A patient admitted for delirium demonstrates increased disorientation and agitation only during the evening and nighttime. What is the term applied to this type of delirium?
a. Disordered thinking
b. Schizophrenia
c. Dementia
d. Sundowning syndrome
ANS: D
A patient with sundowning syndrome displays increased disorientation and agitation only during evening and nighttime. Disordered thinking occurs when an individual is not able to interpret information being received in the brain. Disordered thinking is one characteristic of schizophrenia, which is a large group of psychotic disorders that includes non-reality-based thinking. Dementia is an altered mental state secondary to cerebral disease.
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