Practice Test 6 Flashcards by Jennifer Brockman

What are the “child variables” in child life planning in a stress potential assessment?
a) Responses to previous separation from home and family
b) sibling and reaction to hospitalization
c)anticipation of treatment and procedures
d) values of health care professionals involved

a) Responses to previous separation from home and family

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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) developmental level of the child
d) child’s grade in school

c) developmental level of the child

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When prioritizing patients regarding potential for psychological upset, which factor should be taken into consideration?
a) age
b) gender
c) cultural identity
d) socio-economic status

a) age

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A 14-year-old sibling’s 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)Psychological

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

b) Excessive sleeping

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Which of the following best describes why typical development may be interrupted for children with chronic health conditions?
a) frequent medical visits
b) difference from peers
c) falling behind in school
d) lack of social skills

a) frequent medical visits

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Which of the following is the primary reason for the CLS to conduct an initial assessment of the patient’s and family’s needs?
a) Plan interventions based on the patient and family’s interests
b) formulate realistic patient and family treatment goals
c) understand the patient’s and family’s reactions to the environment
d) increase patient and family satisfaction with services

b) formulate realistic patient and family treatment goals

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The CLS may achieve which of the following through observing a child’s play?
a) An assessment to the child’s regression to earlier levels of development
b) an ability to interject parts of the child’s play that are missing due to distress
c) diagnose psychopathological responses of the child to hospitalization
d) analyze family system information to uncover sibling issues

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

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

b) protest, Despair, and detachment

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Children in which age group typically believe that a person who has died will come back to life?
a) 3-5
b) 6-9
c)10-12
d)13-18

a)3-5

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What is an example of egocentrism in a 16yo who is in a health care setting?
a) believing others are preoccupied with his/her appearance
b) rejecting attention from adult staff members
c) displaying a lack of empathy for other patients
d) inquiring about personal lives of staff members

a) believing others are preoccupied with his/her appearance

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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

b) support system

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Which of the following CL practices is a key element of family-centered care?
a) establishing a pediatric playroom
b) developing a sibling support program
c) working in partnership with families
d) providing for rooming-in

c) working in partnership with families

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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 experience and stressors
c) the impact of parenting style on the child’s ability to adjust to stressful situations
d) the child’s mastery of stressful situations and changes in thinking

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

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Which of the following examples demonstrates effective cross-cultural communication?
a) being open and respectful to differences
b) learning new gestures and facial expressions
c) speaking in a loud voice with clear articulation
d) paraphrasing everything the other person is saying

a) being open and respectful to differences

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When a parent does not want to tell his/her 9yo cild the diagnosis and prognosis of a life-threatening illness, which of the following is likely to occur?
a) shielding from the truth may decrease anxiety
b) at this age, the child is not able to understand the disease
c) the relationship between the parent and child will be strengthened
d) the child will be unsure about who to trust

d) the child will be unsure about who to trust

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Hospital policies which encourage on-going peer relationships demonstrate responsiveness to which developmental group?
a) 11month-2yo
b)3-5 yo
c)6-11 yo
d)12-18yo

d) 12-18yo

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which of the following characterizes a 4yo’s thinking about death?
a) perceives death as temporary and reversible
b) understands the physiological cause of death
c) empathizes with feelings of other family members
d) comprehends that death is final

a) perceives death as temporary and reversible

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What parents are provided with information and emotional support, which of the following is most likely to happen?
a) children will regress
b) fears will disappear
c) anxiety will decrease
d) dependency will escalate

c) anxiety will decrease

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Who is the best person to inform a child about the death of a family member?
a) an adult they trust
b) CLS
c) Psychologist
d) grandparent

a) an adult they trust

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A typically developing 16yo boy is admitted to the hospital the day before a scheduled surgery for a shunt revision. Outside of the patient’s room, his mother states that her son does not know that he has a shunt and she does not want him to know. The patient has been told that he is being admitted for “a check-up.” What is the appropriate action for the CLS to take?
a) Wait until the mother is not present to share the information with the patient
b) Speak to the patient’s surgeon regarding the concerns
c) explore the mother’s feelings and reasons, and discuss the concept of consent/assent
d)respect the mother’s wishes and provide developmentally appropriate activities

c) explore the mother’s feelings and reasons, and discuss the concept of consent/assent

