The client with adrenal hyperfunction screams at her husband, bursts into tears, and throws her water pitcher against the wall. She then tells the nurse, "I feel like I am going crazy." What is the nurse's best response?

A. "I will tell your doctor to order a psychiatric consult for you."
B. "You feel this way because of your high hormone levels. The doctor can order an antianxiety drug for you."
C. "You feel this way because you are frightened about having a chronic disease. Would you like me to give you information about a support group?"
D. "You must learn to control your behavior. Because you disturbing others, I am going to keep the door to your room closed and restrict your visitors."


B
Changes in blood cortisol levels can cause the client to show neurotic or psychotic behaviors. The client needs to know that these behavior changes do not reflect a true psychiatric disorder and will resolve when therapy results in lower and steadier blood cortisol levels. Drug therapy to reduce these feelings and behaviors may be appropriate.

Nursing

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