A 78-year-old woman with mild cognitive impairment complains of difficulty sleeping. She asks for a sleeping pill. She is on multiple medications and ...

Question

A 78-year-old woman with mild cognitive impairment complains of difficulty sleeping. She asks for a sleeping pill. She is on multiple medications and has a history of falls. According to Choosing Wisely Canada recommendations, what is the most appropriate response?

Accepted Answer

Recommend non-pharmacologic sleep hygiene strategies and avoid starting sedative-hypnotics

Answer

Prescribe a benzodiazepine for short-term use

Answer

Prescribe a zopiclone tablet nightly

Answer

Add an over-the-counter antihistamine at bedtime

Answer

Prescribe low-dose quetiapine as a sedative

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

A 78-year-old woman with mild cognitive impairment complains of difficulty sleeping. She asks for a sleeping pill. She is on multiple medications and has a history of falls. According to Choosing Wisely Canada recommendations, what is the most appropriate response?