A 79-year-old client resides independently in the community. The visiting home health nurse finds that despite it being 90 F outside, the windows are closed, and the client is wearing a sweater. The nurse initially recognizes that this behavior may be related to:

A. Cognitive changes can affect judgment, but there is no indication here of confusion or memory issues, making this a less likely initial explanation. B. Delirium is acute and typically presents with confusion, inattention, and fluctuating mental status—none of which are described in this scenario. C. Motor deficiencies might affect mobility or self-care tasks but do not typically influence temperature perception. D. Age-related neurosensory changes can diminish the ability to sense temperature accurately, making older adults less aware of heat or cold, and more likely to overdress or underdress—this is the most likely explanation for the client’s behavior.