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A series of multiple-choice questions covering various aspects of child life practice. It explores topics such as child development, psychosocial assessment, therapeutic communication, and pain management. The questions are designed to assess knowledge and understanding of best practices in child life care, providing valuable insights into the field.
Typology: Exams
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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 injection and says repeatedly, "I'm so sorry this hurts so much," and begins to cry. Which of the following is the MOST appropriate intervention? - Counsel the mother on ways to reduce her own and the child's stress.
All of the following are appropriate toys for a 1 to 3-month old child EXCEPT for: - bath toys
In Erikson's theory of psychosocial development, which conflict is typical of those 6 to 12 years old? - industry vs. inferiority
Which of the following 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
All of the following stimulate the one-month-old infant's brain growth/cognitive abilities EXCEPT: - 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 a capital B or D, backward and gets confused as to the difference between some letters, such as capital M and W. Which of the following is the most appropriate response? Group of answer choices - You're learning a lot of letters!
The child life specialist is planning an activity for a 30-bed pediatric department, specializing in chronic illness. Children range in age from 18 months to 17 years. Which of the following activities is MOST likely to engage the majority of the children? - visits from therapy dogs
Which of the following responses 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 for repair of an umbilical hernia. All of the following should be included as part of the child's preparation EXCEPT: - a detailed explanation of the surgeyr
The child life specialist team has received a donation of $1500 to educate the public (families, the community) about the benefits of utilizing child life specialists. Which of the following is the most efficient and cost-effecive utilization of funds? - Print brochures about the services offered
Which of the following is the primary goal of preparing children for medical procedures? - Reduce the child's anxiety and fear
At which stage in Piaget's theory of cognitive development do children engage in magical thinking and show egocentrism? - Preoperational
All of the following are elements of family-centered care EXCEPT: - restricted visitation (hours, age, and relationship to the patient)
An 8-year-old child is awakened at 12am and 4am for assessment and at 2am and 6am for medications. When the child life specialist reviews the records, she finds the child is sleeping only about 6 hours nightly because of these interruptions. Which of the following is the MOST appropriate action? - Work with medical staff to cluster care by giving medications at 12 and 4
According to the CHEOPS pain scale, which of the following combinations of symptoms may indicate that a 1-year-old infant is in pain after surgery? - 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 causal 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 for which of the following ages? - 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 hospitalized for cancer treatment refuses to eat any foods other than bananas, milkshakes, spaghetti, and hot dogs. Which of the following is the best approach to advocate for? - Fortify these foods when possible and allow the child to eat what she likes
Which of the following is the most important to facilitate cooperation in interdisciplinary teams? - 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: - 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. Which of the following approaches is most likely to be successful? - Changing eating habits for the entire family
A 12-year-old child hospitalized for treatment of AIDS is ambulatory and has started to walk in the halls. The most important consideration is: - the child should ambulate only when a parent is present
Therapeutic play includes all of the following except: - self-directed recreational play
Which of the following is the first step in problem solving? - define the issue
A 17-year-old adolescent with asthma has started smoking, resulting in repeated hospitalizations for exacerbation of symptoms. Which is the best initial approach to convince the adolescent to consider smoking cessation? Group of answer choices - "What do you think you could do to help control your asthma?"
Which of the following theories includes 9 personality parameters to describe how children (beginning at about 4 weeks) respond to events? - Temperament Theory (Chase & Thomas)
Which of the following terms is associated with the child who tries to get information about a stressful event and remains alert to the event? - Vigilant coping
All of the following are necessary elements of clinical supervision except: - criticizing
A large facility has four 5-person child life specialist teams working 8am-4pm and two 5-person teams working 4pm-12am. All members are required to attend a monthly in-service training and are paid time-and-a-half if the training is outside of normal working hours. Which of the following is the best time to schedule training? - 3-4pm
When speaking softly to soothe a 10-day-old neonate, how far away from the face should the caregiver hold the infant? - 8-12 inches
Which of the following budget types is used for remodeling, repairing, and purchasing equipment or buildings? - capital budget
When positioning a toddler (1 to 3) for a procedure, which of the following positions is most likely to cause the child fear? - supine
Feelings of abandonment when hospitalized, exaggerated fears of people, pain, equipment, and confusing fantasy and reality are common at what age? - 3 to 5
A facility is providing orientation for new staff. The child life specialist team is asked to provide information about the new child life program. Which of the following 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 removal of a tumor from her leg. Which of the following should be confronted before surgery? -
Deformity/mutilation
Which of the following examples of medical play is the most likely to be effective in allowing a child to express fear of medical staff? - Role playing (child plays doctor/nurse)
All of the following categories are found in the HEADSS psychosocial assessment tool for adolescents except? - data
When doing procedures, such as insertion of intravenous needles or catheters, which of the following is the best environment for infants and young children? - the treatment room
All of the following are acceptable for recertification as a child life specialist except: - attending mandatory in-service training
According to the Association of Child Life Professionals (ACLP) Code of Ethics, how much time must elapse between the conclusion of a professional role and the establishment of a personal relationship with a child or family member. - 2 years
All of the following are part of the protocol for comfort positioning except: - 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 treatment and demanding, but he is now exhibiting a complete change in personality and is extremely cooperative, friendly, and compliant. According to Kubler- Ross's 5 stages of grief, which stage is the boy most likely experiencing? - bargaining
Which members of the child life specialist teams are responsible for identifying quality performance improvement projects? - all staff
All of the following are elements of outcomes evaluations as part of evidence-based practice except: - evaluating individual staff performance
A parent stops the child life specialist and states, "Could you tell me what is wrong with the child across the hall from my son? He looks so sad." Which of the following responses is most appropriate? - "The law doesn't allow me to give out any information about children in order to protect their privacy and safety."
Which of the following is an example of normalization? - painting the children's rooms in bright colors
Which of the following is an example of therapeutic communication? - "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 recovery. Which of the following would be the most appropriate activity for this patient? - Nintendo Wii Sports