Which mental illness should a nurse identify as being associated with a decrease in prolactin hormone level?
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A
Major depression
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B
Schizophrenia
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C
Anorexia nervosa
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D
Alzheimers disease
Based on the information given, the response that addresses the question is Schizophrenia.
A. Major depression
This reflects a related idea, but it fits best when the idea in “Major depression” addresses a different mechanism or priority than the one emphasized by the stem The wording does not track the stem’s main cue, so selecting it would shift the nurse away from the most precise interpretation or priority.
B. Schizophrenia
This is supported by the detail that Although the exact mechanism is unknown, there may be some correlation between decreased levels of the hormone prolactin and the diagnosis of schizophrenia. Some studies have shown an inverse relationship between prolactin concentrations and symptoms of schizophrenia. Need: Physiological Integrity The underlying principle in the stem is best addressed by choosing the response that is both specific to the cue provided and consistent with evidence-informed psychiatric nursing practice. From a nursing standpoint, this selection guides assessment and interventions toward what is most clinically meaningful in the moment—risk reduction, safety, accurate appraisal, and support for adaptive coping.
C. Anorexia nervosa
This reflects a related idea, but it fits best when the idea in “Anorexia nervosa” addresses a different mechanism or priority than the one emphasized by the stem The wording does not track the stem’s main cue, so selecting it would shift the nurse away from the most precise interpretation or priority.
D. Alzheimers disease
This might be chosen when the idea in “Alzheimers disease” addresses a different mechanism or priority than the one emphasized by the stem The wording does not track the stem’s main cue, so selecting it would shift the nurse away from the most precise interpretation or priority.
Conclusion
The best answer is the one that answers the exact question asked using the evidence in the vignette and the concept under examination. Other options introduce broader interpretations that the stem does not invite.