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."

Answer and Explanation

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.

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Correct Answer is ["A","B","C","D"]

Explanation

Choice A reason: While it’s important to assess access to lethal means, this question is too specific and assumes the client owns a gun. A more appropriate question might be, “Do you have access to any means to harm yourself?”

Choice B reason: Inquiring about thoughts of self-harm or harming others is a direct question that assesses suicidal ideation and intent, which is essential for determining immediate risk.

Choice C reason: Understanding if the client has specific plans for self-harm can help gauge the immediacy and seriousness of the suicide risk.

Choice D reason: Discussing feelings about dying can provide insight into the client's emotional state and potential risk for suicide.

Choice E reason: This question is important but it should not replace direct questions about the client’s current thoughts and feelings. It’s possible for a client to deny feelings of suicidality to their psychiatrist while still experiencing them.

A. The client focuses conversations on nutritious food. B. The client gains 2 pounds in 1 week. C. The client demonstrates healthy coping mechanisms that decrease anxiety. D. The client verbalizes an understanding of the etiology of the disorder.

Correct Answer is C

Explanation

Choice A reason: Focusing conversations on nutritious food can be positive, but it does not directly indicate a change in behavior related to bulimia nervosa.

Choice B reason: Gaining weight may be a positive sign, but it is not sufficient on its own to indicate a behavioral change, as weight can fluctuate for various reasons.

Choice C reason: Demonstrating healthy coping mechanisms that decrease anxiety is a strong indicator of positive behavioral change in a client with bulimia nervosa, as it suggests the client is developing strategies to manage the disorder.

Choice D reason: While verbalizing an understanding of the disorder's etiology is beneficial, it does not necessarily reflect a change in behavior.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse should frequently assess a client with a depressive disorder for lethality risk related to suicidal ideation. Which questions should the nurse include? (Select all that apply.)

Correct Answer is ["A","B","C","D"]

Explanation

A client diagnosed with bulimia nervosa has been attending a mental health clinic for several months. Which factor should the nurse identify as an appropriate indicator of a positive client behavioral change?

Correct Answer is C

Explanation

A college student has been diagnosed with Generalized Anxiety Disorder (GAD). Which of the following symptoms should a campus nurse expect this client to exhibit? Select all that apply.

A male nurse is assigned to care for a female client who was admitted to the hospital for treatment of injuries following a domestic abuse incident. The client expresses discomfort with a male nurse as her caregiver. Which response should the nurse manager provide?

A nurse is performing a psychosocial assessment on an adolescent client. Which of the following should indicate to the nurse a potential risk for suicide? Select all that apply.

A client diagnosed with Schizophrenia is slow to respond and appears to be listening to unseen others. Which medication should the nurse expect a physician to order to address this type of symptom?

A nurse in an acute care mental health facility is preparing to administer morning medication to a client who has been taking lithium for 2 weeks and has a current lithium level of 1.0 mEq/L. Which of the following actions should the nurse take?

The nurse is planning an approach that will be most effective in developing a therapeutic relationship with a client. Which disorder(s) will the nurse best employ a matter-of-fact approach with the client? (Select all that apply.)

A nurse is working with clients diagnosed with personality disorders. Which techniques would be most important for the nurse to use to effectively deal with the frustration in providing care to this group of clients? Select all that apply.

A home-health nurse is assessing a client who has obsessive-compulsive disorder (OCD) and observes that the client engages in constant repetitive cleaning. The nurse knows that this behavior is an attempt to accomplish which of the following?