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Multiple Choice
Which of the following is most likely to cause an altered mental status?
A
Delirium
B
Dysthymia
C
Obsessive-compulsive disorder
D
Specific phobia
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Verified step by step guidance
1
Step 1: Understand the term 'altered mental status' — it refers to a change in cognitive function, awareness, or consciousness, often presenting as confusion, disorientation, or impaired thinking.
Step 2: Review the definitions and typical symptoms of each option: Delirium, Dysthymia, Obsessive-compulsive disorder (OCD), and Specific phobia.
Step 3: Recognize that Delirium is characterized by an acute and fluctuating disturbance in attention and awareness, which directly corresponds to altered mental status.
Step 4: Note that Dysthymia (persistent depressive disorder), OCD, and Specific phobia primarily affect mood, anxiety, or behavior but do not typically cause acute changes in consciousness or cognition.
Step 5: Conclude that among the options, Delirium is the most likely cause of altered mental status due to its hallmark features involving cognitive impairment and fluctuating awareness.