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Child Life Exam > Practice Test 3 > Flashcards

Practice Test 3 Flashcards

1
Q

A 10-year-old patient is having an IV placed. Which would be a developmentally appropriate coping strategy to offer the patient during the procedure?

a)playroom
b)imagery
c)preparation
d)education

A

b) imagery

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2
Q

A child life specialist receives a request by a patient’s parent to visit the patient after the child life specialist’s shift is over. The child life specialist declines being able to fulfill the request because the child life specialist is maintaining what type of relationship

a)personal relationship
b)therapeutic relationship
c)casual relationship
d)clinical relationship

A

b)therapeutic relationship

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3
Q

Evidence Based Practice describes which of the following?

a) A method of supporting child life interventions through the code and guidelines for professional conduct
b) The practice of child life services as supported by the agreement of professionals in the field
c) An integration of the best available research, clinical experience and patient preference.
d) Practice that is supported by feedback from medical and child life professionals alike

A

c) An integration of the best available research, clinical experience and patient preference.

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4
Q

To help promote a high morale, growth opportunities, and a sense of value among child life specialists at an institution, child life leaders can

a) offer to listen and brainstorm with colleagues on how to problem solve.
b) offer to pay everyone in the department the same salary.
c) implement a clinical advancement program.
d) have discussions with administrative leaders to gain support.

A

c) implement a clinical advancement program.

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5
Q

The interdisciplinary team recognizes that a 17 year-old patient displays understanding of treatment-related information, possible impact on life, and is expressing choice of treatment plan options. The patient is capable of making an informed

a) consent
b) assent
c) decision
d) autonomy

A

a) consent

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6
Q

Child life staff provide volunteer orientation and training on-site to ensure volunteers are aware of the location of essential supplies, infection control policies, and

a) tips for approaching children and parents
b) safely transporting patients
c) reviewing patient medical chart
d) using formal developmental assessments

A

a) tips for approaching children and parents

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7
Q

When working with culturally diverse families in the health care setting, cross-cultural competency can be demonstrated by:

a) learning a new language.
b) managing culture shock.
c) eliminating all negative biases.
d) adapting the values of another culture.

A

b) managing culture shock.

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8
Q

Documentation of a child life intervention in a patient healthcare record should be considered

a) an extension of the time card reflecting actual time worked.
b) an extension of the work day that is optional if time allows.
c) an extension of the intervention that is necessary to regard it as complete.
d) an extension of the child life specialist’s responsibilities that takes away from patient care.

A

c) an extension of the intervention that is necessary to regard it as complete.

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9
Q

Which theory explains why a patient’s sibling and parent may demonstrate changes in family roles and responsibilities?

a) coping theory
b) attachment theory
c) family systems theory
d) psychosocial theory

A

c) family systems theory

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10
Q

When meeting an adolescent patient for the first time, which of the following developmental concerns must a child life specialist anticipate?

a) Viewing hospitalization as a punishment
b) Increased fear of bodily mutilation and harm
c) Exercising one’s autonomy
d) Concerns related to change in appearance related to treatment

A

d) Concerns related to change in appearance related to treatment

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11
Q

If a child is able to engage in a discussion about their religious and/or spiritual beliefs and begin to have a personal relationship with his or her God, we would say that they are in which stage of spiritual development according to James Fowler?

a) Mythical - Literal
b) Individuate - Reflective
c) Autonomy versus shame
d) Synthetic – conventional

A

a) Mythical - Literal

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12
Q

A patient reports to a child life specialist previous experience of multiple invasive procedures at a young age. Which assessment variable does this represent?

a) temperament/coping style
b) past negative experiences
c) age
d) mobility

A

b) past negative experiences

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13
Q

A child life specialist spends time with a young patient providing preparation using medical play prior to a medical procedure. This is an example of what critical process in child life services?

