Child life certification practice test questions, Exams of Psychology

Download Child life certification practice test questions and more Exams Psychology in PDF only on Docsity!

Child life certification practice test

questions

A 6-year-old is having a procedure in 30 minutes. How should the child life specialist respond? - ✔Make an assessment and follow up with appropriate interventions A child is going through a difficult time with a procedure. What should the CLS do in order to promote coping? - ✔Offer choices about what the child will do in the procedure What will a CLS notice when observing reactions of children to hospitalization? - ✔They vary in character and intensity A 6-year-old child must receive daily painful injections and fights and screams when his mother is present but remains docile when he is alone. The mother becomes very upset during the procedures and says repeatedly, "I'm so sorry this hurts so much," and begins to cry. What is the most appropriate intervention? - ✔Counsel the mother on methods to reduce her own and the child's stress All of the following are appropriate bath toys for a 1 to 3-month-old child except:

• Mobile
• Rattle
• Crib mirror (unbreakable)
• Bath toys - ✔Bath toys In Erikson's theory of psychosocial development, which conflict is typical of those 6 to 12 years old? - ✔Industry vs inferiority

What is the best approach for parents to take with the 5 and 7-year-old siblings of a critically ill neonate? - ✔Allow the siblings to visit the neonate in the hospital Al of the following stimulate the one-month-old infant's brain growth/cognitive abilities except:

• Providing frequent skin-to-skin physical contact
• Allowing the infant to "cry it out" to avoid spoiling her
• Talking to the infant during feeding
• Providing adequate nutrition - ✔Allowing the infant to "cry it out" to avoid spoiling her A 4-year-old girl is learning to write the alphabet but sometimes writes letters, such as B or D, backwards and gets confused as to the difference between some letters, such as M and W. What is the best response? - ✔"You're learning a lot of letters!" The CLS is planning an activity for a 30-bed pediatric department specializing in chronic illness. Children range in age from 18 months to 17 years. What activity is most likely to engage the majority of children? - ✔Visits from therapy dogs What response to "I'm afraid of having surgery" shows reflective listening? - ✔"Surgery is scary because you don't know what's going to happen" A 5-year-old child is going to have surgery to repair an umbilical hernia. All the following should be included in the child's preparation except:
• A real or virtual tour of the hospital
• Demonstrations with a doll
• A detailed explanation of the surgery
• Advance preparation -

✔A detailed explanation of the surgery The child life team has received a donation of $1500 to educate the public (families, community) about the benefits of utilizing child life specialists. What strategy is the most efficient and cost-effective? - ✔Print brochures about services offered What is the primary goal of preparing children for medical procedures? - ✔Reduce child's anxiety and fear At which stage in Piaget's theory of cognitive development do children engage in magical thinking and show egocentrism? - ✔Pre operational (stage 2) All of the following are elements of family-centered care except:

• Discussion of test results
• Assistance with procedures and daily care
• Restricted visitation (hours, age, relationship to patient)
• Participation in plan of care - ✔Restricted visitation (hours, age, relationship to patient) An 8-year-old child is awakened at 12 AM and 4 AM for assessment and at 2 AM and 6 AM for medications. When the CLS reviews the records, she finds the child is sleeping only about 6 hours nightly due to these interruptions. Which of the following is the most appropriate action?
• Schedule 2-hour naps in the afternoons so the child gets adequate sleep
• Request that the physician order a sleeping medication for the child
• Teach the child relaxation techniques to help her sleep better
• Work with the medical staff to reschedule medications to 12 AM and 4 AM - ✔Work with the medical staff to reschedule medications to 12 AM and 4 AM

According to the CHEOPS pain scale, which of the following combinations of symptoms may indicate that a 1-year-old is having pain after surgery?

