Which of the following is not a symptom of excited delirium?

• A. Agitation
• B. Hallucinating
• C. Hot to the touch
• D. Calm behavior

Answer: (D)

Excited delirium is defined by extreme mental and physical arousal: marked agitation and delirium, often with perceptual disturbances like hallucinations, and autonomic signs such as hyperthermia (being hot to the touch) and rapid heart rate. Calm behavior runs directly opposite to this pattern, since the syndrome involves intense agitation and altered mental state, not tranquility. So the behavior that does not fit is calm behavior. This distinction matters for safety and timely management, as agitation and overheating signal a high-risk state requiring urgent attention.