Which of the following components comprise the confusion assessment method, used for the recognition of delirium? I. inattention II. disorganized thinking III. depression IV. altered level of consciousness

A. I, III only
B. I, II, III only
C. I, II, IV only
D, II, III, IV only


?ANS: C
A. Incorrect response: See explanation C.
B. Incorrect response: See explanation C.
C. Correct response: The confusion assessment method (CAM-ICU) is used to recognize the presence of delirium in ICU patients. Ordinarily the diagnosis of delirium is made by a psychiatrist. However, because of the difficulty in communicating with ICU patients, the CAM has been modified to apply to this patient population. The CAM-ICU comprises four features: (1) the acute onset of mental status changes, (2) inattention, (3) disorganized thinking, and (4) altered level of consciousness.
D. Incorrect response: See explanation C.

Health Professions

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