COLLEGE OF NURSING

All India Institute of Medical Sciences, Bhubaneswar

B.Sc Nursing Part-III Examination, 2024

Subject- Child health nursing

Time: 3hrs Full marks: 75

Use separate answer script for each group

Answer all questions

Group- A 3×10=30

4+6= 10

1. a) List down the behavioral disorders during toddler age group.

b) As a nurse what will be your role in the prevention of behavioral disorders during toddler
age group. 3+7=10

2. a) Enumerate the common behavioral disorders during pre-school age.

b) What advice will you give to the mother of a 4 year child with enuresis?

Or, 3+7=10

a) Enumerate the common behavioral disorders during infancy.

b) As a nurse what will be your role in the prevention of behavioral disorders during infancy.

5+5=10

3. a) Enumerate the causes of behavioral disorders in children

b) Write down the principles of management of behavioral disorders in children.

Group- B 5×5=25

4. Write short notes (any 5)

a. Anorexia nervosa
b. Child guidance clinic
c. Child abuse
 d. Temper tantrum
e. Common behavioral disorders of school children.
f. ADHD
g. Enuresis

5. Choose the most appropriate action. 1×20=20

a) Commonly used therapy for the treatment of thumb sucking includes-

i) Flooding

ii) Aversion therapy

iii) Millieu therapy

iv) Psychoanalysis

b) Long term thumb sucking problem in a child may cause-

i) Dental problems

ii) Mucosal trauma

iii) Altered growth of facial bone

iv) All of the above

c) Antisocial behavior when a child or adolescent purposefully and repeatedly does illegal
activities is known as-

i) Thumb sucking

ii) Tic

iii) Autism

iv) Juvenile delinquency

d) In following which is a development disorder- i) Scabies

ii) Dementia

iii) Autism

iv) Schizophrenia
e) Which symptom is common in a child diagnosed with attention-deficit hyperactivity disorder
(ADHD)- i) Excessive sleepiness

ii) Excessive hunger

iii) Excessive thirst

iv) Difficulty concentrating on tasks

f) Regarding school refusal which statement is false- i) It is a complex order

ii) Selective mutism is overlapping

iii) Younger children usually have separation

anxiety disorder

g) In pica disorder the most appropriate statement is- i) It is only related to eating day and earth

ii) Usually in children below 2 years

iii) Not present with other eating disorders

iv) It resulted in high fatalities

h) All the following are characteristic features of separation anxiety disorder except-

i) Not manifested below 3 years of age

ii) Girls are more affected than boys

iii) Child thinking often includes fear of harm

affecting parents.

i) All the following should raise the suspicion of autistic spectrum disorders (ASD) except-

i) Sibling with ASD

ii) Playmate concern

iii) Parental concern

iv) Caregiver concern

j) In childhood disorders there are different types of problems such as Symptom based
disorders. One such disorder is known as enuresis, which means- i) Sleepwalking

ii)Bedwetting
 iii) Lack of bowel control

iv) Stammering

k) Sleepwalking is known as- i) Encopresis

ii) Somnambulism

iii) Somniloquy

iv) Stammering

l) Attention deficit hyperactivity disorder is a childhood disorder known as- i) Hypokinetic

ii) Hyperactivity

iii) Hyperkinetic

iv) Hyperstasis

m) Which of the following are risk factors for childhood psychiatric disorder-

i) Parental psychopathology

ii) Repeated early separation from parents

iii) Harsh or inadequate parents

iv) All of the above

n) The percentage of mental illnesses that is encountered at least once in any stage during
childhood is about- i) 10%

ii) 20%

iii) 30%

iv) 40%

o) Which of the following childhood disorder improves with increase in age-

i) Conduct disorder

ii) Emotional problems

iii) Temper tantrum

iv) Sleep disorder

p) A sudden outburst or violence display of anger, frustration and bad temper seen in children
is named as- i) Tics

ii) Encopresis

iii) Breath holding spells

iv) Temper tantrum

q) A 18-month old baby presents with recurrent episodes of excessive crying followed by
cyanosis, unconsciousness and occasional seizures since 9 months of age. What is the most
likely diagnosis – i) Epilepsy

ii) Anoxic spells

iii) Breath holding spells

iv) Vasovagal attack

r) What is the commonest cause of enuresis in children- i) Urinary tract infection

ii) Spina bifida

iii) Psychologic stress

iv) Diabetes mellitus

s) Which of the following would be considered normal in 4 year old child-

i) Tics

ii) Hyper excitability

iii) Anxiety

iv) Hyperkinesis

t) Tics can be- i) Vocal Tics

Ii) Motor Tics

Iii) Both I) And Ii)