Practice Test 4 Flashcards

1
Q

What developmental stage characterizes the struggle between dependence and independence, and the questioning of traditional values?
A) Infancy
b)Preschool age
c) Elementary Age
d) Adolescence

A

D) Adolescence

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2
Q

What should a CLS look for when assessing a child and family?
a) A wide range of variables and systems that influences the successful management of stressors
b) Adaptive behaviors and how the child reacted to past medical experiences and stressors
c) the impact of parenting styles on the child’s ability to adjust to stressful situations
d) the child’s mastery of stressful situations and changes in thinking

A

a) A wide range of variables and systems that influences the successful management of stressors

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3
Q

What is the primary research technique in a co-relational study?
a) Performing experimental manipulations of independent variables to assess their effects on dependent variables
b) Performing simultaneous comparisons of a cohort in terms of age of subjects and time measurements
c) Describing the relationships between variables, without experimental manipulations
d) Comparing the effects of different values of an independent variable on the same subject

A

c) Describing the relationships between variables, without experimental manipulations

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4
Q

When assessing stress potential of a child the CLS should seek which of the following?
a) Previous healthcare experiences
b) Parental presence
c) pain threshold
d) siblings and their needs

A

a) Previous healthcare experiences

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5
Q

What should a CLS be able to assess through observations of a child’s play?
a) Temperament
b) Socioeconomic status
c) Intelligence
d) Religious beliefs

A

a) Temperament

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6
Q

What is an outcome of providing psychological preparations?
a) Decrease in crying and protesting
b) healthcare provider is seen as less threatening
c) decrease stress and anxiety
d) patient does not move during procedure

A

c) decrease stress and anxiety

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7
Q

What is the sequence of reactions of young children to separation of primary caregiver?
a) sadness, anger, and depression
b) protest, Despair, detachment
c) regression, rage, sadness
d) anger, longing, hopelessness

A

b) protest, Despair, detachment

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8
Q

What is the purpose of encouraging patients who are 13-18 year old to dress in their own clothes and maintain personal grooming and hygiene during hospitalization?
a) supporting hospital cost-containment measures
b) encouraging independence and self-responsibility
c) facilitating adjustment by normalizing the hospital environment
d) promoting healthy relationships between patient and peers

A

c) facilitating adjustment by normalizing the hospital environment

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9
Q

When a child expresses negative, hostile, or aggressive feelings during play, what action should the CLS take?
a) use distracters to redirect play
b)validate child’s feelings
c) ignore child’s remarks
d) help the child to empathize

A

b)validate child’s feelings

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10
Q

What can a CLS accomplish by observing a child’s play?
a) an assessment of the child’s regression to earlier levels of development
b) analysis of family system information to reveal sibling issues
c) Identification of psychopathological responses of the child to hospitalization
d) an ability to interject parts of the child’s play that are missing due to distress

A

a) an assessment of the child’s regression to earlier levels of development

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11
Q

Which of the following is the most important to remember when documenting in a patient;s chart or medical record by hand or in an electronic format?
a) it is available for viewing in the medical record office
b) it should include as much information as possible
c) it is a legal document admissible in court
d) it is subjective in detailing patient issues

A

c) it is a legal document admissible in court

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12
Q

What is a passive response to the stressors of hospitalization?
a) Whining
b) Excessive sleeping
c) displaying compulsive behavior
d) gaze avoidance

A

b) Excessive sleeping

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13
Q

When a 9-year-old is using thumb sucking as a coping mechanism, he/she may be displaying which of the following behaviors?
a) regression
b) suppression
c) denial
d) withdrawal

A

a) regression

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14
Q

A child who has been severely injured is upset by a visiting entertainer who asks what happened to the child’s face. What action should the CLS have taken to avoid the situation?
a) assigned a volunteer to protect the child from painful questions
b) informed the guest about acceptable ways of interacting with patients
c) enlisted a volunteer to engage in an alternative activity the child
d) seated the child in an area away from the center of attention

A

b) informed the guest about acceptable ways of interacting with patients

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15
Q

Which of the following best describes the behavior exhibited by a child who resists taking medication?
a) overt
b) adaptive
c) passive
d) regressive

A

a) Overt

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16
Q

Which of the following activities should be implemented to provide an opportunity for a volunteer to express feelings arising from his/her work?
a) continuing education experiences
b) orientation sessions with the health care team
c) regularly scheduled meeting with supervisor
d) variation of activities through the volunteer office

A

c) regularly scheduled meeting with supervisor

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17
Q

A 14-yo siblings response to his sister who is dying is “I don’t know what everyone’s so concerned about. She will pull through; she always does.” What type of coping effort best describes this comment?
a) Psychological
B) Emotion-focused
c) Physiological
d) Problem-focused

