[Verified Answer]: A 92-year-old patient with dementia lives…

A 92-year-old patient with dementia lives at home with their 91-year-old spouse. The patient has a history of hypertension and takes donepezil 10 mg daily and amlodipine 5 mg daily. They report that the patient has been hallucinating and seeing kittens for the past week, repeatedly filling bowls of milk to feed these kittens. On exam, the patient is alert and in no acute distress. Blood pressure is 110/75mm Hg with a heart rate of 75 beats/minute and a respiratory rate of 12 breaths/minute. Respiratory, cardiac, and neurological screening examinations are all normal. CBC, electrolytes, renal, and liver function tests are all normal. Which of the following is recommended for the management of this patient’s hallucinations? A. Hospital admission for evaluation of acute delirium B. Reassurance and education for the spouse on redirection C. Start haloperidol (Haldol) D. Start risperidone (Risperdal)E. Start lorazepam (Ativan)