During the late afternoon, an HCA observes a client with dementia becoming increasingly confused, restless, and agitated. The client starts pacing and calling out. What phenomenon is the client most likely experiencing?

Question: During the late afternoon, an HCA observes a client with dementia becoming increasingly confused, restless, and agitated. The client starts pacing and calling out. What phenomenon is the client most likely experiencing?

Answer options: ✅ Sundowning

• Sensory deprivation
• Hypoglycemia
• Acute pain response

Correct answer: Sundowning

Explanation: Sundowning is a common phenomenon in dementia characterized by increased confusion, anxiety, agitation, restlessness, and disorientation beginning in the late afternoon or early evening and continuing into the night.