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 good bye rituals
b) regular playroom hours
c) permission for parental presence
d) group preparation tours

a) hello and good bye rituals

When facilitating a transition from hospital to home after an extensive stay in the hospital, which of the following is important for a CLS to initiate?
a) Encourage immediate return to normal activities
b) discuss child’s limitations with school officials
c) educate patient on the physical details of his or her illness
d) inform parents about children’s typical post-discharge behaviors

d) inform parents about children’s typical post-discharge behaviors

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

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

Why is early and continual assessment of the child's and family's changing medical and psychosocial situation necessary? a) identify best ways to help reduce stress and promote coping b) create a positive professional image c) determine if the parents understand their child's prognosis d) support the continued interventions of child life staff

a) identify best ways to help reduce stress and promote coping

What is an important guideline to follow when providing support to children and families? a) highlight the areas of weakness in the parent/child relationship b) add to, but does not detract from, the parent/child relationship c)center interventions around the child's immediate needs d) center interventions around the parents' immediate needs

b) add to, but does not detract from, the parent/child relationship

Which of the following is a guideline for supportive listening? a) give constructive feedback b) provide gentle guidance c) minimize periods of silence d) use open-ended questions

d) use open-ended questions

Which of the following best describes interactions that help children and families learn health care information? a) individualized, accurate, and age appropriate b) integrated with playful techniques and humor c) focused on being positive and minimizing stressful information d) included information that the patient and family wanted to learn

a) individualized, accurate, and age appropriate

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

a) to normalize the environment

In preparing a 4-yo for surgery, which of the following should be included? a) sensory information b) abstract ideas c) privacy issues d) detailed pictures

a) sensory information

What should the CLS do when preparing children for healthcare experiences? a) provide honest, accurate information using age appropriate language b) use medical terminology so that children can become accustomed to this language c) omit descriptions that may be stressful for a child to listen to even if the child will experience the sensation d) provide information even if the child seems reluctant to hear it, because it will benefit the child later

a) provide honest, accurate information using age appropriate language

What is an outcome of providing psychological preparation? 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

c) decrease stress and anxiety

Which of the following is an important strategy found to be helpful when preparing 3 and 4 year old children for surgery? a) offer appropriate choices to secure a sense of control b) prepare them one week prior to surgery c) provide preparation over the phone to the parent d) invite their friends to attend the hospital tour

a) offer appropriate choices to secure a sense of control

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

c) facilitate adjustment by normalizing the hospital environment

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

a) goal of achievement

In addition to a child-oriented atmosphere, creative materials, hospital objects, and meaningful play for children in healthcare also requires which of the following? a) private space to get away from others when desired b) other hospitalized children for playmates c) a permission-giving, responsive adult d) a limit-setting, directive adult

c) a permission-giving, responsive adult

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

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

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

b) validate the child's feelings

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) the family is responsible for what happens with the child b) involvement of the family supports the natural role of the family c) there is less work for child life staff d) to allow the family to fund the party

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

Which of the following should a CLS do to assess and effectively interact with infants, children, youth, and families? a) complete an academic program and an internship in child life b) organize daily routines and calendars for playroom group activities 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

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

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

a) being truthful

Accoring to the Child Life Council Code of Ethical Responsibilities, what is athe minimum length of time required to lapse before a professional relationship may turn to a personal relationship with a patient or family member? a) 1 year b) 2 years c) 1.5 years d) 3 years

b) 2 years

What is the benefit of interdisciplinary collaboration? a) enhance patient care b) delineation of professional role c) evaluation regarding child life services d) recognition of diversity

a) enhance patient care

When a conflict arises between a child life specialist's plan and a co-worker's plan for a patient, it is most useful for the child life specialist to employ which of the following strategies? a) educate the co-worker about child life practice b) schedule interventions with the child when the co-worker is not present c) invite the co-worker to create a collaborative care plan d) change goals and care plan to avoid with the co-worker

c) invite the co-worker to create a collaborative care plan

A 13yo is recently discharged from the hospital and has lost his/her hair due to treatment. Which of the following would be most helpful for this adolescent going back to school? a) a home-tutoring program b) A school re-entry program for the teen's classmates and teachers c) a referral to a community mental health center d) the telephone numbers of the child life staff

b) A school re-entry program for the teen's classmates and teachers

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

c) problem identification, problem analysis, idea generation, and implementation

Other than salary, what is the largest expense when hiring a new CLS? a) consumable supplies b) tuition reimbursement c) travel/conference fees d) employee benefits

d) employee benefits

How should 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 reviewing job descriptions c) provide a framework for evaluating competency d) assist in creating professional development opprotunities

a) Assist in evaluation and program development

Members of the child life team are aware of hospital-wide staff reductions in the next fiscal year. The staff seeks to maximize efficiency in their department. How should the staff begin? a) collect data to show how many children and families are receiving child life services and the outcomes b) document the number of chart notes written in a weekly log c) write an instructional annual report and use it in orientation for the staff d) review the police and procedures in the department on a monthly basis

a) collect data to show how many children and families are receiving child life services and the outcomes

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

c) describe the relationships between variables, without experimental manipulations