Which of the following are common assessment findings in a client with panhypopituitarism? (Select All that Apply.)

A. Staffing practices are unrelated to nursing fatigue is incorrect. Research consistently shows that inadequate staffing contributes to nurse fatigue and burnout. When there are fewer nurses than needed, it can lead to longer shifts, more stress, and exhaustion, negatively affecting both nurse well-being and patient care.
B. Adequate staffing places little demand on the budgeting of nursing units is incorrect. While adequate staffing may require a higher initial budget, the long-term benefits (such as improved patient outcomes and nurse retention) can lead to cost savings. Inadequate staffing can result in more complications, longer hospital stays, and higher turnover rates, which can ultimately increase costs.
C. Adequate staffing helps to promote both patient and nurse satisfaction is correct. Current clinical research supports the idea that adequate staffing directly improves both patient outcomes and nurse satisfaction. When staffing levels are appropriate, nurses are less likely to experience burnout, and patients are more likely to receive safe, quality care, leading to higher satisfaction for both parties.
D. Staffing patterns do not affect hospital infection rate is incorrect. Staffing patterns are directly linked to patient safety and infection rates. Research shows that lower staffing levels can result in higher patient infection rates due to decreased nurse-patient interaction and the inability to provide timely interventions.

A. Deterioration in relationships with colleagues is correct. Substance abuse can impact a nurse's behavior, leading to mood swings, irritability, and interpersonal conflicts with colleagues. This can result in a breakdown in relationships and teamwork.
B. Changes in physical appearance, such as unkempt appearance is correct. Nurses struggling with substance abuse may exhibit poor hygiene, an unkempt appearance, and weight changes due to neglect of personal care. These changes are often visible signs of the physical and emotional toll of substance abuse.
C. Consistent improvement in work performance and productivity is incorrect. Substance abuse typically leads to decreased work performance and increased errors due to impairment in concentration, judgment, and decision-making. Improved performance is not a common indicator of substance abuse.
D. Increased incidents of medication errors is correct. Substance abuse can lead to impaired judgment and inattention to detail, which can contribute to an increase in medication errors. Nurses under the influence may struggle to follow protocols and maintain focus on patient safety.
E. Frequent unexplained absences from work is correct. Frequent absences, arriving late, or leaving early can be signs of substance abuse, as the individual may be seeking time to recover from the effects of substance use or to obtain substances.