A 67-year-old female with a history of congestive heart failure and myocardial infarction is admitted to the hospital because of increasing altered mental status and decreased arousal over the last week. Which one of the following features best distinguishes delirium from depression or dementia?- Skildor

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Question 1 of 5

A 67-year-old female with a history of congestive heart failure and myocardial infarction is admitted to the hospital because of increasing altered mental status and decreased arousal over the last week. Which one of the following features best distinguishes delirium from depression or dementia?

A. Irritability B. Inattention C. Paranoia D. Aggressiveness

Correct Answer: B

Rationale: Inattention and waxing and waning of alertness are key features distinguishing delirium from depression or dementia.

Question 2 of 5

What further diagnostic steps are required for the seven patients receiving atypical antipsychotics?

A. All patients should receive 1 week of actigraphy monitoring both on and off their current antipsychotic. B. All patients should be immediately referred for cognitive behavioral therapy for insomnia (CBTI). C. All patients should receive referral to both psychiatry and neurology, neuroimaging, and screening polysomnography to identify underlying sleep disorder. D. Unless there is an underlying suspicion of obstructive sleep apnea (OSA) or other sleep disorder, these patients already meet criteria for irregular sleep-wake phase disorder, and no further diagnostic steps are required.

Correct Answer: C

Rationale: Comprehensive diagnostic steps involving psychiatry, neurology, and neuroimaging are necessary to assess underlying conditions and ensure proper management.

Question 3 of 5

Which of the following is NOT a safety issue commonly faced by older adults?

A. Falls B. Medication safety C. Cognitive impairment D. Increased physical activity

Correct Answer: D

Rationale: Older adults face safety issues related to falls, medication safety, and cognitive impairment, but increased physical activity is generally a benefit.

Question 4 of 5

Which of the following statements about community-based services is true?

A. Senior centers may be used only by low-income older adults. B. Funding for Meals on Wheels is solely from local sources. C. Area Agencies on Aging usually do not provide services directly to older adults. D. The majority of the Administration on Aging budget goes to nutrition programs and community-based supportive services.

Correct Answer: D

Rationale: The majority of the budget for Area Agencies on Aging goes to nutrition and supportive services for older adults.

Question 5 of 5

Chronic bloody diarrhea could be suggestive of:

A. Irritable bowel syndrome B. Crohn�s disease C. Hepatitis A D. Celiac disease

Correct Answer: B

Rationale: Chronic bloody diarrhea is common in inflammatory bowel diseases like Crohn�s disease.

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bates physical assessment test bank

Skildor

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ATI RN

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