An 82-year-old widow with Alzheimer's disease lives with her daughter's family, which owns a catering business. During the week, the patient attends a day care center for patients with dementia. During the evenings, members of the family care for the patient. One day, the nurse at the day care center notices the patient's appearance is disheveled and that she startles easily. She has a strong odor of urine, and her hair is uncombed. When the nurse escorts the patient to the bathroom, she notices bruises on her wrists and back. What most likely explains the nurse's observations?
a. The patient is being neglected and abused within the family.
b. The dementia is progressing, reducing self-care and increasing falls.
c. The patient is being inadequately cared for, resulting in accidents.
d. The patient has developed delirium, resulting in poor hygiene and injuries.
Answer: A