a) Assessment
b) Plan
c) Intervention
d) Evaluation

A

c) intervention

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14
Q

During a meeting, team members express concern about a patient whose family has not been present. The child life specialist shares there are other family issues at home that need to be managed. The child life specialist was able to gather this information through the assessment of:

a) Financial status
b) Citizenship status
c) Employment status
d) Social and family status

A

d) Social and family status

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15
Q

When assessing a child’s stress potential, the child life specialist assesses variables in which of the following three categories?

a) Child, Family, Culture
b) Child, Family, Health Care
c) Child, Health Care, Patient
d) Family, Health Care, Diagnosis

A

b) Child, Family, Health Care

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16
Q

Child life specialists can help with pain management issues by

a) Increasing medication dosages
b) Advocating for the use of consistent and approved pain scales
c) Creating goals for ambulation
d) Educating parents on medication options

A

b) Advocating for the use of consistent and approved pain scales

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17
Q

A two-year-old child was recently left alone and appears withdrawn and depressed. According to John Bowlby, this child is in which stage of separation?

a) Protest
b) Despair
c) Detachment
d) Sadness

A

b) Despair

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18
Q

Alternative focus, thought stopping, and reframing are examples of:

a) Behavioral coping strategies
b) Sensory coping strategies
c) Cognitive coping strategies
d) Normative coping strategies

A

c) Cognitive coping strategies

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19
Q

A child with the ability to return rapidly to a previous psychologic or physiologic state is described as:

a) Stress-free
b) Normalized
c) Calm
d) Resilient

A

d) Resilient

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20
Q

A hospital environment which is fully accessible, home-like and includes elements that support patients and families has adopted which philosophy?

a) Anthroposophy
b) East Street
c) Planetree
d) The Eden Alternative

A

c) Planetree

21
Q

A patient is observed to play in the hospital playroom. The child life specialist notices that the patient is wrapping up a baby doll in a blanket, rocking the baby back and forth, and giving the baby “medicine”. According to Kenneth Rubin, in which type of play is the child engaging?

a) Unoccupied Play
b) Functional Play
c) Games With Rules
d) Dramatic Play

A

d) Dramatic Play

22
Q

What term has been used to describe the process of identifying and planning for situations with the greatest potential to overwhelm a child’s coping resources?

a) Stress point care
b) Psychological preparation
c) Health care play
d) APIE

A

a) Stress point care

22
Q

A child life specialist’s ability to identify a family’s response to crisis, restate and clarify responses, and validate loss are examples of:

a) Characteristic behavior
b) A developmental assessment
c) An empathetic approach
d) A spiritual assessment

A

c) An empathetic approach

23
Q

Anticipatory mourning refers to the process by which one mourns, copes with, and prepares for the impending death of a loved one. Research suggests that the most common grief reactions during this period of anticipatory mourning are feelings of:

a) Sadness, worthlessness, anger
b) Despair, relief, hopelessness
c) Relief, sadness, hopelessness
d) Despair, hopelessness, and worthlessness

A

d) Despair, hopelessness, and worthlessness

24
Q

When a conflict arises between parents and staff, the child life specialist can serve as an advocate for the family by:

a) Advising parents to hide their negative feelings of staff members until there is less tension.
b) Encouraging the parents to confront the staff directly rather than serving as intermediary between the parents and staff.
c) Discussing the parents’ actions and thoughts with the staff.
d) Covering up the true nature of the misunderstanding so that staff do not become more upset.

A

c) Discussing the parents’ actions and thoughts with the staff.

25
Q

A three year old is grieving the loss of his mother who died of breast cancer one month ago. The child continues to go to preschool five days a week. What strategy would be helpful in supporting the child and his grief?

a) Allowing the child to engage in dramatic play and permitting Josh express his emotions
b) Limiting the child’s attendance to half days because he is demonstrating regressive behaviors and wetting his pants
c) Punishing the child when he cries about his mother’s death
d) Discouraging the child to talk about his mother and share stories

A

a) Allowing the child to engage in dramatic play and permitting Josh express his emotions

26
Q

When working with a patient with different cultural beliefs from your own, one way to demonstrate cultural sensitivity is to:

a) adopt the values and behaviors of the patient’s culture.
b) detach from one’s own cultural identity.
c) use cultural resources during interventions.
d) share your own beliefs with the patient.

