An 82-year-old man with dementia is admitted with acute confusion, agitation and visual hallucinations after a urinary tract infection. He is disorien...

Question

An 82-year-old man with dementia is admitted with acute confusion, agitation and visual hallucinations after a urinary tract infection. He is disoriented and trying to climb out of bed. Which management approach best reflects evidence-based delirium care?

Accepted Answer

Identify and treat underlying causes, optimise sensory input, ensure orientation and use low-dose antipsychotics only if the patient poses a safety risk.

Answer

Use high-dose antipsychotics as first-line treatment for all agitation.

Answer

Restrain the patient physically to prevent falls and avoid medications.

Answer

Discharge the patient home because this is baseline dementia.

Answer

Increase benzodiazepines for sedation.

ca-mccqe1 MCQ (SBA): Delirium in older adults

An 82-year-old man with dementia is admitted with acute confusion, agitation and visual hallucinations after a urinary tract infection. He is disoriented and trying to climb out of bed. Which management approach best reflects evidence-based delirium care?