examination Latest Update 2026
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SECTION 1: HUMAN GROWTH & DEVELOPMENT (Questions 1–24)
1. According to Erik Erikson, which psychosocial crisis occurs during
adolescence (ages 12–18)?
A) Trust vs. Mistrust
B) Identity vs. Role Confusion
C) Intimacy vs. Isolation
D) Generativity vs. Stagnation
Answer: B) Identity vs. Role Confusion
Rationale: Erikson's stages: Adolescence (12–18) = Identity vs. Role
Confusion. Trust vs. Mistrust (A) = infancy (0–1); Intimacy vs. Isolation
(C) = young adulthood (18–40); Generativity vs. Stagnation (D) = middle
adulthood (40–65).
2. Jean Piaget's cognitive developmental theory includes which stage
characterized by logical thinking and the ability to perform mental
operations on concrete objects?
A) Sensorimotor
,B) Preoperational
C) Concrete Operational
D) Formal Operational
Answer: C) Concrete Operational
Rationale: Concrete Operational stage (ages 7–11) involves logical
thinking about concrete objects. Sensorimotor (A) = 0–2; Preoperational
(B) = 2–7; Formal Operational (D) = 11+ (abstract thinking).
3. Lawrence Kohlberg's theory of moral development has three levels.
Which level is characterized by a focus on external rewards and
punishments?
A) Preconventional
B) Conventional
C) Postconventional
D) Principled
Answer: A) Preconventional
Rationale: Preconventional level (stages 1–2) = morality based on
rewards/punishments. Conventional (B) = maintaining social order;
Postconventional (C) = universal ethical principles.
4. According to Attachment Theory (Bowlby), which attachment style is
characterized by anxiety, difficulty being soothed, and inconsistent
caregiver response?
A) Secure
B) Anxious-Ambivalent
C) Avoidant
D) Disorganized
Answer: B) Anxious-Ambivalent
Rationale: Anxious-ambivalent attachment develops from inconsistent
,caregiver responses. Secure (A) = responsive care; Avoidant (C) =
unresponsive care; Disorganized (D) = abusive/frightening care.
5. Lev Vygotsky's concept of the "Zone of Proximal Development" refers
to:
A) The skills a child can do independently
B) The skills a child can do with assistance
C) The skills a child cannot yet do
D) The skills a child will never develop
Answer: B) The skills a child can do with assistance
Rationale: ZPD is the gap between what a child can do independently and
what they can do with guidance (scaffolding). It is the zone where
learning occurs.
6. A 65-year-old client is reflecting on life and finding meaning. According
to Erikson, this is the crisis of:
A) Identity vs. Role Confusion
B) Intimacy vs. Isolation
C) Generativity vs. Stagnation
D) Ego Integrity vs. Despair
Answer: D) Ego Integrity vs. Despair
Rationale: Ego Integrity vs. Despair occurs in late adulthood (65+). The
person reflects on life with satisfaction (integrity) or regret (despair).
7. A 4-year-old child believes that everyone experiences the world exactly
as they do. This is known as:
A) Conservation
B) Object Permanence
C) Egocentrism
, D) Reversibility
Answer: C) Egocentrism
Rationale: Egocentrism in Piaget's Preoperational stage = inability to see
things from another's perspective. Conservation (A) = understanding that
quantity remains the same despite changes in shape (Concrete
Operational). Object Permanence (B) = Sensorimotor.
8. The "Empty Nest" phase of family life cycle is most associated with
which developmental period?
A) Young adulthood
B) Middle adulthood
C) Late adulthood
D) Adolescence
Answer: B) Middle adulthood
Rationale: The Empty Nest phase (children leaving home) typically occurs
in middle adulthood (40–65). It can involve both relief and sadness.
9. A 7-year-old child is still wetting the bed at night. This is considered:
A) Enuresis
B) Encopresis
C) Pica
D) Rumination Disorder
Answer: A) Enuresis
Rationale: Enuresis = repeated voiding of urine into bed or clothes
(involuntary or intentional) in children ≥5 years. Encopresis (B) = passing
stool in inappropriate places (≥4 years). Pica (C) = eating non-food
substances. Rumination Disorder (D) = repeated regurgitation.