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My Mom has Azs, what a horrible end of life condition.
If on the other hand she does not have Alzheimer's type dementia - let's say she recognizes you and is oriented, and this is a pretty recent change - she might be having dreams and confusing them with reality and be unable to sort out what is possible and what isn't. That might warrant a medical evaluation to see if there is anything going on giving her a mild form of delirium that might be treatable.