Which pairing correctly identifies two inpatient stressors and a CLS intervention for each?

• A. Fear of the unknown — provide prep and distraction; Separation from family — promote family presence and transitional routines.
• B. Fear of the unknown — sedate the child; Separation from family — isolate the child.
• C. Fear of the unknown — ignore it; Separation from family — remove family presence entirely.
• D. Fear of the unknown — use only medication; Separation from family — never involve the family.

Answer: (A)

Facing the hospital environment can trigger two major stressors for kids: fear of the unknown and separation from family. The best approach to these uses developmentally appropriate strategies that you’ll see in child life practice. For fear of the unknown, giving the child preparation—explaining what will happen in plain language, what sensations to expect, and why certain steps are done—helps reduce uncertainty. Pairing that with distraction during procedures shifts the child’s attention away from distress, lowering anxiety and making the experience more manageable.

When separation from family is a factor, keeping family presence as part of care and establishing predictable transitional routines provide a consistent sense of security and continuity. Letting family remain involved, along with structured routines for transitions between activities or areas, helps the child cope and feel safer.

The other options lean on approaches that don’t align with how child life supports coping—sedation as a primary strategy, isolating the child, ignoring fears, or removing family involvement—all of which can increase distress rather than alleviate it and don’t reflect family-centered, developmentally appropriate care.