Child Life Exam Child Life Trauma-Informed Care 3

Question 1

Re-traumatization in a hospital context is best described as:

Accepted Answer

The reactivation of trauma responses triggered by hospital experiences that mirror or remind the child of past adversity

Answer

A child experiencing a new traumatic medical event unrelated to prior trauma

Answer

A formal psychiatric relapse requiring inpatient mental health treatment

Answer

Repeated painful procedures that cause cumulative physical injury

Question 2

Which of the following ACEs categories is classified as a 'household dysfunction' in the original CDC-Kaiser ACEs study?

Accepted Answer

Witnessing domestic violence

Answer

Emotional neglect

Answer

Physical abuse

Answer

Sexual abuse

Question 3

A child life specialist practicing self-care to prevent compassion fatigue is engaging in which professional obligation?

Accepted Answer

An ethical and professional responsibility that sustains the capacity to provide quality, empathic care

Answer

Optional wellness activity that may be pursued if time permits

Answer

A personal matter outside the scope of professional development

Answer

A requirement only for specialists working in oncology or palliative care

Question 4

When designing a trauma-informed therapeutic play session for a child recovering from an ICU stay, the child life specialist should prioritize:

Accepted Answer

Child-directed play that restores a sense of agency, provides emotional expression opportunities, and builds mastery

Answer

Medical play that closely replicates ICU procedures to help the child process the experience through re-enactment only

Answer

Structured educational activities that redirect the child away from medical themes

Answer

Competitive group games to improve peer socialization skills

Question 5

The trauma-informed principle of 'safety' in a hospital setting specifically refers to:

Accepted Answer

Creating both physical and emotional safety so patients and families feel secure, respected, and free from harm

Answer

Ensuring physical safety through fall prevention protocols only

Answer

Maintaining HIPAA compliance and data security for patient records

Answer

Providing safety equipment such as bed rails and call lights

Question 6

Which of the following grounding techniques is most appropriate for a school-age child experiencing acute trauma-triggered anxiety during a procedure?

Accepted Answer

Using a sensory-based technique such as the '5-4-3-2-1' exercise to anchor the child in the present

Answer

Encouraging the child to relive and verbally describe the traumatic event in detail

Answer

Instructing the child to close their eyes and remain completely still

Answer

Administering distraction via electronic device without verbal engagement

Question 7

The Association of Child Life Professionals (ACLP) emphasizes trauma-informed care within child life scope of practice primarily because:

Accepted Answer

Pediatric hospitalization itself can be a traumatic experience, and understanding trauma supports effective psychosocial care for all patients

Answer

Most pediatric patients have documented PTSD diagnoses requiring clinical treatment

Answer

Trauma-informed care is required only for patients in psychiatric units

Answer

Insurance reimbursement is higher for trauma-informed interventions