A nurse is caring for an 86-year-old client with moderate Alzheimer's disease who has become increasingly agitated and verbally aggressive in the evenings. The provider considers initiating an antipsychotic medication.

What is the most appropriate nursing consideration regarding the use of antipsychotic medications in this client?

Antipsychotics are appropriate for long-term use to prevent agitation, even in the absence of psychosis

Atypical antipsychotics are FDA-approved for behavioral symptoms of dementia and pose no greater risk than placebo

Antipsychotics carry an increased risk of mortality in older adults with dementia and should only be used after nonpharmacologic strategies fail

Antipsychotics are a first-line treatment for behavioral symptoms in dementia and are generally well tolerated in older adults