Qualified Medication Aides (QMA) Practice Exam

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What is the term for increased confusion and restlessness in the late afternoon?

  1. Dementia

  2. Sundowning

  3. Delirium

  4. Acute confusion

The correct answer is: Sundowning

The term "sundowning" refers to the phenomenon where individuals, particularly those with dementia or cognitive impairments, exhibit increased confusion, agitation, or restlessness during the late afternoon or early evening hours. This behavior can be linked to various factors, such as changes in the environment, fatigue, and disturbances in the circadian rhythm. During this specific time of day, individuals may experience heightened anxiety and disorientation, making it more challenging for caregivers to manage their care. Understanding sundowning is important for caregivers and healthcare professionals, as it can influence the approach to therapeutic interventions and the environment provided to individuals prone to these symptoms. By recognizing and addressing this behavior, caregivers can help minimize distress and ensure a better quality of life for those experiencing sundowning.