The nurse observes a lack of hair on the eyebrows and hairline of a young adolescent. 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."
The Correct Answer is B
Choice A reason: Shampoo and conditioner are unlikely to cause hair loss on the eyebrows and hairline.
Choice B reason: The parent's observation of the child pulling out hair and attempting to hide it suggests trichotillomania, a condition where individuals pull out their hair as a response to stress or anxiety.
Choice C reason: Genetic factors may contribute to hair loss, but the behavior described by the parent in choice B is more indicative of trichotillomania.
Choice D reason: The absence of visible nervousness or upset does not rule out trichotillomania, as the behavior can be a coping mechanism for internal distress.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Restricting sodium intake is not necessary with lithium carbonate, and maintaining a consistent sodium level is important to prevent lithium toxicity.
Choice B reason: Drinking excessive fluids can dilute lithium levels in the blood, potentially leading to subtherapeutic levels and reduced efficacy of the medication.
Choice C reason: Taking medications with food can help with absorption and minimize gastrointestinal side effects, but it is not specific to lithium carbonate.
Choice D reason: Having blood drawn on schedule is important for monitoring lithium levels and ensuring safe treatment.
Correct Answer is ["B","C","D","E"]
Explanation
Choice A reason: Volunteering at a community center is generally a positive activity and does not indicate a risk for suicide.
Choice B reason: A sudden decline in school performance can be a sign of underlying distress and may indicate a risk for suicide.
Choice C reason: While low parental expectations can contribute to a child's stress, they are not a direct indicator of suicide risk.
Choice D reason: A recent or impending move can be a significant life stressor and may increase the risk of suicide, especially if it leads to social isolation.
Choice E reason: The death of a parent, particularly at a young age, is a traumatic event that can significantly increase the risk of suicide.
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