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 A
Explanation
Choice A reason: Bulimia Nervosa often involves behaviors such as excessive laxative use, which can lead to severe electrolyte imbalances, potentially causing unconsciousness.
Choice B reason: While a sudden cardiac event is possible, it is less likely to be directly related to the history of Bulimia Nervosa and laxative use.
Choice C reason: There is no indication that an accidental fall occurred, and it would not be directly related to the history of laxative use.
Choice D reason: Without further information, it is speculative to attribute the unconsciousness to a reaction to another medication.
Correct Answer is D
Explanation
Choice A reason: Hypersomnia is not typically associated with cocaine intoxication, which usually results in increased alertness and energy.
Choice B reason: Depression may occur as a come-down effect after the cocaine high, but it is not a direct symptom of intoxication.
Choice C reason: Nystagmus, or rapid involuntary movements of the eyes, can occur with cocaine intoxication.
Choice D reason: Dilated pupils are a common sign of cocaine intoxication due to its stimulant effects on the nervous system.
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