Child Life Certification Exam- Practice
Test-Graded A
When should a child life specialist initiate a referral to an interdisciplinary member of the
health care team? - ANSWER-When professional limits and boundaries of the child life
scope of practice have been recognized.
A physician enters a room alone to obtain informed consent for an upcoming procedure
from a family who, in hand off, has been reported to understand English but is primarily
Spanish speaking. What should the child life specialist do next? - ANSWER-The child
life specialist contacts interpretation services, in advocacy, to alert them that the family
is currently meeting with the physician and is questioning their full comprehension of the
consent.
Upon discharge from the hospital, a patient invites a child life specialist to come to his
upcoming birthday party. The child life specialist explains why they cannot have a
relationship with the patient outside of the hospital. The child life specialist is
maintaining what type of relationship with the patient? - ANSWER-A therapeutic
relationship
A child's understanding that all living things eventually die is known as - ANSWER-
universality
What is the difference between palliative care and hospice? - ANSWER-Palliative care
extends the concept of care beyond connotation of hospice to include a longer time
frame and broadens the scope to apply to other illnesses that are life limiting
A child life specialist provides a variety of medical supplies. A 10-year-old child that has
both hands in casts chooses to place casts on the paws of a stuffed animal. The type of
play that is most likely to happen is - ANSWER-spontaneous play
A pediatric resident enters the playroom to assess a preschool-age patient's pain and
listen to their lungs. The child life specialist should - ANSWER-explain to the resident
that the playroom is a 'safe space' and if an assessment must occur immediately the
child would have to return to their room.
A 10-year-old patient is having an IV placed. Which would be a developmentally
appropriate coping strategy to offer the patient during the procedure? - ANSWER-
imagery
, Which of the following best describes an emotion-based coping strategy used in child
life practice? - ANSWER-advocate for use of the procedure/treatment room
overt or active response - ANSWER-crying, screaming, whining, clinging to parents,
resisting medicine, being self-destructive, being destructive of the environment, fighting
passive response - ANSWER-excessive sleeping
decreased communication
decreased activity
decreased eating
regressive behavior - ANSWER-alterations in sleeping patterns
eating too much or too little
being tense, anxious, restless
manifesting fears (of hospitals, needles, death, etc)
being overly concerned with one's body
displaying compulsive behavior
Contagion hypothesis - ANSWER-Transmission of anxiety from parent to child.
A child life specialist engages a patient in a therapeutic activity. During this activity, the
child expresses fears about their upcoming surgery. Which of the following is the most
appropriate way for a child life specialist to effectively communicate this child's concerns
to the care team? - ANSWER-Chart in the patient's medical record
Which of the following describes a child life specialist's obligation to maintain
confidentiality? - ANSWER-to respect and protect the privacy of others
How long after a child is no longer a patient must a child life specialist wait until they can
begin a personal relationship with the mother? - ANSWER-2 years
To ensure documentation about the intervention provided to a patient is comprehensive
the chart note written by the child life specialist should contain - ANSWER-assessment
information, plan of care and outcomes of care
Being a mandated reporter means that a child life specialist is required to - ANSWER-
report the suspected abuse or neglect following hospital protocol, including
documenting those steps taken.
A principle of evidence based practice is - ANSWER-integrating evidence from current
research with professional expertise and patient preferences.
Which of the following behaviors may alert child life specialists that they may not be
maintaining professional boundaries? - ANSWER-Feeling an exaggerated sense of
responsibility for things beyond one's control.
Test-Graded A
When should a child life specialist initiate a referral to an interdisciplinary member of the
health care team? - ANSWER-When professional limits and boundaries of the child life
scope of practice have been recognized.
A physician enters a room alone to obtain informed consent for an upcoming procedure
from a family who, in hand off, has been reported to understand English but is primarily
Spanish speaking. What should the child life specialist do next? - ANSWER-The child
life specialist contacts interpretation services, in advocacy, to alert them that the family
is currently meeting with the physician and is questioning their full comprehension of the
consent.
Upon discharge from the hospital, a patient invites a child life specialist to come to his
upcoming birthday party. The child life specialist explains why they cannot have a
relationship with the patient outside of the hospital. The child life specialist is
maintaining what type of relationship with the patient? - ANSWER-A therapeutic
relationship
A child's understanding that all living things eventually die is known as - ANSWER-
universality
What is the difference between palliative care and hospice? - ANSWER-Palliative care
extends the concept of care beyond connotation of hospice to include a longer time
frame and broadens the scope to apply to other illnesses that are life limiting
A child life specialist provides a variety of medical supplies. A 10-year-old child that has
both hands in casts chooses to place casts on the paws of a stuffed animal. The type of
play that is most likely to happen is - ANSWER-spontaneous play
A pediatric resident enters the playroom to assess a preschool-age patient's pain and
listen to their lungs. The child life specialist should - ANSWER-explain to the resident
that the playroom is a 'safe space' and if an assessment must occur immediately the
child would have to return to their room.
A 10-year-old patient is having an IV placed. Which would be a developmentally
appropriate coping strategy to offer the patient during the procedure? - ANSWER-
imagery
, Which of the following best describes an emotion-based coping strategy used in child
life practice? - ANSWER-advocate for use of the procedure/treatment room
overt or active response - ANSWER-crying, screaming, whining, clinging to parents,
resisting medicine, being self-destructive, being destructive of the environment, fighting
passive response - ANSWER-excessive sleeping
decreased communication
decreased activity
decreased eating
regressive behavior - ANSWER-alterations in sleeping patterns
eating too much or too little
being tense, anxious, restless
manifesting fears (of hospitals, needles, death, etc)
being overly concerned with one's body
displaying compulsive behavior
Contagion hypothesis - ANSWER-Transmission of anxiety from parent to child.
A child life specialist engages a patient in a therapeutic activity. During this activity, the
child expresses fears about their upcoming surgery. Which of the following is the most
appropriate way for a child life specialist to effectively communicate this child's concerns
to the care team? - ANSWER-Chart in the patient's medical record
Which of the following describes a child life specialist's obligation to maintain
confidentiality? - ANSWER-to respect and protect the privacy of others
How long after a child is no longer a patient must a child life specialist wait until they can
begin a personal relationship with the mother? - ANSWER-2 years
To ensure documentation about the intervention provided to a patient is comprehensive
the chart note written by the child life specialist should contain - ANSWER-assessment
information, plan of care and outcomes of care
Being a mandated reporter means that a child life specialist is required to - ANSWER-
report the suspected abuse or neglect following hospital protocol, including
documenting those steps taken.
A principle of evidence based practice is - ANSWER-integrating evidence from current
research with professional expertise and patient preferences.
Which of the following behaviors may alert child life specialists that they may not be
maintaining professional boundaries? - ANSWER-Feeling an exaggerated sense of
responsibility for things beyond one's control.
