We've been dealing with delusions for several years now. Primarily started due to dry Macular degeneration/Charles Bonnet Syndrome. It was torture! Now, with the Alzheimer's adding to it, it's just chaos. Mom can no longer hold a conversation, but talks and laughs to herself all..day..long..nonstop!
This is a question I have as well. My husband's work as an electrical engineer in broadcast communications was his life for decades. We are always "on the job site" and no amount of getting to look around the house will convince him we are home. His conversations can go on for hours, using real and fabricated engineering terms, everything is a "system" and the theme often is I am being an uncooperative employee (along with "others") and I am making him look bad and how can I not keep my committments. He gets quite put out and anything I say he thinks is me making excuses. And I'm supposed to take him home afterwards. Can go on way past my patience and tolerance. He won't take "we'll do that later" or anything, he's too smart for that.