Final answer:
The client at highest risk for compromised psychological adjustment after a hysterectomy is a 55-year-old woman with abnormal bleeding and pain for 3 years.
Step-by-step explanation:
A client who is at the highest risk for compromised psychological adjustment after a hysterectomy is (B) A 55-year-old woman with abnormal bleeding and pain for 3 years. This is because she has been experiencing physical symptoms related to her uterus, which can have an impact on her psychological well-being. The physical discomfort and the anticipation of the surgery can lead to increased stress and anxiety, which may affect her psychological adjustment.