A 77-year-old woman is concerned because she has occasionally found her husband sleepwalking in the last several weeks. What is her care provider's most appropriate response to her concerns?
A)
"This is not an uncommon event that often accompanies older age."
B)
"I'll likely prescribe a benzodiazepine for this when I next see your husband."
C)
"This is understandably upsetting for you, but as long as the environment is safe, it's likely not significant."
D)
"There may be something else going on with your husband such as delirium or a problem with his medications."
Ans:
D
Feedback:
New-onset sleepwalking in the elderly is usually a manifestation of another problem such as delirium, drug toxicity, or a seizure disorder. It is not a normal age-related change, and a benzodiazepine is not a prudent initial treatment.
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