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","B","E"]
Explanation
Choice A reason: Rapid, continuous speech is a common symptom of manic behavior, as individuals may feel an increased pressure to speak.
Choice B reason: Flirtatious interaction can be part of the increased sociability and decreased inhibition associated with mania.
Choice C reason: Dressing in black or grey clothing is not specifically indicative of manic behavior.
Choice D reason: Sleeping for long periods is more commonly associated with depressive episodes, not manic behavior.
Choice E reason: Spending large sums of money recklessly can be a sign of the impulsivity and poor judgment that accompany manic episodes.
Correct Answer is B
Explanation
Choice A reason: Conversion involves expressing psychological distress through physical symptoms, which is not indicated in this scenario.
Choice B reason: Projection is a defense mechanism where an individual attributes their own unacceptable thoughts or feelings to someone else. In this case, the student is projecting their feelings of inadequacy or frustration onto the teacher and the course.
Choice C reason: Undoing is a defense mechanism where an individual attempts to take back an unconscious behavior or thought that is unacceptable or hurtful. This is not demonstrated by the student's behavior.
Choice D reason: Regression is a return to earlier stages of development and abandoned forms of gratification belonging to them, induced by stress. Berating the teacher does not indicate a regression but rather a projection of the student's feelings.
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