NURS 6501 Knowledge Check: Endocrine Disorders

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NURS 6501 Knowledge Check: Endocrine Disorders

NURS 6501 Knowledge Check: Endocrine Disorders

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In this exercise, you will complete a 10- to 20-essay type question Knowledge Check to gauge your understanding of this module’s content.

Possible topics covered in this Knowledge Check include:

  • Diabetes
  • Hyper- and hypothyroidism
  • Adrenal disorders
  • Parathyroidism (hyper and hypo)
  • Checks & balances / negative feedback
  • Syndrome of Inappropriate Antidiuretic Hormone
  • Pheochromocytosis
  • Diabetes insipidus
  • Diabetic ketoacidosis

ORDER NOW FOR AN ORIGINAL NURSING ESSAY ASSIGNMENT ON: NURS 6501 Knowledge Check: Endocrine Disorders

Photo Credit: Getty Images/Science Photo Library RF

(Note: It is strongly recommended that you take the Knowledge Check at least 48 hours before taking the Midterm Exam.)

Complete the Knowledge Check By Day 5 of Week 6

To complete this Knowledge Check:

Module 4 Knowledge Check

Question 1

Needs Grading

A 21-year-old male college student was brought to Student Health Services by his girlfriend who was concerned about changes in her boyfriend’s behaviors. The girlfriend says that recently he began hearing voices and believes everyone is out to get him. The student says he is unable to finish school because the voices told him he was not smart enough. The girlfriend relates episodes of unexpected rage and crying. Past medical history noncontributory but family history positive for a first cousin who “had mental problems”. Denies current drug abuse but states he smoked marijuana every day during his junior and senior years of high school. He admits to drinking heavily on weekends at various fraternity houses. Physical exam reveals thin, anxious disheveled male who, during conversations, stops talking, cocks his head and appears to be listening to something. There is poor eye contact and conversation is rambling.  NURS 6501 Knowledge Check: Endocrine Disorders

Based on the observed behaviors and information from girlfriend, the APRN believes the student has schizophrenia.

Question 1 of 4:

Describe the positive symptoms of schizophrenia and relate those symptoms to the case study patient.  
Selected Answer:

Some of the positive symptoms of schizophrenia are olfactory, auditory, somatic-tactile hallucinations. conversing and commenting voices. Patients may also experience delusions of reference, control, mind reading, persecution, grandiosity, and guilt, and somatic symptoms of thought withdrawal, insertion, and broadcasting. Some of the thought disorder symptoms that most schizophrenic patients exhibit include incoherence, derailment, distractible speech, illogicality, and circumstantially. Bizzare behaviors exhibited include an agitated and aggressive status, being repetitively stereotyped, sexual, and social behavior. The patient in this case scenario presented with persecution, auditory hallucinations, and a disheveled appearance.
Correct Answer:

Positive symptoms of schizophrenia include hallucinations that may be auditory, olfactory, somatic-tactile, visual, voices commenting, and voices conversing. Delusions are also positive symptoms and include delusion of being controlled, delusion of mind reading, delusion of reference, delusion of grandiosity, guilt, persecution, somatic thought broadcasting, thought insertion and thought withdrawal.

Thought disorder symptoms include distractible speech, incoherence, illogicality, circumstantially, and derailment. Bizarre behaviors are other positive symptoms of schizophrenia. Those behaviors include aggressiveness and agitated states, clothing appearance, repetitive stereotyped, and social and sexual behavior.

This patient exhibited signs of auditory hallucinations, disheveled appearance, and persecution.
Response Feedback: [None Given]

Midterm Exam

This 101-question exam is a test of your knowledge in preparation for your certification exam. No outside resources, including books, notes, websites, or any other type of resource, are to be used to complete this exam. You are expected to comply with Walden University’s Code of Conduct.

This exam will be on topics covered in Weeks 1, 2, 3, 4, 5, and 6. Prior to starting the exam, you should review all of your materials. This exam is timed with a limit of 2 hours for completion. When time is up, your exam will automatically submit.

(Note: It is strongly recommended that you take the Knowledge Check at least 48 hours before taking the Midterm exam.)

Photo Credit: Getty Images

To prepare:

To help you review for your midterm exam, access the Midterm Exam Review document found in this week’s Learning Resources as well as any Knowledge Check feedback you might have received. (Note: You will also need to review all of your materials from each of these weeks to also help you better prepare for your midterm.)

By Day 7 of Week 6

Submit your Midterm Exam.

To complete your exam:

Midterm Exam

What’s Coming Up in Module 5?

