A nurse cares for a client with adrenal hyperfunction. The client 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." How should the nurse respond?
a. "I will ask your doctor to order a psychiatric consult for you."
b. "You feel this way because of your hormone levels."
c. "Can I bring you information about support groups?"
d. "I will close the door to your room and restrict visitors."
ANS: B
Hypercortisolism can cause the client to show neurotic or psychotic behavior. 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. The client needs to understand this effect and does not need a psychiatrist, support groups, or restricted visitors at this time.
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