A nurse is assessing an older patient with new onset confusion using the Confusion Assessment Method (CAM). The nurse understands that in order to have a diagnosis of delirium when using the CAM, the patient must exhibit which of the following?
(Select all that apply.)
a. Acute onset of symptoms or fluctuating course
b. Inattention
c. Disorganized thinking
d. Altered level of consciousness
e. Alteration in level of physical activity
ANS: A, B
In order to be diagnosed with delirium, using the CAM, the individual must have acute onset or fluctuating course and inattention and either disorganized thinking or altered level of conscious-ness. Although individuals with delirium often have either hyperactivity or hypoactivity, this is not one of the criteria assessed on the CAM.
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