What is an appropriate step in the initial management of the seven patients receiving atypical antipsychotics?

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Question 1 of 5

What is an appropriate step in the initial management of the seven patients receiving atypical antipsychotics?

A. No action is necessary, because one potential indication for atypical antipsychotic use is refractory behavioral disturbance in persons with significant dementia. B. Taper to discontinue the atypical antipsychotic; after a 2-week washout, begin therapy with zolpidem. C. Taper to discontinue the atypical antipsychotic, and create day programs that allow patients to develop a sleep deficit/need through the morning/afternoon/early evening. D. Start modafinil or a similar short-acting stimulant to minimize daytime sleepiness.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 3 retries using GPT-3.5.

Question 2 of 5

An older woman who is cared for by a concerned family is particularly likely to suffer from which of the following complications after an episode of gastroenteritis?

A. Immobility related to overconcern B. Continued vomiting caused by too-rapid feeding C. Diarrhea resulting from administration of milk products D. Constipation related to overtreatment of diarrhea

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 3 retries using GPT-3.5.

Question 3 of 5

Which of the following statements is true?

A. Decision-making capacity can be determined only by a psychiatrist. B. A diagnosis of dementia precludes competent decision making. C. Lack of decision-making capacity should not be presumed if the patient goes against medical advice. D. Expression of a choice is sufficient to indicate decision-making capacity.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 3 retries using GPT-3.5.

Question 4 of 5

Lenore White is an 80-year-old woman who smokes two packs of cigarettes per day. What two ethical principles are in conflict?

A. Beneficence and community B. Nonmaleficence and justice C. Autonomy and justice D. Autonomy and nonmaleficence

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 3 retries using GPT-3.5.

Question 5 of 5

Which of the following is false about the Veterans Health Administration?

A. It is an integrated network of service providers across the United States. B. It serves a population with an average age of nearly 65 years. C. It provides care management only for individuals with disabilities that are service-related. D. It can provide older adults home-based primary care, geriatric assessment, and long-term care.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 3 retries using GPT-3.5.

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