Child Life Certification Practice Test Questions and Answers, Exams of Advanced Education

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Child Life Certification Practice Test Questions And

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The duty of promoting the welfare of an individual is known as ✔✔Beneficence An APIE model includes what components? ✔✔Assessment, Plan, Intervention, Evaluation A primary goal of advocacy training for family members is to empower them in: ✔✔Communicating their needs When a child is trying to understand death, he or she may ask, "Do children and animals die too?" Which concept of death is the child attempting to grasp with this question? ✔✔Universality Which of the following behaviors demonstrates an active response to hospitalization and surgery after discharge? ✔✔Refusing medication 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 What is a benefit of healthcare team meetings? ✔✔Reviewing the medical record What intervention should the CLS encourage to help parents support siblings of a child with a life-threatening illness? ✔✔Include siblings in indirect activities such as phone calls, letters, etc if siblings cannot be together An individual who continues to self-assess and respect differences is at what stage on the cultural competence continuum? ✔✔Basic cultural competence What are considered normal grief responses for a 16-year-old sibling? ✔✔Egocentrism, increase in moodiness and sexual awareness What would be the first step when using anticipatory guidance as a supportive technique with a new volunteer? ✔✔Ascertain current knowledge level of volunteer 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? ✔✔Comprehensive At what age may a patient believe that his/her diagnosis is a form of punishment? ✔✔ 3 - 5 years

Effective cross-cultural communication includes what? ✔✔Possessing the ability to tolerate ambiguity A 3-year-old dies in the emergency room and the parents are experiencing shock and disbelief. What should be the NEXT step for the CLS? ✔✔Create an opportunity for the parents to say goodbye What should a family expect with the implementation of a patient- and family-centered care plan? ✔✔The family participates in decision-making regarding their child's care Humor can be utilized to relieve what? ✔✔Emotional tension and grief What action should the CLS take when preparing children for healthcare experiences ✔✔Provide honest, accurate information using developmentally appropriate language What strategy would be used first when teaching a child about coping with a procedure? ✔✔Offer the child a choice of several techniques What is the most effective educational strategy for teaching techniques and benefits of play to a caregiver? ✔✔Modeling play interactions by engaging the caregiver and the child What describes measures that monitor the efficacy of behavioral intervention in helping children cope with painful or threatening procedures? ✔✔Emotional distress and coping effectiveness What is a common passive response exhibited by children in hospitals? ✔✔Excessive sleeping 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 the main role of the CLS be? ✔✔To support parental presence and facilitate family and professional collaboration Due to improved pediatric policies and family involvement, which stage of attachment is most seldom observed in the hospital setting? ✔✔Detachment After 3 months in the NICU, a baby is discharged. How can the CLS assist the family with the transition? ✔✔Provide information about community resources A CLS encourages children ages 6-11 to participate in their own care, continue schoolwork, and communicate with family and peer while in the hospital. Why? ✔✔To increase feelings of inclusion

A 6 year old child who has been hospitalized for two months draws a family portrait that does not include herself. How should the CLS respond? ✔✔Ask the child to talk about the picture A CLS observes a 6 year old repeatedly sticking needles into a doll's eyes during a play session. How should the CLS respond? ✔✔Evaluate the motivation for the child's behavior and redirect the play Why does the CLS use play as a means of exploring the child's medical experience? ✔✔To allow for expression of feelings 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

• 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

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 What should a CLS look for when assessing a child and their family?
• A wide range of variables and systems that influences the successful management of stressors
• Adaptive behaviors and how the child reacted to past medical experiences and stressors
• The impact of parenting style on the child's ability to adjust to stressful situations
• The child's mastery of stressful situations and changes in thinking ✔✔A wide range of variables and systems that influences the successful management of stressors Which of the following would a CLS need to do to include cross-cultural competence in their practice with children and families?
• Adopt values, beliefs, and behaviors of another culture as one's own in order to demonstrate understanding and assimilation of information
• Demonstrate cultural sensitivity in all aspects of how a family considers the process of, goals for, and outcomes of the healing process
• Aquire knowledge of the beliefs and practices of varying cultural groups who utilize health services in the community and nearby region
• Develop knowledge and skills to increase one's understanding and appreciation of cultural differences and similarities within, among, and between groups ✔✔Develop knowledge and skills to increase one's understanding and appreciation of cultural differences and similarities within, among, and between groups

When assessing stress potential of a child, the CLS should seek out which of the following information?

