Q.1 Which of the following is a common sign of anxiety in children?
Frequent nightmares
Aggressive behavior
Excessive talking
Memory loss
Explanation - Children with anxiety often exhibit symptoms such as nightmares, stomachaches, or excessive worry.
Correct answer is: Frequent nightmares
Q.2 What is the most appropriate initial nursing intervention for a child experiencing a panic attack?
Encourage deep breathing
Administer antipsychotic medication
Leave the child alone
Begin psychotherapy immediately
Explanation - During a panic attack, helping the child focus on slow, deep breathing can reduce symptoms and promote calm.
Correct answer is: Encourage deep breathing
Q.3 Which disorder is characterized by persistent inattention and hyperactivity in children?
Autism Spectrum Disorder
Oppositional Defiant Disorder
Attention-Deficit/Hyperactivity Disorder
Separation Anxiety Disorder
Explanation - ADHD presents with symptoms of inattention, hyperactivity, and impulsivity in children.
Correct answer is: Attention-Deficit/Hyperactivity Disorder
Q.4 A child consistently refuses to go to school and shows physical complaints like stomachaches. What condition should the nurse consider?
Separation Anxiety Disorder
Major Depressive Disorder
Conduct Disorder
Post-Traumatic Stress Disorder
Explanation - Separation anxiety in children often manifests as refusal to attend school and somatic complaints.
Correct answer is: Separation Anxiety Disorder
Q.5 Which of the following is a key feature of Oppositional Defiant Disorder (ODD) in adolescents?
Persistent defiance towards authority figures
Excessive social withdrawal
Hallucinations
Memory impairment
Explanation - ODD is characterized by ongoing patterns of angry, irritable mood and defiant behavior towards adults.
Correct answer is: Persistent defiance towards authority figures
Q.6 What is the primary goal of play therapy in child psychiatric nursing?
To improve academic performance
To allow expression of feelings
To test cognitive abilities
To manage medications
Explanation - Play therapy provides a safe medium for children to express emotions and work through psychological issues.
Correct answer is: To allow expression of feelings
Q.7 Which symptom is most indicative of depression in adolescents?
Mood swings
Persistent sadness
Hyperactivity
Phobias
Explanation - Adolescent depression often presents with persistent sadness, loss of interest, and social withdrawal.
Correct answer is: Persistent sadness
Q.8 Which approach is most effective when communicating with an anxious child?
Using complex medical terms
Speaking in a calm and simple manner
Ignoring the child's fears
Providing multiple instructions at once
Explanation - Children respond better to calm, clear, and simple explanations to reduce anxiety and ensure understanding.
Correct answer is: Speaking in a calm and simple manner
Q.9 A 15-year-old exhibits frequent aggression, lying, and stealing. Which disorder should be suspected?
Conduct Disorder
Autism Spectrum Disorder
Separation Anxiety Disorder
ADHD
Explanation - Conduct disorder involves persistent patterns of violating societal norms and the rights of others, including aggression and deceitfulness.
Correct answer is: Conduct Disorder
Q.10 Which intervention is important for a child diagnosed with PTSD?
Avoid discussing the trauma
Encourage expression through art or play
Immediate pharmacotherapy
Isolation from peers
Explanation - Children with PTSD often benefit from therapeutic approaches like art or play therapy to express and process traumatic experiences.
Correct answer is: Encourage expression through art or play
Q.11 Which factor increases the risk of adolescent suicide?
Supportive family environment
History of depression
Regular physical activity
Stable peer relationships
Explanation - A history of depression, previous self-harm, or psychiatric illness increases the risk of suicidal behavior in adolescents.
Correct answer is: History of depression
Q.12 Which therapy focuses on changing negative thought patterns in adolescents?
Cognitive Behavioral Therapy
Psychoanalysis
Electroconvulsive Therapy
Play Therapy
Explanation - CBT is effective for adolescents to identify and modify distorted thinking patterns that contribute to emotional and behavioral problems.
Correct answer is: Cognitive Behavioral Therapy
Q.13 Which is the first-line pharmacological treatment for childhood ADHD?
