Mentation (3Ds: Dementia, Delirium, Depression)

not on this exam

Dementia onset?

slow, progressive

Is dementia reversible?

No (but assess for reversible causes)

Dementia’s top nursing priorities?

safety, structure, reduce stress, support caregivers

Delirium onset?

sudden, fluctuating

Delirium common causes?

acute illness, infection, meds, metabolic changes

Delirium key interventions?

reorient, promote sleep, early mobility, hydration

Late-life depression risk factors?

chronic illness, loss, social isolation

Major vs Minor depression?

• major = greater than or equal to 5 DSM-5 symptoms

• minor = 2-3 symptoms but still distressing

Depression priority action?

screen, assess suicidal ideation, ensure safety