Sample interview questions: How do you approach the assessment and treatment of older adults with delirium, major neurocognitive disorder, and mild neurocognitive disorder?
Sample answer:
Assessment
- Delirium:
- Conduct a comprehensive medical examination to identify underlying medical conditions.
- Utilize the Confusion Assessment Method (CAM) or other delirium screening tools.
- Assess cognitive function using standardized tests (e.g., Mini-Mental State Examination).
- Major Neurocognitive Disorder (MND):
- Obtain a detailed history and conduct a physical and neurological examination.
- Administer cognitive assessments (e.g., Dementia Rating Scale-2, Montreal Cognitive Assessment) to evaluate domains of cognition.
- Rule out other medical conditions that may mimic dementia (e.g., depression, thyroid dysfunction).
- Mild Neurocognitive Disorder (MND):
- Perform a comprehensive cognitive assessment to identify areas of impairment.
- Utilize standardized tests (e.g., Wechsler Memory Scale, Neuropsychological Assessment Battery) to assess different cognitive domains.
- Screen for depression, anxiety, and other psychological factors that may contribute to cognitive decline.
Treatment
- Delirium:
- Address the underlying medical condition.
- Provide a calm and supportive environment.
- Reduce environmental triggers that may worsen confusion (e.g., loud noises, overstimulation).
- Consider medications to mana… Read full answer