The practical nurse (PN) overhears a female client with Cushing’s syndrome tell her family in a very loud and angry voice to leave her room and not to come back. The response by the PN is based on recognizing which common manifestation of the syndrome?
A.
Impaired cognition.
B.
Memory loss.
C.
Mood alterations.
D.
Hearing loss.
The Correct Answer and Explanation is:
The correct answer is C. Mood alterations.
Explanation:
Cushing’s syndrome, characterized by excess levels of cortisol, often leads to a range of psychological and emotional symptoms. One of the hallmark manifestations of this condition is mood alterations, which can significantly affect a client’s behavior and interactions.
Cortisol, the hormone in excess in Cushing’s syndrome, plays a crucial role in regulating mood and stress responses. High levels of cortisol can lead to a condition known as “cortisol dysregulation,” which can manifest as mood swings, irritability, and emotional instability. Clients with Cushing’s syndrome may exhibit a range of mood-related symptoms, including heightened aggression, anxiety, and depression.
In this scenario, the female client’s loud and angry outburst towards her family can be attributed to these mood alterations. Such behavior is a direct result of the emotional instability caused by the elevated cortisol levels. This symptom is one of the more observable and impactful aspects of the syndrome, often affecting interpersonal relationships and the client’s overall well-being.
Other options listed, such as impaired cognition (A), memory loss (B), and hearing loss (D), are not as directly linked to the primary effects of Cushing’s syndrome. While cognitive issues and memory loss can occur, they are less prominent and more variable compared to mood disturbances. Hearing loss is not a typical symptom associated with Cushing’s syndrome.
Mood alterations are a common and significant manifestation of Cushing’s syndrome, making it the most appropriate choice in this context. Understanding this aspect of the syndrome can help healthcare providers offer better emotional support and manage the behavioral symptoms that may arise in affected individuals.