A 71-year-old woman has insomnia after her husband's death. She drinks no alcohol and has no major depression or sleep apnea symptoms. She asks for a

Question

A 71-year-old woman has insomnia after her husband's death. She drinks no alcohol and has no major depression or sleep apnea symptoms. She asks for a sleeping pill. Which of the following is the most appropriate next step in management?

Accepted Answer

Recommend cognitive behavioral therapy for insomnia

Answer

Start chronic diphenhydramine

Answer

Recommend daytime bed rest

Answer

Use nightly antipsychotic therapy

Answer

Prescribe long-term diazepam

Insomnia in older adult — USMLE Step 3 MCQ

A 71-year-old woman has insomnia after her husband's death. She drinks no alcohol and has no major depression or sleep apnea symptoms. She asks for a sleeping pill. Which of the following is the most appropriate next step in management?