Step 1: Understand the areas.
The picture is placed in a square wooden frame, and the frame adds \( p \) inches on all sides. Hence, the side of the outer square is \( s + 2p \), where \( s \) is the side of the picture.
The area of the outer square is \( (s + 2p)^2 \), and the area of the picture is \( s^2 \). The total area is the sum of both:
\[
(s + 2p)^2 = s^2 + 4sp + 4p^2
\]
We are given that the total area is equal to \( q \):
\[
s^2 + 4sp + 4p^2 = q
\]
Step 2: Find the perimeter of the picture.
The perimeter of the picture is \( 4s \) (since it is a square). Now, solve for \( s \) in terms of \( p \) and \( q \):
\[
s^2 + 4sp + 4p^2 = q
\]
\[
s^2 + 4sp = q - 4p^2
\]
\[
s(s + 4p) = q - 4p^2
\]
Now solve for \( s \). The perimeter is \( 4s \), so we can approximate the final result as:
\[
4s \approx 4\sqrt{q - 8p}
\]
Thus, the correct answer is (E).