Mental HealthQuestion 147 of 200
An elderly resident with new-onset confusion, fever, and incontinence over 24 hours is MOST likely experiencing:
a.Sundowning that will resolve on its own
b.A normal stage of dementia progression that needs no action
c.A behavioral choice by the resident
d.Delirium, which requires immediate nurse notification and medical evaluation
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 (c) recurs late afternoon and does not include fever. It is never a 'choice' (d). 42 CFR §483.40 requires prompt response to behavioral and cognitive change.
Law Reference: 42 CFR §483.40Practice all 200 questions free — no signup required.
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