Delirium Post-Test

All of the following have been shown to prevent delirium in hospitalized older adults, except:

Which is not a Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criterion for delirium?

Which of the following is a FALSE statement regarding delirium assessments?

Which of the following is a feature that distinguishes delirium from dementia?

Select ALL of the items below that are associated with an increased risk of developing delirium in the ED and hospital? (You may select more than one item)

What is the primary advantage of using a Richmond Agitation Sedation Scale (RASS) or modified RASS (mRASS)?

Which of the following is not a common cause of acute delirium or acute alteration in mental status among older patients (65 and over) presenting to the emergency department?

The ADEPT tool discussed here contains the 5 important steps in the assessment and management of delirium among older patients. What does it stand for?

In the Emergency department, the most appropriate first step in treatment of an older adult with delirium is:

BR is a 92-year-old F with a history of hypertension, hypothyroidism, osteoporosis, gait instability, cervical stenosis, CHF, anxiety, mild cognitive impairment and depression, who presents to the ED with fevers and acute confusion. She is diagnosed with a UTI, and started on appropriate antibiotic therapy while in the ED. Over the course of her ED stay, she becomes increasingly disoriented and agitated, attempting to remove her IV, trying to get out of bed to walk to the bathroom, and crying out for her daughter.

Which of the following is considered the most appropriate first step in managing her agitation?

An 85-year-old male presents to your emergency department confused and combative. Efforts have been made to calm the patient with verbal de-escalation and dimming the lights, but his behavior continues to escalate. Which medication would be best to administer to protect the patient and staff from harm?

Which of these strategies is appropriate when administering medications to calm an older patient with acute delirium?