You are taking care of an older female adult with severe cognitive impairments. She is unable to tell you when she needs to urinate and, as a result, is often incontinent. What do you realize she is experiencing?

Choice A reason: This method is not appropriate because it can cause physical and psychological harm to the client. It can injure the client's mouth, trigger a gag reflex, or cause choking. It can also make the client feel violated, frightened, or angry. This can worsen the client's behavior and damage the trust between the client and the caregiver.

Choice B reason: This method is appropriate because it can help the client maintain their dignity, autonomy, and sense of control. It can also stimulate the client's cognitive and motor skills, and encourage the client to participate in their own care. This can improve the client's mood and behavior, and foster a positive relationship between the client and the caregiver.

Choice C reason: This method is not appropriate because it can cause emotional and psychological harm to the client. It can make the client feel disrespected, humiliated, or threatened. It can also increase the client's anxiety, agitation, or resistance. This can worsen the client's behavior and damage the trust between the client and the caregiver.

Choice D reason: This method is not appropriate because it can cause physical and psychological harm to the client. It can injure the client's mouth, trigger a gag reflex, or cause choking. It can also make the client feel ignored, neglected, or devalued. This can worsen the client's behavior and damage the trust between the client and the caregiver.

Choice A reason: This is the correct answer because thyroid disorders can cause nonspecific symptoms in older adults, such as fatigue, weight loss, depression, or cognitive impairment, that may be attributed to aging or other conditions.

Choice B reason: This is incorrect because there are recognizable symptoms of thyroid disorders, such as goiter, palpitations, tremors, heat intolerance, or cold intolerance, depending on whether the thyroid is overactive or underactive. However, these symptoms may be less obvious or absent in older adults.

Choice C reason: This is incorrect because presenting symptoms of thyroid disorders do not occur very quickly, but rather gradually over time. This may delay the diagnosis and treatment of the condition.

Choice D reason: This is incorrect because the disease is not rare in older adults, but rather more common, especially in women. The prevalence of thyroid disorders increases with age, and can affect up to 20% of older adults.