A

A) Psychological

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18
Q

What type of care recognizes primary family caregivers as the experts in care of the child?
a) family-allied
b) family-focused
c) family-centered
d) family-expert

A

C) family-centered

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19
Q

What should be considered when evaluating a child life plan of care?
a) goal to be achieved
b) available resources
c) patient satisfaction scores
d) results of questionnaire

A

A) goal to be achieved

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20
Q

Which of the following represents the effective process for problem solving?
a) Problem identification, implementation, problem analysis, and idea generation
b) self evaluation, professional boundaries, respecting, diversity, and problem analysis
c) Problem identification, problem analysis idea generation, and implementation
d) problem analysis, self-evaluation, professional boundaries, and respecting diversity

A

C) Problem identification, problem analysis idea generation, and implementation

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21
Q

How can the use of statistics, numerical analysis, and databases be beneficial to a child life program?
a) assist in evaluation and program development
b) provide standards for rewriting job descriptions
c) provide a framework for evaluating competency
d) assist in creating staff development programs

A

A) assist in evaluation and program development

22
Q

Which of the following is true regarding documentation in the medical record?
a) it provides basic communication for the health care team
b) it is the primary function of child life specialist
c) it should be limited to notes regarding the patient’s physical health
d) it should contain only objective notes from the child life specialist

A

A) it provides basic communication for the health care team

23
Q

Which of the following describes the CLS obligation to demonstrate veracity?
a) being truthful
b) being timely
c) being trusting
d) being tenacious

A

A) being truthful

24
Q

A CL student is frustrated by his/her inability to reduce the fears and anxiety of a four-year-old child. The student reacts by overindulging the child. What action should the supervising CLS take?
a) Assign the student to a child who is less anxious to promote success
b) Assume responsibility for the child’s care and have the student
c) Encourage self-reflection to develop more effective future interactions
d) transfer the student to work with patients in a different age group

A

c) Encourage self-reflection to develop more effective future interactions

25
Q

Which of the following is the best technique for detecting fears, concerns, or misconceptions of a four-year-old child?
a) Asking parents about their observations
b) noting interactions with the health care team
c) utilizing the child behavior checklist
d) observing health care and expressive play

A

d) observing health care and expressive play

26
Q

What reaction is most likely to occur in a 17-year-old athlete who sustained an injury resulting paralysis?
A) shame and doubt
B) inferiority
C) Guilt
D) Identify diffusion

A

D) Identify diffusion

27
Q

A three-year- old child is being admitted for cardiac surgery in 6 weeks. Which of the following suggestions should the CLS make when discussing preparation with the child’s family?
a) Give the child age-appropriate information within a few days to a week of admission
b) prepare the child far ahead of time as to allow ample time for coping and adjustment
c) Encourage developmentally-appropriate magical thinking to dispel hospital fantasies
d) Offer to provide weekly medical play sessions prior to hospital admission

A

a) Give the child age-appropriate information within a few days to a week of admission

28
Q

Which of the following could be a response to hospitalization for an infant?
a) dependency
b) regression
c) feeding aversion
d) failure to bond

A

d) failure to bond

29
Q

Hospital policies which encourage on-going peer relationships demonstrate responsiveness to which of the following age groups?
a) 11 months - 2 years old
b) 3-5 years old
c) 6-11 years old
d) 12-18 years old

A

d) 12-18 years old

30
Q

What is the purpose of providing opportunities for children to engage in health care play?
a) to normalize environment
b) to provide opportunities for role identity
c) to distract patients from the expressing feelings
d) to avoid the use of real medical equipment

A

a) to normalize environment

31
Q

In preparing a four-year-old for surgery, which of the following should be included?
a) sensory information
b) abstract ideas
c) privacy issues
d) detailed pictures

A

A) sensory information

32
Q

Which of the following is an important strategy found to be helpful when preparing 3&4 year old children for surgery?
a) Offering applicable choices to provide a sense of control
b) arranging for preparation to the parent or guardian over the phone
c) providing preparation to the parent or guardian over the phone
d) inviting their friends to attend the hospital tour with patient

A

A) Offering applicable choices to provide a sense of control

33
Q

In addition to a child-oriented atmosphere, creative materials, and hospital objects, meaningful play for children in health care also requires which of the following?
a) space for privacy from others when desired
b) other hospitalized children for playmates
c) A permission-giving. responsive adult
d) an adult to direct play and set limits

A

c) A permission-giving. responsive adult

34
Q

Which of the following is the type of research design in which a group of participants is studied repeatedly at different ages?
a) correlation studies
b) experimental studies
c) cross sectional studies
d) longitudinal studies

A

d) longitudinal studies

35
Q

Why is it important to ask a child to describe the pain they are experiencing?
a) to provide an opportunity for rapport building
b) to learn about their perceptions of their plan.
c) to heighten awareness about the physical sensation of pain\
d) to assist the doctor in prescribing pain medication

A

b) to learn about their perceptions of their plan.

