Which of the following symptoms should a nurse associate with increased levels of thyroidstimulating hormone (TSH) in a newly admitted client? Select all that apply.

Question

Which of the following symptoms should a nurse associate with increased levels of thyroidstimulating hormone (TSH) in a newly admitted client? Select all that apply.?  
A. Depression  
B. Fatigue  
C. Increased libido  
D. Mania

NursesPath · Accepted Answer

Correct Answer: (Hyperexcitability). 
Rationale: In this situation, the nursing judgment that fits the stem is Depression and Fatigue.A. DepressionThis aligns with the concept that The nurse should associate depression and fatigue with increased levels of TSH. TSH is only increased when thyroid levels are low, as in the diagnosis of hypothyroidism. In addition to depression and fatigue, other symptoms such as decreased libido, memory impairment, and suicidal ideation are also associated with chronic hypothyroidism. 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.B. FatigueThis matches the stem because The nurse should associate depression and fatigue with increased levels of TSH. TSH is only increased when thyroid levels are low, as in the diagnosis of hypothyroidism. In addition to depression and fatigue, other symptoms such as decreased libido, memory impairment, and suicidal ideation are also associated with chronic hypothyroidism. 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. Increased libidoThis would apply in a different scenario where the idea in “Increased libido” 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. ManiaThis might be chosen when the idea in “Mania” 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.E. HyperexcitabilityThis sounds reasonable when the idea in “Hyperexcitability” 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.ConclusionThe stem provides enough information to select the most accurate interpretation without adding extra assumptions. The chosen answer reflects the correct framework, and the remaining choices drift toward incomplete, premature, or misdirected reasoning.

Which of the following symptoms should a nurse associate with increased levels of thyroidstimulating hormone (TSH) in a newly admitted client? Select all that apply.

A
Depression

B
Fatigue

C
Increased libido

D
Mania

In this situation, the nursing judgment that fits the stem is Depression and Fatigue.

Related Questions

Which of the following symptoms should a nurse associate with increased levels of thyroidstimulating hormone (TSH) in a newly admitted client? Select all that apply.

A Depression B Fatigue C Increased libido D Mania

In this situation, the nursing judgment that fits the stem is Depression and Fatigue.

Related Questions

A
Depression

B
Fatigue

C
Increased libido

D
Mania