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 (A)</p> Signup and view all the answers

What is one of the modifiable risk factors for delirium?

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

What is one of the nonmodifiable risk factors for delirium?

<p>Age (D)</p> Signup and view all the answers

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

<p>Careful clinical assessment (B)</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 (D)</p> Signup and view all the answers

What increases medical care costs associated with delirium?

<p>Delirium (D)</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 (A)</p> Signup and view all the answers

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

<p>Acute confusional state (A)</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 (D)</p> Signup and view all the answers

What is the most effective approach for managing delirium?

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

Which tool is commonly used for screening delirium?

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

What is recommended to control in order to prevent delirium?

<p>Pain (B)</p> Signup and view all the answers

What is encouraged in therapeutic activities for managing delirium?

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

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

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

What is important in identifying reversible dementia?

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

What is the risk factor increased by delirium?

<p>Falls (A)</p> Signup and view all the answers

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

<p>Dementia (C)</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 (D)</p> Signup and view all the answers

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

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

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

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

What is a nonmodifiable risk factor for delirium?

<p>Presence of dementia (B)</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 (C)</p> Signup and view all the answers

What is a common misconception about delirium and dementia?

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

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

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

What is the recommended screening tool for delirium?

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

What is the most effective approach for managing delirium?

<p>Prevention (C)</p> Signup and view all the answers

What is important in identifying reversible dementia?

<p>Identifying the underlying cause (C)</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 (A)</p> Signup and view all the answers

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