Child Life Exam Child Life Grief and Bereavement 2

Question 1

A 4-year-old who has been told about a grandparent's death keeps asking 'When is grandma coming back?' This response MOST likely reflects:

Accepted Answer

The developmental inability to understand the permanence of death

Answer

Denial as a defense mechanism

Answer

Deliberate defiance of the family's explanation

Answer

A hearing impairment requiring further evaluation

Question 2

Which approach is MOST appropriate when creating a memory-making activity for a family whose infant is dying?

Accepted Answer

Offer gentle guidance while following the family's pace and cultural preferences for remembrance

Answer

Rush through the activity so the family can return to medical decision-making

Answer

Insist on specific keepsakes regardless of the family's wishes

Answer

Delay memory-making until after the child has died

Question 3

When supporting a bereaved school-age child, it is MOST important to:

Accepted Answer

Provide honest, age-appropriate information and permission to express a full range of emotions

Answer

Shield them from all details about the death

Answer

Encourage them to be strong for other family members

Answer

Limit grief to a specific time period after which they should 'move on'

Question 4

The concept of 'magical thinking' is particularly relevant to bereavement support because young children may:

Accepted Answer

Believe their thoughts or actions caused the death

Answer

Use magic tricks as a coping mechanism

Answer

Pretend the death didn't happen through imagination

Answer

Create elaborate fantasy stories to entertain themselves

Question 5

A child life specialist facilitating a bereavement support group for children notices that one child draws violent images during every session. The MOST appropriate response is to:

Accepted Answer

Recognize the artwork as a potential expression of grief-related anger and gently explore its meaning with the child

Answer

Remove the child from the group immediately

Answer

Confiscate the drawings and tell the child to draw something happier

Answer

Ignore the drawings entirely as they are not concerning

Question 6

When a child's parent dies, which grief response in an adolescent should prompt IMMEDIATE referral for mental health assessment?

Accepted Answer

Expressing suicidal thoughts or engaging in self-harm

Answer

Crying frequently for the first several weeks

Answer

Expressing anger at the surviving parent

Answer

Wanting to spend more time alone than usual