The nurse contacts a child life specialist (CLS) to work with children on a pediatric ward. What is the primary goal of the CLS?

Decrease anxiety and fear during hospitalization and painful procedure.

Keep children who are hospitalized distracted from pain.

Perform medical procedures using atraumatic principles.

Act as a liaison between the nurse and the child.

Answer and Explanation

The Correct Answer is A

A. Decrease anxiety and fear during hospitalization and painful procedure: The primary goal of a CLS is to help children and families cope with the stress, anxiety, and fear associated with hospitalization, illness, and medical procedures. They use play therapy, education, and emotional support to promote coping and a sense of control in the child.

B. Keep children who are hospitalized distracted from pain: While distraction is one of the techniques used by a CLS, their focus extends beyond distraction to fostering emotional well-being, understanding, and adaptation to the hospital environment.

C. Perform medical procedures using atraumatic principles: Performing medical procedures is not within the CLS’s scope of practice. They work alongside healthcare professionals to prepare children for procedures and minimize trauma, but the actual medical interventions are performed by nurses or physicians.

D. Act as a liaison between the nurse and the child: Although the CLS collaborates closely with nurses and other healthcare providers, their main function is not to serve as a communication link. Their role centers on psychosocial support and helping children understand and manage their healthcare experiences.

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Correct Answer is A

Explanation

A. By the first birthday: The American Academy of Pediatric Dentistry recommends that a child’s first dental visit occur by age one or within six months of the first tooth eruption. Early dental care promotes proper oral hygiene, identifies early signs of decay, and helps parents learn preventive strategies.

B. By the second birthday: Waiting until the second birthday delays opportunities for early intervention and education on oral hygiene habits. Tooth decay can develop soon after eruption, so a visit by age one is preferred.

C. By entry into kindergarten: This age is far too late for a first dental visit. By this time, early childhood caries could already have developed, requiring more extensive dental care and increasing the risk of oral health complications.

D. By entry into first grade: A dental visit at this age misses critical preventive care in early childhood. The primary teeth play an important role in chewing, speech development, and alignment of permanent teeth, which need early monitoring.

A. Screening for congenital defects B. Screening for abuse C. Screening for childhood illnesses D. Screening for infectious diseases

Correct Answer is D

Explanation

A. Screening for congenital defects: While congenital defects should be noted during the initial health assessment, they are not the priority concern for a recently adopted child from another country, unless specific symptoms suggest their presence.

B. Screening for abuse: Although all children should be assessed for signs of abuse, there is no direct indication in this scenario that abuse is suspected. It remains part of the general assessment but not the most immediate screening need.

C. Screening for childhood illnesses: Routine screening for developmental and childhood conditions is appropriate, but it does not address the higher-risk factors unique to internationally adopted children.

D. Screening for infectious diseases: Children adopted internationally, especially from developing countries, may have been exposed to infectious diseases such as tuberculosis, hepatitis, HIV, or parasitic infections. Early detection helps ensure timely treatment and prevents transmission to others.

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The nurse contacts a child life specialist (CLS) to work with children on a pediatric ward. What is the primary goal of the CLS?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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Correct Answer is D

Explanation

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