A

c) use cultural resources during interventions.

27
Q

The child life specialist engages in imaginary role play with a child in Jean Piaget’s Dramatic Play stage after multiple IV attempts. The child chooses to be the nurse and uses toy medical materials to take care of a stuffed animal. This interaction meets the child life specialist’s main objective of

a) Preparation
b) Relaxation
c) Self-expression
d) Rapport Building

A

c) Self-Expression

28
Q

The child life specialist is performing an assessment on a newly admitted patient and family which includes parents and a school-aged sibling. The patient and parents have been prepared for a long hospital stay which has included a tour of the unit and the introduction of child life services. What else needs to be addressed according to Family Systems Theory?

a) The location of the chapel and cafeteria
b) The comprehension and needs of the sibling
c)How to contact social work
d) The patient’s plans for school

A

b) The comprehension and needs of the sibling

29
Q

The death of a child brings about many experiences for the families involved. The internal meaning given to the experience of bereavement, also defined as “the thoughts and feelings that are experienced when someone they love dies” is called what?

a) Grief
b) Mourning
c) Bereavement
d) Loss

A

a) Grief

30
Q

Play is utilized by child life specialists to achieve a number of goals. When using play in a true therapeutic manner the three main objectives are?

a) Provide a supportive environment, offer opportunity for expression, and encourage creativity
b) Establish contact, encourage development, and clear misconceptions
c) Promote observation and collect useful data, establish rapport, and interpret behaviors
d) Engage the child in their medical experience, offer opportunity for expression, and entertain child

A

c) Promote observation and collect useful data, establish rapport, and interpret behaviors

31
Q

A patient, alone in their hospital room, is visited by staff before/after their scheduled shift hours. However, a child life specialist chooses not to visit the patient before/after their scheduled shift hours. This choice is an example of:

a) Practicing prioritization
b) Maintaining professional boundaries
c) Showing laziness
d) Experiencing apathy

A

b) Maintaining professional boundaries

32
Q

A patient discloses that his caregiver is abusive and asks the child life specialist not to tell anyone. According to mandated reporting laws and the Child Life Code of Ethics, the child life specialist should:

a) Consult social work and clearly document what the patient stated.
b) Page/call all child life staff to inform what the patient said.
c) Tell the patient that they won’t tell anyone.
d) Ask the patient’s father if this is true.

A

a) Consult social work and clearly document what the patient stated.

33
Q

A child life specialist that believes they are the only person who can provide proper care and acts territorial with the patient is displaying which type of the following professional-patient relationship?

a) Therapeutic
b) Under involved
c) Overinvolved
d) Personal

A

c) Overinvolved

34
Q

A newly hired child life specialist is struggling with a complex patient case due to multiple disciplines involved in the patient’s care and lack of confidence in their work. The child life specialist should seek which opportunity for professional growth:

a) Information from the internet
b) Support from friends and family
c) Guidance from their clinical supervisor
d) Opportunities for meditation

A

c) Guidance from their clinical supervisor

35
Q

The child life specialist and pharmacist works collaboratively, integrating knowledge to create a cohesive medicine plan that supports the unique needs of a toddler patient. Which of the following team models represents the co-treatment represented here:

a) Hierarchy team model
b) Multidisciplinary team model
c) Intradisciplinary team model
d) Interdisciplinary team model

A

d) Interdisciplinary team model

36
Q

A child life specialist receives a request from an adolescent patient to make a social media video with her. How should the child life specialist respond?

a) The child life specialist actively participates in the social media video with the patient.
b) The child life specialist discusses with the patient how making a video may be one form of self-expression and encourages the patient to consider what personal information they may or may not want to share.
c) The child life specialist supports the patient in making the video and then reposts the patient’s social media video to their personal account.
d) The child life specialist declines making the video as they must maintain a clinical relationship.

