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Advancing Integrated Psychiatric Care
for the Medically Ill

Appendix E

Clinical Monograph: Delirium

Appendix E:
Multiple-choice Questions

Which of the following is a specific quality indicator for delirium care in a hospital?

  1. Percentage of patients over 65-years that has been screened for risk factors for delirium upon admission or pre-operatively
  2. The percentage of patients who receive a routine psychiatric consultations in the ICU
  3. The percentage of orthopaedic patients who receive peri-operative delirium prophylaxis for hip surgery (e.g., an antipsychotic)
  4. The percentage of patients with delirium who require restraint

(Correct answer:  A.)

What is the best treatment for managing delirium?

  1. Haloperidol
  2. Valproate
  3. Lorazepam
  4. Donepezil
  5. Citalopram

(Correct answer: A)

Which of the following factors have highest evidence of  being associated with delirium?

  1. Gender
  2. Premorbid cognitive impairment
  3. Hypertension
  4. Incontinence
  5. Social support

(Correct answer: B)

Best assessment for delirium is which of the following?

  1. MMSE
  2. History from family
  3. CAM
  4. CT head
  5. Review of medications

(Correct answer: C)

Best evidence exists for delirium negatively impacting which of the following?

  1. Development of dementia
  2. Mortality of caregivers
  3. Impairment of ADL’s longterm
  4. Length of hospitalization
  5. Marital status

(Correct answer: D)