Under what circumstances must the guardian honor the ward's wishes?

The correct answer highlights that a guardian must consider the wishes of the ward when the ward can express themselves clearly and is not totally incapacitated. In situations where the ward is completely incapacitated or a minor under the age of 14, their ability to meaningfully express their wishes may be compromised, thus placing the guardian in a position to act in the best interest of the ward without being guided by the ward's expressed preferences.

For individuals who can articulate their desires clearly and demonstrate a level of understanding, the guardian is obligated to respect those wishes, as it reflects the core principle of person-centered care and autonomy. However, the guardian's duty to act in the ward’s best interest becomes more pronounced in cases of total incapacitation or when the ward does not have the legal capacity to make decisions.

Recognizing that a minor under the age of 14 typically lacks the legal capacity to make certain decisions, the guardian can step in on their behalf without needing to honor any stated preferences. Therefore, in the context of this scenario, A is the most relevant choice regarding when the guardian must honor or respect the ward's wishes effectively.