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 : This response is patient-centered and collaborative. It acknowledges the client's concerns and preferences, which is crucial in managing diabetes effectively. By involving the client in the decision-making process, the nurse empowers the client to take an active role in their health care. This approach can lead to better adherence to dietary recommendations and improved glycemic control. It is also aligned with the principles of effective communication with patients living with diabetes, which emphasize understanding, empathy, and cultural competency.

Choice B reason : This statement is accusatory and could make the client feel guilty or blamed for their condition. It is not constructive and does not contribute to a positive therapeutic relationship. Diabetes mellitus is a complex disease with multiple risk factors, including genetics, lifestyle, and environmental factors. It is not helpful to oversimplify the cause of the disease to one factor, such as diet alone.

Choice C reason : While this statement may be true for some, it does not acknowledge the individual challenges the client may face in adjusting to a new diet. It is important to recognize that each person's experience with diabetes and dietary changes is unique. A more supportive approach would be to offer guidance and resources to help the client gradually adapt to the changes.

Choice D reason : This statement is presumptive and does not take into account the client's current feelings or potential difficulties they may encounter. While a healthier diet can lead to better health outcomes, it is essential to validate the client's feelings and provide support and education to help them understand the benefits of the dietary changes.

Choice A reason : While nasopharyngeal suctioning may be necessary to clear secretions, it should be done with the client's consent and in a manner that maintains their dignity. It is not the primary action to support dignity.

Choice B reason : Giving the client privacy during care is a fundamental way to support their dignity. It respects their personal space and autonomy, even in a vulnerable state.

Choice C reason : Demonstrating empathy is crucial in end-of-life care, as it acknowledges the client's feelings and experiences. However, it is not an action but rather an approach or attitude.

Choice D reason : Providing care with an optimistic attitude can be supportive, but it must be balanced with realism, especially in end-of-life situations where the focus is on comfort and dignity.

Choice E reason : Telling the client that their condition will improve may not be appropriate in end-of-life care, as it may not be truthful and could undermine trust.