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Helping Parents Help Children Cope with Cancer in the Family
Cancer and Children  continuing education social worker CEUs

CEU Answer Booklet
Psychologist CEs, Counselor CEUs, Social Worker CEUs, MFT CEUs

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  2. After completing and scoring the Answer Booklet below a Certificate granting 6 continuing education credit(s) for this Course is issued to you on-line.
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Audio Transcript Questions The answer to Question 1 is found in Track 1 of the Course Content. The Answer to Question 2 is found in Track 2 of the Course Content… and so on. Select correct answer from below. Place letter on the blank line before the corresponding question. Do not add any spaces.
Important Note! Numbers below are links to that Section. If you close your browser (i.e. Explorer, Firefox, Chrome, etc..) your answers will not be retained. So write them down for future work sessions.

Questions:
1. What are three fundamental needs of children?
2. What are three goals for breaking the news?
3. What is an effective technique for sorting out priorities?
4. What are four methods for reestablishing security?
5. What are two effective therapeutic tools for helping children get in touch with their feelings?
6. When might regression become resolved?
7. What are three focus points to help children coping with visits?

Answers:
A. Three goals to breaking the news are to provide enough facts to allay the child’s immediate fears, to reassure them that they will be kept informed and be well taken care of, and to prepare them for what’s coming next.
B. Two effective therapeutic tools for helping children get in touch with their feelings are therapeutic play and feelings football. 
C. Three fundamental needs are continuous satisfaction of their basic physical and emotional needs, and understanding on their level of what is happening, and reassurance that they will be cared for no matter what happens to you. 
D. Regression is an unconscious signal of increased need and usually resolves when the children feel that their three fundamental needs are being addressed
E. Three focus points to helping children coping with visits are reactions during visits, planning for the visit, and leaving children behind. 
F. An effective technique for sorting out priorities is the creating an energy bank account technique. 
G. Four methods for reestablishing security are actively manage the level of change in the child’s life, actively increase the level of predictability in the child’s life, deal with any of the child’s health concerns, and increase the child’s feelings of control.

Course Content Manual Questions The Answer to Question 8 is found in Section 8 of the Course Content… and so on. Select correct answer from below. Place letter on the blank line before the corresponding question.
Important Note! Numbers below are links to that Section. If you close your browser (i.e. Explorer, Firefox, Chrome, etc..) your answers will not be retained. So write them down for future work sessions..

Questions:
8. Why is having a mother with breast cancer especially hard on teens?
9. What are the advantages of group support for siblings of children with cancer?
10. What are four techniques to help the spouse of a breast cancer patient share his feelings with his children? 
11. According to Armsdel and Lewis, how did young school-age children adapt to parental cancer?
12. According to the Lichtman et al. study, what relationships were found to be at significant risk in families with cancer?
13. What can seriously compromise the acceptance of death and greatly intensify or impair the bereavement process for surviving family members?
14. What often causes conflicts and divisions within the family after the death of a family member?
15. What three assumptions are the grief-oriented, music-directed model based on?
16. In order to promote healing, what six strategies can counselors utilize with music therapy?
17. According to Compas et al., what type of coping is related to greater avoidance and to higher symptoms of anxiety/depression in the adolescent?

Answers
A.  (a) counselors can use music to assist grief-stricken clients; (b) grief occurs along a continuum; and (c) a spiritual framework for grief resolution and music intervention provides an effective venue for working with grieving clients.
B. Those authors found that it was difficult for young school-age children to understand the concept of cancer due to their concrete mode of thinking. They often described the illness as “it” and their emotional responses were concerned primarily with fear, loneliness, anger, and uncertainty about the future.
C. (a) “test the waters” by using music creatively in practice; (b) incorporate prose, narrative, or poetry writing as an integral part of grief work; (c) ask clients to write about the positive and negative aspects of their grief; (d) ask clients to personalize lyrics for their favorite songs (e.g., “Amazing Grace,” popular folk or contemporary music); (e) meet clients where they are in the grieving process and build toward a mutually agreeable direction; and (f) join colleagues with similar interests and use songs that have been tested in the field.
D. The individual, although experiencing grief autonomously, does in fact project and propel his or her symptoms onto the other members of the system or family. This is likely to result in conflict and divisions within the family, as each person is perhaps seen by the others as not coping adequately, as preoccupied with irrational thoughts, wallowing in self-pity or prolonging the grieving process.
E. Teens are at the age when they want to be more independent. Just at the time they're trying to separate themselves from home, their mother's breast cancer pulls them back in. They may have to take on more responsibilities at home.
F. The advantages of this sort of support for siblings is that they often feel left out and jealous of the attention the sick child receives, so these days are meant to be special to them. It allows them, through play, to express and work through their feelings, and they learn to mix with other children going through similar experiences.
G. blame and guilt
H. emotion-focused coping
I. Talk to him, but mostly listen. Find the right confidant. Encourage a support group. Consider the possibility of depression.
J. They found that the mothers’ relationships with their daughters were at a significantly greater risk than were the relationships with their sons. Seventeen percent of the breast cancer patients reported that their daughters were fearful, withdrawn, hostile, or rejecting; only 8% reported having problems with their sons.


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