The nurse is educating a group of older adult clients about the health risks associated with alcohol use. After the session, one participant says: "I've been having a glass or two of wine most evenings. As long as I don't drive, I don't think it causes any problems." Which response by the nurse indicates the most accurate evaluation of this client's understanding and safety risk?

A. "Even small amounts of alcohol can interact with medications and increase fall risk in older adults.": Accurate and clinically important - even modest drinking raises risk of medication interactions, sedation, impaired balance, and falls in older adults. B. "You're correct, drinking at home prevents the most serious risks related to alcohol.": Minimizes risk - location doesn’t eliminate physiologic harms or interactions; this response understates safety concerns. C. "Alcohol use is only concerning in older adults who have a history of substance misuse.": New or increasing alcohol use in older adults can cause harm regardless of past history. D. "That amount of alcohol is considered safe for older adults as long as it's only wine.": Misleading - type of beverage doesn’t negate risks; quantity, interactions, comorbidities, and medications determine safety.