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 ["C","D","E"]
Explanation
Choice A reason: While hobbies can be therapeutic, they are not the primary focus of nursing interventions for a client with schizotypal personality disorder and hygiene issues.
Choice B reason: Establishing close relationships is beneficial but may not be the immediate focus for a client who is struggling with basic self-care.
Choice C reason: Improving functioning in the community is a key goal for clients with schizotypal personality disorder to help them integrate better into society.
Choice D reason: Developing social skills is essential for clients with schizotypal personality disorder to interact more effectively with others.
Choice E reason: Development of self-care skills is crucial, especially given the client's unkempt appearance and lack of bathing, indicating a need for better personal hygiene practices.
Correct Answer is ["A","B","C","D"]
Explanation
Choice A reason: Monitoring the client's weight daily is essential to track progress and adjust treatment plans accordingly.
Choice B reason: Staying with the client during and after meals helps prevent purging behaviors and provides emotional support.
Choice C reason: Providing small, frequent meals can help manage the client's intake without overwhelming them, which is suitable for someone with anorexia nervosa.
Choice D reason: Offering privileges for sustained weight gain can serve as positive reinforcement for healthy behaviors.
Choice E reason: Allowing the client to choose their meals is not recommended as it may lead to the selection of inadequate nutrition, which could hinder recovery.
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