A nurse is caring for a client who reports feeling stressed because they are unable to meet demands at work and care for a family member who is ill. The nurse should identify that the client is experiencing which of the following self-concept stressors?

Choice A reason : Sitting upright unsupported is a motor skill that typically develops after a baby has gained enough strength and balance, which usually occurs around 6 months of age. Before they can sit unsupported, infants need to develop control over their head and neck muscles, as well as their upper body strength.

Choice B reason : Standing while holding on to furniture, also known as cruising, is a skill that comes later in the first year of life, usually after the infant has mastered sitting and crawling. This skill is often seen around 9 to 12 months of age as the infant's leg and core muscles become strong enough to support their weight in an upright position.

Choice C reason : Transferring an object from hand to hand is a fine motor skill that develops as an infant's hand-eye coordination improves. This skill typically emerges around 4 to 6 months of age, after the infant has developed the ability to grasp objects and has begun to explore their environment more actively with their hands.

Choice D reason : Rolling from side to side is one of the first gross motor skills that infants develop, usually occurring around 2 to 4 months of age. This skill is an important precursor to more complex movements such as sitting, crawling, and walking. It begins with the infant learning to control their head movements and then progresses to rolling over from their stomach to their back and vice versa.

Choice A reason : Prolonged grief, also known as complicated grief, is characterized by an intense longing and preoccupation with thoughts or memories of a loved one, which persists long after the loss has occurred. It can significantly impair important areas of functioning and is defined by the DSM-5-TR as grief that stays with you long-term. The client's inability to accept the loss after three years suggests that they may be experiencing prolonged grief, which may require the guidance of a mental health professional for resolution.

Choice B reason : Uncomplicated grief, also known as normal grief, involves a range of feelings, including sadness, anger, and longing, that gradually start to improve over time. The person experiencing uncomplicated grief will begin to accept the loss and resume normal activities. Since the client is still unable to accept the loss after three years, this would not be classified as uncomplicated grief.

Choice C reason : Disenfranchised grief occurs when an individual's grief is not acknowledged or validated by society, often because the relationship to the deceased is not recognized, such as in the case of a pet or a distant relative. This type of grief is not typically associated with the duration of the grief but rather with the social context in which the grieving occurs.

Choice D reason : Anticipatory grief occurs before the actual loss, often in situations where a loved one is terminally ill. It involves grieving the impending loss and can include some of the same emotions as post-loss grief. Since the client's partner has already died, this would not be considered anticipatory grief.