Q.1 Which of the following is a common behavioral problem observed in school-aged children?
Separation anxiety
Bedwetting
Oppositional defiant behavior
Thumb-sucking
Explanation - Oppositional defiant behavior is commonly observed in school-aged children, characterized by persistent disobedience, hostility, and defiance toward authority figures.
Correct answer is: Oppositional defiant behavior
Q.2 A child exhibits excessive fear of social situations and avoids interactions with peers. This behavior is most consistent with:
Attention deficit hyperactivity disorder
Social anxiety disorder
Autism spectrum disorder
Conduct disorder
Explanation - Social anxiety disorder involves intense fear of social interactions and can lead to avoidance behaviors in children.
Correct answer is: Social anxiety disorder
Q.3 Which nursing intervention is most appropriate for a child with separation anxiety?
Encouraging independence gradually
Allowing constant parental presence
Restricting visits from peers
Punishing crying episodes
Explanation - Gradual encouragement of independence helps children with separation anxiety build coping skills while maintaining emotional support.
Correct answer is: Encouraging independence gradually
Q.4 Which factor is most likely to contribute to behavioral problems in children?
Stable family environment
Consistent routines
Parental neglect or inconsistent discipline
Supportive peer group
Explanation - Children exposed to inconsistent discipline or neglect are at higher risk for developing behavioral problems.
Correct answer is: Parental neglect or inconsistent discipline
Q.5 What is the primary characteristic of conduct disorder in children?
Excessive shyness
Aggression toward people or animals
Excessive sleep
Fear of school
Explanation - Conduct disorder involves a persistent pattern of behavior violating societal norms, often including aggression toward people or animals.
Correct answer is: Aggression toward people or animals
Q.6 Which behavioral therapy technique is commonly used to manage childhood phobias?
Cognitive-behavioral therapy
Electroconvulsive therapy
Psychodynamic therapy
Hypnosis
Explanation - Cognitive-behavioral therapy (CBT) helps children identify and modify irrational fears and develop coping strategies.
Correct answer is: Cognitive-behavioral therapy
Q.7 A child frequently exhibits temper tantrums, defies rules, and deliberately annoys others. Which disorder should the nurse suspect?
Oppositional defiant disorder
Separation anxiety
Autism spectrum disorder
ADHD
Explanation - Oppositional defiant disorder is characterized by persistent disobedience, hostility, and defiant behavior toward authority figures.
Correct answer is: Oppositional defiant disorder
Q.8 Which of the following is a sign of emotional neglect in children?
Frequent hospital visits
Delayed speech and social withdrawal
Excellent academic performance
High peer acceptance
Explanation - Emotional neglect can lead to developmental delays, poor social interaction, and withdrawal behaviors in children.
Correct answer is: Delayed speech and social withdrawal
Q.9 A nurse observes a 14-year-old refusing to eat and expressing distorted body image. This is suggestive of:
Anorexia nervosa
Bulimia nervosa
ADHD
Adjustment disorder
Explanation - Anorexia nervosa is an eating disorder commonly seen in adolescents, characterized by extreme restriction of food intake and distorted body image.
Correct answer is: Anorexia nervosa
Q.10 Which parenting style is associated with higher risk of behavioral problems in children?
Authoritative
Authoritarian
Permissive
Uninvolved
Explanation - Uninvolved parenting, characterized by lack of responsiveness and neglect, is linked to increased behavioral and emotional problems in children.
Correct answer is: Uninvolved
Q.11 What is the most effective approach for managing mild ADHD symptoms in children?
Behavioral therapy
Hospitalization
Electroconvulsive therapy
Isolation from peers
Explanation - Behavioral therapy, including positive reinforcement and structured routines, is effective in managing mild ADHD symptoms.
Correct answer is: Behavioral therapy
Q.12 Which behavior is typical in children with autism spectrum disorder?
Difficulty with social interaction and repetitive behaviors
High physical aggression
Excessive social engagement
Rapid emotional swings
Explanation - Autism spectrum disorder is characterized by social communication difficulties and repetitive or restricted behaviors.
Correct answer is: Difficulty with social interaction and repetitive behaviors
Q.13 A nurse is caring for a child who consistently lies, steals, and shows no remorse. The child may have:
Conduct disorder
Separation anxiety
ADHD
Oppositional defiant disorder
Explanation - Conduct disorder includes behaviors that violate societal rules, such as lying, stealing, and lack of guilt or remorse.
