NURS 209 MIDTERM| UPDATE|COMPREHENSIVE FREQUENT MOST-TESTED
QUESTIONS AND VERIFIED ANSWERS/SOLUTIONS|GET IT 100% ACCURATE!!
What is delirium - ANSWER-Secondary neurobehavioural syndrome caused by a
dysregulated baseline neuronal activity
Results in an altered level of attention and awareness
Acute and rapid onset
What are trends regarding delirium - ANSWER-Longer hospitalization, increased
dependence
Development of dementia
Increased mortality
Long-term cognitive impairment
What are the markers of delirium - ANSWER-Attention
Short period of time (acute and fluxuating)
Cognition/perceptual disturbances (hallucinations, disorientation, disorganized
thinking)
Physiological cause - Some kind of medical condition is causing it
,What are types of delirium - ANSWER-Hyperactive - confused, agitated,
hallucinations
Hypoactive - sleepy, withdrawn
What differentiates delirium from demtentia - ANSWER-Delirium
- Acute
- Fluctuates
- Short duration
- Altered LOC
- Impaired attention
- hyper or hypoactive
- Usually reversible
Dementia
- Chronic
- Progressive
- Long duration
- Normal LOC
- Normal attention
- Normal psychomotor
,- Irreversible
What are risk factors of delirium - ANSWER-Acute brain dysfunction (stroke,
toxins, lack of perfusion, poor BBB)
4M's
-Medicine
-Microbials
-Medical
-Metabolic
Antipsychotic drug side effects
- weightgain
- extrapyramidal
- Prolonged QT
- Hyperlipidemia
What is the management of delirium - ANSWER-Look for the presence of delirium,
then the underlying cause
Non-pharmacological
, CHAOS
C- Cause (treat the cause and calm the individual)
H- Hydrate/nourish
A- Ambulate
O - Orientation and observation
S- Safety, security, sensory aid, stimulation, socialization, sleep
What are the trends of the geriatric population - ANSWER-People are living longer
and longer
The population of 65+ is getting larger and larger (differentiate between 65+ and
85+)
Women are living longer than men in the geriatric population
The centenarian (100+) group is the fastest growing group
Growing amount of 85+ living in a collective dwelling
QUESTIONS AND VERIFIED ANSWERS/SOLUTIONS|GET IT 100% ACCURATE!!
What is delirium - ANSWER-Secondary neurobehavioural syndrome caused by a
dysregulated baseline neuronal activity
Results in an altered level of attention and awareness
Acute and rapid onset
What are trends regarding delirium - ANSWER-Longer hospitalization, increased
dependence
Development of dementia
Increased mortality
Long-term cognitive impairment
What are the markers of delirium - ANSWER-Attention
Short period of time (acute and fluxuating)
Cognition/perceptual disturbances (hallucinations, disorientation, disorganized
thinking)
Physiological cause - Some kind of medical condition is causing it
,What are types of delirium - ANSWER-Hyperactive - confused, agitated,
hallucinations
Hypoactive - sleepy, withdrawn
What differentiates delirium from demtentia - ANSWER-Delirium
- Acute
- Fluctuates
- Short duration
- Altered LOC
- Impaired attention
- hyper or hypoactive
- Usually reversible
Dementia
- Chronic
- Progressive
- Long duration
- Normal LOC
- Normal attention
- Normal psychomotor
,- Irreversible
What are risk factors of delirium - ANSWER-Acute brain dysfunction (stroke,
toxins, lack of perfusion, poor BBB)
4M's
-Medicine
-Microbials
-Medical
-Metabolic
Antipsychotic drug side effects
- weightgain
- extrapyramidal
- Prolonged QT
- Hyperlipidemia
What is the management of delirium - ANSWER-Look for the presence of delirium,
then the underlying cause
Non-pharmacological
, CHAOS
C- Cause (treat the cause and calm the individual)
H- Hydrate/nourish
A- Ambulate
O - Orientation and observation
S- Safety, security, sensory aid, stimulation, socialization, sleep
What are the trends of the geriatric population - ANSWER-People are living longer
and longer
The population of 65+ is getting larger and larger (differentiate between 65+ and
85+)
Women are living longer than men in the geriatric population
The centenarian (100+) group is the fastest growing group
Growing amount of 85+ living in a collective dwelling
