The nurse is performing an assessment for a young adolescent and observes a lack of hair on the eyebrows and the hairline. Which statement made by the parent demonstrates an understanding of the type of hair loss the child is experiencing?

"I think it is the shampoo and conditioner my child is using."

"I have watched my child pull hair out and try to hide it."

"I started losing some hair at a young age and think it is just shedding."

"My child doesn't appear to be nervous or upset about anything."

Answer and Explanation

The Correct Answer is B

Choice A reason: While it's possible for hair products to cause hair loss, this does not typically result in the loss of eyebrow hair.

Choice B reason: This statement suggests the child may be experiencing trichotillomania, a condition characterized by the urge to pull out one's hair.

Choice C reason: Genetic factors could contribute to hair loss, but the statement does not directly suggest a behavioral issue like trichotillomania.

Choice D reason: The absence of nervousness or upset does not rule out trichotillomania, as the behavior may not necessarily be linked to visible emotional distress.

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Correct Answer is ["C","D","E"]

Explanation

Choice A reason: Urinary retention and constipation are not typically associated with tardive dyskinesia, which is characterized by involuntary movements.

Choice B reason: Fine hand tremors and pill rolling are more commonly associated with Parkinson's disease rather than tardive dyskinesia.

Choice C reason: Tongue thrusting and lip smacking are classic signs of tardive dyskinesia, often resulting from long-term use of antipsychotic medications.

Choice D reason: Facial grimacing and eye blinking are also indicative of tardive dyskinesia, reflecting involuntary facial movements.

Choice E reason: Involuntary pelvic rocking and hip thrusting movements can be manifestations of tardive dyskinesia, representing involuntary movements of the body.

A. "I will start basing my decisions and actions on reality." B. "I am going to have to learn to trust other people." C. "I will be able to differentiate when my suspicions are true." D. "I understand the origins of my paranoid thinking."

Correct Answer is B

Explanation

Choice A reason: This statement shows that the client is willing to ground their decisions in reality, which is a key step in managing paranoid personality disorder.

Choice B reason: Trusting others is important, but it does not indicate that the client has learned to validate their ideas before acting.

Choice C reason: Differentiating true suspicions is part of managing the disorder, but it does not demonstrate an understanding of the need to validate ideas with others.

Choice D reason: Understanding the origins of paranoid thinking is insightful, but it does not show that the client has learned to validate their ideas before taking action.

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The nurse is performing an assessment for a young adolescent and observes a lack of hair on the eyebrows and the hairline. Which statement made by the parent demonstrates an understanding of the type of hair loss the child is experiencing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who was admitted with acute psychosis and is being treated with haloperidol. The nurse should suspect that the client may be experiencing tardive dyskinesia when the client exhibits which of the following? Select all that apply.

Correct Answer is ["C","D","E"]

Explanation

The nurse is teaching a client with paranoid personality disorder to validate ideas with another person before taking action. Which statement made by the client indicates that the teaching is effective?

Correct Answer is B

Explanation

A home-health nurse is assessing a client who has obsessive-compulsive disorder (OCD) and observes that the client demonstrates constant repetitive cleaning. The nurse knows that this behavior is an attempt to accomplish which of the following?

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The nurse provides education to a client's family about the client's eating disorder, anorexia nervosa. Which statement would indicate that the education was effective?

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The nurse has established a therapeutic relationship with a client. Which behaviors indicate that the client has entered into the identification phase of the nurse-client relationship?

A nurse is assessing a client who has illness anxiety disorder. Which of the following findings should the nurse expect?

The nurse is providing education to a client regarding a new prescription for lithium carbonate. Which statement by the client indicates the need for additional education?