An older adult suddenly develops urinary incontinence. A family ...

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An older adult suddenly develops urinary incontinence. A family member says the patient started walking oddly, like stepping on a sticky floor. Which problem would the nurse suspect?
 
  a. Pick's disease
  b. Parkinson's disease
  c. HD
  d. Normal-pressure hydrocephalus (NPH)

Question 2

A patient is 5 feet 4 inches tall and weighs 85 lb, a 20 loss of body weight over the past year
 
  The patient reports amenorrhea for 9 months. Vital signs are temperature (T) 96.6F; pulse (P) 38 beats/min; blood pressure (BP) 70/42 mm Hg; respirations (R) 20 breaths/min. Skin turgor is poor. Lanugo is present. She says, I need to lose 10 more pounds. These assessment findings indicate which medical diagnosis?
  a. Bulimia nervosa
  b. Anorexia nervosa
  c. Binge-eating disorder
  d. Dissociative identity disorder

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Answer to Question 1

D
The classic triad of symptoms associated with NPH is urinary incontinence, ataxic gait, and dementia. Early dementia might be manifested by impairment in activities of daily living, dulling of personality, and lack of motivation. NPH is treatable with ventro-peritoneal shunting.

Answer to Question 2

B
Data are consistent with the medical diagnosis of anorexia nervosa, a disorder in which intense fear of being fat leads to a body weight 15 or more below normal. Bulimic patients are usually near normal weight. Individuals who have binge-eating disorder tend to be overweight. Dissociative identity disorder refers to individuals who have multiple personalities.