CHILD LIFE CERTIFICATION FINAL PAPER 2025/2026
QUESTIONS WITH ANSWERS TAGGED A+
✔✔handbook of material covered - ✔✔an essential component of any student or
volunteer orientation
✔✔Purpose of child and family observation - ✔✔this determines strengths and coping
techniques already in place for the child and family
✔✔7 months-4 years - ✔✔research indicates that children in this age group are most
vulnerable to psychological stress when hospitalized
✔✔The presence of an attachment figure - ✔✔the PRINCIPLE factor in reducing a
child's susceptibility to fear and anxiety
✔✔Weekly meetings attended by all disciplines - ✔✔the best place for doctors and
other staff to express concerns for the patients
✔✔document in the patients chart and speak privately to the parents - ✔✔child life
specialists communicate interpretation of a child's behavior to others by doing these
steps
✔✔Nonverbal communication - ✔✔infants primarily use and understand this as a
means of communicating their needs to their caregiver
✔✔safety of the patient - ✔✔the most important consideration when a policy is written
concerning playroom use
✔✔the purpose of quality management activities - ✔✔assure high quality, cost-effective
child life care
✔✔Azarnoff and Flegal (1975) - ✔✔discussed the importance of an outpatient play
program
✔✔the inpatient pediatric unit and the outpatient clinic - ✔✔generally the first ares in
which child life services are organized
✔✔Factors rating needs of children - ✔✔age of the patient
high risk children
medical condition
manifested problems
✔✔7 months to 3 or 4 years - ✔✔particularly vulnerable to psychological trauma
,✔✔high risk children - ✔✔children who have had difficulty with a previous
hospitalization or who have recently experienced a death in the family
✔✔manifesting behavior - ✔✔indicates the presence of problems should be considered
high priorities for the attention of the child life staff
✔✔Position Paper (1975) - ✔✔the child life activity study section of the association for
the care of children's health set a 1:10 ration of child life staff to pediatric patients
✔✔salary and benefits - ✔✔should be comparable to those of other hospital employees
with similar educational backgrounds and experience
✔✔heterogeneous grouping - ✔✔a broad range of children from infants to early adults
✔✔grouping by medical condition - ✔✔pediatric units based on the condition of the
children
✔✔an outdoor play area - ✔✔(constructed on a fenced-in portion of the roof or at
ground level) children may picnic, engage in group activities, tend gardens of merely sit
and appreciate the welcome change of scenery
✔✔playroom general guidelines - ✔✔-the design should provide for play opportunities
when the area is unsupervised
-general safety factors must be assessed
-must be accessible by wheelchair or gurney
-a variety of materials
✔✔Lindheim, Glaser and Coffin (1972) - ✔✔suggest the construction of a large playpen
type area with a soft, warm floor, free of all hazards, on which the infants may crawl
✔✔field trips - ✔✔this activity helps children gain a better understanding of total
operation of the hospital, making the whole experience more comprehensible
✔✔an outpatient clinic visit - ✔✔children in this atmosphere are spared the necessity of
dealing with many of the most terrifying elements confronting the hospitalized child
✔✔the child life worker - ✔✔models behavior management skills in the play area,
thereby permitting parents to observe techniques for dealing with their children
✔✔Morris (1974) - ✔✔described a program at the mount sinai hospital pediatric clinic in
new york city, designed to promote the cognitive development and language skills of
disadvantaged young children
, ✔✔Azarnoff (1970) - ✔✔noted that the basic goals of a play program in the outpatient
clinic are "to make it easier for the child and his family to come to the clinic and to create
an atmosphere in which the child is trusting enough to be cooperative"
✔✔the child life program in emergency room - ✔✔programs in this environment attempt
to alleviate the concerns and anxieties of children and parents during the crisis situation
✔✔three preparation elements - ✔✔1) imparting information to the child
2) encouraging emotional expression
3) establishing trusting relationships with the hospital staff
✔✔preparation and stress point supportive care - ✔✔parents and children were given
information, urged to explore their feelings and, as a result of the process, developed a
trusting relationship with an individual who could offer support at stressful points during
the hospitalization
✔✔Johnson, Kirchhoff and Endress (1975) - ✔✔explored the question of the type of
information provided to children concerning forthcoming events
✔✔Melamed and Siegel (1975) - ✔✔examined the value of filmed modeling in
enhancing the preparation procedure
✔✔preschool age - ✔✔the magic thinkers
✔✔reluctant parents - ✔✔this group of parents may need the sensitive coaxing of the
physician is they are to see the value of the preparation process
✔✔Klinzing and Klinzing (1977) - ✔✔reported the success of experimental programs
through which student nurses visited homes of children prior to admission, talking with
parents and children about the forthcoming hospital experience and answering
questions as they arose
✔✔Petrillo and Sanger - ✔✔present in outline form a series of basic guidelines for
working with the parents of infants, providing simple concrete explanations for pre-
schoolers and introducing explanations of a more technical nature as the child moves
through the school age years into adolescence
✔✔child advocacy - ✔✔an ever increasing understanding of the necessity for securing
the fundamental rights of children
✔✔case advocacy - ✔✔problems are handled on an individual basis
✔✔class advocacy - ✔✔a general change in rules or practice affecting children and
parents as a group is sought
QUESTIONS WITH ANSWERS TAGGED A+
✔✔handbook of material covered - ✔✔an essential component of any student or
volunteer orientation
✔✔Purpose of child and family observation - ✔✔this determines strengths and coping
techniques already in place for the child and family
✔✔7 months-4 years - ✔✔research indicates that children in this age group are most
vulnerable to psychological stress when hospitalized
✔✔The presence of an attachment figure - ✔✔the PRINCIPLE factor in reducing a
child's susceptibility to fear and anxiety
✔✔Weekly meetings attended by all disciplines - ✔✔the best place for doctors and
other staff to express concerns for the patients
✔✔document in the patients chart and speak privately to the parents - ✔✔child life
specialists communicate interpretation of a child's behavior to others by doing these
steps
✔✔Nonverbal communication - ✔✔infants primarily use and understand this as a
means of communicating their needs to their caregiver
✔✔safety of the patient - ✔✔the most important consideration when a policy is written
concerning playroom use
✔✔the purpose of quality management activities - ✔✔assure high quality, cost-effective
child life care
✔✔Azarnoff and Flegal (1975) - ✔✔discussed the importance of an outpatient play
program
✔✔the inpatient pediatric unit and the outpatient clinic - ✔✔generally the first ares in
which child life services are organized
✔✔Factors rating needs of children - ✔✔age of the patient
high risk children
medical condition
manifested problems
✔✔7 months to 3 or 4 years - ✔✔particularly vulnerable to psychological trauma
,✔✔high risk children - ✔✔children who have had difficulty with a previous
hospitalization or who have recently experienced a death in the family
✔✔manifesting behavior - ✔✔indicates the presence of problems should be considered
high priorities for the attention of the child life staff
✔✔Position Paper (1975) - ✔✔the child life activity study section of the association for
the care of children's health set a 1:10 ration of child life staff to pediatric patients
✔✔salary and benefits - ✔✔should be comparable to those of other hospital employees
with similar educational backgrounds and experience
✔✔heterogeneous grouping - ✔✔a broad range of children from infants to early adults
✔✔grouping by medical condition - ✔✔pediatric units based on the condition of the
children
✔✔an outdoor play area - ✔✔(constructed on a fenced-in portion of the roof or at
ground level) children may picnic, engage in group activities, tend gardens of merely sit
and appreciate the welcome change of scenery
✔✔playroom general guidelines - ✔✔-the design should provide for play opportunities
when the area is unsupervised
-general safety factors must be assessed
-must be accessible by wheelchair or gurney
-a variety of materials
✔✔Lindheim, Glaser and Coffin (1972) - ✔✔suggest the construction of a large playpen
type area with a soft, warm floor, free of all hazards, on which the infants may crawl
✔✔field trips - ✔✔this activity helps children gain a better understanding of total
operation of the hospital, making the whole experience more comprehensible
✔✔an outpatient clinic visit - ✔✔children in this atmosphere are spared the necessity of
dealing with many of the most terrifying elements confronting the hospitalized child
✔✔the child life worker - ✔✔models behavior management skills in the play area,
thereby permitting parents to observe techniques for dealing with their children
✔✔Morris (1974) - ✔✔described a program at the mount sinai hospital pediatric clinic in
new york city, designed to promote the cognitive development and language skills of
disadvantaged young children
, ✔✔Azarnoff (1970) - ✔✔noted that the basic goals of a play program in the outpatient
clinic are "to make it easier for the child and his family to come to the clinic and to create
an atmosphere in which the child is trusting enough to be cooperative"
✔✔the child life program in emergency room - ✔✔programs in this environment attempt
to alleviate the concerns and anxieties of children and parents during the crisis situation
✔✔three preparation elements - ✔✔1) imparting information to the child
2) encouraging emotional expression
3) establishing trusting relationships with the hospital staff
✔✔preparation and stress point supportive care - ✔✔parents and children were given
information, urged to explore their feelings and, as a result of the process, developed a
trusting relationship with an individual who could offer support at stressful points during
the hospitalization
✔✔Johnson, Kirchhoff and Endress (1975) - ✔✔explored the question of the type of
information provided to children concerning forthcoming events
✔✔Melamed and Siegel (1975) - ✔✔examined the value of filmed modeling in
enhancing the preparation procedure
✔✔preschool age - ✔✔the magic thinkers
✔✔reluctant parents - ✔✔this group of parents may need the sensitive coaxing of the
physician is they are to see the value of the preparation process
✔✔Klinzing and Klinzing (1977) - ✔✔reported the success of experimental programs
through which student nurses visited homes of children prior to admission, talking with
parents and children about the forthcoming hospital experience and answering
questions as they arose
✔✔Petrillo and Sanger - ✔✔present in outline form a series of basic guidelines for
working with the parents of infants, providing simple concrete explanations for pre-
schoolers and introducing explanations of a more technical nature as the child moves
through the school age years into adolescence
✔✔child advocacy - ✔✔an ever increasing understanding of the necessity for securing
the fundamental rights of children
✔✔case advocacy - ✔✔problems are handled on an individual basis
✔✔class advocacy - ✔✔a general change in rules or practice affecting children and
parents as a group is sought
