Difficulty: Medium
Average Score: 92%
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
C
Rationale
Fluctuating orientation is a delirium hallmark, unlike gradual memory loss (A) in dementia, obsessive behaviors (B) in OCD, or consistent depression (D).