Child Life Exam Child Life Trauma-Informed Care

Question 1

What is the primary goal of trauma-informed care in pediatric healthcare settings?

Accepted Answer

To recognize the impact of trauma and promote safety, trustworthiness, and empowerment

Answer

To eliminate all sources of pain and discomfort

Answer

To avoid discussing difficult topics with patients and families

Answer

To provide pharmacological interventions for anxiety management

Question 2

Which of the following best describes the significance of the ACEs (Adverse Childhood Experiences) study for child life practice?

Accepted Answer

It shows a dose-response relationship between childhood adversity and negative health outcomes across the lifespan

Answer

It demonstrates that childhood illnesses are the primary cause of adult disease

Answer

It proves that genetic factors outweigh environmental influences on child health

Answer

It establishes diagnostic criteria for post-traumatic stress disorder in children

Question 3

A child who experienced a traumatic previous hospitalization is scheduled for surgery. Which child life approach best reflects trauma-informed care?

Accepted Answer

Assess the child's prior experience, validate feelings, and collaboratively develop a coping plan with input from the child and family

Answer

Avoid discussing the previous hospitalization to prevent distress

Answer

Require the child to complete the procedure without parental presence to build independence

Answer

Administer pre-procedure sedation immediately to reduce anxiety

Question 4

The SAMHSA framework for trauma-informed care includes the '4 Rs.' Which of the following correctly identifies all four?

Accepted Answer

Realize, Recognize, Respond, Resist re-traumatization

Answer

Recognize, Respond, Refer, Record

Answer

Reflect, Relate, Respond, Recover

Answer

Realize, Reduce, Respond, Restore

Question 5

When a hospitalized child exhibits hypervigilance and an exaggerated startle response, the child life specialist should recognize these as potential indicators of:

Accepted Answer

A trauma response that may indicate prior adverse experiences affecting the child's nervous system

Answer

Normal developmental regression due to hospitalization

Answer

Oppositional defiant disorder requiring behavioral intervention

Answer

Medication side effects requiring immediate nurse notification

Question 6

Which of the following environmental modifications best supports a trauma-informed approach in the hospital setting?

Accepted Answer

Minimizing unnecessary loud noises, offering predictable routines, and providing choices about the physical environment

Answer

Keeping room lighting bright at all times to monitor patient safety

Answer

Restricting parental visitation to reduce patient stimulation

Answer

Removing all personal items from the room to prevent infection

Question 7

A core principle of trauma-informed care that differentiates it from traditional approaches is the shift in perspective from:

Accepted Answer

'What is wrong with you?' to 'What happened to you?'

Answer

'How can we fix this?' to 'How can we prevent this?'

Answer

'What do you need?' to 'What do we recommend?'

Answer

'What are your symptoms?' to 'What is your diagnosis?'