Is the patient there of their own volition? If so, what are they seeking from the visit?
Are they here not of their own choosing? If so, what are the circumstances. (Court order, adult protective, driving problems, adult children, friends, spouse, etc.)
How do they really feel about someone about 1/3 their age probing into area of their life they don't want probed. (Remember, you look more like their grandchildren than their children.)
Try to discern their perspective and navigate it; you need to win them over to be on your side; we want a cooperative and collaborative relationship, not an antagonistic or adversarial relationship.