Practice Test 5

Question 1

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

Answer 1

b) decreased time to first ambulation after surgery

Question 2

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

Answer 2

c) separation from parents

Question 3

Fundamental to an adolescent’s successful coping is maintaining their sense of:
a) mastery and control
b) physical limitations
c) humor
d)family support

Answer 3

a) mastery and control

Question 4

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

Answer 4

d) a child has had imminent or recent experience of intensive care, Trauma, or emergency room care

Question 5

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

Answer 5

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

Question 5

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

Answer 5

b) sleeps excessively

Question 6

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

Answer 6

d)in the physician’s office as soon as the admission is scheduled

Question 7

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

Answer 7

a) temperament

Question 8

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

Answer 8

d) lecture format

Question 8

The most beneficial play activities for children in health care settings are:
a) emotionally charged
b) highly-structured
c) open ended
d) passive

Answer 8

c) open ended

Question 9

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

Answer 9

d) an unsteady gait

Question 10

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

Answer 10

c)Refer to research procedures which produce descriptive data

Question 11

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

Answer 11

b) a few hours before the procedure

Question 12

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

Answer 12

b)denial

Question 13

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

Answer 13

c) I and III

Question 14

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

Answer 14

d) explaining children’s developmental concepts of grief and death

Question 15

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

Answer 15

c) preschool 3-6

Question 16

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

Answer 16

c) practices that increase environmental predictability

Question 17

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

Answer 17

b) refers to one variable consistently increasing or decreasing in unison with another variable

Question 18

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

Answer 18

d) positive touch

Question 19

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

Answer 19

d) decreased activity level

Question 20

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

Answer 20

a) experimental

Question 21

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

Answer 21

b) develop supportive relationships and build trust

Question 22

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

Answer 22

a) trust v mistrust

Question 23

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

Answer 23

c) the child uses the coping skills during the procedure

Question 24

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

Answer 24

b) Demonstrating respect for all healthcare professionals

Question 25

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

Answer 25

a) Can be acquired, changed, or eliminated through personal experiences

Question 26

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

Answer 26

a) clarify expectations are responsibilities

Question 27

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

Answer 27

a) having the parents present

Question 28

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

Answer 28

d) Protest, Despair, and detachment

Question 29

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

Answer 29

b) animism

Question 30

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

Answer 30

c) performance level in school

Question 31

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

Answer 31

b) developmental level

Question 32

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

Answer 32

b) 6 months to 4 years

Question 33

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

Answer 33

b) 3-7 years old

Question 34

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

Answer 34

d) distraction strategies

Question 35

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

Answer 35

c) social

Question 36

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”

Answer 36

c) playing “hide-and-seek”

Question 37

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

Answer 37

a) problem-focused coping

Question 38

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

Answer 38

a) James Robertson

Question 39

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

Answer 39

d\d) distribution of goals for patient care to other team members

Question 40

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

Answer 40

a) maintain contact and support by various methods

Question 41

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

Answer 41

d) developmental status

Question 42

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

Answer 42

c) control, independence, and predictability

Question 43

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

Answer 43

a) coach his/her volunteers

Question 44

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

Answer 44

d) a decrease in the number of circulating white blood cells

Question 45

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

Answer 45

d) monitor misconceptions revealed through play

Question 46

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

Answer 46

b) emotion-focused coping

Question 47

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

Answer 47

a)ensure a level of quality and consistency of care and practice within the program

Question 48

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

Answer 48

d) preparation of each individual child should be the responsibility of one person, but this person should be supported by other staff members