NR 572 FINAL PAPER 2026 COMPLETE
QUESTION SET AND VERIFIED ANSWERS
TOP SCORE MATERIAL
◉ How do you diagnose delirium?.
Answer: Clinical diagnosis; acute and abrupt changes in LOC that
may wax and wane throughout the day
◉ Symptoms of delirium.
Answer: Short-term memory impairment; Repeated questions;
Hallucinations; Delusions
◉ Difference between delirium and dementia.
Answer: Delirium: acute with obvious change from baseline;
Dementia: progressive cognitive change and decline
◉ Before diagnosing a hospitalized patient with delirium, what
should be done first?.
Answer: Begin with ruling out potential underlying causes
◉ What are potential causes of delirium?.
,Answer: DELIRVM: D - Drugs; E - External insults; L - Lesions from
cancer; I - Infections; R - Remote effects of cancer; V - Vascular
causes; M - Metabolic causes
◉ CAM-ICU (Confusion Assessment Method for ICU).
Answer: Tool to assess delirium: acute onset mental status change,
inattention, disorganized thinking, altered level of consciousness;
assess every shift
◉ CAM-ICU scale.
Answer: See scale
◉ ICDSC (Intensive care delirium screening checklist).
Answer: See photo
◉ Treatment for preventing or shortening duration of delirium.
Answer: Avoid benzos unless previously used; Don't abruptly stop
benzos; Short-term antipsychotics if risk of harm
◉ Psychosis.
Answer: A mental state with distorted sense of reality; often
secondary to endocrine, immunologic, or metabolic problems
, ◉ Symptoms of psychosis.
Answer: Hallucinations; Delusions; Thought disorders; Disorganized
behavior
◉ Brief psychotic disorder.
Answer: Acute psychosis, stress-related; lasts < 1 month; full
remission with return to function
◉ Schizophrenia.
Answer: Delusions; Hallucinations; Disorganized speech; Lasts > 6
months; Affects relationships and work; 60% persistent symptoms
◉ Schizophreniform disorder.
Answer: Schizophrenia-like symptoms; Duration >1 month but <6
months
◉ Schizoaffective disorder.
Answer: Symptoms of schizophrenia + mood disorder (e.g., bipolar);
Often misdiagnosed as major depressive disorder
◉ Diagnosis requirements for schizoaffective disorder.
Answer: ≥2 psychotic episodes lasting ≥2 weeks; One episode
without mood symptoms; Better prognosis than schizophrenia
QUESTION SET AND VERIFIED ANSWERS
TOP SCORE MATERIAL
◉ How do you diagnose delirium?.
Answer: Clinical diagnosis; acute and abrupt changes in LOC that
may wax and wane throughout the day
◉ Symptoms of delirium.
Answer: Short-term memory impairment; Repeated questions;
Hallucinations; Delusions
◉ Difference between delirium and dementia.
Answer: Delirium: acute with obvious change from baseline;
Dementia: progressive cognitive change and decline
◉ Before diagnosing a hospitalized patient with delirium, what
should be done first?.
Answer: Begin with ruling out potential underlying causes
◉ What are potential causes of delirium?.
,Answer: DELIRVM: D - Drugs; E - External insults; L - Lesions from
cancer; I - Infections; R - Remote effects of cancer; V - Vascular
causes; M - Metabolic causes
◉ CAM-ICU (Confusion Assessment Method for ICU).
Answer: Tool to assess delirium: acute onset mental status change,
inattention, disorganized thinking, altered level of consciousness;
assess every shift
◉ CAM-ICU scale.
Answer: See scale
◉ ICDSC (Intensive care delirium screening checklist).
Answer: See photo
◉ Treatment for preventing or shortening duration of delirium.
Answer: Avoid benzos unless previously used; Don't abruptly stop
benzos; Short-term antipsychotics if risk of harm
◉ Psychosis.
Answer: A mental state with distorted sense of reality; often
secondary to endocrine, immunologic, or metabolic problems
, ◉ Symptoms of psychosis.
Answer: Hallucinations; Delusions; Thought disorders; Disorganized
behavior
◉ Brief psychotic disorder.
Answer: Acute psychosis, stress-related; lasts < 1 month; full
remission with return to function
◉ Schizophrenia.
Answer: Delusions; Hallucinations; Disorganized speech; Lasts > 6
months; Affects relationships and work; 60% persistent symptoms
◉ Schizophreniform disorder.
Answer: Schizophrenia-like symptoms; Duration >1 month but <6
months
◉ Schizoaffective disorder.
Answer: Symptoms of schizophrenia + mood disorder (e.g., bipolar);
Often misdiagnosed as major depressive disorder
◉ Diagnosis requirements for schizoaffective disorder.
Answer: ≥2 psychotic episodes lasting ≥2 weeks; One episode
without mood symptoms; Better prognosis than schizophrenia
