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WELCOME TO

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.

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WELCOME TO

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  1. WELCOME TO IS IT DEMENTIA, DELIRIUM, OR DEPRESSION?

  2. 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.

  3. 10 POINTS WHICH OF THE FOLLOWING HAS AN INSIDIOUS ONSET OF SYMPTOMS? • A DEMENTIA- • A. DEMENTIA B. DELIRIUM • C. -DEPRESSION • D. –DELIRIUM AND DEPRESSION

  4. 25 POINTS WHAT IS THE INCIDENCE OF OLDER ADULTS ADMITTED TO AN ACUTE CARE UNIT WITH DELIRIUM? • A. 8% • B. 30% B 30 % • C. –40%10-30%nswer • D.50%wer

  5. 50 POINTS DEPRESSION IN OLDER ADULTS OFTEN PRESENTS IN AN ATYPICAL MANNER WHEN COMPARED TO YOUNGER ADULTS. WHAT IS AN EXAMPLE OF THIS PRESENTATION? • A. -BEHAVIORAL ISSUES B. COGNITIVE SLOWING • C. - SOMATIC COMPLAINTS • D – ALL OF THE ABOVE • D. ALL OF THE ABOVE

  6. 75 POINTS WHICH OF THE FOLLOWING EVALUATION TOOLS DIFFERENTIATES DEMENTIA FROM DELIRIUM? • A. -GDSswer B. MINI-COG • C CAM • C. CAM • D. MoCA

  7. 100 POINTS SYMPTOMS OF DELIRIUM INCLUDE WHICH OF THE FOLLOWING? • A. CHANGE IN MENTAL STATUS B. IRREVERSIBLE SYMPTOMS • C. –DISTRACTABILITY • D BOTH A & C • D. BOTH A&C

  8. 125 POINTS WHAT IS THE MOST IMPORTANT ASSESSMENT IN UNDERSTANDING COGNITION? • A BASELINE LEVEL OF FUNCTIONING • A. BASELINE LEVEL OF FUNCTIONING B. VITAL SIGNS • C. –BRAIN IMAGING • D.FAMILY HISTORY OF DEMENTIA

  9. 150 POINTS NAME THREE COMMON CAUSES FOR DELIRIUM IN OLDER ADULTS? • URINARY TRACT INFECTION • DEHYDRATION • MEDICATION • ELECTROLYTE IMBALANCES • PNEUMONIA • ALCOHOL WITHDRAWAL

  10. 175 POINTS WHICH OF THE FOLLOWING IS THE PRIORITY IN CARING FOR AN OLDER ADULT WITH DELIRIUM? • A. –KEEPING THE PATIENT SEDATED • B. TREATING THE UNDERLYING CAUSE B TREATING THE UNDERLYING CAUSE • C.KEEPING THE PATIENT STIMULATED • D.MEDICATING FOR PAIN

  11. 200 POINTS WHICH GROUP OF MEDICATIONS IS MORE LIKELY TO CONTRIBUTE TO A CHANGE IN MENTAL STATUS WITH OLDER ADULTS? • A. – SEDATIVE HYPNOTICS B. – ANTICHOLINERGIC MEDS • C. - OPIOIDS • D – ALL OF THE ABOVE • D. ALL OF THE ABOVE

  12. 225 POINTS WHEN CARING FOR THE CLIENT DIAGNOSED WITH DELIRIUM, WHICH CONDITION IS THE MOST IMPORTANT FOR THE NURSE TO ASSESS FIRST? • A.–CONCURRENT DIAGNOSIS OF CANCER B PRESCRIPTION DRUG INTOXICATION • B. PRESCRIPTION DRUG INTOXICATION • C. – IMPAIRED HEARING • D.HEART FAILURE

  13. 250 POINTS AN 87-YEAR-OLD WOMAN IS SEEN IN THE EMERGENCY DEPARTMENT WITH THE FOLLOWING LABS: BUN: 20 mg/dL Creatinine: 1.4 mg/dL Serum potassium: 4.3 mEq/L Serum sodium: 129 mEq/L SHE 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: • A. - RENAL FAILURE B. –ADVANCING DEMENTIA • C.DEPRESSION • D - DELIRIUM • D. DELIRIUM

  14. 275 POINTS A PATIENT LIVING INDEPENDENTLY AND BEING TREATED FOR DEPRESSION COMPLAINS THAT SHE FORGOT TWO OF HER APPOINTMENTS THIS WEEK. SHE IS LIKELY TO HAVE A CONCURRENT : • A - NONE OF THE BELOWwer • A. NONE OF THE BELOW B. - STROKE • C. - DELIRIUM • D. – DEMENTIA

  15. 300 POINTS I’M 92 YEARS OLD AND I AM STUCK IN THIS PLACE. THEY ARE KEEPING ME CAPTIVE. THEY CALL IT A HOSPITAL. LOOK AT THE CHILDREN HIDING UNDER THE BED. CALL THE POLICE. YOU ARE THE NURSE RIGHT? HOW ARE YOU GOING TO HELP ME? • 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.

  16. 400 POINTS CAN A PATIENT HAVE DEMENTIA, DELIRIUM, AND DEPRESSION CONCURRENTLY? IF SO HOW WOULD THEY PRESENT? • 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.

  17. CONGRATULATIONS! YOU ARE NOW BETTER PREPARED TO CARE FOR OLDER ADULTS. REMEMBER THE SIMILARITIES AND DIFFERENCES OF DEMENTIA, DELIRIUM AND DEPRESSION IN CARING FOR OLDER ADULTS

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