Adult-Gerontology Clinical Nurse Specialist (CNS) Practice Exam

Which of the following is NOT included in the Confusion Assessment Method criteria for delirium?

1. Acute Onset and Fluctuating Course

2. Acute Focus of Attention

3. Disorganized Thinking

4. Altered Level of Consciousness

The correct answer is: Acute Focus of Attention

The Confusion Assessment Method (CAM) is a widely used tool for diagnosing delirium, and its criteria consist of four key features that help determine the presence of this condition. One of the essential criteria includes "Acute Onset and Fluctuating Course," which refers to the sudden appearance of symptoms that can vary in intensity over a short period. "Disorganized Thinking" is another criterion that assesses the patient’s ability to think coherently, recognizing that maintenance of logical thought processes is often impaired in delirium. Similarly, "Altered Level of Consciousness" is a critical feature, as it addresses changes in awareness ranging from hyperalertness to drowsiness or stupor. The option labeled "Acute Focus of Attention" does not represent the standard terminology used in CAM criteria for diagnosing delirium. Instead, attention-related criteria speak to the ability to maintain a coherent focus during tasks or conversations. However, the phrasing in this option may not align with the established criteria typically referenced in the CAM framework. Understanding the specifics of the CAM criteria is crucial for accurate delirium assessment, aiding healthcare professionals in recognizing and managing this acute condition effectively.