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images

In Module 5, you will analyze processes related to neurological and musculoskeletal disorders through case study analysis. To do this, you will analyze alterations in the relevant systems and the resultant disease processes. You will also consider patient characteristics, including racial and ethnic variables, which may impact physiological functioning and altered physiology.

Week 7 Knowledge Check: Neurological and Musculoskeletal Disorders

In the Week 7 Knowledge Check, you will demonstrate your understanding of the topics covered during Module 5. This Knowledge Check will be composed of a series of questions related to specific scenarios provided. It is highly recommended that you review the Learning Resources in their entirety prior to taking the Knowledge Check, since the resources cover the topics addressed. Plan your time accordingly.

Next Module

To go to the next Module:

Module 5

Week 6: Concepts of Endocrine Disorders

Endocrine disorders are complex matters, and there is not always a one-size-fits-all treatment. Particularly in matters requiring the adjustment of hormone levels, treatment may require a custom approach tailored to individual patients. An understanding of these complications is essential to supporting these individual treatment plans.

This week, you examine alterations in the endocrine system and the resultant disease processes. You also consider patient characteristics, including racial and ethnic variables, and the impact they have on altered physiology.

Learning Objectives

Students will:

  • Analyze concepts and principles of pathophysiology across the lifespan

Learning Resources

Required Readings (click to expand/reduce)

McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.

  • Chapter 21: Mechanisms of Hormonal Regulation, including Summary Review
  • Chapter 22: Alterations of Hormonal Regulation, including Summary Review
  • Chapter 23: Obesity and Disorders of Nutrition, including Summary Review

American Diabetes Association (2020). Standards of medical care of patients with diabetes mellitus. Diabetes Care, 26(suppl 1), pp. s33-s50. https://care.diabetesjournals.org/content/26/suppl_1/s33

Orlander, P. R. (2018). Hypothyroidism. Retrieved from https://emedicine.medscape.com/article/122393-overview

Hoorn, E. J., & Zietse, R. (2017). Diagnosis and treatment of hyponatremia: Compilation of the guidelines. Journal of the American Society of Nephrology, 28(5), 1340–1349

Document: NURS 6501 Midterm Exam Review (PDF document)

 

Note: Use this document to help you as you review for your Midterm Exam in Week 6.

Required Media (click to expand/reduce)

Module 4 Overview with Dr. Tara Harris 

Dr. Tara Harris reviews the structure of Module 4 as well as the expectations for the module. Consider how you will manage your time as you review your media and Learning Resources throughout the module to prepare for your Knowledge Check and your Midterm. (3m)

Online Media from Pathophysiology: The Biologic Basis for Disease in Adults and Children

In addition to this week’s media, it is highly recommended that you access and view the resources included with the course text, Pathophysiology: The Biologic Basis for Disease in Adults and Children. Focus on the videos and animations in Chapters 21 through 23 related to the endocrine system and disorders. Refer to the Learning Resources in Week 1 for registration instructions. If you have already registered, you may access the resources at https://evolve.elsevier.com/

Optional Resources (click to expand/reduce)

The following source provides various tutorials related to maximizing your time management and managing stress. Feel free to access this resource to support you as you move through this course.

Walden University. (2019). ASC success strategies interactive tutorials. Retrieved from https://academicguides.waldenu.edu/academic-skills-center/skills/tutorials/success-strategies

Module 5

Question 1

1 out of 1 points

Correct

Low blood sugar during the night that may lead to morning-rebound hyperglycemia describes what effect?

Selected Answer:
Correct

Somogyi
Answers:
Correct

Somogyi

Myxedema

Hirsutism

Incretin
Question 2

1 out of 1 points

Correct

Calcitonin is secreted by what gland?

Selected Answer:
Correct

thyroid
Answers:

pancreas

pineal

pituitary

Correct

thyroid
Question 3

1 out of 1 points

Correct

Where are incretins released from?

Selected Answer:
Correct

gastrointestinal tract
Answers:

liver

pancreas

Correct

gastrointestinal tract

spleen
Question 4

1 out of 1 points

Correct

Lethargy, hyponatremia, perhaps seizure, decreased plasma osmolality, concentrated urine are symptoms of what condition?
Selected Answer:
Correct

SIADH
Answers:
Correct

SIADH

Pheochromocytoma

Primary hyperaldosteronism

Addison disease
Question 5

1 out of 1 points

Correct

Cytokines and hormones secreted by adipose tissue are known as _______________
Selected Answer:
Correct

adipokines
Answers:

MAT

Correct

adipokines

WAT

adipocyte
Question 6

1 out of 1 points

Correct

Nonpitting boggy edema caused by infiltration of mucopolysaccharides and proteins between connective tissue in the dermis describes what condition?

