Sundowning refers to a phenomenon characterized by confusion, restlessness, and agitation that occurs when?

• A. True
• B. Late morning
• C. In the late afternoon or evening
• D. Only at night

Answer: (C)

Sundowning is when confusion, restlessness, and agitation become more noticeable as daylight fades. The key timing is the late afternoon or evening, a period when dimmer light, fatigue from the day, and disrupted circadian rhythms can heighten symptoms in people with dementia. It isn’t about morning hours or only at night, though it can continue into the night. Recognizing this timing helps caregivers plan activities and lighting to reduce triggers and soothe the person during that window.