The nurse is assessing a hospice client who has had changes in cognition due to delirium. Using the Confusion Assessment Method, what would the nurse expect to find?
A) A gradual change in mental status
B) Fluctuations in severity of mental status throughout the day
C) Enhanced ability to focus
D) Able to reorient to person and place
B) Fluctuations in severity of mental status throughout the day
Explanation: A) The Confusion Assessment Method (CAM) is a delirium rating scale that detects delirium and differentiates it from dementia. The diagnosis of delirium using CAM is based on the presence of an acute onset of change in mental status with fluctuations in severity throughout the day plus impaired ability to focus attention. In addition to those two manifestations, either disorganized thinking or an altered level of consciousness must be present.
B) The Confusion Assessment Method (CAM) is a delirium rating scale that detects delirium and differentiates it from dementia. The diagnosis of delirium using CAM is based on the presence of an acute onset of change in mental status with fluctuations in severity throughout the day plus impaired ability to focus attention. In addition to those two manifestations, either disorganized thinking or an altered level of consciousness must be present.
C) The Confusion Assessment Method (CAM) is a delirium rating scale that detects delirium and differentiates it from dementia. The diagnosis of delirium using CAM is based on the presence of an acute onset of change in mental status with fluctuations in severity throughout the day plus impaired ability to focus attention. In addition to those two manifestations, either disorganized thinking or an altered level of consciousness must be present.
D) The Confusion Assessment Method (CAM) is a delirium rating scale that detects delirium and differentiates it from dementia. The diagnosis of delirium using CAM is based on the presence of an acute onset of change in mental status with fluctuations in severity throughout the day plus impaired ability to focus attention. In addition to those two manifestations, either disorganized thinking or an altered level of consciousness must be present.
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