The answer is d. A client who has multiple sclerosis and is experiencing progressive difficulty ambulating is at risk for experiencing a role change.
A role change is a transition from one set of behaviors, expectations, and responsibilities to another. A client with multiple sclerosis may face role changes in their personal, social, and occupational domains as their mobility and function decline. They may need to adjust to new ways of performing daily activities, coping with emotional stress, and maintaining relationships with others.
Some examples of role changes for a client with multiple sclerosis are:
• Becoming more dependent on others for assistance and care
• Using assistive devices or adaptive equipment to aid mobility
• Reducing or modifying work hours or tasks
• Seeking disability benefits or financial support
• Participating in support groups or counseling
• Altering leisure or recreational activities
• Developing new skills or hobbies
The other clients are not likely to experience significant role changes as a result of their conditions. A client who has type 1 diabetes mellitus and is starting to self-monitor blood glucose is learning a new skill that can help them manage their chronic condition, but it does not necessarily affect their roles in other aspects of life.
A client who had a cholecystectomy and is starting on a modified-fat diet is making a lifestyle change that can improve their health, but it does not require a major shift in their roles. A client who has Crohn’s disease and is experiencing diarrhea three times a day is dealing with a symptom of their condition, but it does not imply a role change unless it interferes with their normal functioning. For more information on role changes in nursing, you can check out this page.
The complete question is given below:
A nurse is assessing a group of clients for indications of role changes. The nurse should identify that which of the following clients is at risk for experiencing a role change?
a. A client who has type 1 diabetes mellitus and is starting to self-monitor blood glucose
b. A client who had a cholecystectomy and is starting on a modified-fat diet
c. A client who has Crohn's disease and is experiencing diarrhea three time a day
d. A client who has multiple sclerosis and is experiencing progressive difficulty ambulating.