Read the passage and answer the following questions:

Reena is a 4-year-old girl. She has recently started going to school. Her school reports indicate that Reena is a naughty child and often disturbs others in class. She does not complete the task assigned to her and aimlessly roams around in class. She often has difficulty following instructions. Reena's new school teacher, after reading her previous reports, decides to observe her closely for a month. The teacher noticed that Reena enjoyed activities that required less reading and involved step-wise instructions. Her teacher helped Reena organise her bag as she would often forget to pack properly or would leave her things all over the class. Reena also had to be seated close to the teacher during circle time to avoid fidgeting and running around in the room or speaking out of turn. To keep Reena's interest in an activity, the teacher ensured frequent breaks and used puzzles that required scanning and canceling. With these small interventions, there was improvement in Reena's concentration, instruction following and waiting for her turn to speak. The teacher advised Reena's mother to follow the same strategies at home and get a psychoeducational assessment done to help Reena get the right intervention.

Which of the following is associated with inattention feature of Attention Deficit Hyperactivity Disorder?

Difficulty in sustaining mental effort during work or play

The correct answer is Option (3) → Difficulty in sustaining mental effort during work or play

This option describes a core feature of inattention in Attention Deficit Hyperactivity Disorder (ADHD). Children with ADHD often:

• Struggle to stay focused on tasks or activities

• Have trouble completing assignments

• Frequently lose interest or become distracted during work or play

Why other options are incorrect:

• Unable to control immediate reactions – This refers to impulsivity, not inattention.

• Difficulty in resisting immediate temptation – Also a feature of impulsivity.

• Run around the room aimlessly – A sign of hyperactivity, not inattention.