Medical Surgical Addisons vs Cushing #4

Question

Which of the psychosocial nursing diagnoses are best for planning nursing interventions for a 30- year-old female client diagnosed with Cushing syndrome and verbalizes “I don’t know why I look so ugly now.”

Answers

  1. Decisional conflict
    • Rationale:

      This answer is not correct because decisional conflict is not a priority since the client is not presenting with a decisional crisis. Disturbed body image is a priority nursing diagnosis related to Cushing’s syndrome due to the changes that occur in the client’s body. Young adults may be affected by changes to their bodies especially at a time when social and intimate relationships are important. The nurse should be aware of and sensitive to the client’s perceptions and needs.

  2. Disturbed body image
    • Rationale:

      This answer is correct because disturbed body image is a priority nursing diagnosis related to Cushing’s syndrome due to the changes that occur in the client’s body. Cushing’s syndrome has features of weight gain, round face, loss of hair, thin skin, stretch marks, feet and leg edema, fatigue, and ‘buffalo hump’ between posterior shoulders. Young adults may be affected by changes to their bodies especially at a time when social and intimate relationships are important.

  3. Interrupted family processes
    • Rationale:

      This answer is not correct because although having a condition like Cushing’s syndrome may create changes in family dynamics, the question is centered toward the client herself, and looking into her other family issues is beyond the question stem. Disturbed body image is a priority nursing diagnosis related to Cushing’s syndrome due to the changes that occur in the client’s body. Young adults may be affected by changes to their bodies especially at a time when social and intimate relationships are important. The nurse should be aware of and sensitive to the client’s perceptions and needs.

  4. Impaired social interaction
    • Rationale:

      This answer is not correct because likely the impaired social isolation is directly related to the disturbed body image the client has specifically revealed. Therefore, the priority is the disturbed body image. Disturbed body image is a priority nursing diagnosis related to Cushing’s syndrome due to the changes that occur in the client’s body. Young adults may be affected by changes to their bodies especially at a time when social and intimate relationships are important. The nurse should be aware of and sensitive to the client’s perceptions and needs.

Overview

Disturbed body image for a client with Cushing’s syndrome will be important for the 30-year-old female. Actual changes in structure and function of the body occurs such as roundness to the face, edema, truncal obesity, abdominal striae, and the characteristic “buffalo hump” can make a client feel this way.

Explanation

Learning Outcomes

Cushing’s syndrome is caused by too much cortisol production. This occurs due to a pituitary tumor that secretes ACTH, which stimulates the adrenal glands to produce too much cortisol which may produce Cushing’s. Cushing’s syndrome has features of weight gain, round face, loss of hair, thin skin, stretch marks, feet and leg edema, fatigue, and ‘buffalo hump’ between posterior shoulders. Disturbed body image is a priority nursing diagnosis related to Cushing’s syndrome due to the changes that occur in the client’s body. Young adults may be affected by changes to their bodies especially at a time when social and intimate relationships are important. The nurse should be aware of and sensitive to the client’s perceptions and needs.

Test Taking Tip

Understanding Cushing’s syndrome will help determine why a 30-year-old female client would be concerned about her body image.

Video Rationale