Delirium
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Questions and Answers

What is the term often used to describe delirium?

  • Persistent disorientation
  • Prolonged unconsciousness
  • Chronic cognitive impairment
  • Acute confusional state (correct)
  • What can delirium progress to if not recognized and treated?

  • Mild confusion and memory loss
  • Changes in LOC, irreversible brain damage, and sometimes death (correct)
  • Long-term cognitive decline
  • Temporary disorientation
  • What percentage of patients in intensive care units are affected by delirium?

  • Exactly 100%
  • Less than 20%
  • Up to 80% (correct)
  • Around 50%
  • What effect does the presence of delirium have on in-hospital mortality rates?

    <p>It triples the rates</p> Signup and view all the answers

    What is one of the modifiable risk factors for delirium?

    <p>Use of benzodiazepines</p> Signup and view all the answers

    What is one of the nonmodifiable risk factors for delirium?

    <p>Age</p> Signup and view all the answers

    What is essential in assessing delirium because it is sometimes mistaken for dementia?

    <p>Careful clinical assessment</p> Signup and view all the answers

    What helps differentiate between dementia and delirium?

    <p>Knowing an individual's usual mental status and the onset of changes</p> Signup and view all the answers

    What increases medical care costs associated with delirium?

    <p>Delirium</p> Signup and view all the answers

    Who is particularly vulnerable to acute confusion if in a debilitated health state or taking multiple medications?

    <p>Older adults</p> Signup and view all the answers

    What is the term often used to describe delirium in the text?

    <p>Acute confusional state</p> Signup and view all the answers

    What can delirium progress to if not recognized and treated?

    <p>Changes in LOC, irreversible brain damage, and sometimes death</p> Signup and view all the answers

    What is the most effective approach for managing delirium?

    <p>Providing therapeutic activities for cognitive impairment</p> Signup and view all the answers

    Which tool is commonly used for screening delirium?

    <p>Confusion Assessment Method (CAM)</p> Signup and view all the answers

    What is recommended for all critically ill patients in terms of delirium screening?

    <p>Receiving routine screening at prescribed intervals</p> Signup and view all the answers

    What is a potential consequence if delirium goes unrecognized and the underlying cause is not treated?

    <p>Permanent, irreversible brain damage or death</p> Signup and view all the answers

    What is recommended to control in order to prevent delirium?

    <p>Pain</p> Signup and view all the answers

    What is encouraged in therapeutic activities for managing delirium?

    <p>Including the family</p> Signup and view all the answers

    What does the nurse provide to increase function and comfort for a patient with delirium?

    <p>Familiar environmental cues</p> Signup and view all the answers

    What is the most common type of dementia in older adults?

    <p>Alzheimer’s disease (AD)</p> Signup and view all the answers

    What is important in identifying reversible dementia?

    <p>Identifying pathologic conditions masquerading as dementia</p> Signup and view all the answers

    What is the risk factor increased by delirium?

    <p>Falls</p> Signup and view all the answers

    What is typically caused by some degree of neurodegeneration in older adults?

    <p>Dementia</p> Signup and view all the answers

    What should the nurse provide for a patient with delirium to assess and manage pain?

    <p>Assessment and management of pain</p> Signup and view all the answers

    Which of the following is a modifiable risk factor for delirium?

    <p>Use of benzodiazepines</p> Signup and view all the answers

    What is a potential consequence of delirium if not recognized and treated?

    <p>Irreversible brain damage</p> Signup and view all the answers

    What is a nonmodifiable risk factor for delirium?

    <p>Presence of dementia</p> Signup and view all the answers

    What is the term used to describe the condition where delirium is sometimes mistaken for dementia?

    <p>Acute confusional state</p> Signup and view all the answers

    What is a common misconception about delirium and dementia?

    <p>They always occur together</p> Signup and view all the answers

    What is the most common type of dementia in older adults?

    <p>Alzheimer’s disease</p> Signup and view all the answers

    What is the recommended screening tool for delirium?

    <p>Confusion Assessment Method (CAM)</p> Signup and view all the answers

    What is the most effective approach for managing delirium?

    <p>Prevention</p> Signup and view all the answers

    What is important in identifying reversible dementia?

    <p>Identifying the underlying cause</p> Signup and view all the answers

    What is recommended for all critically ill patients in terms of delirium screening?

    <p>Routine screening at prescribed intervals</p> Signup and view all the answers

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