Correct answer is: Conduct disorder
Q.14 Which of the following is a key psychosocial task for adolescents according to Erikson?
Industry vs. inferiority
Identity vs. role confusion
Trust vs. mistrust
Intimacy vs. isolation
Explanation - Adolescents work on establishing their personal identity and sense of self, as described in Erikson’s psychosocial development theory.
Correct answer is: Identity vs. role confusion
Q.15 A child frequently exhibits anxiety and complains of stomachaches before school. The most likely psychosocial issue is:
Separation anxiety
ADHD
Conduct disorder
Autism spectrum disorder
Explanation - Somatic complaints such as stomachaches before school can be a manifestation of separation anxiety in children.
Correct answer is: Separation anxiety
Q.16 Which of the following is an example of positive reinforcement for a child with behavioral problems?
Giving praise for completing homework
Removing privileges for misbehavior
Ignoring the child
Yelling at the child
Explanation - Positive reinforcement strengthens desired behaviors by providing rewards or praise when the behavior occurs.
Correct answer is: Giving praise for completing homework
Q.17 Which factor contributes to resilience in children facing psychosocial challenges?
Lack of supportive relationships
Strong problem-solving skills and supportive family
High exposure to violence
Chronic stress without coping mechanisms
Explanation - Resilience in children is fostered by protective factors like supportive family, positive peer relationships, and effective problem-solving skills.
Correct answer is: Strong problem-solving skills and supportive family
Q.18 What is a common behavioral manifestation of post-traumatic stress disorder (PTSD) in children?
Re-experiencing the trauma through nightmares
Excessive smiling
Improved school performance
Increased sociability
Explanation - Children with PTSD may have nightmares, flashbacks, or avoidance behaviors related to the traumatic event.
Correct answer is: Re-experiencing the trauma through nightmares
Q.19 Which intervention is most appropriate for managing aggression in children?
Teaching anger management techniques
Ignoring the behavior completely
Physical punishment
Encouraging competitive sports only
Explanation - Anger management strategies help children understand and regulate aggressive impulses, reducing behavioral problems.
Correct answer is: Teaching anger management techniques
Q.20 A 15-year-old child frequently skips school, lies, and steals. The nurse should assess for:
Conduct disorder
Separation anxiety
Anorexia nervosa
ADHD
Explanation - Persistent rule-breaking behaviors such as truancy, lying, and stealing are indicative of conduct disorder.
Correct answer is: Conduct disorder
Q.21 Which technique is effective in reducing anxiety before a medical procedure in children?
Distraction with toys or games
Ignoring the child
Using physical restraints
Administering sedatives routinely
Explanation - Distraction techniques help reduce procedural anxiety in children by shifting focus away from the stressful event.
Correct answer is: Distraction with toys or games
Q.22 Which of the following is a sign of peer rejection in school-aged children?
Frequent solitary play and low self-esteem
High social participation
Improved academic performance
Leadership in group activities
Explanation - Peer rejection can lead to social withdrawal, low self-esteem, and increased vulnerability to behavioral problems.
Correct answer is: Frequent solitary play and low self-esteem
Q.23 Which statement best describes reactive attachment disorder in children?
A child fails to develop normal attachment to caregivers
A child exhibits hyperactivity in class
A child shows obsessive-compulsive behavior
A child has repeated temper tantrums
Explanation - Reactive attachment disorder occurs when a child does not form healthy emotional bonds due to neglect or inconsistent caregiving.
Correct answer is: A child fails to develop normal attachment to caregivers
Q.24 Which of the following is a hallmark feature of ADHD in children?
Inattention, hyperactivity, and impulsivity
Excessive fear of strangers
Frequent bedwetting
Persistent sadness only
Explanation - ADHD is characterized by difficulties with attention, hyperactive behaviors, and impulsivity that interfere with functioning.
Correct answer is: Inattention, hyperactivity, and impulsivity
Q.25 Which intervention is recommended for children exhibiting anxiety related to hospitalization?
Providing preparatory information about procedures
Leaving the child alone
Using punitive measures for crying
Restricting parental visits
Explanation - Giving age-appropriate explanations and preparatory information helps reduce fear and anxiety in hospitalized children.
Correct answer is: Providing preparatory information about procedures