A client who has lost their job may be struggling with what concept? Select the best answer.

Choice A reason: This is the best answer. Role performance is the way that the client fulfills their expected roles in society, such as worker, parent, spouse, student, etc. It is influenced by the client's role expectations, role conflicts, role strain, and role changes. A client who has lost their job may experience a role change that affects their role performance. They may feel a loss of identity, purpose, or status. They may also face financial, emotional, or social challenges that impact their role performance.

Choice B reason: This is not the correct concept. Body image is the way that the client perceives and feels about their physical appearance, structure, or function. It is influenced by the client's age, gender, culture, health, and media. A client who has lost their job may not have a significant change in their body image, unless their job loss is related to a physical condition or injury.

Choice C reason: This is not the correct concept. Self-image is the way that the client perceives and describes themselves. It includes the client's physical, psychological, social, and spiritual attributes. It is influenced by the client's self-esteem, self-efficacy, and self-awareness. A client who has lost their job may have a change in their self-image, but it is not the main concept that they are struggling with. Their self-image may be affected by their role performance, but not vice versa.

Choice D reason: This is not the correct concept. Self-awareness is the ability of the client to recognize and understand their own feelings, thoughts, and behaviors. It is influenced by the client's self-reflection, self-evaluation, and feedback from others. A client who has lost their job may have a change in their self-awareness, but it is not the primary concept that they are struggling with. Their self-awareness may help them cope with their role performance, but not determine it.

Choice A reason: This is not a concerning finding for the nurse. Absence of tears when the infant cries is normal and expected in the first few months of life. The tear ducts and glands are not fully developed yet, and the infant does not produce enough tears to moisten the eyes or overflow the eyelids. The nurse should monitor the infant's hydration and eye health, but should not be alarmed by the absence of tears.

Choice B reason: This is not a concerning finding for the nurse. Presence of vernix caseosa at delivery is normal and expected in newborns, especially those born before 40 weeks of gestation. Vernix caseosa is a white, cheesy substance that covers the skin of the fetus in the womb. It protects the skin from the amniotic fluid and helps with temperature regulation and infection prevention. The nurse should gently wipe off the excess vernix caseosa, but should not try to remove it completely.

Choice C reason: This is not a concerning finding for the nurse. Presence of anterior and posterior fontanels is normal and expected in infants. Fontanels are soft spots on the skull where the bones have not yet fused together. They allow the skull to be flexible and accommodate the growing brain. The nurse should palpate the fontanels gently and assess their size, shape, and tension, but should not be worried by their presence.

Choice D reason: This is the concerning finding for the nurse. Absence of the rooting reflex is abnormal and unexpected in infants. The rooting reflex is an involuntary movement or response that the infant makes when the cheek or mouth is touched. The infant turns the head and opens the mouth, seeking the source of stimulation. The rooting reflex is essential for breastfeeding and feeding in general. The nurse should assess the infant's neurological status and consult with the physician if the rooting reflex is absent.