WELCOME TO
IS IT DEMENTIA, DELIRIUM,
OR DEPRESSION?
IS IT DEMENTIA, DELIRIUM, OR DEPRESSION?
THIS IS A FUN INTERACTIVE GAME THAT TESTS YOUR KNOWLEDGE OF THE SIMILARITIES AND
DIFFERENCES OF THIS TRIAD OF ISSUES THAT
AFFECTS OLDER ADULTS.
10 POINTS
B. DELIRIUM
A DEMENTIA-
C. -DEPRESSION
D. –DELIRIUM AND DEPRESSION
A. DEMENTIA
WHICH OF THE FOLLOWING HAS AN
INSIDIOUS ONSET OF SYMPTOMS?
25 POINTS
B 30 %
A. 8%
C. –40%10-30%nswer
D. 50%wer
B. 30%
WHAT IS THE INCIDENCE OF OLDER ADULTS ADMITTEDTO AN ACUTE CARE UNIT
WITH DELIRIUM?
50 POINTS
B. COGNITIVE SLOWING
A. -BEHAVIORAL ISSUES
C. - SOMATIC COMPLAINTS
D – ALL OF THE ABOVED. ALL OF THE ABOVE
DEPRESSION IN OLDER ADULTSOFTEN PRESENTS IN AN ATYPICAL
MANNER WHEN COMPARED TO YOUNGER ADULTS. WHAT IS AN
EXAMPLE OF THIS PRESENTATION?
75 POINTS
B. MINI-COG
A. -GDSswer
C CAM
D. MoCA
C. CAM
WHICH OF THE FOLLOWING
EVALUATION TOOLS DIFFERENTIATESDEMENTIA FROM
DELIRIUM?
100 POINTS
B. IRREVERSIBLE SYMPTOMS
A. CHANGE IN MENTAL STATUS
C. –DISTRACTABILITY
D BOTH A & CD. BOTH A&C
SYMPTOMS OF DELIRIUM INCLUDE WHICH OF THE
FOLLOWING?
125 POINTS
B. VITAL SIGNS
A BASELINE LEVEL OF FUNCTIONING
C. –BRAIN IMAGING
D. FAMILY HISTORY OF DEMENTIA
A. BASELINE LEVEL OF FUNCTIONING
WHAT IS THE MOST IMPORTANT ASSESSMENT IN UNDERSTANDING
COGNITION?
150 POINTS
URINARY TRACT INFECTIONDEHYDRATIONMEDICATION ELECTROLYTE IMBALANCESPNEUMONIAALCOHOL WITHDRAWAL
NAME THREE COMMONCAUSES FOR DELIRIUM IN
OLDER ADULTS?
175 POINTS
B TREATING THE UNDERLYING CAUSE
A. –KEEPING THE PATIENT SEDATED
C. KEEPING THE PATIENT STIMULATED
D. MEDICATING FOR PAIN
B. TREATING THE UNDERLYING CAUSE
WHICH OF THE FOLLOWING IS THE PRIORITY IN
CARING FOR AN OLDER ADULT WITH DELIRIUM?
200 POINTS
WHICH GROUP OF MEDICATIONS IS MORE LIKELY TO CONTRIBUTE TO A
CHANGE INMENTAL STATUS WITH OLDER
ADULTS?
B. – ANTICHOLINERGIC MEDS
A. – SEDATIVE HYPNOTICS
C. - OPIOIDS
D – ALL OF THE ABOVED. ALL OF THE ABOVE
225 POINTS
B PRESCRIPTION DRUG INTOXICATION
A. –CONCURRENT DIAGNOSIS OF CANCER
C. – IMPAIRED HEARING
D. HEART FAILURE
B. PRESCRIPTION DRUG INTOXICATION
WHEN CARING FOR THE CLIENT DIAGNOSED
WITH DELIRIUM, WHICH CONDITIONIS THE MOST IMPORTANT FOR THE
NURSETO ASSESS FIRST?
250 POINTS
B. –ADVANCING DEMENTIA
A. - RENAL FAILURE
C. DEPRESSION
D - DELIRIUMD. DELIRIUM
AN 87-YEAR-OLD WOMAN IS SEEN IN THE EMERGENCY DEPARTMENT WITH THE FOLLOWING LABS:BUN: 20 mg/dLCreatinine: 1.4 mg/dLSerum potassium: 4.3 mEq/LSerum sodium: 129 mEq/LSHE HAS A DIAGNOSIS OF ALZHEIMER’S DEMENTIA, BUT HER DAUGHTER SAID SHE IS MORE AGITATED AND PARANOID ABOUT EATING OVER THE PAST WEEK. SHE IS LIKELY TO HAVE:
275 POINTS
B. - STROKE
A - NONE OF THE BELOWwer
C. - DELIRIUM
D. – DEMENTIA
A. NONE OF THE BELOW
A PATIENT LIVING INDEPENDENTLY AND BEING
TREATED FORDEPRESSION COMPLAINS THAT
SHE FORGOT TWO OF HER
APPOINTMENTSTHIS WEEK. SHE IS LIKELY TO
HAVEA CONCURRENT :
300 POINTS
• CAM• TALK WITH FAMILY ABOUT HER BASELINE LEVEL OF FUNCTIONING.• EVALUATE HER LEVEL OF FEARFULNESS REGARDING THE VISUAL HALLUCINATIONS.• SAFE AND REASSURING ENVIRONMENT• BETTER UNDERSTAND THE ETILOGY OF LIKELY DELIRIUM.
I’M 92 YEARS OLD AND I AM STUCK IN THIS PLACE.THEY ARE KEEPING ME CAPTIVE. THEY CALL IT AHOSPITAL. LOOK AT THE CHILDREN HIDING UNDER THE BED. CALL THE POLICE. YOU ARE THE NURSE RIGHT? HOW ARE YOU GOING TO HELP ME?
400 POINTS
• INCREASE IN CONFUSION FROM BASELINE• CHANGE IN SENSORIUM OR LEVEL OF CONSIOUSLNESS USUALLY DELINIATES DELIRIUM• CHANGES IN SLEEP, APPETITE, ENERGY, AND BEHAVIOR MAY HAVE BEEN SEEN PRIOR TO EMERGING DELIRIUM• BASELINE COGNITIVE DEFICITS CAUSED BY DEMENTIA MAY WORSEN WITH CONCURRENT DELIRIUM AND DEPRESSION.
CAN A PATIENT HAVE DEMENTIA, DELIRIUM,AND DEPRESSION CONCURRENTLY? IF SO HOW WOULD THEY PRESENT?