Selected Answer:
Correct

Myxedema
Answers:

Somogyi

Correct

Myxedema

Hirsutism

Incretin
Question 7

1 out of 1 points

Correct

Body fluid osmolality is regulated by what hormone?
Selected Answer:
Correct

Antidiuretic hormone (ADH)
Answers:
Correct

Antidiuretic hormone (ADH)

Parathyroid hormone (PTH)

Aldosterone

Insulin
Question 8

1 out of 1 points

Correct

Dysfunction of the thyroid gland can cause:
Selected Answer:
Correct

Primary hyperthyroidism and primary hypothyroidism
Answers:

SIADH and diabetes insipidus

Correct

Primary hyperthyroidism and primary hypothyroidism

Cushing disease, secondary hyperthyroidism and secondary hypothyroidism

Cushing disease, primary hyperthryoidism and secondary hypothyroidism
Question 9

0 out of 1 points

Incorrect

Type of adipose tissue, located viscerally and subcutaneously, with adipocytes that have one lipid droplet are called as:
Selected Answer:
Incorrect

MAT
Answers:

Adipokine

MAT

Correct

WAT

Adipocyte
Question 10

1 out of 1 points

Correct

Cell that stores fat are known as:
Selected Answer:
Correct

Adipocyte
Answers:

Adipokine

MAT

WAT

Correct

Adipocyte
Question 11

1 out of 1 points

Correct

Primary hyperparathyroidism can lead to the development of:
Selected Answer:
Correct

kidney stones
Answers:
Correct

kidney stones

bladder cancer

calcium depletion

acute kidney injury
Question 12

1 out of 1 points

Correct

Enlargement of the thyroid gland is a response to increased stimulation by ______________
Selected Answer:
Correct

TSH
Answers:
Correct

TSH

T4

T3

Thyroxine
Question 13

1 out of 1 points

Correct

Low hormone concentrations usually cause cells to _________________ receptors for that hormone.
Selected Answer:
Correct

up-regulate
Answers:

down regulate

Correct

up-regulate

permission regulate

bind
Question 14

1 out of 1 points

Correct

Dysfunction of the anterior pituitary can cause:
Selected Answer:
Correct

Cushing disease, secondary hyperthyroidism and secondary hypothyroidism

Answers:

SIADH and diabetes insipidus

Primary hyperthyroidism and primary hypothyroidism

Correct

Cushing disease, secondary hyperthyroidism and secondary hypothyroidism

Cushing disease, primary hyperthryoidism and secondary hypothyroidism
Question 15

1 out of 1 points

Correct

In autoimmune-mediated diabetes pancreatic beta cells are destroyed by autoreactive ______________________

Selected Answer:
Correct

cytotoxic T lymphocytes
Answers:

natural killer cells

Correct

cytotoxic T lymphocytes

B lymphocytes

monocytes
Question 16

1 out of 1 points

Correct

A person who has an iodine-deficient diet will have difficulty making enough of what hormone?

Selected Answer:
Correct

thyroid
Answers:

glucagon

insulin

Correct

thyroid

parathyroid
Question 17

1 out of 1 points

Correct

A chemical signal generated within a cell that mediates the action of a water- soluble hormone or other chemical is known as:
Selected Answer:
Correct

Second messenger
Answers:

Upregulation

First messenger

Correct

Second messenger

Downregulation
Question 18

1 out of 1 points

Correct

Dysfunction of the posterior pituitary can cause:
Selected Answer:
Correct

SIADH and diabetes insipidus
Answers:
Correct

SIADH and diabetes insipidus

Primary hyperthyroidism and primary hypothyroidism

Cushing disease, secondary hyperthyroidism and secondary hypothyroidism

Cushing disease, primary hyperthryoidism and secondary hypothyroidism
Question 19

1 out of 1 points

Correct

Weakness, fatigue, hypotension, hyperkalemia, hypoglycemia, elevated ACTH are symptoms of what condition?
Selected Answer:
Correct

Addison disease
Answers:

SIADH

Pheochromocytoma

Primary hyperaldosteronism

Correct

Addison disease
Question 20

1 out of 1 points

Correct

HIgh levels of what hormone is common in syndrome of inappropriate antidiuretic hormone secretion (SIADH)?
Selected Answer:
Correct

ADH
Answers:
Correct

ADH

ACTH

FH

TSH