AIIMS Bhopal NO - 2018 (Shift-1st)
Mental Health Nursing
Easy
A mental disorder in which a client repeatedly pulls their own hair is known as?
Appeared in: AIIMS Bhopal NO - 2018 (Shift-1st)
Explanation
- Trichotillomania, also known as hair-pulling disorder, is defined by the recurrent pulling out of one's own hair, leading to hair loss.
- Individuals with this disorder experience an irresistible urge or a rising sense of tension before pulling, and a feeling of relief or gratification afterward.
- The most common sites for hair pulling are the scalp, eyebrows, and eyelashes.
- It is classified in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) as an obsessive-compulsive and related disorder.
Why Other Options Were Wrong
- Option B: Gamophobia is a specific phobia characterized by an intense fear of marriage or commitment. It does not involve any compulsive physical actions like hair pulling.
- Option C: Transvestism refers to the act of cross-dressing. It is related to gender expression and is not considered a mental disorder unless it causes significant distress or impairment (transvestic disorder). It is unrelated to hair pulling.
- Option D: Circumstantiality is a disturbance in the thought process, not a behavioral disorder. It describes a speech pattern where the person includes many unnecessary and trivial details before getting to the point.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Identification of specific mental health disorders based on their defining symptoms as background academic context rather than a clinical decision trigger.
- Nurses should assess for signs of Trichotillomania, including patchy hair loss, and inquire about urges to pull hair, as patients may feel ashamed and not volunteer the information.
- Management often involves a combination of pharmacotherapy (like SSRIs) and behavioral therapies, particularly Habit Reversal Training (HRT), which is a cornerstone of treatment.
- It is crucial to rule out other medical causes of hair loss, such as alopecia areata or tinea capitis, through a thorough history and physical examination.
How to Approach the Question
- First, identify the core symptom described in the question stem: the repetitive pulling of one's own hair.
- Next, analyze the provided options. Break down the term 'Trichotillomania' if possible: 'tricho' relates to hair, 'tillo' to pulling, and 'mania' to a compulsion or obsession.
- Evaluate the other options: 'Gamophobia' involves a phobia (fear), 'Transvestism' is a behavioral practice, and 'Circumstantiality' is a thought process issue.
- Based on the direct match between the symptom (hair pulling) and the definition of the term, select Trichotillomania as the correct answer.
Concept Tested & Keywords
- Concept Tested: Identification of specific mental health disorders based on their defining symptoms.
- Stem keywords: mental disorder, client, repeatedly pulls, own hair
- Lead-in keywords: is known as
- Negative lead-in flag: false
Question ID
Q3M2WZRBr9tr6SPrRZMCuG
Reference Book
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) pp. 1349-1351, 1333-1335
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 15583-15585
Practise the full AIIMS Bhopal NO - 2018 (Shift-1st)
Attempt every question from this paper in a timed mock, then review the full solution for each one.
More Neurotic, stress related and somatisation disorders Questions
- The situation in which individuals have excessive worry or belief that they are suffering from a physical illness despite lack of medical evidence is…
- Following are associated with post traumatic stress disorder except?
- Which of the following disorder is commonly seen in rape victim girl?
- The defence mechanism in which emotional conflicts are expressed through motor, sensory, or somatic disability is identified as?
- Which of the following is NOT a sign/symptom of the obsessive-compulsive disorder?
- Anxiety is caused by?
- What is the term coined for circumscribed fear of a discrete object or situation?
- Which of the following options describes transient situational disturbances?
- What is the term used to explain the condition in which a patient perceives that his/her face is distorted and his/her legs have become short?
- The level of anxiety that enhances the individual's power of perception is?
More AIIMS Bhopal NO - 2018 (Shift-1st) Questions
- What is the site of referred pain when pain is arising from the cervix?
- The division of bacterial cells and the exponential increase in their number are indicative of which phase?
- The nursing care that focuses on patient care along with the family needs, in the scope of a multidisciplinary health care team, is called?
- Which is not an indication of oxygen administration?
- What is the average incubation period of chickenpox?
- Which of the following is considered under acute neuropsychiatric complications of AIDS?
- Which of the following is the unit of measurement in bacteriology?
- Melena suggests which of the following?
- Which of the following is the hypertensive Blood Pressure of a 6-year-old child?
- What should be the size of the endotracheal tube for a newborn weighing 2,000 to 3,000 gm?