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Elder mistreatment — CCFP MCQ

Instant feedback + full explanation. One question, done properly.

HardGeriatricsElder mistreatmentCCFP

An 84-year-old hospitalized with pneumonia becomes acutely inattentive and fluctuating. Lorazepam was started nightly three days ago; there is no alcohol or benzodiazepine dependence. What is the best management?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: C — Treat underlying causes, stop avoidable sedatives and use multicomponent non-drug delirium care

Explanation lettering: C = shown as A · D = shown as B · B = shown as C · E = shown as D · A = shown as E

B is correct. Delirium care prioritizes the cause, medication review, orientation, mobility, sleep, hydration, hearing and vision support; benzodiazepines usually worsen delirium outside withdrawal states. C intensifies a likely contributor. D makes antipsychotic exposure routine rather than exceptional for dangerous distress. E can worsen agitation and injury. A delays common reversible-factor assessment for low-yield imaging. Capacity and safety require repeated reassessment as cognition fluctuates.

Reference: Choosing Wisely Canada: Geriatrics recommendations: https://choosingwiselycanada.org/recommendation/geriatrics/