《素问·痿论》指出肾气热的症状是（）

A.腰脊不举

B.胫纵而不任地

C.骨枯而髓减

D.筋急而挛

E.色黑而齿槁

The nurse is caring for a 40-year-old client. Which behavior by the client indicates adult cognitive development

A. Has perceptions based on reality.
B. Assumes responsibility for actions.
C. Generates new levels of awareness.
D. Has maximum ability to solve problems and learn new skills.