36
Q

A collaborative approach to care includes all member of the team: children, families, health, professionals, and which of the following?
a) Donors
b) Community
c) Administration
D) Volunteers

A

b) Community

37
Q

Which of the following actions should the CLS take in order to most effectively assess and interact with infants, children , youth and families?
a) attend psychosocial rounds to advocate for patients struggling with hospitalization
b) organize daily routines and calendars for group activities based on the severity of illness
c) prioritize daily workload in relation to direct and indirect patient care responsibilities
d) Match interactions and activities to developmental level, emotional state, and individual needs

A

d) Match interactions and activities to developmental level, emotional state, and individual needs

38
Q

When interviewing a family, which of the following is most important to assess?
a) child’s interest and talents
b) child’s position in the family
c) child’s developmental level
d) child’s grade in school

A

c) child’s developmental level

39
Q

A family’s level of coping is most directly related to which of the following?
a) social class
b) support system
c) level of education
d) religious denomination

A

b) support system

40
Q

To facilitate the transition to home after an extended stay in the hospital, which of the following is important for a CLS to encourage?
a) the immediate return to normal activities and routines at home
b) a discussion of the child’s limitations which school officials
c) education of the patient on the physical details of hi/her illness
d) parents’ awareness of typical post-discharge behaviors in children

A

d) parents’ awareness of typical post-discharge behaviors in children

41
Q

A child expresses reluctance to return home following an extended stay in the hospital. What action should the CLS take?
a) Document concerns and share information with healthcare team
b) refer the child and family to a social worker for the future assessment
c) validate the child’s feelings while addressing specific concerns
d) reassure the child that the return to a familiar environment will help

A

c) validate the child’s feelings while addressing specific concerns

42
Q

Why is early and continual assessment of the child’s and family’s changing medical and psychological situation necessary?
a) identify the best ways to help reduce stress and promote comping
b) project a positive professional image to the health care team
c) determine if the parents understand their child’s prognosis
Support the continued interventions of a child life staff

A

a) identify the best ways to help reduce stress and promote comping

43
Q

What is the most important reason for the CLS to involve a child’s family in the planning of the child’s birthday celebration?
a) it is the family’s responsibility to have a party for the event
b)involvement of the family supports the natural role of the family
c) the work load will be reduced for the child life department
d) The family will be expected to fund the party if they are involved

A

b)involvement of the family supports the natural role of the family

44
Q

What does HIPPA regulate and protect?
a) the patient’s electronic medical records and SSN
b) The disclosure of pre-existing conditions for individuals seeking health insurance
c) the right for families who lose their health insurance to continue receiving group benefits for a limited time
d) the use and disclosure of protected health information that can be used to identify the subject

A

d) the use and disclosure of protected health information that can be used to identify the subject

45
Q

Which of the following best describes interactions that help children and families understand health care information?
a) they are individualized, accurate, and age-appropriate
b) they use playful techniques that integrate humor
c) the focus on being positive and minimizing stressful information
d) the include information that the patient and family want to learn

A

a) they are individualized, accurate, and age-appropriate

46
Q

Which of the following is the theoretical basis in support of play behavior in hospitalized children?
a) Children are under stress and thus require adult guidance during play
b) directed play activities are the most therapeutic
c) specialized equipment is necessary to achieve positive outcomes
d) children may express ideas and feelings in play that they are unable to express verbally

A

d) children may express ideas and feelings in play that they are unable to express verbally

47
Q

Which of the following is an example of behaviors that strengthen the predictability and reliability of supportive relationships between CLS, children and families?
a) Hello and goodbye rituals
b) regular playroom hours
c) Permission for parental presence
d) group preparation tours

A

a) Hello and goodbye rituals

48
Q

How do children who are sensitizes deal with imminent distress?
a) displaying anticipatory worry
b) ignoring details of impending distress
c) acting as if nothing is happening
d) turning away from the procedure

A

a) displaying anticipatory worry

48
Q

Which of the following is a developmentally appropriate intervention for supporting a ten-year-old during a lumbar puncture?
a) giving parents the choice to stay during procedure
b) providing information about the sequence of events
c) reassuring the child that the procedure will not be painful
d) describing to the child how a three-year-old managed the procedure

A

b) providing information about the sequence of events

49
Q

Which of the following is an essential topic for volunteer training?
a) leading health care play
b) parent interviewing techniques
c) infection control procedure
d) accessing medical records

A

c) infection control procedure