A nurse in an adult day care facility is contributing to the plan of care for a client whose family reports recent confusion and memory loss. Which of the following strategies should the nurse include in the plan?

A. Low-level lighting can increase confusion and the risk of falls, especially for clients with memory loss. It is important to have adequate lighting to promote a safe environment and help with orientation. Well-lit areas can reduce disorientation and anxiety in clients who are confused or have memory issues. B. Offering several meal options might overwhelm and further confuse the client. For clients with memory loss and confusion, it is better to provide simple choices or pre-selected meals to reduce decision-making stress and confusion. Too many choices can lead to frustration. C. Confronting a client with memory loss or confusion about inappropriate behavior can increase agitation, anxiety, and defensive reactions. Instead, redirecting the client or using calm, reassuring approaches would be more effective in managing behavior and preventing escalation. D. Symbols and pictures can help clients with memory loss navigate their environment more easily because they may have difficulty reading or comprehending written language. Visual cues such as symbols in signage can improve orientation and independence, helping the client feel more comfortable in their surroundings.