Stimulants like methylphenidate
SSRIs
Antipsychotics
Benzodiazepines
Explanation - Stimulant medications, such as methylphenidate, are considered first-line therapy for managing symptoms of ADHD in children.
Correct answer is: Stimulants like methylphenidate
Q.14 Which sign is most suggestive of autism spectrum disorder in early childhood?
Avoids eye contact
Frequent crying
Hyperactivity
Excessive sleep
Explanation - Children with ASD may show deficits in social interaction, such as limited eye contact, delayed speech, and restricted interests.
Correct answer is: Avoids eye contact
Q.15 Which nursing strategy is important for adolescents with mood disorders?
Encourage peer support and expression of feelings
Limit social interaction
Discourage communication about emotions
Avoid discussing triggers
Explanation - Adolescents benefit from social support and encouragement to express emotions to improve coping with mood disorders.
Correct answer is: Encourage peer support and expression of feelings
Q.16 Which assessment tool is commonly used to screen for depression in adolescents?
Beck Depression Inventory
Hamilton Anxiety Scale
Mini-Mental State Exam
Wechsler Intelligence Scale
Explanation - The Beck Depression Inventory is widely used to screen for depressive symptoms in adolescents.
Correct answer is: Beck Depression Inventory
Q.17 What is a common family factor contributing to childhood behavioral disorders?
Parental inconsistency in discipline
High socioeconomic status
Supportive family structure
Positive role modeling
Explanation - Inconsistent or harsh discipline can contribute to the development of behavioral problems in children.
Correct answer is: Parental inconsistency in discipline
Q.18 Which sign is commonly seen in adolescents with eating disorders?
Excessive concern about body weight
Frequent nightmares
Persistent sadness
Aggression towards peers
Explanation - Adolescents with eating disorders often show distorted body image, preoccupation with weight, and abnormal eating patterns.
Correct answer is: Excessive concern about body weight
Q.19 Which approach is effective in managing oppositional behavior in children?
Consistent behavioral reinforcement
Ignoring all behaviors
Physical punishment
Overprotecting the child
Explanation - Positive reinforcement and consistent limits help manage oppositional and defiant behaviors in children.
Correct answer is: Consistent behavioral reinforcement
Q.20 Which factor is a red flag for adolescent substance abuse?
Sudden drop in academic performance
Participation in sports
Strong family support
Regular social activities
Explanation - A sudden decline in grades, changes in behavior, and social withdrawal may indicate substance use in adolescents.
Correct answer is: Sudden drop in academic performance
Q.21 Which type of therapy is commonly used for children with autism to improve social and communication skills?
Applied Behavior Analysis
Cognitive Behavioral Therapy
Psychodynamic Therapy
Electroconvulsive Therapy
Explanation - ABA therapy is evidence-based and focuses on improving social, communication, and adaptive skills in children with autism.
Correct answer is: Applied Behavior Analysis
Q.22 Which nursing intervention is important for a suicidal adolescent?
Ensure safety and provide constant supervision
Leave the adolescent alone to reflect
Encourage risk-taking behavior
Delay psychiatric referral
Explanation - Immediate safety measures, supervision, and psychiatric referral are crucial for adolescents with suicidal ideation.
Correct answer is: Ensure safety and provide constant supervision
Q.23 Which factor differentiates normal adolescent mood swings from depression?
Duration and impact on functioning
Frequency of sadness
Presence of anxiety
School performance
Explanation - Depression involves persistent low mood and significant impairment, unlike temporary, age-appropriate mood swings.
Correct answer is: Duration and impact on functioning
Q.24 Which approach helps in reducing school refusal behavior in children?
Gradual exposure to school
Immediate full-day attendance
Ignoring fears
Punishing avoidance behaviors
Explanation - Gradual desensitization helps children overcome anxiety related to school attendance in a supportive manner.
Correct answer is: Gradual exposure to school
Q.25 Which characteristic is common in adolescents with social anxiety disorder?
Fear of negative evaluation
Aggressive outbursts
Hyperactivity
Hallucinations
Explanation - Social anxiety disorder in adolescents involves intense fear of judgment, embarrassment, or rejection in social situations.
Correct answer is: Fear of negative evaluation