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?
Explanation & Rationale
Choice A rationaleA fluctuating level of orientation is a hallmark sign of delirium. Delirium is characterized by an acute and fluctuating course of altered mental status, including changes in attention, awareness, and cognition.Choice B rationaleA consistent state of depression is not indicative of delirium. While depression can affect mental status, it does not typically present with the acute, fluctuating changes seen in delirium.Choice C rationaleDemonstrating obsessive behaviors is more characteristic of obsessive-compulsive disorder and does not typically indicate delirium.Choice D rationaleShort-term memory loss can be a feature of many conditions, including dementia, but does not specifically indicate delirium, which is distinguished by its rapid onset and fluctuating nature. .