Question

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.

Answer 1

The client with multiple sclerosis experiencing difficulty ambulating is at risk for experiencing a role change due to the disease's progressive impact on physical and cognitive functions.

Step-by-step explanation:

The nurse should identify that the client who is experiencing a role change is the one with multiple sclerosis (MS) and is experiencing progressive difficulty ambulating. MS is a chronic illness that can significantly impact daily living and role functions due to its physical and cognitive effects. As the disease progresses, individuals often need to adapt to new limitations, which may include the use of mobility aids, changes in employment status, or modifications to personal and professional responsibilities. In contrast, the other scenarios listed involve managing a chronic condition with diet changes, blood monitoring, or enduring symptoms, which, while requiring adjustments, may not constitute an immediate and significant role change. This is distinct from the progressive and potentially disabling nature of MS.