40
Q

Which of the following best describes a child who has had repeated experiences of ineffective coping?

(A) Anticipatory grief
(B) Anticipatory anxiety
(C) Learned helplessness
(D) Oppositional defiance

A

(C) Learned helplessness

Child Life Exam (6 decks)

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