The client has been diagnosed with a depressive disorder. Which statement by the client indicates an understanding of this disorder?

Choice A reason: This choice is incorrect. A blood glucose level of 110 mg/dL is within normal range and does not significantly increase the risk of delirium.

Choice B reason: While a fractured femur can be painful and stressful, it does not pose the highest risk for delirium compared to sepsis.

Choice C reason: Preparation for surgery can be a risk factor for delirium, but it is not as high a risk as sepsis in an older adult.

Choice D reason: This is the correct choice. Older adults with sepsis are at a high risk for delirium due to the systemic infection and its impact on overall health.

Choice A reason: This choice is incorrect. Flooding is a different technique from desensitization and involves intense and immediate exposure to the feared stimulus, which can be overwhelming and is not the gradual approach used in desensitization.
Choice B reason: This choice is incorrect. Simply teaching a patient to ignore or become immune to anxiety- producing situations does not address the underlying fear and is not a technique used in desensitization therapy.
Choice C reason: This choice is incorrect. While cognitive techniques may be part of a broader therapeutic approach, they are not the same as desensitization, which specifically involves gradual exposure combined with relaxation techniques.
Choice D reason: This is the correct choice. Desensitization therapy, also known as systematic desensitization, is a behavioral therapy technique that involves gradually exposing the patient to the feared object or situation while teaching them relaxation techniques to overcome their anxiety.