A nurse is caring for a client who has severe dementia and is being cared for at home by their adult child. The adult child states, "I never seem to get a break, but I suppose that's to be expected." Which of the following resources should the nurse recommend?

Choice A reason: Home hospice care is appropriate for clients with terminal conditions and a prognosis of six months or less. Severe dementia may eventually qualify, but this option is premature unless end-of-life criteria are met. Choice B reason: Cognitive enhancement therapy is used in schizophrenia and other cognitive disorders to improve functioning. It is not suitable for advanced dementia, where cognitive decline is irreversible. Choice C reason: Assisted living provides long-term residential care but does not offer temporary relief for caregivers. It may be considered if home care is no longer feasible, but it does not address the immediate need for caregiver respite. Choice D reason: Respite care offers temporary relief to caregivers by providing short-term professional care for the client. It helps prevent caregiver burnout and supports continued home care. This is the most appropriate recommendation for the adult child expressing fatigue.