Delirium Awareness Quiz
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Questions and Answers

What is the most effective approach for managing delirium?

  • Ensuring prolonged sleep deprivation
  • Increasing the use of psychoactive drugs
  • Providing therapeutic activities and controlling pain (correct)
  • Administering medication immediately

    • What is the commonly used screening tool for delirium?

  • Short Portable Mental Status Questionnaire (SPMSQ)
  • Confusion Assessment Method (CAM) (correct)
  • Mini-Mental State Examination (MMSE)
  • Montreal Cognitive Assessment (MoCA)

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

  • Vascular dementia
  • Alzheimer's disease (AD) (correct)
  • Frontotemporal dementia
  • Lewy body dementia

    • What is recommended for all critically ill patients to receive at prescribed intervals?

    <p>Routine screening for delirium</p> Signup and view all the answers

    What is important in managing patient safety and behavioral problems in delirium?

    <p>Alerting the prescriber about nonessential medications</p> Signup and view all the answers

    What increases the risk of falls in delirium patients?

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

    What is important in evaluating responses to treatment in delirium patients?

    <p>Providing familiar environmental cues</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 recommended approach for patients with dementia?

    <p>Providing familiar environmental cues and encouraging family interaction</p> Signup and view all the answers

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

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

    What is important in preventing delirium in critically ill patients?

    <p>Controlling pain and minimizing the use of psychoactive drugs</p> Signup and view all the answers

    What is important in assessing and managing pain in delirium patients?

    <p>Supervising and monitoring nutritional and fluid intake</p> Signup and view all the answers

    What is another name for delirium?

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

    What can happen if delirium is not recognized and treated?

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

    What percentage of patients in intensive care units are affected by delirium?

    <p>Up to 80%</p> Signup and view all the answers

    What effect does the presence of delirium have on in-hospital mortality rates?

    <p>Triples the rates</p> Signup and view all the answers

    Why is careful clinical assessment essential in the case of delirium?

    <p>Because delirium is sometimes mistaken for dementia</p> Signup and view all the answers

    What are some modifiable risk factors for delirium?

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

    What are some nonmodifiable risk factors for delirium?

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

    What makes older adults particularly vulnerable to acute confusion?

    <p>Debilitated health state and multiple medications</p> Signup and view all the answers

    What should be known about an individual patient's mental status to distinguish between delirium and dementia?

    <p>Whether the changes noted are long term or abrupt in onset</p> Signup and view all the answers

    What is the impact of delirium on medical care costs?

    <p>A significant increase</p> Signup and view all the answers

    What are the initial symptoms of delirium?

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

    What is the potential outcome if delirium is not recognized and treated?

    <p>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

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

    <p>Alzheimer's disease</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 to receive at prescribed intervals?

    <p>Routine screening for delirium</p> Signup and view all the answers

    What is the most important aspect of treatment once delirium occurs?

    <p>Managing patient safety and behavioral problems</p> Signup and view all the answers

    What is important to identify in older adults with dementia?

    <p>Reversible dementia</p> Signup and view all the answers

    What is recommended to minimize in order to prevent delirium?

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

    What is encouraged in therapeutic activities for patients with delirium?

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

    What is important to provide for patients to increase function and comfort?

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

    What intervention is often implicated in medication interactions and toxicity related to delirium?

    <p>Nonessential medications</p> Signup and view all the answers

    What is important for ongoing mental status assessments in evaluating responses to treatment?

    <p>Prior mental cognitive status as a baseline</p> Signup and view all the answers

    What is important in assessing for and managing in addition to sleep hygiene measures?

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

    What is the term often used interchangeably with delirium?

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

    What can delirium progress to if not recognized and treated?

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

    What percentage of patients in intensive care units are affected by delirium?

    <p>Up to 80%</p> Signup and view all the answers

    What triples in-hospital mortality rates?

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

    What is a modifiable risk factor for delirium?

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

    What is a nonmodifiable risk factor for delirium?

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

    What is particularly vulnerable to acute confusion in older adults?

    <p>Debilitated health state</p> Signup and view all the answers

    What should be known to distinguish between delirium and dementia?

    <p>Whether the changes noted are long term or abrupt in onset</p> Signup and view all the answers

    What is disturbing for the affected patient and their family?

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

    What is associated with worse outcomes and a significant increase in medical care costs?

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

    What is more likely to be mistaken for dementia?

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

    What is essential in assessing delirium?

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

    What is another name for delirium?

    <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 percentage of patients in intensive care units are affected by delirium?

    <p>Up to 80%</p> Signup and view all the answers

    What effect does delirium have on in-hospital mortality rates?

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

    What are some modifiable risk factors for delirium?

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

    What are some nonmodifiable risk factors for delirium?

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

    What is essential in the assessment of delirium due to its overlap with dementia?

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

    What is the impact of delirium on medical care costs?

    <p>It leads to a significant increase in costs</p> Signup and view all the answers

    What 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 helps in distinguishing 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 is the impact of delirium on the affected patient and their family?

    <p>It is disturbing for both</p> Signup and view all the answers

    What is the impact of delirium on outcomes?

    <p>It is associated with worse outcomes</p> Signup and view all the answers

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