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Child Life Certification Exam.
Research has shown that music provides all of the following benefits for hospitalized 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. the 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 a chronic illness B. a child ceases play when the nurse is present C. hospitalization may post 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 child life specialist should: A. change the subject and refocus the 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 team will keep him/her safe C. continue to support the child in play, trusting that children open up to others only to 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 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 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 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 A definitive sign of ataxia in a child would be: A. difficulty breathing B. refusal to eat C. problems with speech D. an unsteady gate - D. un unsteady gate
A. infants 0- B. toddlers 1- C. preschoolers 3- D. school-age 6-9 - C. preschoolers 3- Which of the following will 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 psychological 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 preparation approaches. Which kind of research design is this study using? A. experimental B. collaborative C. correlational
D. descriptive - A. experimental The child life specialist has determined that a newly diagnosed nine-year-old is acting withdrawn. The FIRST step in the care plan should be to: A. interview the patient to identify specific concerns B. develop a supportive relationship 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 a supportive relationship and build trust Based on Erik Erikson's developmental theory, which of the following stages applies to infancy? A. trust vs. mistrust B. industry vs. inferiority C. initiative vs. doubt D. autonomy vs. shame/doubt - A. trust vs. mistrust A child life specialist 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 to the playroom 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 Responsibility 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 and responsibilities
A. birth-2. B. 6 months-4 years C. 2-3 years D. 3-6 - B. 6 months-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 or actions? A. 1- B. 3- C. 7- D. 9-11 - B. 3- 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 procedures C. cognitive-behavioral therapies D. distraction techniques - D. distraction techniques To be comprehensive, the child life specialist'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 child life specialist'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. 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 the 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 8yo child with leukemia reports frustration regarding her daughter's ability to cope with the medical experience. One of the interventions a child life specialist 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:
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 A 3yo 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 dresse 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 agreements 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- B. 6- C. 12- D. 16-20 - A. 3- 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 -
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. objectives 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 display anticipatory worry when coping with an uncomfortable procedure? A. avoider B. worrier C. sensitizer D. fixater - C. sensitizer If a 5yo 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?
Effective cross-cultural communication includes which of the following? A. limited 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 6yo 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 intervention After 3 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. face 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 Which of the following are considered normal grief responses for a 16yo sibling? A. suicidal thoughts, low self-esteem, and academic failure B. sleep problems, isolation from friends and family, and fighting C. egocentricism and an increase in moodiness and sexual awareness D. chronic depression, dramatic changes in attitude, and eating disorders - C. egocentricism and an increase in moodiness and sexual awareness What should a family expect with the implementation of a patient and family-centered care plan? A. the family participates in decision making regarding their child's care B. all extended family must be involved in the care of their child C. the healthcare team will provide necessary medical care to the immediate family D. family situations are similar, and standard care plans are incorporated - A. the family participated in decision making regarding their child's care Which of the following is the most important strategy when working with families in any healthcare setting? A. communication B. support C. family-centered care D. cultural sensitivity - A. communication What should be the first step when using anticipatory guidance as a supportive technique with a new volunteer?
