Certified Hospice and Palliative Assistant (CHPNA) Practice Test

Lethargy is primarily associated with which condition?

1. Hyperactive delirium

2. Hypoactive delirium

3. Severe depression

4. Physical exhaustion

The correct answer is: Hypoactive delirium

Lethargy is primarily associated with hypoactive delirium, which is characterized by a decrease in alertness and responsiveness. Individuals experiencing hypoactive delirium often present with drowsiness, lack of energy, and a general slowdown in their activities. This condition is contrasted with hyperactive delirium, where individuals may exhibit increased agitation and restlessness. While severe depression can also lead to feelings of lethargy, it typically manifests with broader mood disturbances and does not specifically correlate with the acute changes in consciousness seen in delirium. Physical exhaustion can contribute to feelings of tiredness and lethargy as well, but it does not encapsulate the cognitive aspects associated with hypoactive delirium, especially in a clinical setting where confusion and altered consciousness are present. Therefore, hypoactive delirium is the most fitting answer when considering the nature of lethargy in this context.