Transcript Who wants to be a Physiology Millionaire?

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
WHICH OF THE FOLLOWING
HAS AN INSIDIOUS ONSET
OF SYMPTOMS?
A DEMENTIAA.
DEMENTIA
B. DELIRIUM
C. -DEPRESSION
D. –DELIRIUM AND DEPRESSION
25 POINTS
WHAT IS THE INCIDENCE OF
OLDER ADULTS ADMITTED
TO AN ACUTE CARE UNIT
WITH DELIRIUM?
A.
8%
B.
B 30%
30 %
C. –40%10-30%nswer
D. 50%wer
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
D.
ALL OF
OF THE
THE ABOVE
ABOVE
75 POINTS
WHICH OF THE FOLLOWING
EVALUATION TOOLS
DIFFERENTIATES
DEMENTIA FROM DELIRIUM?
A. -GDSswer
B. MINI-COG
C CAM
C.
D. MoCA
100 POINTS
SYMPTOMS OF DELIRIUM
INCLUDE WHICH OF THE
FOLLOWING?
A. CHANGE IN MENTAL STATUS
B. IRREVERSIBLE SYMPTOMS
C. –DISTRACTABILITY
D BOTH
D.
BOTHA&C
A&C
125 POINTS
WHAT IS THE MOST IMPORTANT
ASSESSMENT IN UNDERSTANDING
COGNITION?
A.
A BASELINE LEVEL OF FUNCTIONING
B. VITAL SIGNS
C. –BRAIN IMAGING
D. FAMILY HISTORY OF DEMENTIA
150 POINTS
NAME THREE COMMON
CAUSES FOR DELIRIUM IN
OLDER ADULTS?
URINARY TRACT INFECTION
DEHYDRATION
MEDICATION
ELECTROLYTE IMBALANCES
PNEUMONIA
ALCOHOL WITHDRAWAL
175 POINTS
WHICH OF THE FOLLOWING
IS THE PRIORITY IN
CARING FOR AN OLDER ADULT
WITH DELIRIUM?
A. –KEEPING THE PATIENT SEDATED
B.
B TREATING
TREATING THE
THE UNDERLYING
UNDERLYING CAUSE
CAUSE
C.
KEEPING THE PATIENT STIMULATED
D.
MEDICATING FOR PAIN
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
D.– ALL
ALLOF
OF THE
THE ABOVE
ABOVE
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.
B PRESCRIPTION DRUG INTOXICATION
C. – IMPAIRED HEARING
D.
HEART FAILURE
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
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
A.- NONE
NONEOF
OFTHE
THEBELOW
BELOWwer
B. - STROKE
C. - DELIRIUM
D. – DEMENTIA
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.
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.