Acute confusion after arrival in emergency
RN OSCE practice station
Risk assessment · 2 min to read · 8 min to perform
Try a real conversation · RN OSCEAI practice
Assess cognitive and safety risks and start a person-centred plan.
Nora WilliamsI need to go home. I do not know this place.
Free · no sign-up · uses your one free station
Open the full station (charts, voice, result letter) →The task
You are the RN in an emergency department. Nora Williams, aged 79, has become disoriented in a noisy emergency bay after admission for dehydration. Her niece is with her. Assess cognitive and safety risks and start a person-centred plan. Complete the supplied practice record. Niece Leanne is present. You have eight minutes; describe and select physical actions in this online exercise. Assistance can be called.
What this station tests
- Nora’s acute fluctuation and positive 4AT support urgent delirium assessment.
- Check hydration, retention, constipation, medicines, pain and infection rather than assuming a urine cause.
- Ask Nora whom she wants involved and offer cultural support without assumptions.
- Record cognition and reversible contributors in a progress note with reassessment.
Sources for the clinical content
- ACSQHC: Delirium Clinical Care Standard
- ACSQHC: Comprehensive Care Standard
- ACSQHC: Communicating for Safety Standard
An original practice scenario with invented patients. Not an exam question.