• Previous healthcare experiences
• Parental presence
• Pain threshold
• Siblings and their needs ✔✔Previous healthcare experiences What should a CLS be able to assess through play?
• Temperament
• Socioeconomic status
• Intelligence
• Religious beliefs ✔✔Temperament A 15-year-old has recently been diagnosed with a chronic illness. One of the goals of the CLS's interventions is to increase the patient's understanding of the illness. Which is most important in evaluating the effectiveness of that intervention?
• The patient can explain the diagnosis to friends in an age-appropriate manner
• The nursing staff reports that the patient is expressing feelings more openly
• The parents report that they are very satisfied with the CLS intervention
• The medical staff reports that the patient was cooperative with medical procedures ✔✔The patient can explain the diagnosis to friends in an age-appropriate manner What is the sequence of reactions of long children to separation from primary caregivers? ✔✔Protest, despair, detachment 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? ✔✔Normalizing the hospital environment When a child expresses negative, hostile, or aggressive feelings during play, what action should the CLS take? ✔✔Validate the child's feelings Developing and maintaining a therapeutic relationship would be most important for which of the following patients?
• One who has stopped playing after a lumbar puncture
• One with a chronic illness and is hospitalized with another long-term admission
• One who is a new admission and has not been in a hospital before
• One whose primary caregiver cannot be with him/her on a regular basis ✔✔One whose primary caregiver cannot be with him/her on a regular basis What is the most important thing to remember when documenting in a patient's chart or medical record by hand or in an electronic format? ✔✔It is a legal document admissible in court

What reaction is most likely to occur in a 17-year-old athlete who sustained an injury resulting in paralysis?

• Shame and doubt
• Inferiority
• Guilt
• Identity diffusion ✔✔Identity diffusion A 3-year-old child is being admitted for cardiac surgery in six weeks. Which of the following suggestions should the CLS make when discussing preparation with the child's family?
• Give the child age-appropriate information within a few days to a week of admission
• Prepare the child far ahead of time to allow ample time for coping and adjustment
• Encourage developmentally appropriate magical thinking to dispel hospital fantasies
• Offer to provide weekly medical play sessions prior to hospital admission ✔✔Give the child age-appropriate information within a few days to a week of admission Hospital policies which encourage ongoing peer relationships demonstrate responsiveness to which of the following age groups? ✔✔ 12 - 18 years old (adolescents) What is the purpose of providing opportunities for children to engage in healthcare play? ✔✔To normalize the environment In preparing a four-year-old for surgery, which of the following should be included?
• Sensory information
• Abstract ideas
• Privacy issues
• Detailed pictures ✔✔Sensory information In addition to a child-oriented atmosphere, creative materials, and hospital objects, meaningful play for children in healthcare also requires which of the following?
• Space for privacy from others when desired
• Other hospitalized children for playmates
• A permission-giving, responsible adult
• An adult to direct play and set limits ✔✔A permission-giving, responsible adult What potential stressor is an adolescent in the hospital most likely to experience?
• Loss of control
• Separation anxiety
• Lack of initiative
• Feelings of shame and doubt ✔✔Loss of control Why is it important to ask a child to describe the pain they are experiencing? ✔✔To learn about their perceptions of their pain

A collaborative approach to care includes all members of the team: children, families, health professionals, and which of the following?

• Donors
• Community
• Administration
• Volunteers ✔✔Community Which of the following actions should the CLS take in order to most effectively assess and interact with infants, children, youth, and families?
• Attend psychosocial rounds to advocate for patients struggling with hospitalization
• Organize daily routines and calendars for group activities based on the severity of illness
• Prioritize daily workload in relation to direct and indirect patient care responsibilities
• Match interactions and activities to developmental level, emotional state, and individual needs ✔✔Match interactions and activities to developmental level, emotional state, and individual needs When interviewing a family, which of the following is most important to assess?
• Child's interest and talents
• Child's position in the family
• Child's developmental level
• Child's grade in school ✔✔Child's developmental level A family's level of coping is most directly related to? ✔✔Support system To facilitate the transition to home after an extended stay in the hospital, which of the following is important for a CLS to encourage?
• The immediate return to normal activities and routines
• A discussion of the child's limitations with school officials
• Education of the patient on the physical details or his or her illness
• Parents' awareness of typical post-discharge behaviors in children ✔✔Parents' awareness of typical post-discharge behaviors in children A child expresses reluctance to return home following an extended stay in the hospital. What action should the CLS take? ✔✔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?
• Project a positive professional image to the healthcare team
• Identify the best ways to help reduce stress and promote coping
• Determine if the parents understand their child's prognosis
• Support the continues interventions of child life staff ✔✔Identify the best ways to help reduce stress and promote coping