Difficulty: Medium
Average Score: 64%
Simulated
A nurse is collecting data from an older adult client who was admitted with heart failure. The nurse should report which of the following findings to the provider as an indication of delirium?
Correct answer
B
Rationale
Fluctuating orientation, where alertness and confusion vary rapidly, is a hallmark of delirium, unlike the steady decline in dementia or consistent mood in depression. Obsessive behaviors may occur but arenÔÇÖt specific to delirium.