Practice Test 5 Flashcards
Research has shown that music provides all of the following benefits for hospitalization children except:
a) decreased distress
b) decreased time to first ambulation after surgery
c) increased coping with traumatic effects of illness and treatment
d) reduced anxiety, fear, and pain prior to medical procedures
b) decreased time to first ambulation after surgery
Which of the following is the greatest stressor for most hospitalized preschool children?
a) painful procedures
b) the hospital environment
c) separation from parents
d) lack of apparent routines
c) separation from parents
Fundamental to an adolescent’s successful coping is maintaining their sense of:
a) mastery and control
b) physical limitations
c) humor
d)family support
a) mastery and control
When prioritizing child life care, what is the most crucial factor?
a) a child with chronic illness
b) a child ceases play when the nurse is present
c) hospitalization may pose a threat to the family’s ability to cope
d) a child has had imminent or recent experience of intensive care, Trauma, or emergency room care
d) a child has had imminent or recent experience of intensive care, Trauma, or emergency room care
When a terminally ill eight-year-old expresses feelings about death, such as Despair and loneliness, during expressive play, the CLS should:
a) change the subject and refocus play on a lighter topic to avoid further upsetting the child
b) assure the child that he/she will not die and that the healthcare ream will keep him/her safe
c) continue to support the child in play, trusting that children open up to others only to the extent that they feel safe in doing so
d) redirect the play to a less emotional level and request that the child be seen by a psychologist
c) continue to support the child in play, trusting that children open up to others only to the extent that they feel safe in doing so
A passive response to the stress of hospitalization is most likely illustrated by a child who:
a) exhibits fear of needles
b) sleeps excessively
c) cries incessantly
d) clings to parents
b) sleeps excessively
Preparing parents for a child’s hospitalization ideally should begin:
a) During the pre-admission assessment visit to the hospital
b)Through a private phone call to the parents initiated by a designated pediatric staff member
c) during a scheduled pre-admission tour which includes the entire family
d)in the physician’s office as soon as the admission is scheduled
d)in the physician’s office as soon as the admission is scheduled
Alexander Thomas and Stella Chess were two psychiatrists whose research findings determined nine identifiable traits in newborns that remain intact for life. These traits are the basis of:
a) Temperament
b) Verbal Skills
c) Cognitive Development
d) Gross motor skills
a) temperament
To prepare orientation activities for students and volunteers, it is advisable to minimize the use of:
a) handouts
b) audio-visual format
c) active involvement format
d) lecture format
d) lecture format
The most beneficial play activities for children in health care settings are:
a) emotionally charged
b) highly-structured
c) open ended
d) passive
c) open ended
A definitive sign of ataxia in a child would be:
a) difficult breathing
b) refusal to eat
c) problems with speech
d) an unsteady gait
d) an unsteady gait
Qualitative methods of research:
a) Are seldom used due to the medical community’s preference for quantitative data for complete statistical analysis
b) Are considered to be of limited value to CLS
c)Refer to research procedures which produce descriptive data
d) refer to research procedures in which statistical analysis of data is inherent in the design
c)Refer to research procedures which produce descriptive data
Preparation of a preschool child for a medical procedure is most effective when performed:
a) immediately before the procedure
b) a few hours before the procedure
c) a few days before procedure
d) a few weeks before the procedure
b) a few hours before the procedure
All the following defined by James Robertson (1958) and John Bowlby (1960) describe a young child’s response to separation except:
a) protest
b) denial
c) despair
d) detachment
b)denial
Which of the following statement(s) is/are accurate for a school-age sibling?
I. Sibling presence often enables play for the hospitalized child
II. School-age siblings who are developing normally are no longer vulnerable to the use of fantasy to explain the unknown
III. School-age siblings usually can be incorporated into a playroom activity alongside patients
IV. Separate sibling play areas are less than optimal because they keep family members apart.
A) III only
B) I and II only
C) I and III only
D) II and IV only
c) I and III
All of the following areas are essential when orienting students and volunteers except:
a) Summarizing the philosophy and goals of the program
b) presenting needs and roles of the child and family during the hospital stay
c) discussing the disadvantages of getting attached to the patient emotionally
d) explaining children’s developmental concepts of grief and death
d) explaining children’s developmental concepts of grief and death
Which age group is most likely to believe death is reversible?
