Behavioural/Psychosocial CCRN- Critical Care
Registered Nurse Questions 2024/2025 Fully Solved
100% Correct/ Verified
mixed delirium - ANSWERhyper and hypoactive in the same patient-most common
hypoactive delirium - ANSWERmost common type
purely hyperactive delirium is how common - ANSWERleast common
non modifiable risk factrs for deleirium-6 - ANSWERhx of dementia
recent hx of substance abuse
old age
increasing APACHE score
prior coma
pre ICU emergency surgery or trauma
modifiable risk factors for delrium-7 - ANSWERbenzos
blood transfusions
immobilitiy
restraints
pain
sensory deprivation or overload
sleep disruption or deprivation
2 valid tools to assess for delirium - ANSWERCAM ICU method
The intensive care delirium screening checklist
2 conditions when NOT to assess for delrium - ANSWERnot responsive
heavily sedated
4 steps to delirium - ANSWERacute onset of mental status change or fluctating
coarse
, inattention
disorganized thining
altered LOC
for delirium patient MUST have what - ANSWERacute onset of mental status change
or a fluctating coarse
if patient is negative for this then STOP the assessment-they do not have delirium
Next part of delirium assessment is what - ANSWERinattention
inattention assessment - ANSWERSAVEA HAART-positive if they make more then 2
errors
If patient is negative for inattention then what - ANSWERifSTOP the assessment-
negative for delirium
in addition to the 2 above the patients needs what or what to be positive for
delirium - ANSWERdisorganized thinking or altered LOC
how to assess for disorganized thinking - ANSWERask questions or test their ability
to follow a specific command
how to test altered LOC - ANSWERanything other then a 0 for RASS or +3 for MAAS
strategies to promote patient orientation - ANSWERvisual and hearing aids
communicate with the patient and reorient them
familiar objects form patients home into their room
consistency with nursing
TV during the day
music-no words
environment interventions to prevent delirium - ANSWERsleep hyegine-lights off at
night and on during the day
control excess noise at night
avoid restraints
Registered Nurse Questions 2024/2025 Fully Solved
100% Correct/ Verified
mixed delirium - ANSWERhyper and hypoactive in the same patient-most common
hypoactive delirium - ANSWERmost common type
purely hyperactive delirium is how common - ANSWERleast common
non modifiable risk factrs for deleirium-6 - ANSWERhx of dementia
recent hx of substance abuse
old age
increasing APACHE score
prior coma
pre ICU emergency surgery or trauma
modifiable risk factors for delrium-7 - ANSWERbenzos
blood transfusions
immobilitiy
restraints
pain
sensory deprivation or overload
sleep disruption or deprivation
2 valid tools to assess for delirium - ANSWERCAM ICU method
The intensive care delirium screening checklist
2 conditions when NOT to assess for delrium - ANSWERnot responsive
heavily sedated
4 steps to delirium - ANSWERacute onset of mental status change or fluctating
coarse
, inattention
disorganized thining
altered LOC
for delirium patient MUST have what - ANSWERacute onset of mental status change
or a fluctating coarse
if patient is negative for this then STOP the assessment-they do not have delirium
Next part of delirium assessment is what - ANSWERinattention
inattention assessment - ANSWERSAVEA HAART-positive if they make more then 2
errors
If patient is negative for inattention then what - ANSWERifSTOP the assessment-
negative for delirium
in addition to the 2 above the patients needs what or what to be positive for
delirium - ANSWERdisorganized thinking or altered LOC
how to assess for disorganized thinking - ANSWERask questions or test their ability
to follow a specific command
how to test altered LOC - ANSWERanything other then a 0 for RASS or +3 for MAAS
strategies to promote patient orientation - ANSWERvisual and hearing aids
communicate with the patient and reorient them
familiar objects form patients home into their room
consistency with nursing
TV during the day
music-no words
environment interventions to prevent delirium - ANSWERsleep hyegine-lights off at
night and on during the day
control excess noise at night
avoid restraints