• Neutral facial expression, random movements of lower extremities
• Whimpering, restless movement of legs
• Inactive, not touching or reaching for incision
• Not crying, inactive, random movements of lower extremities - ✔Whimpering, restless movements of legs A child does not participate in team sports, and he admires older children in gangs. He fails to follow rules or understand casual relationships. He has made poor academic progress in reading, writing, math, and penmanship, and has problems throwing or catching a ball. These findings are most likely associated with developmental delays or problems with what age? - ✔Age 10 At what age should a toddler be able to balance on one foot and kick at objects, such as a ball, with the other foot? - ✔24 months A 4-year-old child hospitalized for cancer treatment refuses to eat anything other than bananas, milkshakes, spaghetti, and hot dogs. What is the best approach? - ✔Fortify these foods when possible and allow the child to eat whatever the child likes What of the following is the most important to facilitate cooperation in interdisciplinary meetings?
• Clarifying information
• Responding to facts rather than feelings
• Active listening
• Open communication - ✔Open communication

All of the following are good methods to use for distracting a young child from a procedure (such as a needle insertion) except:

• Blowing bubbles
• Singing
• Self-hypnotizing
• Reading - ✔Self-hypnotizing An obese 15-year-old girl diagnosed with type 2 diabetes needs to change her diet and lose weight. She has 12 and 13-year-old siblings. What approach is most likely to be successful? - ✔Changing eating habits for the entire family A 12-year-old child hospitalized for AIDS treatment is ambulatory and has started to walk the halls. The most important consideration is:
• The child should have access to directly supervised activities only
• The child should be advised exactly where he can and cannot go
• The child should be told to avoid contact with other people
• The child should ambulate only when a parent is present - ✔The child should be advised exactly where he can and cannot go Therapeutic play includes all the following except:
• Doll reenactment play to help the child express feelings
• Educational play to teach the child about medical treatments
• Health based play to promote physical well-being
• Self-chosen recreational play - ✔Self-chosen recreational play Which of the following is the first step in problem solving?
• Define the issue

• Collect data
• Make a decision
• Consider reasons for action - ✔Define the issue A 17-year-old adolescent with asthma has started smoking, resulting in repeated hospitalizations for exacerbation of symptoms. What is the best initial approach to convince the adolescent to consider smoking cessation? - ✔"What do you think you could do to help control your asthma?" What theory includes 9 personality parameters to describe how children (beginning at about 4 weeks) respond to events? - ✔Temperament Theory (Chase and Thomas) Which of the following terms is associated with a child who tries to get information about a stressful event and remains alert to the event?
• Vigilant coping
• Avoidant coping
• Trait anxiety
• State anxiety - ✔Vigilant coping A large facility has four, 5-person CLS teams working 8AM to 4PM and two, 5- person teams working 4PM to 12AM. All members are required to attend a monthly inservice training and are paid time-and-a-half if the training is outside normal working hours. Which is the best time to schedule the training?
• 7 to 8 AM
• 8 to 9 AM
• 3 to 4 PM
• 4 to 5 PM -

✔3 to 4 PM When speaking softly to soothe a 10-day-old neonate, how far away from the face should the caregiver hold the infant?

• 2 to 4 inches
• 4 to 8 inches
• 8 to 12 inches
• 12 to 16 inches - ✔8 to 12 inches Which of the following budget types is used for remodeling, repairing, an purchasing equipment or buildings?
• Operating budget
• Capital budget
• Cash balance budget
• Master budget - ✔Capital budget When positioning a toddler (1-3) for a procedure, which of the following positions is most likely to cause the child fear?
• Fetal
• Side-lying
• Prone
• Supine - ✔Supine Feelings of abandonment when hospitalized, exaggerated fears of people, pain, and equipment, and confusing fantasy and reality are common at what age? - ✔Age 3 - 5

A facility is providing orientation for new staff. The CLS team is asked to provide information about the child life program. What is the most effective method to ensure that new staff understands the functions and benefits of the program? - ✔Presenting a panel discussion with members of the child life program A 10-year-old girl is hospitalized for the removal of a tumor from her leg. Which of the following fears should be confronted before surgery?

