certi
Forum Junior
Topics: 7
Posts: 22
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from nbme form2, I don't have answer
A 75-year-old man with a 3-year history of progressive cognitive impairment due to dementia, Alzheimer's type, has had nocturnal disorientation for 2 weeks. He lives at home with his wife. He is otherwise healthy and takes no medications. Physical examination shows normal findings. He is disoriented to time and place, has poor short-term memory, is unable to do simple arithmetic, and has a poor understanding of general information. Which of the following is the most appropriate initial step in management?
A ) Increase in home nighttime lighting
B ) Prescription for chloral hydrate
C ) Prescription for diazepam
D ) Prescription for haloperidol
E ) Use of nighttime mechanical restraints
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| kmp
Forum Elite
Topics: 38
Posts: 311
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A ) Increase in home nighttime lighting
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| Dot
Forum Senior
Topics: 1
Posts: 168
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i too agree with A
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