A 4yo recovering from a ruptured appendix is having a difficult time expressing his level of pain. Which of these tools would be MOST appropriate for his age level? A. pain diary B. FACES scale C. pain thermometer D. parent assessment - B. FACES scale Which of the following describes measures that monitor the efficacy of behavioral interventions in helping children cope with painful or threatening procedures? A. FACES scale and visual analog scale B. child questionnaire and parent report C. pulse rates prior to and after a medical procedure D. emotional distress and coping effectiveness - D. emotional distress and coping effectiveness What action should the child life specialist take when preparing children for healthcare experiences? A. provide information even if the child seems reluctant to hear it because it will benefit the child later B. omit descriptions that may be stressful for a child to listen to, even if the child will experience the sensation C. use medical terminology so that children can become accustomed to this language D. provide honest, accurate information using developmentally-appropriate language - D. provide honest, accurate information using developmentally-appropriate language According to Bolig, what type of child life program aims to provide socialization experiences, normalize the environment, facilitate the expression of feelings, and involve the family? A. diversionary B. therapeutic C. child development D. comprehensive - D. comprehensive When working with a child who is on a ventilator, what approach should a child life specialist take? A. engage the child in nonverbal play B. place the child as a low priority due to limited capacity to interact C. do not provide play because it is medically threatening D. engage the child in sand tray play at the bedside - A. engage the child in nonverbal play An individual who continues to self-assess and respect differences is at what stage on the cultural competence continuum? A. basic cultural competence B. cultural blindness
C. cultural pre-competence D. advanced cultural competence - A. basic cultural competence Which of the following best describes a child who has had repeated experiences of ineffective coping A. anticipatory grief B. anticipatory anxiety C. learned helplessness D. oppositional defiance - C. learned helplessness A child life specialist can assist hospital personnel in better understanding pediatric patients' emotions and behaviors by: A. blowing bubbles for patients during IV starts B. creating a patient graffiti board in the hallway C. encouraging patients to participate in playroom activities D. educate staff to avoid the use of empathic statements with their patients - B. creating a patient graffiti board in the hallway The purpose of quality management activities is to: A. establish a system of formal record keeping for a child life program B. professionalize child life services C. assure high quality, cost-effective child life care D. document established child life practices, beliefs, and philosophies that have not been adequately evaluated - C. assure high quality, cost-effective child life care All of the following will come from the use of statistics, numerical analysis, and record keeping EXCEPT: A. components for rewriting job descriptions B. professionalization of child life services C. increased efficiency of child life services D. usefulness for staff feedback and review - A. components for rewriting job descriptions What is the MOST important consideration when a policy is written concerning playroom use? A. safety of the patient B. retention of toys and equipment C. needs of the healthcare team D. child life staff's schedule - A. safety of the patient When creating child life care plans, it is ESSENTIAL to
C. ability to successfully fundraise When initially discussing expectations for performance with volunteers or students, it is important that: A. volunteers and students be encouraged to set their own expectations B. volunteers and students are informed that failure to improve their skills on a continual basis is cause for dismissal C. performance standards presented to volunteers and students are based on program objectives D. foreseeable situations be discussed with the individual - C. performance standards presented to volunteers and students are based on program objectives An essential component of any student or volunteer orientation is a(n) A. icebreaking activity that encourages bonding B. "show and tell" session about past hospital experiences C. handbook of the material covered D. test used to screen out potentially ineffective students or volunteers - C. handbook of the material covered To determine whether a child life care plan needs to be modified, it is important to evaluate whether the current plan has been effective. To evaluate this, it is essential that: A. the initial child life plan for intervention includes an outcome objective B. a formal assessment tool to be used C. direct feedback is received from the patient or parents D. the patient's and family's progress be documented - A. the initial child life plan for intervention includes an outcome objective A child with a new diagnosis is having a difficult time with IV starts. To assist with coping efforts, the child life specialist would prepare him/her for the medical procedure by: A. watching a video about coming to the hospital B. choosing his favorite nurses to do the procedure C. having the procedure in his room because he's comfortable there D. offering choices about what he will do during the procedure - D. offering choices about what he will do during the procedure To know whether a child life care plan needs to be modified, it is important to A. administer a formal assessment tool on a weekly basis B. understand that the assessment process is ongoing, dynamic, and interactive C. complete a patient classification form on a daily basis D. ask parents to complete a questionnaire regarding their child's progress on a weekly basis - B. understand that the assessment process is ongoing, dynamic, and interactive According to John Bowlby, well-known researcher and theorist on separation and loss, the PRINCIPAL factor in reducing a child's susceptibility to fear and anxiety is: A. prior experience
B. expressive abilities C. the presence of an attachment figure D. preparation - C. the presence of an attachment figure You are planning to prepare and tour an 8yo prior to surgery for a craniotomy. You proceed by: A. selecting materials to match the child's developmental level and experience B. assessing the child's knowledge, understanding, and appraisal of the situation C. providing Information about what the child will experience D. discussing interventions that parents can use with siblings related to the patient's appearance post- surgery - B. assessing the child's present knowledge, understanding, and appraisal of the situation A baby has died from complications of a congenital heart defect. He has two older sisters, a 4yo and a 6yo. The siblings are not present at the hospital at the time of the baby's death. As the child life specialist, your BEST action would be to A. provide the family with the names and numbers of counselors in their geographic area who could help the siblings B. provide the family with resources that explain children's developmental responses/reactions to death C. call the chaplain to provide the intervention for the family D. call the family's pastor to express your concerns for the siblings - B. provide the family with resources that explain children's developmental responses/reactions to death
