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

What increases the risk of falls in delirium patients?

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

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

<p>Providing familiar environmental cues (D)</p> Signup and view all the answers

What is important in identifying reversible dementia?

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

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

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

What is another name for delirium?

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

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

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

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

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

What are some modifiable risk factors for delirium?

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

What are some nonmodifiable risk factors for delirium?

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

What makes older adults particularly vulnerable to acute confusion?

<p>Debilitated health state and multiple medications (D)</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 (C)</p> Signup and view all the answers

What is the impact of delirium on medical care costs?

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

What are the initial symptoms of delirium?

<p>Disorientation (B)</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 (B)</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

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

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

Which tool is commonly used for screening delirium?

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

What is important to identify in older adults with dementia?

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

What is recommended to minimize in order to prevent delirium?

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

What is encouraged in therapeutic activities for patients with delirium?

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

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

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

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

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

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

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

What is the term often used interchangeably with delirium?

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

What can delirium progress to if not recognized and treated?

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

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

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

What triples in-hospital mortality rates?

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

What is a modifiable risk factor for delirium?

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

What is a nonmodifiable risk factor for delirium?

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

What is particularly vulnerable to acute confusion in older adults?

<p>Debilitated health state (A)</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 (D)</p> Signup and view all the answers

What is disturbing for the affected patient and their family?

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

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

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

What is more likely to be mistaken for dementia?

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

What is essential in assessing delirium?

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

What is another name for delirium?

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

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

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

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

What are some modifiable risk factors for delirium?

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

What are some nonmodifiable risk factors for delirium?

<p>Age and presence of dementia (D)</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 (C)</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 (C)</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 (C)</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 (C)</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 (A)</p> Signup and view all the answers

What is the impact of delirium on outcomes?

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

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