Delirium Awareness Quiz
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Questions and Answers

What is another name for delirium?

  • Acute confusional state (correct)
  • Mental disorientation
  • Chronic cognitive impairment
  • Progressive dementia
  • What can happen if delirium is not recognized and treated?

  • Cause temporary disorientation
  • Result in mild confusion
  • Progress to irreversible brain damage (correct)
  • Lead to chronic cognitive impairment
  • What percentage of patients in intensive care units are affected by delirium?

  • Exactly 100%
  • Up to 80% (correct)
  • Less than 20%
  • Around 50%
  • 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 diagnosing delirium?

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

    What helps in distinguishing between dementia and delirium?

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

    What are some modifiable risk factors for delirium?

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

    What are some nonmodifiable risk factors for delirium?

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

    Who is particularly vulnerable to acute confusion?

    <p>Older adults in a debilitated health state</p> Signup and view all the answers

    What do abrupt changes in mental status likely represent?

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

    What is the effect of delirium on medical care costs?

    <p>Significant increase</p> Signup and view all the answers

    What is the association between prior coma and delirium?

    <p>Presence of prior coma is a nonmodifiable risk factor for delirium</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 the recommended action if delirium symptoms are unrecognized?

    <p>Report them immediately</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 the recommended strategy to reduce delirium in critically ill patients?

    <p>Use of bright light therapy</p> Signup and view all the answers

    What is the most important action once delirium occurs?

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

    What is the recommended approach for managing patient safety and behavioral problems associated with delirium?

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

    What is the recommended action for nurses regarding nonessential medications in delirious patients?

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

    What should the nurse provide to increase function and comfort in delirious patients?

    <p>Familiar environmental cues and encouragement for family interaction</p> Signup and view all the answers

    What is the most important consideration in evaluating responses to delirium treatment?

    <p>Ongoing mental status assessments using prior mental cognitive status as a baseline</p> Signup and view all the answers

    What is the most important action to take if the underlying problem of delirium is adequately treated?

    <p>The patient often returns to baseline within several days</p> Signup and view all the answers

    What is important to identify in patients with dementia?

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

    What is the primary consequence of delirium 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>80%</p> Signup and view all the answers

    What risk factor triples in-hospital mortality rates?

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

    What is a modifiable risk factor for delirium?

    <p>Recent emergency surgery</p> Signup and view all the answers

    What helps distinguish between dementia and delirium?

    <p>Abrupt onset of symptoms</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 makes older adults particularly vulnerable to acute confusion?

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

    What is the most likely consequence of a debilitated health state in older adults?

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

    What is the effect of delirium on medical care costs?

    <p>Significant increase in costs</p> Signup and view all the answers

    What is a common mistake in diagnosing delirium?

    <p>Mistaking it for dementia</p> Signup and view all the answers

    What is the most likely consequence of unrecognized and untreated delirium?

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

    What is a significant outcome associated with delirium?

    <p>Worse outcomes</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 the primary consequence of unrecognized and untreated delirium?

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

    What is the most important action once delirium occurs?

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

    What helps distinguish between dementia and delirium?

    <p>Onset and progression of symptoms</p> Signup and view all the answers

    What is important to identify in patients with dementia?

    <p>Reversible causes of cognitive impairment</p> Signup and view all the answers

    What is the most likely consequence of a debilitated health state in older adults?

    <p>Increased vulnerability to delirium</p> Signup and view all the answers

    What is the effect of delirium on in-hospital mortality rates?

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

    What is a modifiable risk factor for delirium?

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

    What is the association between prior coma and delirium?

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

    What is the recommended strategy to reduce delirium in critically ill patients?

    <p>Bright light therapy</p> Signup and view all the answers

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