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Congratulations! Your answer was correct.
It's E. Patients should be frequently reoriented to
time, place, and staff members.
Explanation: Substance withdrawal delirium should be presumed if symptoms begin one to three days after admission (option B), and the patient’s substance use should be reviewed with family members when possible. Bedside companions (ideally, a well-liked family member) are preferable to and less dangerous than mechanical restraints (option D). Rooms should be kept well-lit to minimize misperceptions (option C); a room with a window can assist with day/night orientation. Patients should be frequently reoriented to their surroundings (option E); for example, clocks and calendars should be provided, and staff members should reintroduce themselves each time they visit. Mild delirium that does not cause sleep loss, interfere with medical treatment, or lead to extreme fear and discomfort does not require treatment (option A).
Muskin PR and Dickerman AL, eds. A Study Guide for the Psychiatry Board Examination. Arlington, VA: American Psychiatric Association Publishing; 2016: 53, 265. Click here to purchase. Members can purchase at a discount.
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