NEUROCOGNITIVE DISORDERS DSM 5 QUESTIONS AND ANSWERS
delirium: criteria - CORRECT ANSWER✅✅A. A disturbance in attention (i.e., reduced ability to direct,
focus, sustain, and shift attention) and awareness (reduced orientation to the environment).
B. The disturbance develops over a short period of time (usually hours to a few days), represents a
change from baseline attention and awareness, and tends to fluctuate in severity during the course of a
day.
C. An additional disturbance in cognition (e.g., memory deficit, disorientation, language, visuospatial
ability, or perception).
D. The disturbances in Criteria A and C are not better explained by another preexisting, established, or
evolving neurocognitive disorder and do not occur in the context of a severely reduced level of arousal,
such as coma.
E. There is evidence from the history, physical examination, or laboratory findings that the disturbance is
a direct physiological consequence of another medical condition, substance intoxication or withdrawal
(i.e., due to a drug of abuse or to a medication), or exposure to a toxin, or is due to multiple etiologies.
delirium: specifiers and notes - CORRECT ANSWER✅✅*Specify whether:
Substance intoxication delirium: This diagnosis should be made instead of substance intoxication when
the symptoms in Criteria A and C predominate in the clinical picture and when they are sufficiently
severe to warrant clinical attention.
Substance withdrawal delirium: This diagnosis should be made instead of substance withdrawal when
the symptoms in Criteria A and C predominate in the clinical picture and when they are sufficiently
severe to warrant clinical attention.
Code [specific substance] withdrawal delirium: 291.0 (F10.231) alcohol; 292.0 (F11.23) opioid; 292.0
(F13.231) sedative, hypnotic, or anxiolytic; 292.0 (F19.231) other (or unknown) substance/medication.
,Medication-induced delirium: This diagnosis applies when the symptoms in Criteria A and C arise as a
side effect of a medication taken as prescribed.
293.0 (F05) Delirium due to another medical condition: There is evidence from the history, physical
examination, or laboratory findings that the disturbance is attributable to the physiological
consequences of another medical condition.
Coding note: Include the name of the other medical condition in the name of the delirium (e.g., 293.0
[F05] delirium due to hepatic encephalopathy).
293.0 (F05) Delirium due to multiple etiologies: There is evidence from the history, physical
examination, or laboratory findings that the delirium has more than one etiology (e.g., more than one
etiological medical condition; another medical condition plus substance intoxication or medication side
effect).
*Specify if:
Acute: Lasting a few hours or days.
Persistent: Lasting weeks or months.
*Specify if:
Hyperactive: The individual has a hyperactive level of psychomotor activity that may be accompanied by
mood lability, agitation, and/or refusal to cooperate with medical care.
Hypoactive: The in
delirium: associated features supporting diagnosis - CORRECT ANSWER✅✅Delirium is often associated
with a disturbance in the sleep-wake cycle.
, The individual with delirium may exhibit emotional disturbances, such as anxiety, fear, depression,
irritability, anger, euphoria, and apathy. These behaviors are especially prevalent at night and under
conditions in which stimulation and environmental cues are lacking.
Other Specified Delirium - CORRECT ANSWER✅✅This category applies to presentations in which
symptoms characteristic of delirium that cause clinically significant distress or impairment in social,
occupational, or other important areas of functioning predominate but do not meet the full criteria for
delirium or any of the disorders in the neurocognitive disorders diagnostic class. The other specified
delirium category is used in situations in which the clinician chooses to communicate the specific reason
that the presentation does not meet the criteria for delirium or any specific neurocognitive disorder.
This is done by recording "other specified delirium" followed by the specific reason (e.g., "attenuated
delirium syndrome").
An example of a presentation that can be specified using the "other specified" designation is the
following:
1) Attenuated delirium syndrome: This syndrome applies in cases of delirium in which the severity of
cognitive impairment falls short of that required for the diagnosis, or in which some, but not all,
diagnostic criteria for delirium are met.
Major Neurocognitive Disorder: criteria - CORRECT ANSWER✅✅A. Evidence of significant cognitive
decline from a previous level of performance in one or more cognitive domains (complex attention,
executive function, learning and memory, language, perceptual-motor, or social cognition) based on:
1) Concern of the individual, a knowledgeable informant, or the clinician that there has been a
significant decline in cognitive function; and
2) A substantial impairment in cognitive performance, preferably documented by standardized
neuropsychological testing or, in its absence, another quantified clinical assessment.
B. ***The cognitive deficits interfere with independence in everyday activities*** (i.e., at a minimum,
requiring assistance with complex instrumental activities of daily living such as paying bills or managing
medications).
