An аdult wоmаn presents tо the clinic cоmplаining of fatigue, weakness, weight gain despite lack of appetite, and feelings of depression. Physical exam reveals an obese, alert patient with thinning hair, bilateral chest puffiness, increased facial hair, supraclavicular fat pad, thin arms and legs, purple striae on the abdomen, and multiple ecchymotic areas on extremities. Her vital signs are BP of 158/96 mm Hg, pulse of 88 beats/min, and respirations of 22 breaths/min. Laboratory results show FBS of 200 mg/dL, electrolyte panel within normal limits (WNL), except for potassium of 3.0 mEq/L, hemoglobin of 11.8 g, and hematocrit of 34%. This assessment information would support the family nurse practitioner’s diagnosis of: