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?