Practice Test 1 Flashcards
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
B) Create an opportunity for parents to be with their child to say goodbye
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) Detachment
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) 3-5 years
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) Include siblings in indirect activities, such as phone calls, letters, etc., if siblings cannot be together
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) Utilize existing services and activities of the community
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
B) Objective of the program
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
(B) Assessment, plan, intervention, and evaluation
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
(C) Modeling play interactions by engaging the caregiver and child
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
C) Sensitizer
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
C) Guilt
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
B)To support parental presence and facilitate family and professional collaboration
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
(B) Emotional tension and grief
Which of the following is a common passive response exhibited by children in hospitals?
(A) Resisting medication
(B) Excessive sleeping
(C) Crying
(D) Aversion
B) Excessive Sleeping
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
B) Refusing Medication
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
D) Reviewing the Medical Record
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
D) Modeling
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
D) Possessing the ability to tolerate ambiguity
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.
D) Communicating their needs
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) Make an assessment and follow up with the appropriate interventions
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
(B) Provide information about community resources
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
(B) Word-Thing confusion
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
D) Universality
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) Offer choices about what the child will do during the procedure
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) To increase feelings of inclusion
