(I have included instructions below and concept map activity)
Concept Map
Use the following Concept Map to answer the questions on the next page.

Patient info:
J. M., 33 year-old female, complaint of irregular menstrual cycle, acne, weight gain, difficulty sleeping, and facial hair growth
Most Urgent Nursing Diagnosis:
Metabolic Disorder related to irregular menstrual cycles, hormonal imbalance, and weight gain
Treatments:
Education on disease process (Ackley, et al., 2020)
Counseling on nutrition and lifestyle changes
Blood and ultrasound tests: confirmed diagnosis (Newland, 2019)
Refer to endocrinologist for progesterone hormone
Outcomes:
Patient will: Maintain weight within normal range for height and age
Improve dietary intake and physical activity(Ackley, et al., 2020)
Nursing Diagnosis 2:
Disturbed Body Image related to weight gain, acne, and facial hair growth (Ackley, et al., 2020)
Treatments:
Referral to Endocrinologist- Medication to reduce facial hair growth (Maduro, 2018)
Nutrition and lifestyle changes: exercise promotion and nutrition counseling
Referral to Dermatologist- acne treatment
Outcomes:
Patient will: Verbalize ways to enhance appearance
Adhere to treatments that will promote health
Improve dietary intake and physical activity (Ackley, et al., 2020)
Nursing Diagnosis 3:
Depression related to weight gain of 12 lbs. and interrupted sleep
Treatments:
Encourage 7-9 hours of sleep each night (Beboodi