Aclient is noted to have a high level of non-goal-directed motor activity, running from chair to chair in the solarium. he is wide eyed and seems terror stricken. he repeats "they are coming! they are coming! " he neither follows staff direction nor responds to verbal efforts to calm him. the level of anxiety can be assessed as
a. mild. b. moderate. c. severe. d. panic.

A75-year-old client was admitted to the hospital after having sustained a fall at home. she is diagnosed with a right hip fracture and is scheduled for surgery in the morning. at 2: 30 am she awakens from sleep with confusion about where she is. she insists that her daughter is in the other room and wants to see her. you attempt to reorient her to the surroundings with little success. she continues to insist that her daughter is in the next room. in reviewing the client’s record, what data would be considered a source of her confusion?