Which one of the following statements related to cognitive functioning in the older adult patient is true?

a. Reversible systemic disorders are often implicated as a cause of delirium.
b. Cognitive deterioration is an inevitable outcome of aging.
c. Delirium is easily distinguished from irreversible dementia.
d. Intoxication from therapeutic drugs is a common cause of senile dementia.


A

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A Delirium is a potentially reversible cognitive impairment that is often due to a physiological cause such as an electrolyte imbalance, cerebral anoxia, hypoglycemia, medications, tumours, cerebrovascular infection, or hemorrhage.
B Cognitive deterioration is not an inevitable outcome of aging.
C Delirium is not always easily distinguishable from irreversible dementia. Because of the close resemblance between delirium and dementia, the presence of delirium must be ruled out whenever dementia is suspected.
D The cause of senile dementia is not known. Medications and drug effects can cause delirium.

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