a) infant 0-1
b) Toddler 1-3
c) preschooler 3-6
d) school-age 6-9
c) preschool 3-6
Which of the following with best facilitate coping in a preschool child who is intubated and in an intensive care unit?
a) Regular multidisciplinary teaching rounds
b) opportunities for dramatic play
c) practices that increase environmental predictability
d) visitations by volunteers and peers
c) practices that increase environmental predictability
The term “correlation”:
a) refers to changes in a dependent variable as a function of manipulation of one or more independent variables
b) refers to one variable consistently increasing or decreasing in unison with another variable
c) generally implies causation in two independent variables
d) is not a very reliable statistic in quantitative research
b) refers to one variable consistently increasing or decreasing in unison with another variable
To hold, rock, and pat young children, give massage, and return hugs initiated by patients are examples of
a) positive positioning
b) physical conditioning
c) vestibular interventions
d) positive touch
d) positive touch
Which of the following is a common passive manifestation of psychosocial upset exhibited by hospitalized children?
a) peer difficulties
b) self-destructive behavior
c) aggressive behavior
d) decreased activity level
d) decreased activity level
A research study randomly assigns children to one of three different preparation approaches. Which kind of research design is this study using?
a) experimental
b) collaborative
c) correlational
d) descriptive
a) experimental
The CLS has determined that a newly diagnosed 9-year-old is acting withdrawn. the first step in the care plan should be:
a) interview patient to identify specific concerns
b) develop supportive relationships and build trust
c) bring another patient of similar age to visit
d) escort her to the playroom to find appropriate play materials to take to her room
b) develop supportive relationships and build trust
Based on Erik Erikson’s developmental theory, which of the following stages applies to Infancy?
a) Trust v Mistrust
b) industry v inferiority
c) initiative v doubt
d) autonomy v shame
a) trust v mistrust
A CLS teaches a child coping skills for a procedure. The success of the intervention is measured by how:
a) much the child cries during the procedure
b) soon the child returns after the procedure
c) the child uses the coping skills during the procedure
d) quickly the physician completes the procedure
c) the child uses the coping skills during the procedure
All of the following are principles from the Code of Ethical Responsibilities for Child Life Council members except:
a) Recognizing when personal needs are interfering with professional duties
b) Demonstrating respect for all healthcare professionals
c) sharing patient information with hospital staff on the unit
d) making referrals when a service needed is beyond the child life professional’s qualifications
b) Demonstrating respect for all healthcare professionals
An accurate statement about coping strategies employed by hospitalized children is that they:
a) Can be acquired, changed, or eliminated through personal experiences
b) Are innate and stimulated by traumatic events
c) have limited value for preschool children
d) Remain constant from infancy through pre-adolescence
a) Can be acquired, changed, or eliminated through personal experiences
A job description for volunteers should:
a) clarify expectations are responsibilities
b) list expectations for volunteer experience and talents
c) identify names of individuals to whom volunteers report
d) clarify terms of termination
a) clarify expectations are responsibilities
The best method for preventing separation anxiety during a procedure is:
a) having the parents present
b) having a CLS present
c) Consistently having the same physician perform all procedures
d) having the parents leave a transitional object with the child
a) having the parents present
According to Bowlby, what are the three phases of separation anxiety?
a) Distress, ambivalence, and depression
b) trust, mistrust, and guilt
c) protest, Despair, and depression
d) Protest, Despair, and detachment
d) Protest, Despair, and detachment
Characteristics of a preschool child that would be used while preparing him/her for medical procedures would include:
a) a sense of autonomy
b) animism
c) limited language skills
d) a sense of industry
b) animism
All of the following contribute to an assessment of a child’s potential vulnerability in a stressful situations except:
a) chronological age
b) response to similar situations in the past
c) performance level in school
d) parental stressors
c) performance level in school
Health care providers facilitating preparation for health care experiences should first and foremost consider a child’s:
a) family structure
b) developmental level
c) medical condition
d) Personality
b) developmental level
The age range of children most vulnerable to psychological upset related to hospitalization is:
a) birth to 2 1/2 years olf
b) 6 months to 4 years
c) 2 years to 3 years
d) 3 years to 6 years
b) 6 months to 4 years
A child is being prepared for a hernia repair. Which age group would most likely need to be assured that their condition is not the result of their thoughts and actions?
