A 16-year-old girl has a bald spot on her scalp, and her mother brings her to the PMHNP on the advice of her primary care provider after all medical causes are ruled out. The girl admits to pulling out her hair in class when she is bored, but says she tends to pull it out more often in math class where she is making Cs. This is the first year she is not doing well in math, and her mother says it is "stressing her out." What is the most appropriate diagnosis?
Generalized anxiety disorder
Trichotillomania
Body dysmorphic disorder
Delusional disorder, somatic type
The Correct Answer is B
Choice A reason: Generalized anxiety disorder involves chronic excessive worry, not compulsive hair-pulling behaviors.
Choice B reason: This is correct. Trichotillomania is characterized by repetitive hair-pulling leading to noticeable hair loss, often in response to stress or boredom. The patient’s pattern aligns with DSM-5 criteria for this disorder.
Choice C reason: Body dysmorphic disorder involves preoccupation with perceived physical defects, which is not indicated here.
Choice D reason: Delusional disorder, somatic type, involves false beliefs about bodily functions or appearance, which the patient does not demonstrate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Avoiding sick contacts is important for infection prevention, but low platelet count primarily increases bleeding risk, not infection risk.
Choice B reason: Aspirin inhibits platelet function and is contraindicated in severe thrombocytopenia, making this statement unsafe.
Choice C reason: This is correct. Patients with very low platelet counts are at high risk of bleeding; avoiding activities that could cause trauma reduces the risk of serious hemorrhage.
Choice D reason: While rest is beneficial, stopping work and sleeping excessively does not address the primary danger of thrombocytopenia, which is bleeding risk.
Correct Answer is C
Explanation
Choice A reason: Installation is the phase where positive cognitions are strengthened after desensitization, not for initial trauma activation.
Choice B reason: Desensitization is the phase where the client processes the trauma through bilateral stimulation to reduce distress, after assessment has been done.
Choice C reason: This is correct. The assessment phase involves identifying the target memory, activating it through visualization, noting associated thoughts and emotions, and establishing a baseline for emotional and physical reactions to guide the subsequent processing phases.
Choice D reason: Closure occurs at the end of the session to ensure the client is stable and safe, not for memory activation or baseline assessment.
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