a) Confusion is a disease process. b) Confusion is always temporary. c) Age is a reliable predictor of confusion. d) Polypharmacy is a major contributor to confusion in older adults.

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d) The main cause of confusion among older adults is polypharmacy.


Confusion can refer to mental disorientation. This condition may be caused by illness, side effects from medication or changes in the environment. As stated in the option a, confusion is not considered a disease.

Like option b, confusion can be permanent. Confusion can become a permanent condition in people with dementia and other neurological disorders.

According to option c, the age of confusion is not an indicator of its likelihood.

A major cause of confusion for older adults is polypharmacy. This refers to the simultaneous use multiple drugs. Multiple medications may cause drug interactions and adverse drug reactions. Cognitive impairment can also be a result. The correct answer is option d.

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