Which of the following is commonly recognized as a sign of excited delirium?

Paranoia is commonly recognized as a sign of excited delirium, reflecting a state of extreme agitation and altered mental status. Individuals experiencing excited delirium may exhibit intense paranoia, often accompanied by hallucinations and a heightened sense of anxiety or danger. This mental state can lead to unpredictable and potentially violent behavior, making it a critical indicator for first responders and law enforcement to recognize.

In contrast, the other options do not align with the typical presentations associated with excited delirium. Sudden weight loss and sustained fatigue are more indicative of underlying health issues rather than the acute mental and physical state seen in excited delirium. Prolonged silence also does not reflect the intense activity and agitation generally noted in these cases. Thus, understanding paranoia as a key symptom helps in identifying and addressing the condition effectively during a crisis.