a) 1-3 yo
b) 3-7 yo
c) 7-9 yo
d) 9-11 yo
b) 3-7 years old
Children who use passive or avoidant coping strategies to deal with a venipuncture are most likely to benefit from:
a) comprehensive information about the procedure
b) sedation during procedure
c) cognitive-behavior therapies
d) distraction strategies
d) distraction strategies
To be comprehensive, the CLS’s developmental assessment should include the physical, Cognitive, affective, and which of the following other domains?
a) medical
b) play
c) social
d) environmental
c) social
Which of the following activities would be most effective in helping a toddler address the issues of autonomy and separation?
a) reading a book on separation
b) discussing separation
c) playing “hide-and-seek”
d) playing “house”
c) playing “hide-and-seek”
Problem-solving behaviors directed toward changing something in the environment are referred to as:
a) problem-focused coping
b) emotion-focused coping
c) stress appraisal
d) unconscious stress
a) problem-focused coping
Which of the following authors was instrumental via film and writing in establishing hospital policies regarding unlimited parental visitation?
a) James Robertson
b) Anna Freud
c) Margaret Mahler
d) John Bowlby
a) James Robertson
Which of the following does not demonstrate a CLS’s commitment to collaboration?
a) advocacy efforts
b) projects to further the mission of the health care facility
c) participation in committee work
d) distribution of goals for patient care to other team members
d\d) distribution of goals for patient care to other team members
Of the following, which is the most appropriate way for a schoolteacher to provide support at home or in the hospital for a child who is ill?
a) maintain contact and support by various methods
b) make certain all schoolwork is collected and sent to child
c) reduce academic expectations of the child
d) ensure that the class is knowledgeable about the child’s illness
a) maintain contact and support by various methods
Observation of children engaged in health care play gives accurate information about all of the following except:
a) coping effectiveness
b) high levels of anxiety related to health care events
c) understanding of health care procedures
d) developmental status
d) developmental status
The mother of an 8-year-old child with leukemia reports frustration regarding her daughter’s ability to cope with the medical experience. One of the interventions a CLS suggests is a daily schedule, for the following reasons:
a) participation, predictability, and expression
b) motivation, expression, and control
c) control, independence, and predictability
d) participation, control, and expression
c) control, independence, and predictability
One characteristic of good volunteer supervisors is the ability to:
a) coach his/her volunteers
b) give feedback only at scheduled meetings
c) problem solve for volunteers
d) allow volunteers to interact with children by trail and error
a) coach his/her volunteers
A child with neutropenia has which of the following
a) decreased blood flow to lungs
b) an enlarged liver and spleen
c) calcification of the joints
d) a decrease in the number of circulating white blood cells
d) a decrease in the number of circulating white blood cells
When engaging in medical play with a child, the CLS should do all of the following except:
a) provide realistic materials
b) allow the child the choice of avoiding play
c) correct any apparent misconceptions as they are revealed
d) monitor misconceptions revealed through play
d) monitor misconceptions revealed through play
The coping effort in which one’s behavior is directed toward dealing with the distressing thoughts and feelings that accompany stressful situations is:
a) problem-focused coping
b) emotion-focused coping
c) resolution-focused coping
d) equilibrium-focused coping
b) emotion-focused coping
The child life program must have written policies and procedures to meet the requirements of accrediting agencies and to:
a)ensure a level of quality and consistency of care and practice within the program
b) ensure equal status with other disciplines in the health care environment
c) effectively recruit volunteers and students for the child life program
d) effectively present the program to business in the community for grant funding
a)ensure a level of quality and consistency of care and practice within the program
Which of the following is an appropriate guideline to follow when preparing a child for potential stress-inducing events?
a) young children need to have their preparation accompanied with appropriate audio-visuals while adolescents prefer verbal explanations
b) two- and three-year old children need preparation at least 2 weeks in advance so they have ample time to develop appropriate coping skills
c) all children should be prepared except for those who show no interest or whose parents request no preparation be given
d) preparation of each individual child should be the responsibility of one person, but this person should be supported by other staff members
d) preparation of each individual child should be the responsibility of one person, but this person should be supported by other staff members