C. The cognitive deficits do not occur exclusively in the context of a delirium.
delirium: criteria - CORRECT ANSWER✅✅A. A disturbance in attention (i.e., reduced ability to direct,
focus, sustain, and shift attention) and awareness (reduced orientation to the environment).
B. The disturbance develops over a short period of time (usually hours to a few days), represents a
change from baseline attention and awareness, and tends to fluctuate in severity during the course of a
day.
C. An additional disturbance in cognition (e.g., memory deficit, disorientation, language, visuospatial
ability, or perception).
D. The disturbances in Criteria A and C are not better explained by another preexisting, established, or
evolving neurocognitive disorder and do not occur in the context of a severely reduced level of arousal,
such as coma.
E. There is evidence from the history, physical examination, or laboratory findings that the disturbance is
a direct physiological consequence of another medical condition, substance intoxication or withdrawal
(i.e., due to a drug of abuse or to a medication), or exposure to a toxin, or is due to multiple etiologies.
delirium: specifiers and notes - CORRECT ANSWER✅✅*Specify whether:
Substance intoxication delirium: This diagnosis should be made instead of substance intoxication when
the symptoms in Criteria A and C predominate in the clinical picture and when they are sufficiently
severe to warrant clinical attention.
Substance withdrawal delirium: This diagnosis should be made instead of substance withdrawal when
the symptoms in Criteria A and C predominate in the clinical picture and when they are sufficiently
severe to warrant clinical attention.
Code [specific substance] withdrawal delirium: 291.0 (F10.231) alcohol; 292.0 (F11.23) opioid; 292.0
(F13.231) sedative, hypnotic, or anxiolytic; 292.0 (F19.231) other (or unknown) substance/medication.
,Medication-induced delirium: This diagnosis applies when the symptoms in Criteria A and C arise as a
side effect of a medication taken as prescribed.
293.0 (F05) Delirium due to another medical condition: There is evidence from the history, physical
examination, or laboratory findings that the disturbance is attributable to the physiological
consequences of another medical condition.
Coding note: Include the name of the other medical condition in the name of the delirium (e.g., 293.0
[F05] delirium due to hepatic encephalopathy).
293.0 (F05) Delirium due to multiple etiologies: There is evidence from the history, physical
examination, or laboratory findings that the delirium has more than one etiology (e.g., more than one
etiological medical condition; another medical condition plus substance intoxication or medication side
effect).
*Specify if:
Acute: Lasting a few hours or days.
Persistent: Lasting weeks or months.
*Specify if:
Hyperactive: The individual has a hyperactive level of psychomotor activity that may be accompanied by
mood lability, agitation, and/or refusal to cooperate with medical care.
Hypoactive: The in
delirium: associated features supporting diagnosis - CORRECT ANSWER✅✅Delirium is often associated
with a disturbance in the sleep-wake cycle.
, The individual with delirium may exhibit emotional disturbances, such as anxiety, fear, depression,
irritability, anger, euphoria, and apathy. These behaviors are especially prevalent at night and under
conditions in which stimulation and environmental cues are lacking.
Other Specified Delirium - CORRECT ANSWER✅✅This category applies to presentations in which
symptoms characteristic of delirium that cause clinically significant distress or impairment in social,
occupational, or other important areas of functioning predominate but do not meet the full criteria for
delirium or any of the disorders in the neurocognitive disorders diagnostic class. The other specified
delirium category is used in situations in which the clinician chooses to communicate the specific reason
that the presentation does not meet the criteria for delirium or any specific neurocognitive disorder.
This is done by recording "other specified delirium" followed by the specific reason (e.g., "attenuated
delirium syndrome").
An example of a presentation that can be specified using the "other specified" designation is the
following:
1) Attenuated delirium syndrome: This syndrome applies in cases of delirium in which the severity of
cognitive impairment falls short of that required for the diagnosis, or in which some, but not all,
diagnostic criteria for delirium are met.
Major Neurocognitive Disorder: criteria - CORRECT ANSWER✅✅A. Evidence of significant cognitive
decline from a previous level of performance in one or more cognitive domains (complex attention,
executive function, learning and memory, language, perceptual-motor, or social cognition) based on:
1) Concern of the individual, a knowledgeable informant, or the clinician that there has been a
significant decline in cognitive function; and
2) A substantial impairment in cognitive performance, preferably documented by standardized
neuropsychological testing or, in its absence, another quantified clinical assessment.
B. ***The cognitive deficits interfere with independence in everyday activities*** (i.e., at a minimum,
requiring assistance with complex instrumental activities of daily living such as paying bills or managing
medications).
C. The cognitive deficits do not occur exclusively in the context of a delirium.