• Deformity/mutilation
• Loss of independence
• Lack of future ability
• Change of body image - ✔Deformity/mutilation Which of the following examples of medical play is most likely to be effective in allowing a child to express fear of medical staff?
• Fantasy with pretend medical play
• Exploration of medical equipment
• Art projects
• Role playing (child plays doctor/nurse) - ✔Role playing All of the following categories are found in the HEADSSS psychosocial assessment tool for adolescents except:
• Home environment
• Eating
• Data
• Sexuality - ✔Data

When doing procedures, such as insertion of IV needles or catheters, what is the best environment for infants and young children? - ✔Treatment room All of the following are acceptable for recertification as a child life specialist except:

• Attending mandatory inservice training
• Retaking the examination
• Attending workshops related to the profession
• Taking college courses related to the profession - ✔Attending mandatory inservice training According to the ACLP Code of Ethical Responsibility, how much time must elapse before the conclusion of a professional role and the establishment of a personal relationship with a child or a family member? - ✔Two years All of the following are protocol for comfort positioning except:
• Parent/caregiver stays with child
• Explanations provided throughout the procedure
• Parent/caregiver and child taught about the procedure/treatment and their roles
• Child positioned for comfort (usually sitting in hug hold) - ✔Explanations provided throughout the procedure A 16-year-old adolescent has been told that his cancer is not responding to treatment. Prior to this he had been very uncooperative with his treatment and demanding, but he is now exhibiting a complete change in personality and is extremely cooperative, friendly, and compliant. According to Kübler-Ross' 5 stages of grief, which stage is the boy most likely experiencing? - ✔Bargaining

A Hispanic child requires long-term hospitalization, but the parents and 3 siblings (ages 10, 16, and 17) live 2 hours away from the hospital. The mother is not employed, and the father works as a farm laborer. They visit each Sunday and speak limited English. What is the most likely barrier to visiting their child?

• Socioeconomic
• Geographical
• Cultural
• Organizational - ✔Socioeconomic Which members of the child life team are responsible for identifying quality performance improvement projects?
• Administrative staff
• All staff
• Team leaders
• Physicians - ✔All staff All of the following are elements of outcomes evaluation as part of evidence- based practice except:
• Monitoring and keeping records
• Evaluating results
• Sustaining treatment
• Evaluating individual staff performance - ✔Evaluating individual staff performance What is the purpose of a Kid Card? - ✔Teach the child about his/her medications Which of the following is an example of therapeutic communications?

• "Don't worry, everything will be fine"
• "You should listen to your mother"
• "Is there anything you'd like to talk about?"
• "Why are you so upset?" - ✔"Is there anything you'd like to talk about?" A 15-year-old girl who played on the tennis team at her school was involved in a traffic accident that shattered her left leg. She has been angry and depressed about her inability to participate in sports during her recovery. Which of the following would be the most appropriate activity for this patient?
• PlayStation video games
• Nintendo Wii sports simulation games
• Watching tennis on television
• Reading books about tennis - ✔Nintendo Wii sports simulation games When the three-year-old sibling of a patient who is dying begins to ask questions about death, the CLS should expect questions that reflect which stage of cognitive development?
• Abstract
• Concrete
• Sensorimotor
• Pre-operational - ✔Pre-operational 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 emphatic 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 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 health care team d. Child life staff schedule - ✔a. Safety of the patient When creating child life care plans, it is ESSENTIAL to: a. Utilize a patient classification system b. Inform the child and family about your care plan c. Document any modifications made to the original care plan d. View child and family as integral members of the healthcare team - ✔d. View child and family as integral members of the healthcare team Important guidelines to consider when promoting and enhancing interdisciplinary collaboration include all of the following EXCEPT: a. Waiting for other disciplines to approach you for information gathering b. Recognizing the professional limits and boundaries of child life c. Providing in-service education to hospital staff d. Being receptive to the observations and assessments of professionals from other disciplines - ✔a. Waiting for other disciplines to approach you for information gathering Which behavior displays ethical conduct that includes family-centered care and professional boundaries? a. Coming in on your day off at the request of the patient and family b. Supporting the family's request by encouraging that only one particular nurse start patient's IVs

