High School

A patient presents to the ED with disorientation to time, place, and person, memory impairment, and personality changes for the past 6 days. This patient is most likely exhibiting which psychosocial emergency?

1) Dementia
2) Schizophrenia
3) Depression
4) Delirium

Answer :

Final answer:

The patient with sudden onset of disorientation, memory impairment, and personality changes is most likely experiencing 4) delirium. It is characterized by acute confusion and is different from the gradual memory loss of dementia and the chronic symptoms of schizophrenia.

Explanation:

The patient presenting with disorientation to time, place, and person, memory impairment, and personality changes for the past 6 days is most likely experiencing 4) delirium. Delirium is characterized by acute confusion, disorientation, and disruptions in thinking and awareness. This condition is typically sudden in onset and can fluctuate throughout the day. While there may be overlap in symptoms with conditions such as dementia, schizophrenia, and depression, the acute onset and brief duration of symptoms as described in the question are classic for delirium. Dementia, in contrast, involves gradual memory loss and decline in cognitive function over time. Schizophrenia is associated with chronic symptoms, such as hallucinations and delusions, typically manifesting in early adulthood and persisting for more than 6 months. Depression can also lead to memory issues and disrupted executive function, but personality changes are not as pronounced as those in delirium and dementia.