An elderly resident with new-onset confusion, fever, and incontinence over 24 hours is MOST likely experiencing:
Explanation
Delirium is an acute, fluctuating disturbance in attention and cognition, often caused by infection (UTI, pneumonia), medication, dehydration, or pain. In elders, a UTI commonly presents with new confusion plus fever and incontinence. Delirium is a medical emergency — the CNA must report immediately. Dementia progresses slowly over months/years, not 24 hours (b). Sundowning (a) recurs late afternoon and does not include fever. It is never a 'choice' (c). 42 CFR §483.40 requires prompt response to behavioral and cognitive change.
Law Reference: 42 CFR §483.40This topic, taught in full in the Certified Nursing Assistant (CNA) guide. CNA — Complete Study Guide (2026) — PDF + EPUB, $19.99 · 14-day refund →
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