Difficulty: Medium
Average Score: 72%
Simulated
A nurse is caring for a group of older adult clients. Which of the following manifestations indicates one of the clients is experiencing delirium?
Correct answer
B
Rationale
The correct answer is B because the client attempting to climb out of bed and repeatedly stating she must get home is exhibiting signs of disorientation, agitation, and confusion, which are characteristic of delirium in older adults. Delirium is an acute change in mental status with fluctuating symptoms, often triggered by an underlying medical condition or medication side effects. The other choices do not specifically indicate delirium. Choice A could be a normal response to feeling cold. Choice C may suggest depression or apathy. Choice D is a common behavior and not necessarily indicative of delirium.