c. Communicating the family's needs to the health care team based on your observations d. Conveying support while affirming the patient and family's abilities - ✔d. Conveying support while affirming the patient and family's abilities A research study examining the average number of pediatric admissions for strabismus would be considered: a. Descriptive b. Longitudinal c. Inferential d. Correlational - ✔a. Descriptive Research indicates that children in which of the following age groups are MOST vulnerable to the psychological stress when hospitalized? a. 0-6months b. 7 months - 4 years c. 5-9years d. 10-14years - ✔b. 7 months - 4 years All of the following are major areas of assessment for staff evaluation EXCEPT the assessment of the individual's: a. Work with children b. Knowledge base and ability to put knowledge into practice c. Ability to successfully fundraise

d. Growth and contribution to the department and to the institution - ✔c. Ability to successfully fundraise When initially discussing expectations for performance with volunteers or students, it's 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. Handbook of the material covered c. Test used to screen potentially ineffective students or volunteers - ✔b. 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 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 nurse 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 eight-year-old 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 present knowledge, understanding, appraisal of 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, appraisal of situation A baby has died from complications of a congenital heart defect. He has two older sisters, a four-year-old and a six-year-old. 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 Key elements of communicating complete, accurate information about an impending medical procedure include all of the following EXCEPT:

a. Learning about the procedure b. Determining what information to share with the child and family c. Explaining the sequence of events d. Rehearsing the planned approach for the education prior to meeting the family

• ✔d. Rehearsing the planned approach for the education prior to meeting the family In preparation for day surgery, school-age children are shown a video depicting a child of similar age going through events associated to surgery. This approach to preparation is an example of: a. Sensory information b. Stress-point preparation c. Rehearsal d. Modeling - ✔d. Modeling When preparing children for healthcare experiences, the child life specialist should: 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 When parents are provided with information and emotional support, the MOST likely result is that their: a. Children will regress b. Anxiety and discomfort will decrease c. Fears will disappear completely - ✔b. Anxiety and discomfort will decrease After going through the census, you notice there are a lot of school-age children on the unit. What is an appropriate activity for you to plan in the playroom? a. A group discussion to talk about their feelings b. A mural they can all paint together c. Playdough and the water table d. Puppets and costumes from the pretend corner - ✔b. A mural they can all paint together When evaluating the outcome of Child Life services for a particular patient, collaboration with other healthcare professionals is essential to: a. Ensure that they are following through with your expectations b. Share observations and concerns c. Obtain each professional's opinion regarding child's behavior d. Share personal opinions regarding the child's support system - ✔b. Share observations and concerns

Seeking feedback from children regarding their experiences (e.g., following a preparation session and medical procedure) can help to develop self-evaluation skills when: a. The CLS uses the information to evaluate and modify their own interventions b. The CLS remembers to write a comprehensive follow-up c. The CLS decides that the child will be able to cope effectively without child life assistance in the future d. Opportunities arise to correct the child's misconceptions - ✔a. The CLS uses the information to evaluate and modify their own interventions Which of the following methods is NOT a good way to evaluate outcomes following the hospitalization of a two-year-old? a. Follow the child when she/he comes back to the clinic after discharge and observe play b. Instruct parents to minimize the discussion of hospitalization c. Be alert and attend to post-hospital emotional distress d. Assign a member of the psychosocial team to make a follow-up telephone call to the family - ✔b. Instruct parents to minimize the discussion of hospitalization A CLS reads a story to a child during a painful procedure. What type of coping strategy does this intervention represent? a. Distraction b. Guided imagery c. Denial

d. Modeling - ✔a. Distraction Which of the following characterizes a preschool child's thinking about death? a. Feel response for a death b. Understands the physiological cause of death c. Empathizes with feelings of other family members d. Comprehends that death is final - ✔a. Feel response for a death According to the ACCH Child Life Research Project hospitalized children who participate in child life activities were shown to: a. Experience less emotional stress and exhibit more coping mechanisms than children in the control group b. Take longer to void for the first time after surgery c. Be discharged four days earlier than the control group d. Have parents who experienced no stress - ✔a. Experience less emotional stress and exhibit more coping mechanisms than children in the control group According to Ericson, the BEST way to encourage a toddler in traction to develop autonomy is to: a. Ensure the child has TV b. Provide the child with choices in daily activities c. Encourage the child to look at picture books quietly in bed d. Provide only bedside activities -

