As the nurse cares for a patient who has delirium, what characteristics are expected in the hypoactive delirium state?

Rationale: A. Agitation is incorrect because it is a hallmark of hyperactive delirium. Patients with hyperactive delirium may be visibly restless, aggressive, or emotionally labile, often exhibiting behaviors such as shouting, pacing, or striking out. Agitation is not characteristic of hypoactive delirium. B. Restlessness is incorrect for hypoactive delirium; it is typically seen in hyperactive delirium. Restlessness includes constant movement, fidgeting, or an inability to stay calm, which contrasts with the lethargy seen in hypoactive states. C. Hitting is incorrect because combative or aggressive behaviors occur in hyperactive delirium, not hypoactive delirium. Patients in the hypoactive state are more passive and withdrawn rather than outwardly aggressive. D. Withdrawal is correct because hypoactive delirium is characterized by reduced psychomotor activity, lethargy, decreased responsiveness to the environment, and social withdrawal. Patients may appear drowsy, quiet, and unengaged, often seeming “sleepy” or “apathetic.” They may show minimal interaction with staff or family, have slowed speech, and be less likely to communicate discomfort or needs.