The patient is a 66-year-old patient who has been admitted to the hospital for a transient ischemic attack (TIA). Her health care provider has told her that she should consider retiring from her high-stress position as a hospital administrator

The patient is distraught over this suggestion. The nurse caring for her recognizes the most likely cause of distress is a result of a change in which of the following? a. Body image
b. Role performance
c. Self-esteem
d. Identity


B
Role performance is the way in which a person views his or her ability to carry out significant roles. This patient is being told that she will have to give up her role as an administrator. Body image involves attitudes related to the perception of the body, including physical appearance, femininity and masculinity, youthfulness, health, and strength. There are no overt bodily changes here. Self-esteem is an individual's overall sense of personal worth or value. This could be an issue, but it is based in the change in her role. Identity involves the sense of individuality and being distinct and separate from others. Being "oneself" or living a life that is genuine and au-thentic is the basis of true identity. What was true of self-esteem can be true of identity.

Nursing

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