✔b. Provide the child with choices in daily activities A toddler may react to the death of a family member by: a. Thinking she will get the illness as punishment for her thoughts or actions if she becomes seriously ill b. Fearing she may contract the disease c. Acting as though the person is still alive d. Questioning what happens to the body - ✔c. Acting as though the person is still alive An APIE model useful in delivering child life services includes which of the following components? A) Assessment, Plan, Intervention, and Evaluation B) Assessment, Programming, Identification, and Education C) Accountability, Productivity, Instruction, and Enrichment D) Activity, Preparation, Instruction, and Evaluation - ✔A) Assessment, Plan, Intervention, and Evaluation Infants PRIMARILY use and understand nonverbal communication as a means: a. To gain the attention of their caregiver b. To communicate their needs to their caregiver c. To response to nonverbal behavior of the caregiver by becoming quiet when cuddled or patted d. Derive comfort from physical and auditory interventions - ✔b. To communicate their needs to their caregiver

A four year old yells at a doll during medical play and accuses it of being "bad." He recently had an IV placed in his foot. What is your assessment of the child? a. He is trying to gain his parents' attention b. He has a misconception about the purpose of the IV c. He believes that bad behavior results in physical punishment d. He is expressing feelings related to his experiences - ✔d. He is expressing feelings related to his experiences Considering specific idiosyncratic issues while developing a school-age patient's care plan requires: a. Assessing the preferred coping style b. Understanding the patient's relationship to the school experience c. Knowing the anticipated outcome of the particular medical intervention prior to the care plan development d. Creating a care plan that enables the patient to take responsibility for a younger patient - ✔a. Assessing the preferred coping style You receive a report that 6-year-old is going to have an IV placed in 30 minutes. The nurse reports that, this is the patient's fist hospitalization, and he is diagnosed with gastroenteritis. Based on stress point care, you are aware this procedure has the potential to overwhelm the child's coping resources. You respond by letting the nurse know that you plan to: a. Make a full assessment and follow up with appropriate interventions b. Provide medical play c. Grab your medical play kit and distraction box to prepare this patient

d. Use the 30 minutes to teach the child about procedure and ways to cope - ✔a. Make a full assessment and follow up with appropriate interventions A family declines surgical preparation after you explain the use of age-appropriate information and benefits. Nursing expresses frustration and asks what they can do to help the child. The BEST choice to encourage the family is to: a. Have the doctor encourage the family to use Child Life services b. Provide emotional support to the patient and family c. Provide the family with literature on the benefits of preparation d. Have the nurse prepare the patient - ✔b. Provide emotional support to the patient and family A care plan should be developed jointly by the child, family, and healthcare team for all of the following purposes EXCEPT: a. Addressing needs during hospitalization only b. Providing a record of the family's concerns, priorities, and resources c. Providing a complete, integrated picture of the child d. Serving as a foundation for family-centered care coordination - ✔a. Addressing needs during hospitalization only A patient classification system is NOT a: a. Form of a structural assessment tool b. Method for prioritizing care of patients c. Tool for developing patient care plans d. Way to determine the degree of child life care needed to reach goals -

✔a. Form of a structural assessment tool One of the MOST effective ways to develop and maintain a supportive relationship with a family is to: a. Intervene in problems the family has with other team members b. Make sure the CLS can be reached by the family at all times c. Share information with family members about all aspects of the child's health care experiences d. Ensure the child takes part in a variety of special events - ✔c. Share information with family members about all aspects of the child's health care experiences Early and continual assessment of the child's and family's changing medical and psychosocial situation is necessary to: a. Find the 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. Find the best ways to help reduce stress and promote coping The purpose of child and family observation is to: a. Assess the child's developmental age b. Determine the strengths/coping techniques already in place for the child and family c. Gather data and information relevant to determining their unmet psychosocial needs