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Occupational Therapy's Role in Delirium Assessment, Prevention, & Management within the Intensive Care Unit

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1.  Delirium is ___________________. A disturbance in attention and awareness A disturbance in cognition When the disturbance develops over a short period of time, represents a change from baseline, and tends to fluctuate during the course of the day All of the above are true

2.  Which of the characteristics below is consistent with a clinical presentation of hypoactive delirium? Motor restlessness Hallucinations Slowed speech Poor short term memory

3.  Approximately ____% of patients admitted to the ICU will experience delirium during their hospitalization. 10 35 80 100

4.  Which patient populations are at higher risk of developing delirium? Under 20 years of age Post-surgical patients Patients with pre-morbid cognitive impairment Both B and C are correct

5.  What is a traditional occupational therapy intervention to prevent and manage delirium? ADL participation Poly-sensory stimulation Cognitive re-training All of the above

6.  All of the following are true regarding the use of an ICU diary EXCEPT: Increases anxiety/depression Assists to fill memory gaps Establishes realistic goals for functional recovery Provides a platform for family to express emotions, share experiences

7.  The outcome measure that assesses the severity of delirium of an individual patient through observation of symptoms is: AMPAC FIMS CAM Severity Scale Mini Mental Status Scale

8.  A patient has been admitted to the ICU with RASS: 0, CAM - and no neurological deficits following a sub-arachnoid hemorrhage. The patient will be in the ICU for 21 days for vasospasm watch. What is best practice for an OT evaluation? Complete evaluation including CAM, RASS & O-Log assessment and educate patient/family on delirium prevention. Sign off on patient since they have no deficits Work on self-care and clear for discharge Hold until the patient shows signs and symptoms of delirium then intervene

9.  Signs and symptoms of delirium usually begin over a few hours or a few days. They often fluctuate throughout the day, and there may be periods of no symptoms. Symptoms tend to be worse during the night when it's dark and things look less familiar. Primary signs and symptoms include all of the following EXCEPT: Poor thinking skills Increased awareness of environment Behavior changes Emotional disturbances

10.  There are three types of delirium. Which of the following is NOT a type of delirium? Hyperactive Hypoactive Divided Mixed