The PMHNP on call gets a call from the assisted living facility to advise that his 78-year-old patient is acutely confused. The patient, who is treated with mirtazapine for anxiety, insomnia, and decreased appetite, is normally oriented x 3. Today however, she does not recognize the staff at the facility and insists that she has to go home right now as her husband is waiting for her to cook dinner. She is agitated and the staff is asking for a sedative to calm her down. The PMHNP recognizes that the patient requires:

A. A non-benzodiazepine sedative for her safety

B. A medical evaluation including a urinalysis

C. Immediate transfer to the emergency department

D. An additional dose of mirtazapine with follow-up tomorrow
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YouTube: https://www.youtube.com/watch?v=pL8ZxcHOu_4&list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&index=45