A

b) The child life specialist discusses with the patient how making a video may be one form of self-expression and encourages the patient to consider what personal information they may or may not want to share.

37
Q

A newly diagnosed adolescent patient requires a complex treatment plan. The child life specialist asks the patient which information to best support the unique cultural preferences in decision making of care?

a) Preference of oral vs intravenous medication
b) Preference of patient’s elders options in care
c) Preference of psychological preparation method
d) Preference of distraction method during treatments

A

b) Preference of patient’s elders options in care

38
Q

A patient’s caregiver discloses multiple family stressors to the child life specialist. Which of the following theories would a child life specialist consider when assessing this family’s potential stressors and challenges?

a) Ecological Systems Theory
b) Attachment Theory
c) Behaviorism Theory
d) Family Systems Theory

A

d) Family Systems Theory

39
Q

When a child life specialist exhibits an unprofessional emotional response towards a patient due to the patient’s behavior, attitude or demeanor this is an example of:

a) Overreaction
b) Annoyance
c) Countertransference
d) Transference

A

c) Countertransference

40
Q

An 18-month-old child has been left alone in their hospital room as their caregiver leaves for the first time. The child is crying, inconsolable, and continues to look towards the door. According to Bowlby, this initial stage of separation is also called:

a) Despair
b) Denial
c) Protest
d) Detachment

A

c) Protest

41
Q

A child that copes with a procedure by ignoring the details and acting as if nothing is happening may be characterized as a(n):

a) Sensitizer
b) Avoider
c) Looker
d) Distractor

A

b) Avoider

42
Q

When making an initial assessment, the child life specialist asks a family about their values, norms, traditions, and customs. The child life specialist is exploring the family’s:

a) Nationality
b) Race
c) Religion
d) Culture

A

d) Culture

43
Q

A child life specialist uses Piaget’s development theory in their assessment of a 3 year-old patient. Which of the following is not developmentally appropriate for a typically developing 3 year-old according to Piaget’s developmental theory?

a) An ability to hold or recall images
b) An increasing use of symbolism
c) An understanding of the meaning of series of actions
d) A highly egocentric perception of the world

A

c) An understanding of the meaning of series of actions

44
Q

A child life specialist applies scaffolding techniques to help a 7 year-old patient learn about their new complex medical diagnosis and as a result, the patient is able to verbalize a deeper level of understanding, exceeding what they would otherwise be able to achieve on their own. This is an example of applying which developmental theory?

a) Vygotsky’s sociocultural theory of cognitive development
b) Erikson’s psychosocial development theory
c) Piaget’s cognitive development theory
d) Bowlby’s attachment theory

A

a) Vygotsky’s sociocultural theory of cognitive development

45
Q

The outward expression of grief is defined as:

a) Bereavement
b) Sadness
c) Mourning
d) Crying

A

c) Mourning

46
Q

A child life specialist advocates for family presence and prepares play materials for siblings during a patient’s end-of-life care in the hospital. The child life specialist is providing which type of intervention?:

a) Psychological preparation
b) Distraction
c) Art therapy
d) Support interventions for loss/grief

A

d) Support interventions for loss/grief

47
Q

A typically developing 3-year-old has been hospitalized for several weeks following an injury. Which of the following types of play would be the most appropriate for a child life specialist to provide for this patient?

a) Competitive play with board games
b) Symbolic/pretend play with a doll and bandages
c) Sensorimotor play with rattles
d) Self-expressive play through lyric analysis and songwriting

A

b) Symbolic/pretend play with a doll and bandages

48
Q

A 7 year-old patient is admitted after orthopedic surgery and requires regular dressing changes. As an intervention, the child life specialist provides non-directed play with fake and real medical dressing change supplies. What type of play is this?

a) Normalization play
b) Healthcare play
c) Building rapport
d) Therapeutic play

A

b) Healthcare Play

Child Life Exam (6 decks)

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