When she said, "Today is Christmas" I hadn't asked her to recite any facts related to the Gregorian calendar or traditions of Christianity and I wasn't conducting a cognitive test of her orientation to time. When she said, "Today is Christmas" it wasn't a response to an inquiry with that three word sentence as an answer choice. She spoke those words into the phone after I stated the purpose for my call which was to establish a line of communication between doctor and homecare agency so that I could treat a disease and reduce a side effect.