Which symptom is more commonly observed in hypoactive delirium?

• A. Restlessness
• B. Agitation
• C. Lethargic slow speech
• D. Aggression

Answer: (C)

Hypoactive delirium shows reduced activity and responsiveness, so patients often appear sleepy, withdrawn, and speak slowly and softly. Lethargic, slow speech is a classic sign of this subtype, reflecting slowed psychomotor function. The other symptoms—restlessness, agitation, and aggression—belong to hyperactive delirium, where activity and vocalization are increased. Because hypoactive delirium can be subtle and easily overlooked, recognizing the slow, quiet changes helps ensure timely identification and care.