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How Mood Disorders Impact Children

1. Which of the following is NOT a sign of Major Depressive Disorder in children?

A. Loss of interest or pleasure in almost all activities

B. Not experiencing weight changes

C. Recurrent thoughts of death

D. Feeling of worthlessness or guilt


2. What is not a risk factor for depression in children and adolescents?

A. High-functioning autism

B. Physical, sexual, or emotional abuse or neglect

C. Academic difficulties

D. Having a well-balanced diet and regular physical activity


3. Which therapy is considered the gold standard of evidence-based therapies to treat depression in children?

A. Behavioral therapy

B. Psychoanalysis

C. Cognitive Behavioral Therapy

D. Dialectical behavior therapy


4. Which of the following is a misstatement about the similarities and differences between Major and Persistent Depressive Disorder in children?

A. Persistent Depressive Disorder lasts for a longer period compared to Major Depression

B. Major Depressive Disorder is less severe compared to Persistent Depressive Disorder

C. Persistent Depressive Disorder has less severe symptoms compared to Major Depression

D. Major Depressive Disorder can have a more profound impact on a child's capacity to handle daily life compared to Persistent Depressive Disorder


5. When diagnosing Major Depressive Disorder, which criteria below does not need to be met?

A. Depressed or irritable mood

B. Loss of interest or pleasure in almost all activities

C. Significant unintentional weight loss/gain

D. Symptoms persist for longer than two months


6. Which type of therapy helps in identifying triggers to depressive and manic episodes in children with bipolar disorder?

A. Interpersonal psychotherapy

B. Cognitive Behavioral Therapy

C. Psychotherapy

D. Dialectical Behavioral Therapy


7. What symptom is common to both persistent depressive disorder and bipolar disorder in children?

A. Rapid speech which jumps around to different topics

B. Difficulty staying focused and racing thoughts

C. Poor concentration or difficulty making decisions

D. Decreased need for sleep


8. Under the DSM-V criteria for a persistent depressive disorder diagnosis in children, which of the following is NOT listed?

A. Depressed mood or irritable mood for most of the day

B. Symptoms cause clinically significant impairment or distress in important areas of functioning

C. Symptoms do not meet the criteria or are not better accounted for by major depressive disorder, bipolar disorder, or psychotic disorder

D. Extended periods of intense happiness or silliness


9. Which of the following best describes the key focus of treatment for persistent depressive disorder in children?

A. Use of antidepressant medication only

B. Psychotherapy concentrating on individual counselling only

C. Treatment most often involves a combination of psychotherapy and medication

D. Solely focus on improving how individuals view their environment


10. Which assessment is NOT typically used for diagnosing bipolar disorder in children?

A. Symptom reports and observations

B. Child Bipolar Questionnaire

C. Family and child interviews

D. Visual memory tests


11. What is a frequent symptom observed in children with Disruptive Mood Dysregulation Disorder (DMDD)?

A. Verbal outbursts less than three times a week

B. Severe temper outbursts, verbal and behavioral, at least three times a week

C. Chronic moods of happiness and contentment

D. Extended periods of calm and quiet


12. What impact can a child's mood disorder have on families?

A. Increases stable familial relationships

B. Decreases emotional distress amongst family members

C. Can cause disruption in regular routines and daily life

D. No indirect effect on a family's financial state


13. Which of the following is not a suggested therapeutic approach for treating children with DMDD?

A. Cognitive Behavioral Therapy (CBT)

B. Dialectical Behavior Therapy for children (DBT-C)

C. Parent Training

D. Repression focused therapy


14. What are some effects of mood disorders on children's social interactions and peer relationships?

A. Increased number of high-quality friendships

B. Increased social inclusion and acceptance by peers

C. Avoidance of social interaction and possibilities of being a victim of bullying

D. Better reputation and respect amongst peers


15. What is a proven risk factor for developing early-onset mood disorders?

A. Low academic pressure

B. Distanced and unengaged parenting styles

C. Childhood trauma, including abuse and neglect

D. Limited exposure to diversity


16. What is a crucial part of a safety plan for at-risk children who may have suicidal tendencies as according to Boston Children’s Hospital (2023)?

A. Maintain an inventory of the child's favorite belongings

B. The child should take personal responsibility for asking help in times of need

C. A detailed account of the hospital care versus crisis care

D. A precise plan of care for any other children in the household when their sibling is experiencing a crisis


17. Which of the following are reported as protective factors which can help children build positive relationships as per Cooper (2023)?

A. Encouraging children to isolate from peers and keep to themselves

B. Parents who provide random and unpredictable routines

C. Participation in school activities, like clubs and team sports, where they can build new skills and develop self-confidence

D. Maintaining a high level of secrecy between parents and kids to prevent them from getting hurt


18. What is the widely suggested recommendation for parental roles when it comes to the mental health of their children at home, according to Spiteri (2021)?

A. Engaging them in extensive household chores to keep them busy

B. Isolating them from physical activities for their safety

C. Encouraging them to exercise daily and engage in school work

D. Making them responsible for their own mental health


19. What does Yale University's RULER program, mentioned in the teaching method suggested by Abramson (2022), aim to teach?

A. Five different languages

B. Grouper physical activities and educational games

C. Five emotional intelligence skills of recognizing, understanding, labeling, expressing, and regulating

D. Methods to deal with bullies in schools


20. In the context of risk or threat, which of the following is NOT considered to be a multisystem resilience factor according to Mesman et al., 2021?

A. Sensitive caregiving, close relationships, social support

B. Developing superior athletic skills

C. Positive views of self, family, or group

D. Problem-solving and planning


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