Behavioural/Psychosocial CCRN- Critical Care
Registered Nurse Questions 2024/2025 Fully Solved
100% Correct/ Verified
_ is an acute organic mental syndrome with potentially reversible impariment of
consciousness and cognitive function that fluctuates in severity - ANSWERdelirium
not all delirious patients are agitated and not all agitated patients are delirious
types of delirium 3 types and their commonality - ANSWER1. mixed-hyperactive and
hypoactive -most common
2. hyoactive -second most common
3. hyperactive least common
nonmodifiable risk factors for delirium
modifiable risk factors - ANSWERnonmod-history of dementia, recent history of
substance abuse, greater age, increasing APACHE score, prior coma, pre-ICU
emergency surgery or trauma
modifiable-benzos, blood transfusions, immobility, restraints, pain, sensory
deprivation or overload, sleep disruption/deprivation
two tools used to assess for delirium in critcally ill patients-name. them -
ANSWERCAM-ICU confusion assessment method
ICDSC intensive care delirium screening checklist
what patients should you not assess delirium in - ANSWERpt not responsive or
heavily sedated
what are the 3 things patient must have to have delirium - ANSWER1. acute onset of
mental status changes or fluctuating course
2. inattention
and either of these
3. disorganized thinking or 4. altered level of consciousness
if patient has negative mental status change what do you do in the scoring -
ANSWERstop you do not need to continue scoring
how to do the inattention test - ANSWERhave patient squeeze hand when you hear
letter A after saying. series. of. letters
SAVEAHAART or CASABLANACA
positive for inattention if more than 2 errors are made
if negative for inattention then negative for delirium and stop assessment
disorganized thinking how do you assess - ANSWERask a question or test ability to
follow specific command
, some ways to prevent delirium - ANSWERprevent in all critically ill patients
reduce modifiable risk factors
promote patient orientation with music, familar objects around home, provide visual
and hearing aids, communication and reorient patient
assess manage environment-promote sleep hygiene lights off at night on during day,
control excess noise avoid restraints remove/camouflage tubes
maintain systolic BP>90 and O2>90
prevent delirium secondary to substance abuse-assess for chronic substance abuse
adjust meds accordingly
ABCDEF bundle - ANSWERA-assess prevent manage pain
B-SBT SAT
C-choice of analgesia and sedation
D-delirium-assess prevent manage
E-early mobility and exercise
F-family engagement/encouragement
what should you not use to prevent delirium - ANSWERpharmacological agents
use of drugs to treat delirum is reserved for what type of delirium -
ANSWERhyperactive
haldol in delirium
what can haldol cause - ANSWERnot recommended and not shown to treat delirium
is useful for significant distress secondary to delirium like hallucinations
haldol can prolong QT and cause torsades v tach
obtain baseline QTc and monitor QTc. regularly
compare contrast delirium and dementia - ANSWERdelirium:
acute onset, fluctuating
rapid progression
reversible
strategies available to prevent
organic brain changes
may include agitation but not always
dementia:
chronic
slow progression
irreversible
no known prevention
organic brain changes
may include agitation but not always
most common cause of dementia - ANSWERalzheimers disease number 1
vascular brain disease and stroke is another cause
Registered Nurse Questions 2024/2025 Fully Solved
100% Correct/ Verified
_ is an acute organic mental syndrome with potentially reversible impariment of
consciousness and cognitive function that fluctuates in severity - ANSWERdelirium
not all delirious patients are agitated and not all agitated patients are delirious
types of delirium 3 types and their commonality - ANSWER1. mixed-hyperactive and
hypoactive -most common
2. hyoactive -second most common
3. hyperactive least common
nonmodifiable risk factors for delirium
modifiable risk factors - ANSWERnonmod-history of dementia, recent history of
substance abuse, greater age, increasing APACHE score, prior coma, pre-ICU
emergency surgery or trauma
modifiable-benzos, blood transfusions, immobility, restraints, pain, sensory
deprivation or overload, sleep disruption/deprivation
two tools used to assess for delirium in critcally ill patients-name. them -
ANSWERCAM-ICU confusion assessment method
ICDSC intensive care delirium screening checklist
what patients should you not assess delirium in - ANSWERpt not responsive or
heavily sedated
what are the 3 things patient must have to have delirium - ANSWER1. acute onset of
mental status changes or fluctuating course
2. inattention
and either of these
3. disorganized thinking or 4. altered level of consciousness
if patient has negative mental status change what do you do in the scoring -
ANSWERstop you do not need to continue scoring
how to do the inattention test - ANSWERhave patient squeeze hand when you hear
letter A after saying. series. of. letters
SAVEAHAART or CASABLANACA
positive for inattention if more than 2 errors are made
if negative for inattention then negative for delirium and stop assessment
disorganized thinking how do you assess - ANSWERask a question or test ability to
follow specific command
, some ways to prevent delirium - ANSWERprevent in all critically ill patients
reduce modifiable risk factors
promote patient orientation with music, familar objects around home, provide visual
and hearing aids, communication and reorient patient
assess manage environment-promote sleep hygiene lights off at night on during day,
control excess noise avoid restraints remove/camouflage tubes
maintain systolic BP>90 and O2>90
prevent delirium secondary to substance abuse-assess for chronic substance abuse
adjust meds accordingly
ABCDEF bundle - ANSWERA-assess prevent manage pain
B-SBT SAT
C-choice of analgesia and sedation
D-delirium-assess prevent manage
E-early mobility and exercise
F-family engagement/encouragement
what should you not use to prevent delirium - ANSWERpharmacological agents
use of drugs to treat delirum is reserved for what type of delirium -
ANSWERhyperactive
haldol in delirium
what can haldol cause - ANSWERnot recommended and not shown to treat delirium
is useful for significant distress secondary to delirium like hallucinations
haldol can prolong QT and cause torsades v tach
obtain baseline QTc and monitor QTc. regularly
compare contrast delirium and dementia - ANSWERdelirium:
acute onset, fluctuating
rapid progression
reversible
strategies available to prevent
organic brain changes
may include agitation but not always
dementia:
chronic
slow progression
irreversible
no known prevention
organic brain changes
may include agitation but not always
most common cause of dementia - ANSWERalzheimers disease number 1
vascular brain disease and stroke is another cause
